WORKPLACE WELLNESS SCORE QUESTIONNAIRE

GENERAL DETAILS

EMPLOYEE CHARACTERISTICS

(Please state in % or #, stay consistent in your answers)

Please indicate the number of employees within each of the following age categories:

WORK STATUS

Please specify the number of employees in each of the following work status categories:

LOCATION BREAKDOWN

Please specify the number of employees in each of the following work locations:

(working exclusively at the physical office location)

(working exclusively from a location outside the office, such as from home or another remote location)

(working both onsite and remotely on a regular basis)

SCHEDULES

Please provide information about your work schedule and operating hours:

Specify the frequency of the staff meetings (e.g. weekly, monthly, quarterly, etc.):

Other meeting schedule (Specify the type and frequency)

Other meeting schedule (Specify the type and frequency)

WORKPLACE ENVIRONMENT

Please select all that apply.

Please select all that apply.

POLICIES AND PRACTICES

Please select all that apply.

How does the organization handle corporate advertising or sponsorship related to food, drink, fitness, and sports within the workplace?
How does the organization handle corporate advertising or sponsorship related to food, drink, fitness, and sports within the workplace?

LEADERSHIP COMMITMENT

Please share any goals and objectives that the leadership team considers important and has included in the organizational strategic plan for the upcoming year(s).

Please specify the three primary objectives for your workplace wellness/health promotion program.
Please outline the top three long-term goals to be achieved within the next 2-4 years.
Please share any additional information or details you would like to provide regarding your current workplace wellness program.
Please identify the top three short-term goals to be achieved within the next year?

HEALTH PROMOTION

Please select all that apply:

Please select all that apply:

Please select all that apply:

Please select all that apply:

Please select all that apply:

Please select all that apply:

Which wellness initiatives implemented in the last two years have been the most positively received and successful, and what factors do you believe contributed to their success?
What have been the most significant challenges encountered within your wellness program over the past two years, and what factors do you believe have contributed to these challenges?