ORC Employee Wellness Survey

Welcome! Before you start

Anonymous. Do not write your name. Answers are only reported as group totals.
Easy. Tap an answer to select it. Tap it again to unselect.
Need help? Ask your supervisor or HR. Help in Hmong or Spanish is available.

Wellness tip of the day

How would you like to take the survey?

Recommended

Take it online

Answer on your phone, tablet or computer. One section at a time, about 10 minutes. See your wellness snapshot at the end.

Paper or file

Print or fill in a file

Download the same survey. Fill it in on paper or on your computer, then return it.

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Upload a completed copy

Filled out a paper, Word or PDF survey? Take a photo or upload the file here. It goes straight to HR.

1ChooseOnline, paper or file

2AnswerSkip anything you like

3Send itSubmit, upload or drop in the survey box

4We listenHR plans programs from group results

Section A: About you

General info only. Nothing that identifies you.

1Which ORC site do you work at?

2What shift do you usually work?

3What best describes your job?

4How much of your workday are you on your feet?

5Age range (optional)

Section B: Health and activity

No right or wrong answers.

6In general, would you say your health is…

7On average, how many days per week do you do moderate to strenuous exercise (like a brisk walk)?

Count exercise outside of your regular job duties.

8On those days, how many minutes do you usually exercise at this level?

9What activities do you do now?

Select all that apply.

10How often do you stretch or move around during your shift?

11Do you feel stiff, sore or tired from your work tasks?

12If yes, where?

Select all that apply.

Section C: Your wellbeing

How you have been feeling lately. Used for your personal snapshot at the end.

13Over the last two weeks, how often has each of these been true for you?

Pick the answer closest to how you have been feeling.

14In general, how satisfied are you with your life?

15How often do you feel stressed because of your work?

16Using your own definition of “burnout,” which statement fits you best?

17What helps you relax or recharge?

Select all that apply.

Section D: Healthy habits

Sleep, food, water and daily balance.

18Over the past month, how would you rate each of these?

Rate each one from 1 (Poor) to 5 (Great).

19On average, how many hours of sleep do you get in a 24-hour period?

Include naps. Think about the time you actually sleep.

20How much water do you drink during a workday?

21How many servings of fruits or vegetables do you eat on a typical day?

22Do you currently smoke, vape or use other tobacco or nicotine products?

Optional. This helps ORC decide whether to offer quit-smoking support.

Section E: Support at work

How ORC supports your health and safety.

23How much do you agree with each statement?

Pick one answer per row.

24Overall, how safe do you think your workplace is?

Section F: Wellness programs you'd use

Tell us which programs sound good to you.

25How interested are you in each if ORC offered it?

Pick one answer per row.

26How would you prefer to join?

27What language would you prefer for program materials?

Section G: Barriers and timing

Help us fit wellness into real schedules.

28What makes it hard for you to stay healthy?

Select all that apply.

29When would you be most likely to take part?

Select all that apply.

30How long would you want an activity to last?

Section H: Motivation and ideas

Almost done!

31What would motivate you most to join?

Pick up to 2.

You can pick up to 2. Unselect one to choose another.

32Would you join a wellness committee to help plan activities?

33Any ideas, suggestions or concerns about wellness at ORC?

Review and submit

Check your progress. Tap a section to go back and change anything.

Unanswered questions are fine. They will be left blank.

Employee Wellness Survey

Welcome! Before you start

How would you like to take the survey?

Take it online

Print or fill in a file

Upload a completed copy

Section A: About you

Section B: Health and activity

Section C: Your wellbeing

Section D: Healthy habits

Section E: Support at work

Section F: Wellness programs you'd use

Section G: Barriers and timing

Section H: Motivation and ideas

Review and submit

Upload a completed survey

How it works

Thank you for your feedback!

Your wellness snapshot