OC1: What department are you most affiliated with in your worksite?
OC3: Is your organization for profit, non-profit, government?
Health Insurance HI1: In general, do you offer full, partial or no payment of premiums for personal health insurance for full-time employees?
Health Insurance HI2: Over the past 12 months, were full-time employees asked to pay a larger proportion, smaller proportion or the same proportion of personal health insurance premiums?
Health Insurance HI3: Does your organization offer personal health insurance for your part-time employees?
Health Insurance HI4: Does your organization offer family coverage with your health insurance?
Health Risk Assessments HRA1: In the past 12 months, were employees at this worksite location offered a health risk assessment or HRA?
Health Risk Assessments HRA1A: Who offered the HRA?
Health Risk Assessments HRA1B: Approximately what percentage of employees completed the HRA?
Health Risk Assessments HRA1E: Were employees who completed the HRA:
Promoting Health at Work CP1: Health education programs, which focus on skill development and lifestyle behavior change along with information dissemination and awareness building?
Promoting Health at Work CP2: Supportive social and physical environment?
Promoting Health at Work CP3: Integration of the health promotion program into your organizations structure?
Promoting Health at Work CP4: Linkage to related programs?
Promoting Health at Work CP5: Worksite health screening programs?
History of Health Promotion HP1: Thinking about this worksite location, did your organization offer any type of health promotion/wellness program for employees in the past 12 months?
History of Health Promotion HP2: How long has your health promotion/wellness program been in place?
History of Health Promotion HP3: Is your health promotion/wellness program primarily managed by
History of Health Promotion HP4: Is there at least one person who is assigned responsibility for the health promotion/wellness program offered at this worksite location?
History of Health Promotion HP5: Does this worksite currently have a committee that addresses employee health promotion/wellness or safety?
History of Health Promotion HP5A: To what extent does this committee adequately represent a wide variety of workers?
History of Health Promotion HP6: Does this organization include references to improving or maintaining employee health in the business objectives or organizational mission statement?
History of Health Promotion HP7A: Has senior leadership visibly committed to employee health and safe work environments?
History of Health Promotion HP7B: Has middle management visibly committed to employee health and safe work environments?
History of Health Promotion HP7C: Has a champion(s) who is a strong advocate for the health promotion program?
History of Health Promotion HP7D: Has an annual employee health promotion plan?
History of Health Promotion HP7D1: Does the plan include specific measurable goals and objectives to reach?
History of Health Promotion HP7D2: Does the plan include communication strategies that promote and market the program to employees to ensure high visibility of the program?
History of Health Promotion HP7D3: Does the plan include clear responsibility for who will implement each component of the plan?
History of Health Promotion HP7E: Uses data to help decision-makers decide what to offer?
History of Health Promotion HP7E1: Do you use any type of organizational level assessment tool to benchmark changes, plan and/or evaluate health-related organizational level changes that you may make over time?
History of Health Promotion HP7F: Uses data to evaluate program success?
History of Health Promotion HP7F1: Employee participation?
History of Health Promotion HP7F2: Employee feedback about the program?
History of Health Promotion HP7F3: Employee morale or job satisfaction?
History of Health Promotion HP7F4: Changes in employee health risk behaviors?
History of Health Promotion HP7F5: Changes in employee disease rates or conditions?
History of Health Promotion HP7F6: Costs for employee health care claims?
History of Health Promotion HP7F7: Number or amount of worker compensation claims?
History of Health Promotion HP7F8: Absenteeism?
History of Health Promotion HP7F9: Employee productivity or presenteeism?
History of Health Promotion HP7F10: Employee turnover?
History of Health Promotion HP7F11: Return on investment?
History of Health Promotion HP7G: How much is available in dollars, annually, to spend on employee health promotion/wellness at this worksite location?
History of Health Promotion HP8: During the next 12 months (compared with the past 12 months), what do you expect that your organizations financial investment will be in employee health promotion?
Health Promotion Programs, Health Screenings, Disease Management HPR1_1: In the past 12 months, did you offer any programs to address physical activity/fitness/sedentary behavior for your employees?
Health Promotion Programs, Health Screenings, Disease Management HPR1_1A: What TYPE of physical activity programs have you offered in the past 12 months?
Health Promotion Programs, Health Screenings, Disease Management HPR1_1B: Who typically offers these programs to employees?
Health Promotion Programs, Health Screenings, Disease Management HPR1_1C: Thinking about all physical activity/fitness/sedentary behavior programs that have been offered or sponsored here in the past 12 months, approximately what percentage of employees fr
Health Promotion Programs, Health Screenings, Disease Management HPR1_2A: Provide an exercise facility on-site?
Health Promotion Programs, Health Screenings, Disease Management HPR1_2B: Subsidize or discount the cost of onsite and/or offsite exercise facilities?
