Employee Wellness & Fitness Evaluation
Please complete this confidential survey to help us assess and improve our workplace wellness and fitness initiatives.
Full Name
*
First Name
Last Name
Department
*
Please Select
Human Resources
Sales
Marketing
Operations
IT
Finance
Other
How would you rate your overall wellness?
*
1
2
3
4
5
How often do you engage in physical activity each week?
*
0 days
1-2 days
3-4 days
5 or more days
Please indicate your agreement with the following statements.
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I feel supported by my employer to maintain a healthy lifestyle
1
2
3
4
5
I have access to wellness resources at work
6
7
8
9
10
My work environment encourages physical activity
11
12
13
14
15
I am satisfied with the current wellness programs
16
17
18
19
20
How would you rate your current stress level at work?
*
Very Low
1
2
3
4
5
6
7
8
9
Very High
10
1 is Very Low, 10 is Very High
Which wellness activities would you like to see more of at work? (Select all that apply)
Group fitness classes
Nutrition workshops
Mental health seminars
Team sports
Yoga/meditation sessions
Other
How likely are you to participate in future wellness programs?
*
Very unlikely
Unlikely
Neutral
Likely
Very likely
Do you have any suggestions to improve our employee wellness initiatives?
Would you like to be contacted by HR for further support or information about wellness programs?
Yes
No
Submit Evaluation
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