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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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