Living Resources Employee Health and Wellness
Employee Wellness Survey

 

  Living Resources' Wellness Committee would like to learn about your interests in health promotion and health related activities.  Please take a minute to complete this survey.
 		  
  1. Which wellness activities would you participate in if they were offered by Living Resources? (check all that apply)

 
  Pilates 2x/wk for 6 wks ($45)*   Smoking Cessation 1x/wk for 7 wks ($10)*

 
  Weight Watchers 1x/wk for 12 wks ($144)*   Zumba 2x/wk for 6 wks ($25)

 
  Tai Chi Yoga 1x/wk for 6 wks ($30)*   Dance Lesson 1x/wk for 6 wks ($30)*

 
  Walking Program 5/wk for spring (Free)   Lunchtime Nutrition Workshops (Free)  
  Other:       
  * Depending on enrollment, the Agency may be able to contribute part of the program cost, in some cases this is already reflected.  
             
  2. Which days of the week would be best for you to participate in these activities?  (check all that apply)  
  Monday   Thursday

 
  Tuesday   Friday  
  Wednesday   Saturday  
           

 
  3. What time of day is best for your to attend these activities? (check all that apply)  
    Monday - Friday        
    Morning    Lunch Time    Afternoon    Evening    Not Available

 
    Saturday        
    Morning    Lunch Time    Afternoon    Evening    Not Available  
             
  4. Other Comments:        
         
             
  Thank you for taking the time to let us know your health interests.  Your responses will tailor the design of the 2010 Wellness program. 
Please call 218-0000 x4319 or email jfrey@livingresources.org with questions or suggestions.
   
  Wishing you well, Your Name: 
  The Wellness Committee Date: