Surveys and Samples

In this section, we've gathered the best examples of the forms and documentation you'll need to do your job best. Here you'll find sample posters, assessments, surveys, checklists, operating plans, and other tools to help you build your wellness team.

Members have access to even more resources on AbsoluteAdvantage.org. Learn more about WELCOA membership.

Sample Letter Of Support From The CEO

Click here to download a letter in support of worksite wellness from a senior executive at Lowe's Home Improvement.

Creating A Culture Of Wellness: WELCOA Quick Culture Inventory Now Available At No Charge.

When it comes to creating healthier workplaces, it's all about culture. And to help you better understand the culture change process, we've created a WELCOA Quick Culture Inventory. Assembled by WELCOA President, Dr. David Hunnicutt, this simple tool will help you to identify which of the major elements of your culture that need to be addressed in order to create a healthier climate for your employees.

Assess Your Company's Leadership Support For Wellness.

If you've been looking for a tool to assess your company's leadership support for wellness, here's a useful tool that can help you. Simply download the survey and it's ready for distribution.

Physical Activity Poster #1 of 3

Making simple modifications to the physical environment can create enormous differences when it comes to increasing the amount of physical activity in your organization. We have created these beautiful posters to help you make such modifications. Each poster reminds employees to be healthy by choice -- not by chance. In addition, we've provided a simple nudge to help employees remember that every body needs 30 minutes of physical activity every day.

Physical Activity Poster #2 of 3

Making simple modifications to the physical environment can create enormous differences when it comes to increasing the amount of physical activity in your organization. We have created these beautiful posters to help you make such modifications. Each poster reminds employees to be healthy by choice -- not by chance. In addition, we've provided a simple nudge to help employees remember that every body needs 30 minutes of physical activity every day.

Physical Activity Poster #3 of 3

Making simple modifications to the physical environment can create enormous differences when it comes to increasing the amount of physical activity in your organization. We have created these beautiful posters to help you make such modifications. Each poster reminds employees to be healthy by choice -- not by chance. In addition, we've provided a simple nudge to help employees remember that every body needs 30 minutes of physical activity every day.

A Sample Sit For 60, Move For 3 Policy

WELCOA has provided this sample "Sit For 60, Move For 3" policy. You can use this sample communication piece as a springboard for making your own.

This sample policy is provided courtesy of the City of Presque Isle, Maine.

Walking Survey: A Tool For Your Employees

Here is a Free Tool to help your employees discover their neighborhoods -- AND the benefits of walking!

The Walking Survey uses a variety of sources to measure quality of life, perceptions of neighborhood environment, physical activity, psychosocial predictors of physical activity, demographics, and pedestrian and bicycle safety. This extensive survey will help your employees assess their neighborhood's walking environment and provide awareness about getting out and getting active!

Help Your Employees Be Active Participants In Their Health With A Personal Health Record.

A Personal Health Record can help your employees save time and money and improve the quality of care they get.

Personal health records (PHRs) are confidential, easy-to-use tools that can help your employees manage their personal health information such as medical records and family history. PHRs are an easy way to keep all health information--like physician and hospital visits, allergies, or a list of medicines--all in one place.

Having a PHR can help your employees provide more complete information to their health care providers or family members. With all of their health information in one place, your employees may be able to avoid unnecessary procedures or tests and provide critical information about their health in a medical emergency.

Employee Needs And Interest Survey

Do You Know What Your Employees Want In A Health Promotion Program?
Many companies think they know the answer to this question, but you'd be surprised at how many would be wrong. So what's the best way to know the interests of your employees? Just ask them.

Asking is as easy as distributing a survey targeting the most pressing issues of today. And, to help you in your programming efforts, here's a useful tool that other companies have implemented to find out what their employees really want and need from a health promotion program.

Little Things Make A Big Difference Questionnaire

Little things can make a huge difference when it comes to increasing participation and generating enthusiasm in your organization's wellness program. By completing the questions in this checklist, you can take enormous strides toward building a wellness initiative that not only produces results but engages your people every step of the way.

Systematically Increasing Participation Checklist

There is definitely an art to creating enthusiasm and increasing participation in your company's worksite wellness initiative. This checklist is a blueprint for using the model of "good, better, best" thinking and is designed to help you generate enthusiasm for your wellness programs. By incorporating as many of the suggestions in the "Good" category as you can and working to achieve the items outlined in the "Better" and "Best" categories, you'll be able to move the needles when it comes to increasing employee participation and engagement in your programs.

Job Satisfaction Survey

WELCOA's Benchmark 6: Building Supportive Environments is about helping employees change for the better by creating company policies that support healthy change. To know what policies will be most effective, you must first engage employees and get to know where they're coming from. In this section, we posted a job satisfaction survey that will help you better understand your employees -- in an effort to build healthier corporate cultures.