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Wellness

City of Easton Wellness Interest Survey
0%
Exit Survey
 
 
At The City of Easton, we recognize how important it is for our employees to keep healthy. We also realize the importance of offering you opportunities to make a difference in your well-being.

Therefore, we are conducting an Employee Wellness Interest Survey to determine your interest in participating in worksite and offsite wellness programs. We want to hear your thoughts and ideas on how to provide you with the programs, seminars and activities designed to meet your needs.

Please help us my taking a few minutes to complete this survey. The survey is completely voluntary and confidential.

Thank you in advance for your participation
 
 
 
Which of the following best describes you:(check all that apply)
 
I am not interested in pursuing a healthy lifestyle.
 
I have been thinking about pursuing a healthy lifestyle by making some changes.
 
I plan on making a health change within the next 30 days
 
I have made some health changes recently, but have trouble following through.
 
I have a healthy lifestyle.

 
 
Using the scale below, please rate how interested you are in each wellness topic. The more specific information we receive from you, the more tailored our wellness program can be to the employee's needs. 
Not Interested Neutral Slightly Interested Very Interested
Allergies and Asthma
Anger
Anxiety
Back Care
Cancer
Blood Pressure
Cholesterol Management
Dental/Oral Health
Depression
Diabetes
Not Interested Neutral Slightly Interested Very Interested
Dietary Supplement
Digestive Health
Emotional Health
Eye Health
Healthy Cooking
Heart Health
Medical Self-Care
Men's Health
Mental Health
Natural Remedies
Not Interested Neutral Slightly Interested Very Interested
Nutrition
Pain Management
Parenting
Physical Activity
Relaxation
Skin Health
Sleep
Smoking Cessation
Stress Management
Substance Abuse
Walking Program
Weight Management
Women's Health
Workspace Ergonomics
Work/Life Balance
 
 
If it was a topic of interest to you, how likely are you to participate in the following:
Not at all Likely Somewhat unlikely Somewhat likely Very likely
Wellness Webinars
Health and Wellness Coaching
Health Screening (example: Blood pressure screening)
Health Fair
Physical Activity Tracker (Fitbit)
Confidential Wellness Assessments
Group events in the community (example: Heart walk, 5k)
Self-defense
Job Stress
Managing Multiple Roles
Time Management
I do not plan to participate in any wellness programs at work.
 
 
 
How long should a wellness activity last?
Less than 15 minutes
15 minutes
30 minutes
45 minutes
60 minutes
 
 
 
What time of day would you most likely participate in a wellness program?
 
Before the beginning of my shift
 
At the beginning of my shift
 
At my lunch or break times
 
At the end of my shift
 
After my shift
 
Weekends
 
Other
 

 
 
 
Which of the following incentives would increase your likelihood to participate in wellness activities?(check all that apply)
 
I would participate without an incentive.
 
Financial rewards (gift cards, lower cost in health insurance)
 
Free food at the program
 
Free or reimbursement gym membership
 
Small gifts
 
Raffles for gifts
 
I would not participate even with an incentive
 
Other
 

 
 
 
How would you prefer to receive information about the company's work site wellness events?
 
Written materials (newsletters, flyers, memos)
 
E-mail
 
Department meetings
 
Online/Website
 
Snail Mail to home
 
Facebook
 
Other
 

 
 
 
Are there any barriers that prevent your from participating in wellness activities? (check all that apply)
 
Inconvenient time or location
 
Lack of time
 
Privacy: my employer should not be involved in my personal health
 
Confidentiality: concern about others knowing of my personal health
 
Lack of management support or pressure to get my work done
 
My job duties do not allow me to participate
 
Just not interested
 
Other
 

 
 
 
Do you have any additional health and wellness interests or suggestions?
   
Please include your name and department in this section.
   
 
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