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Surveys
2014
September
W
Wellness Interest Survey
Wellness Interest Survey
Wellness Interest Survey
0%
Exit Survey
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
-- Select --
1
2
3
4
5
6
Food
-- Select --
1
2
3
4
5
6
Recognition
-- Select --
1
2
3
4
5
6
Fitness memberships
-- Select --
1
2
3
4
5
6
Gifts (t-shirts, electronics, fitness equipment)
-- Select --
1
2
3
4
5
6
Paid time off
-- Select --
1
2
3
4
5
6
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
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