Health Promotion Programs, Health Screenings, Disease Management HPR1_2C: Provide environmental supports for physical activity or recreation such as walking trails or tracks, maps of measured walking/jogging routes, bicycle racks, shower and changing room,
Health Promotion Programs, Health Screenings, Disease Management HPR1_2D: Post signs at elevators, stairwell entrances/exits and other key locations that encourage employees to use the stairs?
Health Promotion Programs, Health Screenings, Disease Management HPR1_2E: Provide organized individual or group physical activity programs for employees (other than use of an exercise facility?)
Health Promotion Programs, Health Screenings, Disease Management HPR1_2F: Provide or subsidize physical fitness assessments, follow-up counseling, and exercise recommendations either onsite or through a community exercise facility?
Health Promotion Programs, Health Screenings, Disease Management HPR1_2G: Provide free or subsidized lifestyle self-management programs that include advice on physical activity?
Health Promotion Programs, Health Screenings, Disease Management HPR1_2H: Provide a pedometer or FITBit or other physical activity tracking device for free or discounted rate to employees?
Health Promotion Programs, Health Screenings, Disease Management HPR1_2I: Provide the option of using active work stations?
Health Promotion Programs, Health Screenings, Disease Management HPR1_2J: Offer employees paid time to be physically active during work hours, including fitness breaks, walking meetings or other options?
Health Promotion Programs, Health Screenings, Disease Management HPR1_2K: Encourage active transportation to and from work by providing things such as bike parking, shower access, pre-tax contributions for public transportation or providing parallel benefi
Nutrition/Healthy Eating HPR2_1: In the past 12 months, did you offer any programs to address nutrition and/or healthy eating for employees?
Nutrition/Healthy Eating HPR2_1A: What TYPE of nutrition/healthy eating programs have you offered in the past 12 months?
Nutrition/Healthy Eating HPR2_1B: Who typically offered these programs to employees?
Nutrition/Healthy Eating HPR2_1C: Thinking about all nutrition/healthy eating programs that have been offered or sponsored here in the past 12 months, approximately what percentage of employees from this worksite location participate?
Nutrition/Healthy Eating HPR2_2A: Provide employees with food preparation and storage facilities such as microwave oven, sink, refrigerator and/or kitchen?
Nutrition/Healthy Eating HPR2_2B: Have a written policy or formal communication which makes healthier food and beverages available during meetings when food is served?
Nutrition/Healthy Eating HPR2_2C: Offer or promote an onsite or nearby farmers market where fresh fruits and vegetables are sold?
Nutrition/Healthy Eating HPR2_2D: Provide free or subsidized lifestyle self-management programs that include advice or tools on healthy eating?
Nutrition/Healthy Eating HPR2_3A: A cafeteria or snack bar onsite?
Nutrition/Healthy Eating HPR2_3B: Vending machines that serve food?
Nutrition/Healthy Eating HPR2_3C: Vending machines that serve beverages?
Nutrition/Healthy Eating HPR2_3D: Food trucks that come to your worksite every day?
Nutrition/Healthy Eating HPR2_4A: Have a written policy or formal communication that makes healthier food and beverage choices available in cafeterias, vending, snack bars or food trucks?
Nutrition/Healthy Eating HPR2_4B: Make most (more than 50%) of the food and beverage choices available in cafeterias/snack bars, vending, catering trucks be healthy food items?
Nutrition/Healthy Eating HPR2_4C: Provide nutritional information (beyond standard info on labels) on sodium, calories, trans-fats, or saturated fats for foods and beverages sold in worksite cafeterias, snack bars, vending or food trucks?
Nutrition/Healthy Eating HPR2_4D: Identify healthier food and beverage choices with signs or symbols?
Nutrition/Healthy Eating HPR2_4E: Subsidize or provide discounts on healthier foods and beverages offered in vending machines, cafeterias, snack bars or food trucks?
Obesity/Weight Management HPR3_1: In the past 12 months, did you offer any programs to address obesity/weight management for employees?
Obesity/Weight Management HPR3_1A: What TYPE of obesity/weight management programs have you offered in the past 12 months?
Obesity/Weight Management HPR3_1B: Who typically offered these programs to employees?
Obesity/Weight Management HPR3_1C: Thinking about all obesity/weight management programs that have been offered or sponsored here in the past 12 months, approximately what percentage of employees from this worksite location participate?
Obesity/Weight Management HPR3_2: In the past 12 months, did your worksite provide full or partial coverage for bariatric (i.e., weight loss) surgery, such as gastric bypass?
Tobacco Use HPR4_1: In the past 12 months, did you offer any programs to help employees stop using tobacco products?
Tobacco Use HPR4_1A: What TYPE of tobacco use programs have you offered in the past 12 months?
