WIC Worksite Wellness Employee Survey

Staff Wellness Survey
Thank you for taking the time to help us prioritize wellness. Along with the California WIC Association, many WIC agencies and clinics are focusing on integrating wellness into WIC workplace culture. We are excited to announce a new initiative in our own workplace, to become a certified Well WIC Worksite where healthy habits around physical, mental, and emotional well-being, are our priority.

We want to help support you and your family in embracing a healthier lifestyle and want to develop a Wellness program that truly meets your needs. To do so, we
need your input. Thank you for taking this important survey and letting us know what works for you.
Please provide the name of your agency or clinic, or provide a signifier as otherwise instructed. *
Example: CWA, West Sac Site
How long have you been with WIC?
1. I buy healthy snacks when they are available such as whole grain crackers and pretzels, low-sugar/high-protein snack bars, fresh fruit, low-fat/nonfat yogurt, veggies and hummus, skim or 1% milk, sugar-free non-dairy milks, no sugar added dried fruit, low-sodium nuts, etc.

Very likelySomewhat likelyNot very likelyNot at all likelyNot sure
2. If I had a 5 minute break, I would use it for personal activity like stretching, yoga, meditation or a mental health break, or a walk if there was a place to do it.

Very likelySomewhat likelyNot very likelyNot at all likelyNot sure
3. I would participate in programming, use resources, and incorporate tools for healthy eating, active living, and stress management if they were available (guest speakers, webinars, trainings, how to guides, work groups, etc.)

Very likelySomewhat likelyNot very likelyNot at all likelyNot sure
4. I am satisfied with my current state of health.

Very satisfiedSomewhat satisfiedNot very satisfiedNot at all satisfiedNot sure
5. I make time for 30 or more minutes of physical activity 4 days of the week.

Very likelySomewhat likelyNot very likelyNot at all likelyNot sure
6. I think of health when deciding what to eat.

Very likelySomewhat likelyNot very likelyNot at all likelyNot sure
7. I get as much exercise as I should.

Very likelySomewhat likelyNot very likelyNot at all likelyNot sure
8. On at least 4 nights of the week, I get 8 hours of sleep.

Very likelySomewhat likelyNot very likelyNot at all likelyNot sure
9. I am ready to take steps to improve my health and lifestyle.

Very likelySomewhat likelyNot very likelyNot at all likelyNot sure
10. I eat breakfast every day.

Very likelySomewhat likelyNot very likelyNot at all likelyNot sure
11. I have had a physical done within the past year.

Very likelySomewhat likelyNot very likelyNot at all likelyNot sure
12. I take one activity break during the workday at least 4 times/week.

Very LikelySomewhat LikelyNot very LikelyNot at all LikelyNot Sure
If you answered no, what are the things that keeps you from taking a short activity break during the work day?
13. I discuss health and wellness issues with my colleagues.

Very likelySomewhat likelyNot very likelyNot at all likelyNot sure
14. I participate in group health activities conducted at work.

Very likelySomewhat likelyNot very likelyNot at all likelyNot sure
15. If you answered Very Likely or Somewhat Likely, what are some activities (check all that apply)

WalksIndoor group exerciseMeditationHealthy eating
Other (please specify)
16. I would like to attend a workshop or receive information on: (check all that apply)

Aerobic exercise classesFitness or wellness challengeWalking club or eventYogaStress managementMonthly wellness seminarWeight management programHealthy staff potluck/lunch programCooking classesBlood pressure screeningDiabetes managementSmoking cessationViolence prevention
Other (please specify)
17. I would prefer to get information about health topics through (check all that apply)

Staff meetingsA dedicated bulletin boardWeekly e-mail tipsLunch and learn sessionsIn a flyer distributed with paycheckOn the intranet
Other (please specify)
18. I would be more likely to participate if there were incentives.

Very LikelySomewhat LikelyNot very LikelyNot at all LikelyNot Sure
If yes, please list the incentives that would motivate you
Should be Empty:

Staff Wellness Survey