2008 KP Corporate Cup Survey "Most Fit Company"
There are some error(s). Please see each marked section below.
Required Question(s)
1.
Please enter the information indicated below.
First Name:
Last Name:
Job Title:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
-- Select a state --
-- Non U.S. --
Alabama
Alaska
Alberta
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland and Labrador
North Carolina
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Nova Scotia
Nunavut
Ohio
Oklahoma
Ontario
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Pennsylvania
Prince Edward Island
Quebec
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Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon Territory
Postal Code:
Please answer the following four questions on your company's characteristics.
2.
To which industrial sector does your company belong?
50 character(s) left.
3.
How many worksites does your company have in Georgia?
50 character(s) left.
4.
How many full time employees are at this location?
50 character(s) left.
5.
How many part time employees are at this location?
50 character(s) left.
Please answer the following questions on your wellness program overview.
6.
Our company has a mission statement that includes a reference to improving and maintaining employee health?
Yes
Yes
No
No
Comment:
150 character(s) left.
7.
Our company has an officially organized Worksite Wellness or Health Promotion Program open to all full-time employees.
Yes
Yes
No
No
Comment:
150 character(s) left.
8.
Our company has a health or safety committee or other group that has worksite wellness as a part of it's scope of work.
Yes
Yes
No
No
Comment:
150 character(s) left.
9.
Our company employees a person full-time whose primary responsibility is the delivery of health promotion/wellness programs.
Yes
Yes
No
No
Comment:
150 character(s) left.
10.
Our company offers incentives, financial or other, to employees who participate in health promotion, wellness, or disease screening programs.
Yes
Yes
No
No
Comment:
150 character(s) left.
11.
Our company assesses employees' health status or knowledge, attitudes, skills, and/or habits related to health behaviors and wellness (health risk accessments, wellness survey, etc).
Yes
Yes
No
No
12.
Our company tracks employees participation in company-sponsored worksite wellness or health promotion programs and activities.
Yes
Yes
No
No
Comment:
150 character(s) left.
13.
Our company measures participant changes in behavior, health or fitness status to verify effectiveness of the programs.
Yes
Yes
No
No
Comment:
150 character(s) left.
14.
Our company organizes events or programs based on a health observance (such as American Heart Month, Diabetes Alert Day, Great American SmokeOut, etc.).
Yes
Yes
No
No
Comment:
150 character(s) left.
15.
Please include a description of your company's wellness program.
500 character(s) left.
Please answer the following questions on physical activity at your company.
16.
Our company has a written policy that allows employees to participate in physical activity or use an on-site fitness facility during paid work time.
Yes
Yes
No
No
Comment:
150 character(s) left.
17.
Our company has walking trails, bicycle racks or provides any other accommodations (i.e. showers, changing rooms) to support physical activity at work during break times or in commuting to work.
Yes
Yes
No
No
Comment:
150 character(s) left.
18.
Our company has an on-site exercise/fitness facility available to employees, and/or subsidizes employees' membership in health clubs/gyms in the community.
Yes
Yes
No
No
Comment:
150 character(s) left.
19.
Our company allows employees to use the on-site exercise/fitness facilities, participate in on-site fitness classes, or be physically active during the work day.
Yes
Yes
No
No
Comment:
150 character(s) left.
20.
Our company participates in or sponsors a corporate fitness challenge, physical activity event, and/or sports team for employees.
Yes
Yes
No
No
Comment:
150 character(s) left.
21.
Our company provides educational programs on any specific chronic disease such as cancer, diabetes, or heart disease.
Yes
Yes
No
No
Comment:
150 character(s) left.
22.
Our company has signs or pictures posted around your worksite to encourage workers to be more physically active.
Yes
Yes
No
No
Comment:
150 character(s) left.
23.
Our company distributes information to workers in company newsletters, e-mails or other mailings about the importance of being physically active.
Yes
Yes
No
No
Comment:
150 character(s) left.
Please answer the following questions on health promotion offerings/support at your company.
24.
Our company has healthy food options available in the cafeteria and/or vending machines (such as low-fat, low-sodium snacks).
Yes
Yes
No
No
Comment:
150 character(s) left.
25.
Our company prohibits smoking and eliminates exposure to second-hand smoke.
Yes
Yes
No
No
Comment:
150 character(s) left.
26.
Our company posts "cues to actions" or signage to promote healthy behaviors, such as walking/taking stairs, choosing fruit as a snack, or maintaining the company's smoke-free policy.
Yes
Yes
No
No
Comment:
150 character(s) left.
27.
Our company has signs or pictures posted around your worksite to encourage workers to be aware of the warning signs and symptoms of heart attack and/or stroke.
Yes
Yes
No
No
Comment:
150 character(s) left.
28.
Our company offers training to employees on cardiopulmonary resuscitation (CPR) and/or first aid.
Yes
Yes
No
No
Comment:
150 character(s) left.
29.
Our company has at least one automated external defibrillator (AED) present at your company's primary worksite in a prominent and well-marked location
Yes
Yes
No
No
Comment:
150 character(s) left.
30.
Our company's health benefits package include preventive clinical services.
Yes
Yes
No
No
31.
Our company offers screenings and disease management services (blood pressure check, blood sugar check, cholesterol check, medication checks, etc.)?
Yes
Yes
No
No
Comment:
150 character(s) left.
32.
And finally...
What makes your company "The Most Fit Company"?
500 character(s) left.