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Staff Wellness Survey
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Which describes your health in general?
Excellent
Good
Fair
Poor
Clear selection
Do you set aside time for your self-care?
Always
Most of the time
Sometimes
Rarely
Never
Clear selection
Do you feel like you get enough sleep at night and feel rested in the morning?
Always
Most of the time
Sometimes
Rarely
Never
Clear selection
Do you feel like you have enough time for quick brain breaks during the work day?
Always
Most of the time
Sometimes
Rarely
Never
Clear selection
Do you have a healthy balance between work and home life?
Always
Most of the time
Sometimes
Rarely
Never
Clear selection
Do you start each school day with a positive mindset?
Always
Most of the time
Sometimes
Rarely
Never
Clear selection
How often do you experience stress at work that is difficult for you to manage?
Always
Most of the time
Sometimes
Rarely
Never
Clear selection
Do you currently use any tools or practices regularly/daily to help you cope with stress? (Select all that apply)
Apps (games, relaxation apps)
Exercise
Hobbies (gardening, knitting, art, watching sports)
Listening to music
Mindfulness/meditation
Socializing with friends
Deep breathing
Other:
What wellness activities do you currently participate in through your organization?
Your answer
Are you interested in any of the following to increase wellbeing at work (check all that apply):
Learning about healthy food choices for snacks and meals
Participating in physical activity at lunch or after work once a week (yoga, walking, etc.)
Building relationships with coworkers through Happy Friday Breakfast and connection activity once a month
Learning ways to handle stress
Celebrating staff through gratitude notes on a gratitude wall
Playing games that increase fun and laughter at work
Reading a monthly email about various wellness topics
Engaging in “Happy Hour on Zoom” once a month
Creating a wellness room for staff to relax and move
Other:
When would you most likely participate in work-sponsored wellness activities? (Select all that apply)
Within my regular work hours
Before work
After work
Weekends
How long would you want staff wellness activities to last? (Select all that apply)
10-15 minute activities that I can join during a break of before/after work
Activities that last 30-60 minutes occasionally, like once a month
5 minute reminders through email or staff meetings
Would you prefer individual or group wellness activities at work?
Information that I can read, listen to, or watch on my own (individual)
Group activities to learn more about or improve our wellness
Clear selection
What makes you feel engaged and valued at work?
Your answer
Do you feel like you belong here?
Always
Most of the time
Sometimes
Rarely
Never
Clear selection
Do you feel that leaders of your organization value your ideas and input?
Always
Most of the time
Sometimes
Rarely
Never
Clear selection
What makes a good day for you at work?
Your answer
Rate your level of job stress.
Low
1
2
3
4
5
High
Clear selection
Please add any additional ideas, thoughts, or questions.
Your answer
Submit
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