Workplace health

In the past 12 months, has your organization offered employees any health education classes, workshops, lectures or special events? Yes No

Is there a designated person, group or committee within your organization responsible for employee health promotion? Yes No

Does your organization have a formal fl extime policy? Yes No

Healthy eating

Does your organization offer healthy snacks and drinks in vending machines? Yes No

Are break rooms furnished with a refrigerator and microwave to accommodate employees who bring lunches and snacks to work? Yes No

Are educational materials regarding the benefi ts of healthy eating posted in break rooms? Yes No

Activity and fi tness

Are bicycle racks available for employees who ride to work? Yes No

Are educational materials regarding the benefi ts of regular exercise posted in common areas? Yes No

Does your workplace offer organized physical activities for employees? Yes No

Tobacco use and education

Does your organization have a tobacco-free policy? Yes No

Are educational materials regarding the benefi tsof quitting tobacco posted in common areas? Yes No

Are you aware of any tobacco cessation benefi ts provided to you through your health insurance provider? Yes No

Environmental/worksite policy survey

Thank you for participating in this survey. Your input is greatly appreciated.

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