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Education Employee Health and Well-being Needs and Interest SurveyThis is an anonymous survey to better understand the specific health and well-being needs andinterests of all staff. We are seeking your feedback to help us plan and shape an educationemployee well-being program that it is meaningful and engaging to staff. By gathering yourinput, we can help develop a program that empowers you to achieve your personal andprofessional health and well-being goals. Please be candid with your answers to reflect yourthoughts, ideas and experience. Only collective results will only be used and reported to planand implement an education employee well-being program at our organization.1. How interested are you in participating in an employee well-being program at work?a. Very interested, sign me up!b. Interested, tell me morec. Maybe, it depends on what I have to dod. Not interested right now2. What time of day would be most convenient for you to take part in well-being programactivities?a. Before school/workb. During the school/work dayc. Right after school/workd. During week day eveningse. Weekends3. How would you prefer to receive information regarding well-being activities, events andupdates? (Check all that apply.) Hard copy materials (newsletters, flyers, memos) Email messages from wellness coordinator/team Announcements from leadership Wellness website Wellness champions at my worksite Staff meetings Staff room bulletin boards Social media such as Facebook, Twitter Other, please specify:4. What barriers would keep you from participating in an employee well-being program atwork? (Check all that apply.) Inconvenient time or location I don’t feel I have time in my personal schedule OUTSIDE OF WORK to take part I don’t feel I have time in my schedule AT WORK to take partSources: Adapted from DHPE School Employee Wellness Guide, Alliance for a Healthier Generation School EmployeeWellness Survey and Centennial School District.
I am concerned about others knowing about my personal healthI don’t think my leadership would be supportiveI already exercise and eat healthy on my ownI am just not interested right nowOther, please specify:5. If you are not interested in participating in an employee well-being program, which, if any,of the following factors would motivate you to be involved? (Check all that apply.) Incentives (gift cards, food, prizes, etc.) Child care at wellness meetings and activities Support from leadership Encouragement from coworkers Employee personal health and well-being success stories Dedicated time during the work day for activities The program activities and events are relevant to my personal health needs Learning more about the employee well-being program Other, please specify:6. Please indicate your level of interest in the following health and well-being topics:Diabetes managementCancer preventionBack careManaging blood pressureSmoking cessationPhysical activityHealthy weight managementLiving with arthritisHealthy eatingMen’s healthLearning about health benefitsand how to access themWomen’s healthPreventing heart disease andstrokeFinancial managementManaging chronic stressEmotional and mental wellbeingInjury preventionSleepPracticing self-careOther, please 3333333333Sources: Adapted from DHPE School Employee Wellness Guide, Alliance for a Healthier Generation School EmployeeWellness Survey and Centennial School District.
7. Please indicate your level of interest in participating in the following:Electronic health and wellness informationsuch as newsletters or articlesHard copy health and wellness informationsuch as newsletters or articlesOnsite fitness classes such as aerobics,Pilates, Zumba, stretching, and strengthMindfulness classes to include yoga, tai chi,and Quong ChiFlu shot clinicBike and Walk to Work programOnsite fitness or wellness centerFitness/wellness challenges such as walkingchallenge, water drinking challenge andhealthy eatingFinancial management classesHealthy eating cooking classes and mealplanning strategies with recipesHealthy weight management programWalking groupsTobacco/smoking cessation programsClasses on managing diabetes, high bloodpressure or high cholesterolBack care classesGroup hikes, bowling, and other activities topromote social well-being among staffSupport for staff team sportsSelf-care strategies to promote well-beingMen’s health classes/informationWomen’s health classes/informationStaff room renovation and rejuvenationHealth and well-being book clubsArts and crafts classesOther, please 231111111222222233333338. Please list the top 3 things that could be done to promote employee well-being at yourworksite.Sources: Adapted from DHPE School Employee Wellness Guide, Alliance for a Healthier Generation School EmployeeWellness Survey and Centennial School District.
9. Would you be interested in joining an employee wellness committee to help plan andimplement an employee well-being program for your organization?a. Yesb. No thanks If you are interested in serving on the wellness committee, please contact ourWellness Coordinator at .10. Which of the following best describes your level of readiness for making health and wellbeing lifestyle and behavior changes? (Check only one answer.) I do not feel the need for help with my lifestyle or healthI have been thinking about changing some of my health behaviorsI am planning on making behavior changes in the next 30 daysI have made some behavior changes, but I still have trouble following throughI have had a healthy lifestyle for years11. Please indicate whether you “already do”, “would like to do” or have “no interest” in eachof the statements below.I exercise vigorously at least 20 minutesthree or more times each week.I exercise moderately for 30 minutesthree or more times each week.I am tobacco-free.I eat a balanced diet which includes all thefood groups.I eat 5 servings of fruits and vegetables adayI eat breakfast regularly.I am able to cope with the stress anddemands of my work.I practice self-care to stay physically andemotionally healthy and well.I have my blood pressure checked annually.I regularly wear a seat belt when I am in amotor vehicle.I consume no more than two drinkscontaining alcohol each day.I drink 6-8 glasses of water every day.I get 8 hours of sleep most nights.I am able to successfully manage my budgetAlreadydoWouldlike to 2333Sources: Adapted from DHPE School Employee Wellness Guide, Alliance for a Healthier Generation School EmployeeWellness Survey and Centennial School District.
I am able to spend time with my family andfriendsI practice mindfulness or yoga.I am confident in my ability to managechronic health conditions and risk factors,such as high blood pressure, maintain ahealthy weight, living with arthritis ordiabetes.I am able to connect with supportivecolleagues at work.I treat myself with compassion and taketime to nurture myself (including eatingright, exercising, and getting enough sleep).12312312312312312. Please tell us a little about yourself. Check all that apply:What is your gender? I identify as a woman I identify as a man I identify as non-binary, genderfluid, genderqueer, transgender or agender I prefer not to sayWhat is your age? 18-30 years old 31–50 years old 51 years old Prefer not to sayWhere do you work? List your school/district/ESD/community college buildings What is your position? Certified teacher or course instructor Administrator (superintendent, assistant superintendent, president, vice president, etc.) Building/department administrator (principal, director, etc.) Counselor School nurse Food/nutrition services staff Transportation staff Facilities staff Para-educator or instructional aide Office staff Building/department office staff OtherThank you for completing this survey! We truly appreciate your time and thoughts. Yourfeedback is essential to planning a meaningful and robust well-being program for our staff!Sources: Adapted from DHPE School Employee Wellness Guide, Alliance for a Healthier Generation School EmployeeWellness Survey and Centennial School District.
Sources: Adapted from DHPE School Employee Wellness Guide, Alliance for a Healthier Generation School Employee Wellness Survey and Centennial School District. Education Employee Health and Well-being Needs and Interest Survey . This is an anonymous survey to better understand the specific healthand well -being needs and interests of all staff.
