Be:Well Survey
Be:Well would love your input! Please answer the questions below to provide helpful and important information as we plan wellness opportunities for all ESD 112 employees. Thank you for your participation!

The Be:Well committee will provide and support opportunities for ESD 112 employees to engage in holistic and inclusive approaches to wellness, with a focus on mental, physical, social, and emotional health.
Sign in to Google to save your progress. Learn more
Where do you typically work?
Clear selection
Please rank the Be:Well wellness categories in order of importance to you, with #1 being your top priority and #4 being your lowest priority. *
1 - Top priority
2
3
4 - Lowest priority
Emotional wellness
Mental wellness
Physical wellness
Social wellness
When would you be interested in participating in Be:Well opportunities?
Clear selection
Please review the types of Be:Well opportunities and indicate how likely you are to participate in them using the key below.
Yes = You would definitely engage in these types of opportunities if you are available
Maybe = You would sometimes engage in these types of opportunities if you are available
No = Even if you're available, you're unlikely to engage in these types of opportunities

Virtual/Zoom activities and/or discussions
Clear selection
In-person activities and/or discussions
Clear selection
Information/resources I can review independently
Clear selection
Activities/discussions/resources I can engage with outside of work
Clear selection
Are there other types of wellness opportunities you'd like to participate in?
Do you have any suggestions for Be:Well?
This might include suggetsions, things to keep in mind, specific activities, contacts, resources, etc.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Educational Service District 112. Report Abuse