Answering the following questions will result in a summary report that will provide some useful feedback on your current wellness policies and programs as well as ideas and suggestions for your consideration. These ideas are customized to your company, based on your responses.
1. What is the approximate percentage of women and men employed at your company? The majority are women The majority are men The percentage is about 50 – 50
2. What is the average age of your workforce? 18 – 30 years of age 31 – 40 years of age 41 – 50 + years of age
3. What is the primary means of communicating information to your employees? Fliers and Postings Mailbox and/or paycheck stuffers; e-mail messages Regularly scheduled meetings Occasional employee meetings or none of the above
4. What is the approximate percentage of employees who smoke cigarettes or use tobacco products? Less than 15% 15 – 25% Greater than 25% Not sure
5. Which of the following best describes the smoking policy at your workplace: Smoking is not permitted inside the facility or on company grounds Smoking is allowed in designated areas on the grounds (outside front door, picnic area, personal vehicles, etc.) Smoking is allowed in designated areas within the building We do not have a smoking policy or Not sure
6. Do you have employees interested in, or trying to lose weight? Yes Not that I am aware of There are a high percentage of employees who are overweight or obese The employees are within a healthy weight range
7. Have you considered offering onsite weight loss programs? Yes, we have offered or continue to offer weight loss classes at our facility Yes, we provide nutrition information and resources available in the community Yes, we have incentive programs and contests for weight loss Weight loss programs have not been made available yet
8. Is increasing physical fitness activities promoted at the company? Yes, we distribute pamphlets and information on exercise Yes, we have designated walking paths/areas and encourage employees to walk Yes, we have an onsite fitness center and/or aerobic classes No, we haven’t found a way to promote exercise yet
9. Which of the following describes the availability of food at your workplace: Vending machine selections are available with no or limited healthy selections Vending machine selections available with healthy selection offerings Cafeteria or catering with limited healthy choices or healthy choices are not prominent Cafeteria or catering with available and identified healthy choices
10. What types of foods are usually served at company meetings or company sponsored employee activities/celebrations? Typical 'party foods' like barbecue, fried chicken, mac n cheese, rolls and hush puppies (and don’t forget dessert!) Cold-cut sandwiches on white bread; pastries, and doughnuts, etc. Pizza, pizza, pizza! Baked or broiled chicken selections with vegetables, salad, and fruit (and maybe a chocolate treat!) Food is not usually served at company meetings.
11. Do you have an employee assistance program (EAP)? Yes, it is available, but only aassist_program small percentage of employees use it Yes, we have an EAP, encourage use and it is highly promoted and visible No, we do not have an EAP at this time
12. Does your company provide any stress management or mental health support programs? We provide pamphlets and information on stress management We provide pamphlets and information on stress management, work-life balance and mental health, including depression We provide information and periodic classes/sessions on stress management and/or mental health We do not provide information on stress or mental health at this time
13. Does your company have an established "Health Promotion" or "Wellness Committee" (If NO, skip to Question 15)? Yes No
14. If yes, does your committee have employee representatives and management reps? Yes No
15. Have employees expressed an interest in wellness or health promotion topics? Yes No
16. Is senior-level management interested in establishing a wellness or health promotion program? Yes No
17. Does your company currently offer health-insurance benefits to your employees? (If no skip to skip to question 24 ) Yes No
18. If YES, does your company pay for (if no, skip to question 24): All of the employee’s premiums Some of the employee’s premiums Employees pay for their premiums on insurance programs provided by the company
19. Does your health insurance plan provide coverage for annual routine physical exams/check-ups, including health screenings? Yes No
20. Does your health insurance plan provide coverage for nutrition counseling? Yes No
21. Does your health insurance plan provide coverage for weight control / weight-loss services? Yes No
22. Does your health insurance plan provide coverage for smoking-cessation programs and/or quit smoking aids/products? Yes No
23. Does your health insurance plan provide coverage for mental-health benefits? Yes No
24. Do you employ an occupational health nurse either full- or part-time? Yes No
25. Do you have a health promotion/wellness coordinator? Yes, we have a full-time or part-time wellness coordinator Yes, we utilize an outside consultant to coordinate our wellness program No, we are able to coordinate our program with the employee wellness committee and community resources No, not at this time
26. Do you have a company doctor? Yes, we have a relationship with a doctor in the community Yes, we have a full-time or part-time physician onsite at our company No, we do not, but have access to medical care as needed
27. Do you believe that budgetary or cost constraints limit what you’d like to do to improve employee wellness: Significantly Somewhat Not at all
Submit for your personal and confidential report.
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Or Contact Carla at 321-749-6762
