Employee Wellness Program Evaluation Form
Employee Wellness Program Evaluation Form
EMPLOYEE INFORMATION |
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Name: |
[Your Name] |
Department: |
[Your Company Department] |
Position: |
[Position/Role] |
Date of Joining Wellness Program: |
[MM-DD-YYYY] |
PROGRAM EVALUATION |
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Please rate the following aspects of the Wellness Program on a scale of 1 to 5 (1 = Poor, 5 = Excellent): |
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1. Overall Satisfaction with the Program: |
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2. Quality of Wellness Activities (e.g., fitness classes, health seminars): |
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3. Effectiveness in Improving Personal Health: |
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4. Communication and Support from Program Coordinators: |
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5. Availability and Accessibility of Program Resources: |
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6. Impact on Workplace Morale and Team Spirit: |
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CONSENT FOR USE OF FEEDBACK:
I hereby consent to [Your Company Name] using my feedback to improve the Wellness Program.
Employee Signature: _______________________
Date: [MM-DD-YYYY]
FEEDBACK AND SUGGESTIONS |
Participating in the wellness program significantly improved my work-life balance and overall job satisfaction |
FUTURE PARTICIPATION:
Would you be interested in participating in future wellness programs?
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YES
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NO