Your chance to improve your health at work!

Your views, thoughts and ideas are needed in order to make positive changes in our Workplace!

This workplace would like to improve the health and well-bring of its staff by ensuring a healthier, safer and supportive working environment.

In order to do this, we would like staff to complete this questionnaire so that we can identify the key issues and develop an action plan around these.

Please fill it in, this is your first chance to have a real say and make positive changes within the department. All your answers and comments will remain completely confidential.

  1. What reasons would stop you from taking part in the physical activity and healthy living?

Time☐

No Facilities☐

Money☐

No One to Do Things with☐

Injury / Illness☐

Childcare☐

Other (Please Specify)☐______

  1. What 3 things do you think we could do to help you improve your health and wellbeing?

Health Promotion Information☐

Offer Activity Classes/Sessions on Site☐

Introduce More Healthy Eating Food Options in the Restaurant☐

Healthy Options available at meetings / training☐

Introduce Health Assessments☐

Better Communication☐

Volunteer Opportunities☐

Introduce a Staff Discount Scheme Linked With Health☐

Weight Management☐

Stop Smoking☐

Stress Management☐

Information on local Groups☐

Leaflets☐

Managing Back Pain☐

Healthy Heart Information☐

Other (Please Specify)☐______

  1. What 3 activities would you be interested in trying, if we were to offer them?

Walking Groups☐

Football☐

Gym Activities☐

Team Challenges☐

Running/Jogging☐

Rugby☐

Table Tennis Tournament☐

Beach Games☐

Get Active Challenge☐

Gardening☐

Mental Health / Stress in the Workplace Training☐

Signs and Symptoms of Stress☐

Cancer in the Workplace / Sun Safe☐

Back Pain Workshop☐

Smoking Awareness Session with CO monitoring☐

Stop Smoking Clinic on Site (NRT & medication advice)☐

Alcohol Awareness Session☐

Healthy Eating Session☐

Healthy Packed Lunch Session☐

Healthy Weight Session with Body Composition Scales☐

Weekly Weigh In☐

Other☐______

  1. Do you know anyone who can help us run activities or are you interested yourself in helping deliver any? ______
  1. How can we let you know what we are doing to help get healthier and inform you on what we have to offer?

Website☐

Newsletter☐

Noticeboards☐

Managers/team leader’s☐

Leaflets☐

Emails☐

All staff meetings☐

Shared drive☐

Other☐______

  1. Do you Smoke?Choose an item.
  1. How do you get to work?Choose an item.
  1. Do drink more than the recommended weekly intake of alcohol units?Choose an item.
  1. Do you have any medical conditions that you think we can help with?Choose an item.
  1. What are your main hobbies?______
  1. Would you be interested in family activities?______

Any further suggestions or notes, please add here: ______

______

We would love you to come forward and work with us by joining our team and help make our workplace GREAT! If you are interested in joining the team, please state your name here: ______

Thank you for filling in this questionnaire!