Staff Wellness Interest Survey

Physical Activities *
 Very interestedMight be interestedNot interested
Developing a personal fitness plan
Aerobics
Improving balance
Dancing
Team sports
Walking program
Strength training
Yoga
Bicycle/Trail riding
Fitness Testing
Health screenings (blood pressure, blood sugar, cholesterol, BMI, etc.)
Informational Session(s) *
 Very interestedMight be interestedNot interested
Weight management
Healthy cooking and meal planning
Label and menu reading
Diabetes management
Blood pressure management
Cholesterol management
Heart disease and stroke prevention
Asthma management
Living with arthritis
Back care
Stress management
First aid/CPR
Alcohol/drug abuse
Tobacco/smoking cessation
Immunizations
For the following, pease select one number for each question.
1= Very likely
2= Somewhat likely
3= Not very likely
4= Not at all likely *
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I would buy heart-healthy snacks during the day if they were available. (ex. pretzles, yogurt, fresh fruit, 100% juice, etc.)
During my plannig time, or before/after school, I would participate in a physical activity like stretching, aerobics, yoga or walking if there were a place to do it.
During my plannig time, or before/after school, I would participate in a physical activity like stretching, aerobics, yoga or walking if there were a group of us.
I would eat fruits and vegetables if they were available at staff meetings.
I would participate in group activities encouraging healthy eating or activity if they were offered to staff.
I would like to get at least 30 minutes of physical activity most days of the week.
I would participate in a health-promotion program if it were offered to staff.
I would read health tips (articles, recipes, information on upcoming events) via email, bulletin board, newsletter or other source.
I would like to improve my eating habits.
I would be more likely to participate in a health promotion program for staff if there were incentives such as __(list below)___.
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