Wellness & Health Promotion Strategic Questionnaire

What is your organization’s mission and/or vision?

What are your top three (3) organizational goals for the next three (3) years?

How does the health of your workforce impact the mission and goals of your
organization?

What are your top three (3) organizational health & wellness strategies/objectives for the
next three (3) years?

How important is it for your organization to assist your employees and their families with
1. choosing the health/benefit plan that is right for them
___very important ___somewhat important ___not important

2. educating them on how to use that plan in the most cost effective way
___very important ___somewhat important ___not important

3. providing support to them for healthy living

___very important ___somewhat important ___not important

Which statement best reflects your attitude towards responsibility and ownership of
health promotion (and benefit integration) within your organization?.
___ our organization does not support the value of health promotion at the worksite
___ our health plan and benefits advisor should have the primary responsibility
___ our organization, along with our health plan and benefits advisor should have joint
responsibility
___ our organization should have the primary responsibility

Which statements best describes your personal beliefs about the purpose of an integrated
health, wellness & benefits strategy within your organization (check all that apply)?
___ I do not feel this type of strategy would have any real value
___ to reduce healthcare costs and healthcare usage (outside of preventive services)
___ to reduce pharmaceutical costs
___ to reduce absenteeism/sick leave
___ to reduce workman’s compensation/disabilities
___ to increase employee’s awareness of their health risks
___ to increase employee’s participation in benefit and health promotion activities
___ to increase employee’s engagement & satisfaction with work
___ to positively influence employee retention & recruitment
Which statement best describes the health promotion programs currently in place at your
organization?
___ our health promotion programs focus on education and information only
___ our health promotion programs focus on awareness of individual lifestyle risk factors
(ex. screenings & health risk assessments)
___ our health promotion programs are linked to our benefit plan design with incentives
___ our health promotion programs encompass all of the above
___ we don’t offer health promotion programs

Which barriers would affect the progression of health promotion within your organization
(check the top three)?
___ lack of senior level support
___ inability to assemble a wellness committee
___ lack of employee interest in programs
___ lack of budgetary support
___ lack of time to devote to programming

How would you define and/or measure the success of an integrated benefit and health
promotion strategy? (select the top two)
___employee satisfaction & participation in wellness programs & events
___self reported positive behavioral changes
___quantitative biometric screening results
___return on investment

Who is involved in the decision making process at your organization? Who is the
ultimate decision maker?

Does your organization have a formal worksite safety program/committee?

___Yes ___No