Template: Healthy People survey (Worker interests)



Healthy people survey template (simple-worker interests)

Read stage three of the work health planning guide: Needs assessment.

This survey will assist you to determine what your employees want in their health and wellbeing program.

You can use either a paper-based version of this survey, or consider offering the survey as an online version, depending on the capabilities of your workforce (i.e. if they have access to a computer, the online survey may be more appropriate). For some workplaces, you may need a mix of both survey formats to cover all employees. You can customise both this template and the online survey to suit the needs of your organisation.

You can create an online version of the survey through such tools as Survey Monkey or People Pulse .au.

You may also consider using a different survey for different worksites, as employees from different worksites may have different needs. Collating the data from several worksites may not give you the most accurate information.

Note: This scanning tool can be branded, changed or manipulated to cater for the individual needs of your organisation.

Healthy people survey

(worker interests)

1. What are the most important health issues for you to include in a workplace health and wellbeing program (please tick all that apply)

❑ Nutrition

❑ Physical activity

❑ Social and emotional wellbeing (mental health)

❑ Smoking

❑ Alcohol (awareness)

❑ Other (please list suggestions)

2. What health and wellbeing activities would you be interested in? Note: it will not be possible to implement all chosen activities but your response will help identify areas of interest.

❑ Information sessions on healthy eating topics

❑ Healthy cooking demonstrations

❑ Information on local fresh food venues or nutrition initiatives

❑ Having fresh fruit and vegetables supplied at work

❑ Joining a weight loss group

❑ Receiving healthy eating tips and recipes via emails or newsletters

❑ Attending information sessions on physical activities

❑ Receiving healthy physical activity tips via emails or newsletters

❑ Company sponsorship and involvement in charity events (fun runs etc)

❑ Subsidised membership to gym facilities

❑ On site facilities to help support physical activity (e.g showers, bike racks)

❑ Flexible time to participate in exercise

❑ Receiving information on quitting smoking

❑ Employer assistance in quitting smoking

❑ Information and education on healthy alcohol intakes

❑ Information on alcohol support services

❑ Responsible alcohol policies at work

❑ Information sessions on mental health and wellbeing

❑ Counseling services for staff (e.g. Employee Assistance Program)

❑ Workplace health checks

❑ Other suggestion: Please specify

3. When would you prefer these activities to occur?

❑ Before work

❑ During lunch time

❑ After work

❑ At weekends

❑ During tool box talks/staff meetings

4. How frequent should these activities be offered?

❑ Weekly

❑ Fortnightly

❑ Monthly

❑ Other suggestions: Please specify

5. Do any of the following have an impact upon your ability to perform your daily work? (Tick all that apply)

❑ Sleep Quality

❑ Fatigue

❑ Nutrition

❑ Stress

❑ Pain

6. We value your opinion. If you have any other comments or suggestions that will help to make our workplace healthier, please list below.

Thank you for your time.

Workplace Health and Safety Queensland acknowledges this information is based on material from WorkCover Tasmania workcover..au

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download