[email protected]

General Information

Organization *

Contact Name *

Email *

Phone *

Number of Employees *

Your Preferred Training Location

Address

City

State

Postal code

Employee Health and Wellness

What are the primary health & wellness concerns within your department?

Stress Management

Physical Fitness

Mental Health

Nutrition

Sleep Quality

Other

How would you rate the overall health and wellness of your employees?

Excellent

Good

Fair

Poor

Current Wellness Initiatives

Are there any existing wellness programs or activities in place?

Yes

If yes, please describe on next question.

If you responded yes to previous question, please describe.

What has been the participation rate in these programs?

High

Moderate

Low

Preferred Wellness Activities

Which wellness activities do you believe your employees would most benefit from?

On-Site Fitness Classes

Individual Fitness Assessments

Health Workshops

Nutrition Counseling

Stress Management Techniques

Mental Health Support

Other

What types of fitness classes are of interest?

Strength Training

Cardio Workouts

Yoga/Pilates

High-Intensity Interval Training (HIIT)

Other

Scheduling and Logistics

Preferred days for on-site fitness classes (select all that apply):

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Preferred times for on-site fitness classes:

Morning (6 AM - 9 AM)

Midday (11 AM - 1 PM)

Afternoon (3 PM - 5 PM)

Evening (5 PM - 7 PM)

Employee Engagement

What methods do you think will best engage your employees in wellness programs?

Incentives and Rewards

Competitions and Challenges

Team-Based Activities

Regular Communication and Reminders

Are there any specific barriers to participation that we should be aware of?

Time Constraints

Lack of Interest

Accessibility

Other

Thank you for completing this questionnaire. Your input is invaluable in helping us create an effective and engaging wellness program for the Kirkwood Police Department.

I consent to the above statements and affirm my honesty regarding my health.

Agree

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