Supplemental Digital Content 1 (Text Document): Survey Questions and Response Sets Used

Supplemental Digital Content 1 (text document): Survey Questions and Response Sets Used in Evaluation

not including the proprietary employee commitment assessment and the licensed Work Limitations Questionnaire[1]

OUTCOME DOMAIN 1: MOTIVATION

Readiness to change survey prompt: “Are you currently planning to make any changes to keep yourself healthy or improve your health?”

1. Diet and Nutrition
2. Exercise
3. Tobacco Use
4. Weight Management
5. Stress

Response options were the same for A-E and coded for analysis as follows:

1. Not interested
2. Yes, in the next 6 months
3. Yes, in the next 30 days
4. I have recently made a healthy change
5. I am already maintaining healthy habits

These five survey items used the same survey prompt, presented in a grid with topics A-E in rows and response options (1-5) in columns.

OUTCOME DOMAIN 2: BEHAVIOR

Vigorous Activity survey prompt: “In a typical week, how many times per week do you do VIGOROUS leisure-time physical activities for AT LEAST 10 MINUTES that cause HEAVY sweating or LARGE increases in breathing and heart rate?”

Response option set was preceded with “# Times per Week” and coded for analysis as follows:

1. 0
2. 1
3. 2
4. 3
5. 7
6. 5
7. 6
8. 7
9. 8 or more

Moderate Activity survey prompt: “In a typical week, how many times per week do you do LIGHT OR MODERATE leisure-time physical activities for AT LEAST 10 MINUTES that cause ONLY LIGHT sweating or a SLIGHT to MODERATE increase in breathing or heart rate?”

Response option set was preceded with “# Times per Week” and coded for analysis as follows:

1. 0
2. 1
3. 2
4. 3
5. 7
6. 5
7. 6
8. 7
9. 8
10. 9
11. 10
12. 11
13. 12
14. 13
15. 14
16. 15 or more

Dietary behavior survey prompt: “In the past 7 days, how many servings of the following food groups did you consume per day?”

Simple Carb Intake survey prompt (following prompt above): “Fried food, high-fat foods, or simple carbs. Examples: Fried chicken, fried fish, bacon, french fries, potato chips, corn chips, doughnuts, creamy salad dressings, white bread, white rice, pasta, and foods made with whole milk, cream, cheese, or mayonnaise”

Response option set was preceded with “# servings per day” and coded for analysis as follows:

1. 0
2. 1
3. 2
4. 3
5. 7
6. 5
7. 6 or more

Dietary behavior survey prompt: “In the past 7 days, how many servings of the following food groups did you consume per day?”

Complex Carb Intake survey prompt (following prompt above): “High fiber or whole grain foods: 1 serving = 1 slice of 100% whole wheat bread 1 cup of whole-grain or high-fiber ready-to-eat cereal ½ cup of cooked cereal, such as oatmeal ½ cup of cooked brown rice or whole wheat pasta”

Response option set was preceded with “# servings per day” and coded for analysis as follows:

1. 0
2. 1
3. 2
4. 3
5. 7
6. 5
7. 6 or more

1

OUTCOME DOMAIN 3: EMOTION & PERCEPTION

Stress survey prompt: “How much stress do you feel in these areas of your life?”

1. Work/Job
2. Family or Friends

(A is listed in manuscript as “Job Stress” and as “Social Stress”.)

Response options were the same for A and B and coded for analysis as follows:

1. None
2. A Little
3. Some
4. A Lot
5. Overwhelming

These two survey items used the same survey prompt, presented in a grid with topics A-B in rows and response options (1-5) in columns.

Social Support survey prompt: “How often do you get the social or emotional support you need?”

Response options and coding for analysis were as follows:

1. Never or Rarely
2. Sometimes
3. Usually
4. Always

Health Rating survey prompt: “Rate your current health”

Response options and coding for analysis were as follows:

1. Poor
2. Below Average
3. Average
4. Good
5. Great

1

[1] Work Limitations Questionnaire, © 1998, The Health Institute, Tufts Medical Center f/k/a New England Medical Center Hospitals, Inc.; Debra Lerner, Ph.D.; Benjamin Amick III, Ph.D.; and GlaxoWellcome, Inc. All Rights Reserved.