Eac Wellness

1. If our company provided free healthy snacks, would you eat them?
Yes
No
2. Would you be interested in a company-provided wearable fitness tracker, such as a Fitbit or Jawbone?
Yes
No
3. Would you be interested in onsite group fitness activities, such as bootcamp
Yes
No
4. Are you interested in, celebrating employee birthdays once a month with a Cake. (For example, July’s employee’s birthday is celebration is the last day of the month with a cake)
Yes
No
5. Would be participate in a company-wide fitness or wellness challenge?
Yes
No
6. Are you interested in mental health services, like stress and anxiety management classes?
Yes
No
7. Would you be interested in participating in a company Potluck for the Holidays? (Thanksgiving and December Holiday)
Yes
No
8. What specific fitness activities interest you? Check all that apply
€¢ Group running
€¢ Hiking
€¢ Cycling
€¢ Walking
€¢ Stretching
€¢ Nutrition / cooking classes
€¢ Basketball
€¢ Rock climbing
€¢ Swimming
€¢ Weight/resistance training
€¢ Yoga
€¢ Meditation
€¢ Stretching
10. When do you prefer to exercise?
€¢ In the morning before work
• In the evening after work
€¢ During work hours (i.e., just before your lunch break)
11. On average, how many hours per day do you sit at your desk?
€¢ 0-2
€¢ 2-4
€¢ 4-6
€¢ 6-8
€¢ 8+
12. On average, how many hours per day are you staring at a screen? (Computer, phone, or television.)
€¢ 0-2
€¢ 2-4
€¢ 4-6
€¢ 6-8
€¢ 8+
13. How often are you able to get up and stretch or walk during a typical day?
€¢ Never
€¢ Once or twice
€¢ Frequently
14. On a typical day, how many servings of fruits and vegetables do you eat?
€¢ 0
€¢ 1-2
€¢ 3-4
€¢ 5-6
15. On a typical day, how many glasses of water do you drink?
€¢ 0-2
€¢ 3-5
€¢ 6-8
16. Do you practice mindfulness? (I.e., yoga or meditation)
€¢ No
€¢ Yes, but rarely
€¢ Yes, 2-3 times per week
€¢ Yes, daily
17. On a scale of 1-10 (1 being not stressed at all, 10 being constantly stressed out), rate your stress level on a typical day.
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