Employee Wellness Design Questionnaire Form
Help us design a workplace wellness program that fits your needs and preferences. Your feedback is valuable and will guide our wellness initiatives.
Your Name
First Name
Last Name
Department or Team
Which wellness activities are you most interested in?
*
Physical fitness classes (yoga, pilates, HIIT)
Mindfulness & meditation
Healthy eating/nutrition workshops
Social connection events
Outdoor activities
Financial wellness resources
Other
How would you prefer to participate in wellness activities?
*
In-person group sessions
Virtual/online sessions
Self-paced resources
No preference
What days and times would you most likely participate?
*
Weekday mornings
Weekday lunch hours
Weekday afternoons
Weekday evenings
Weekends
What motivates you to participate in wellness activities?
Improved health & energy
Stress reduction
Social connection
Learning new skills
Incentives/rewards
Other
What barriers might prevent you from participating?
Lack of time
Scheduling conflicts
Not interested in available activities
Unaware of offerings
Other
How would you like to receive information about wellness programs?
Email
Company intranet/portal
Team meetings
Digital chat (e.g., Slack, Teams)
Posters/flyers
What is your primary goal for participating in wellness activities?
Improve overall well-being
Reduce stress
Increase social connection
Learn new skills
Other
Do you have any suggestions or ideas for our wellness program?
Submit
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