2023 WW Conference and Awards Feedback Form
Thank you so much for attending the 2023 West Virginia Workplace Wellness Conference and Awards! This year's magic has come to a close, but we are already getting the festivities prepared for 2024. Your feedback is greatly appreciated and will help us create an incredible experience for you to attend next year.

Remember, Active SWV is here to help you with any Workplace Wellness resources and program development assistance you may need - Feel free to contact Workplace Wellness Director, Michael Fisher, for more information! Michael@ActiveSWV.com
Sign in to Google to save your progress. Learn more
Email *
Name
Organization or workplace
Organization or workplace mailing address
Best contact and phone number
Your position at the organization or workplace
Does your organization or workplace currently have any form of wellness programming or resources? 
Employee count at your organization or workplace
How many members of your organization or workplace attended the conference? 
Were you able to attend all of the speaker sessions during the conference? 
Clear selection
Do you plan to attend the conference again next year? 
Clear selection
If you answered no above, what barriers or conditions are keeping you from attending? 
What topics would you like to learn about more at the next conference? 
Do you plan to participate in the Work@Health training certification? 
Clear selection
Are there any partners, organizations, workplaces, or organizations you think we should reach out to with Work@Health information? 

If so share their contact information here! 
If you answered no above, what barriers or conditions are keeping you from Work@Health? 
Will you be applying for an Active SWV Workplace Wellness Capacity Building grant? 

*You can apply for this without a Work@Health certified employee, if you plan to have at least one employee certified within the grant year. 
Clear selection
If you answered no above, what barriers or conditions are keeping you from applying? 
Will you be applying for a Workplace Wellness Award next year? 
Clear selection
If you answered no above, what barriers or conditions are keeping you from applying? 
Do you have any barriers to accessing Workplace Wellness resources, trainings, and programming? 
Clear selection
If you answered yes above, can you expand on those barriers? 
Do you have any additional questions, suggestions, feedback, or session suggestions to help us prepare for the 2024 Conference and Awards? 
This space is for you to share your experience with Workplace Wellness! Share your barriers and needs, success stories and outcomes, and policy, system, environment changes you've made, and anything you'd like us to know about your Workplace Wellness program! Don't forget - we are here to help you get your programming started and to help expand your current programs! Visit our Workplace Wellness landing page to learn more!
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