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Corporate Wellness Assessment
Corporate Wellness Assessment
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2021-10-06T08:46:45-04:00
Get In Touch With Us
Phone number
(440) 552-6729
Email address
info@butlerwg.com
Corporate Wellness Assessment
Name
*
First
Last
Email Address
*
Phone
An ideal wellness program would impact my team members by improving: (check all that apply)
*
Stress Levels
Cognitive Function
Energy and Focus
Fitness/Weight Loss
Risk of Injury
Frequency of Illness
Chronic Disease Prevention and Management
Support for Smoking Cessation
Other
An ideal wellness program would impact my organization by improving: (check all that apply)
*
Productivity
Profitability
Absenteeism
Health Care Costs
Workers Comp Claims
Recruitment & Retention
Employee Satisfaction and Engagement
Team Morale and Culture
Presenteeism (Lack of Mental Focus)
Environment
Other
Areas in which my team requires the most support are: (check all that apply)
*
Goal Setting
Education and Resources
Accountability
Other
The ideal employee wellness program would provide: (check all that apply)
Team Challenges
Personal Health Tracking
Live Virtual Group Exercise
On-Site Group Exercise
One-on-One Health Coaching
Wellness Lunch and Learn
On-Site Fitness Measurements
Health Risk Assessment
Biometrics
Other
I am currently equipped with the needed tools to meet my organizational and team wellness goals.
*
Please select one
Completely Agree
Somewhat Agree
Somewhat Disagree
Completely Disagree
Please share which Key Performance Indicators are most valuable to you.
*
Savings on Health Care/Workers' Comp Claims Cost
Reduced Operational Costs
Other
Please indicate your method of monitoring KPIs
*
Please select one
Formal (Data Analytics)
Informal (Observed)
Other
Who is your current benefits provider?
*
Please select one
Aetna
Anthem BCBS
Cigna
United Health Care
Medical Mutual
Oscar
Other
If you selected other, what is the name of your current benefits provider?
Corporate Wellness Assessment
Name
*
First
Last
Email Address
*
Phone
An ideal wellness program would impact my team members by improving: (check all that apply)
*
Stress Levels
Cognitive Function
Energy and Focus
Fitness/Weight Loss
Risk of Injury
Frequency of Illness
Chronic Disease Prevention and Management
Support for Smoking Cessation
Other
An ideal wellness program would impact my organization by improving: (check all that apply)
*
Productivity
Profitability
Absenteeism
Health Care Costs
Workers Comp Claims
Recruitment & Retention
Employee Satisfaction and Engagement
Team Morale and Culture
Presenteeism (Lack of Mental Focus)
Environment
Other
Areas in which my team requires the most support are: (check all that apply)
*
Goal Setting
Education and Resources
Accountability
Other
The ideal employee wellness program would provide: (check all that apply)
Team Challenges
Personal Health Tracking
Live Virtual Group Exercise
On-Site Group Exercise
One-on-One Health Coaching
Wellness Lunch and Learn
On-Site Fitness Measurements
Health Risk Assessment
Biometrics
Other
I am currently equipped with the needed tools to meet my organizational and team wellness goals.
*
Please select one
Completely Agree
Somewhat Agree
Somewhat Disagree
Completely Disagree
Please share which Key Performance Indicators are most valuable to you.
*
Savings on Health Care/Workers' Comp Claims Cost
Reduced Operational Costs
Other
Please indicate your method of monitoring KPIs
*
Please select one
Formal (Data Analytics)
Informal (Observed)
Other
Who is your current benefits provider?
*
Please select one
Aetna
Anthem BCBS
Cigna
United Health Care
Medical Mutual
Oscar
Other
If you selected other, what is the name of your current benefits provider?
Get In Touch With Us
Phone number
(440) 552-6729
Email address
info@butlerwg.com
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