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What is your preferred communication method for health information?
 
Poster/flyer
 
UltiPro
 
Newsletter
 
Email
 
Handouts
 
Other
 

 
 
 
Which of the following items would you like to see in a wellness/health promotion program (Select all that apply)?
 
Lifestyle coaching
 
Preventative screenings
 
Body composition testing
 
Consumer health training
 
Gym membership subsidies
 
Healthy lunches/vending options
 
Intramural sports teams
 
Massage Therapy
 
Nutrition education/ cooking demos
 
Onsite fitness class
 
Personal training
 
Stree management
 
Support groups
 
Other
 

 
 
 
What topics are you interested in learning more about (Select all that apply)?
 
Alternative medicine
 
Back care
 
Cancer awareness
 
Career coaching
 
Financial Management
 
Mental health
 
Nutrition
 
Physical activity
 
Safety
 
Sleep disorders
 
Stress management
 
Weight management
 
Women's/ Men's health
 
Other
 

 
 
 
Please rank (1-3) the following incentives in order of interest:
Gift certificates
Food
Recognition
Fitness memberships
Gifts (t-shirts, electronics, fitness equipment)
Paid time off
 
 
 
When you are at work, which of the following best describes what you do?
 
Mostly sitting and standing
 
Mostly walking
 
Mostly heavy labor or physically demanding work
 
 
 
How often do you engage in physical activity outside of work?
 
Less than 1 time per week
 
1-2 times per week
 
2-3 times per week
 
3-5 times per week
 
Daily
 
 
 
Which of the the following categories would you place yourself in?
 
I am not interested in pursuing healthy habits
 
I have been thinking about changing some of my health behaviors
 
I am planning on making a health behavior change in the next 30 days
 
I have made some health behavior changes but I still have trouble following through with them
 
I have had a healthy lifestyle for years
 
 
 
What would you add or change to our current wellness program?
   
 
 
 
Do you know about our exercise hours program?
 
Yes
 
No