Employee Wellness OS™ Executive Scan
OT Health and Wellness, Inc. | Dr. Robert J. Mullaney, OTD, DBA, MBA-HSA, OTR/L For organizational employee wellness planning only. Not medical diagnosis or therapeutic treatment.
Contact Name
Organization Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Industry
Number of Employees
Average Employee Age
% Remote / Hybrid Workforce
Annual Turnover Rate
Average Sick Days per Employee / Year
Burnout & Symptom Load
1- Not at all; 2- Mild; 3- Moderate; 4- High; 5- Severe
Fatigue and low energy complaints
Not at all
1
2
3
4
Severe
5
1 is Not at all, 5 is Severe
Emotional exhaustion
Not at all
1
2
3
4
Severe
5
1 is Not at all, 5 is Severe
Work–life boundary strain
Not at all
1
2
3
4
Severe
5
1 is Not at all, 5 is Severe
Absenteeism patterns
Not at all
1
2
3
4
Severe
5
1 is Not at all, 5 is Severe
Presenteeism (working while unwell)
Not at all
1
2
3
4
Severe
5
1 is Not at all, 5 is Severe
Managerial stress levels
Not at all
1
2
3
4
Severe
5
1 is Not at all, 5 is Severe
Staff morale decline
Not at all
1
2
3
4
Severe
5
1 is Not at all, 5 is Severe
Productivity variability
Not at all
1
2
3
4
Severe
5
1 is Not at all, 5 is Severe
Engagement Inconsistency
Not at all
1
2
3
4
Severe
5
1 is Not at all, 5 is Severe
Culture & Leadership Climate
1- Very poor; 2- Poor; 3- Fair; 4- Good; 5- Excellent
Leadership psychological safety
Very Poor
1
2
3
4
Excellent
5
1 is Very Poor, 5 is Excellent
Communication transparency
Very Poor
1
2
3
4
Excellent
5
1 is Very Poor, 5 is Excellent
Recognition practices
Very Poor
1
2
3
4
Excellent
5
1 is Very Poor, 5 is Excellent
Conflict frequency
Very Poor
1
2
3
4
Excellent
5
1 is Very Poor, 5 is Excellent
Change fatigue
Very Poor
1
2
3
4
Excellent
5
1 is Very Poor, 5 is Excellent
Trust in leadership
Very Poor
1
2
3
4
Excellent
5
1 is Very Poor, 5 is Excellent
Business Impact & Risk Load
1- No impact; 2- Minimal impact; 3- Moderate impact; 4- High impact; 5- Severe
Missed deadlines
No Impact
1
2
3
4
Severe Impact
5
1 is No Impact, 5 is Severe Impact
Turnover-related hiring costs
No Impact
1
2
3
4
Severe Impact
5
1 is No Impact, 5 is Severe Impact
Customer satisfaction decline
No Impact
1
2
3
4
Severe Impact
5
1 is No Impact, 5 is Severe Impact
Safety incidents / errors
No Impact
1
2
3
4
Severe Impact
5
1 is No Impact, 5 is Severe Impact
Benefit utilization increases
No Impact
1
2
3
4
Severe Impact
5
1 is No Impact, 5 is Severe Impact
Organizational Readiness
1 - Not ready; 2 - Slightly ready; 3 - Moderately ready; 4 - Ready; 5 - Fully ready
Leadership readiness for intervention
Not ready
1
2
3
4
Fully ready
5
1 is Not ready, 5 is Fully ready
Budget capacity
Please Select
Low
Moderate
High
Desired implementation timeline
Please Select
Low
Medium
High
Burnout Load Index (BLI)
Culture Health Index (CHI)
Business Impact Index (BII)
Readiness Index (RI)
Intervention Priority Tier (IPT)
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