Staff Wellness Survey
Name (optional): 


  1. How can the wellness committee help you achieve your personal health and wellness goals?
    No help needed
    Provide activities and programs at school
    Provide information through emails, videos, website, etc.


  1. If the following were offered, which would you participate in? (Check all that apply.)
    Health Risk Assessment
    Health Screenings
    Walking Program
    Weight-Loss Program
    Smoking/Tobacco Cessation Orogram
    Community Health Day
    Self-Directed Programs (activity tracking, etc)


  1. Would you be willing to help organize/participate in a community wellness event such as ... (mark all that you would be interested in helping organize)
    Single Session Workshop (Healthy Eating, Heart Health, etc)
    Health Fair
    Group events in the community (5K, CPR day, etc)


  1. What incentives would likely increase your participation in wellness activities?
    No incentive needed
    Financial reward (gift cards, cash, etc.)
    Jeans Pass, Dress Like a PE Teacher Day, etc
    Duty-Free Lunch


  1. What is one thing you feel would help our school (staff and students) develop a better attitude toward personal wellness?


  1. Anything more related to Staff Wellness ... please share.





Shane Rayburn