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2011
February
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Worksite Wellness
Worksite Wellness
Individual Interest Wellness Survey
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Hello:
You are invited to participate in our Wellness Survey. In this survey, Diplomat employees will be asked questions about individual interests regarding health and wellness. It will take only a couple of minutes to complete the questionnaire.
Your participation in this survey is completely voluntary. If you feel uncomfortable answering any questions, you may skip the question or withdraw from the survey at any point. It is very important for us to gather your opinions.
Your survey responses will be confidential and data from this survey will be reported only in the aggregate. If you have questions at any time about the survey or the procedures, you may contact Becky Foerster @
[email protected]
.
Please complete this survey by Friday March 4, 2011.
Thank you very much for your time and support. Please start the survey now by clicking on the
Continue
button below.
I know what it takes to live a healthy lifestyle:
Strongly Agree
Agree
Disagree
Strongly Disagree
I am satisfied with my current health:
Strongly Agree
Agree
Disagree
Strongly Disagree
I make time for 30 minutes of physical activity most days of the week:
Strongly Agree
Agree
Disagree
Strongly Disagree
It's hard for me to get as much exercise as I should:
Strongly Agree
Agree
Disagree
Strongly Disagree
I would be most interested in health promotion programs:
Before work
During my lunch or break
After work
I would participate in the following health education programs.
Cancer Prevention
Heart Disease Prevention
Smoking Cessation
Cholesterol Reduction
Substance Abuse
Headache Prevention
Cold / Flu Prevention
I would participate in the following emotional health education programs.
Controlling Anger / Emotions
Parenting Difficulties
Depression Treatment
Time Management Skills
Managing Chronic Health Conditions
I would participate in the following nutrition education programs.
Healthy Cooking (Meals & Snacks)
Healthy Eating (Do's & Don'ts)
Weight Management (Diet & Exercise)
I would participate in the following group fitness programs.
Yoga / Pilates
Zumba
High / Low Intensity "Boot Camp"
Walk-Fit Programs
Low-Impact Aerobics
Athletic Area w/ Treadmills, Elliptical Machines, Free Weights
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