Employee Wellness Questionnaire
Employee Wellness Questionnaire
Please take a few minutes to complete this questionnaire honestly and thoughtfully. Your input is important in helping us develop effective Employee Wellness Programs and Initiatives.
Demographic Information
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Name: |
[Your Name] |
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Department: |
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Employee ID: |
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Age: |
Gender:
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Male
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Female
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Non-binary
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Prefer not to say
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Other (please specify):
Health and Wellness Assessment
On a scale of 1 to 10, how would you rate your current overall health and well-being, with 1 being poor and 10 being excellent?
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I would give it a 10. |
Are you currently facing any health challenges or chronic conditions? If yes, please specify.
How many hours of sleep do you typically get per night?
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Less than 6 hours
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6-7 hours
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7-8 hours
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More than 8 hours
Employee Wellness Interests
Which of the following wellness areas are you most interested in?
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Physical Fitness
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Nutrition and Diet
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Mental Health and Stress Management
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Smoking Cessation
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Other (please specify): _______________________________
Are you currently engaged in any wellness activities or practices outside of work? If yes, please describe.
Employee Wellness Programs and Initiatives
Have you participated in any of the company's wellness programs or initiatives in the past? If yes, please specify.
What kind of wellness programs or initiatives would you like to see implemented in the company? Any specific ideas or suggestions?
What factors would encourage you to participate more actively in wellness programs at work?
Feedback and Additional Comments
Do you have any other feedback or suggestions related to employee wellness that you would like to share with us?
Your responses will help us tailor our Employee Wellness Programs and Initiatives to better meet your needs and those of your colleagues. Your input is greatly appreciated. Thank you for taking the time to complete this questionnaire.
