JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Wellness Program Survey
Please help us understand what you are looking for in a wellness program?
Sign in to Google
to save your progress.
Learn more
Company Name
Your answer
What type of health information are you interested in?
Exercise
Nutrition
Stress Management
Mental Health
Chronic Disease Prevention
Parenting and Child Development
Executive Functioning Skills
If we offered webinars/seminars would you attend or watch a recording?
Yes
No
Maybe
Clear selection
When length of class do you feel most able to attend?
15-minutes
30-minutes
45-minutes
60-minutes
Virtual
Hybrid
Pre-Recorded
Do you like the idea of earning prizes for attending wellness events?
Yes
No
Maybe
Clear selection
Do you feel like you can benefit from health education?
Yes
No
Maybe
Clear selection
Would you be interested in receiving boxes of smart snacks or some other health focused items?
Yes
No
Maybe
Clear selection
What prevents you from attending health education classes?
No time while at work
Not interested
Too difficult to access
Nothing- I love learning more about health
There is no one to cover me while I attend
They are not offered at times that work for my schedule
Other:
What types of programs interest you?
Cooking Demos
Massage
Lunch and Learns
Competitive Challenges
Food and Meal Planning/Management
Group Exercise Classes
Medical Services
Field Day and Team Building
Are you interested in receiving and reading monthly emails about particular health topics?
No- I probably wouldn't read them
Yes- I would be interested in this type of information
Clear selection
Do you have any suggestions of what you would like in your wellness program?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