Tobacco Use HPR4_1B: Who typically offered these programs to employees?
Tobacco Use HPR4_1C: Thinking about all tobacco use programs that have been offered or sponsored here in the past 12 months, approximately what percentage of employees from this worksite location participate?
Tobacco Use HPR4_2A: Refer tobacco users to a state or other tobacco cessation telephone quit line?
Tobacco Use HPR4_2B: Provide or cover free or subsidized tobacco cessation counseling (including individual, group, and telephone counseling)?
Tobacco Use HPR4_2C: Provide health insurance coverage with no or low out-of-pocket costs for FDA-approved over-the-counter and/or prescription tobacco cessation medications including nicotine replacement?
Tobacco Use HPR4_2D: Inform employees about health insurance coverage or programs that include tobacco cessation medication and counseling?
Tobacco Use HPR4_2E: Help remove barriers to accessing tobacco cessation treatments, such as copayments, requirements for prior authorization, and limitations on the number and duration of treatments?
Tobacco Use HPR4_2F: Display signs (including no smoking signs)?
Tobacco Use HPR4_2G: Have a written policy to restrict smoking?
Tobacco Use HPR4_2G1: Does the written policy ban all tobacco use at your worksite?
Tobacco Use HPR4_2G2: Does the written policy ban use of smokeless tobacco, e-cigarettes and other tobacco products?
Tobacco Use HPR4_2G3: Does your worksite actively enforce a written policy banning tobacco use?
Tobacco Use HPR4_2G4: Does your worksite have a policy that does not allow use of tobacco products in company vehicles?
Tobacco Use HPR4_2G5: Does your worksite prohibit sale of tobacco products on company property?
Tobacco Use HPR4_2G6: Which of these best describes your smoking policy for INDOOR PUBLIC OR COMMON AREAS, such as lobbies, rest rooms, and lunch rooms?
Tobacco Use HPR4_2G7: Which of these best describes your smoking policy for WORK AREAS?
Excessive Alcohol Use/Drug Abuse HPR5_1: In the past 12 months, did you offer any programs to address excessive alcohol use and/or drug abuse?
Excessive Alcohol Use/Drug Abuse HPR5_1A: What TYPE of excessive alcohol use/drug abuse programs have you offered in the past 12 months?
Excessive Alcohol Use/Drug Abuse HPR5_1B: Who typically offered these programs to employees?
Lactation Support HPR6_1: In the past 12 months, did you offer any lactation support programs for employees?
Lactation Support HPR6_1A: What TYPE of lactation support programs have you offered in the past 12 months?
Lactation Support HPR6_1B: Who typically offered these programs to employees?
Lactation Support HPR6_1C: Thinking about all support programs for breastfeeding or pregnant employees that have been offered or sponsored here in the past 12 months, approximately what percentage of employees from this worksite location participate?
Musculoskeletal Disorders/Arthritis/Back Pain HPR7_1: In the past 12 months, did you offer any programs to educate about prevention of musculoskeletal disorders, arthritis or back pain?
Musculoskeletal Disorders/Arthritis/Back Pain HPR7_1A: What TYPE of musculoskeletal disorder, arthritis, or back pain programs have you offered in the past 12 months?
Musculoskeletal Disorders/Arthritis/Back Pain HPR7_1B: Who typically offered these programs to employees?
Musculoskeletal Disorders/Arthritis/Back Pain HPR7_1C: Thinking about all musculoskeletal disease, arthritis or back pain programs that have been offered or sponsored here in the past 12 months, approximately what percentage of employees from this worksite
Stress Management HPR8_1: In the past 12 months, did you offer any programs to address stress management for employees?
Stress Management HPR8_1A: What TYPE of stress management programs have you offered in the past 12 months?
Stress Management HPR8_1B: Who typically offered these programs to employees?
Stress Management HPR8_1C: Thinking about all stress management programs that have been offered or sponsored here in the past 12 months, approximately what percentage of employees from this worksite location participate?
Sleep HPR9_1: In the past 12 months, did you offer any programs to promote healthy sleep and reduce fatigue for employees?
Sleep HPR9_1A: What TYPE of healthy sleep programs have you offered in the past 12 months?
Sleep HPR9_1B: Who typically offered these programs to employees?
Sleep HPR9_1C: Thinking about all the healthy sleep programs that have been offered or sponsored here in the past 12 months, approximately what percentage of employees from this worksite location participate?
Health Screenings HS11: Blood pressure screening made available?
Health Screenings HS11_2: Blood pressure: Are high risk employees referred to health professional for treatment and provided follow up education?
Health Screenings HS11A: Were blood pressure monitoring devices available with instructions for employees to conduct their own self assessments?
Health Screenings HS12: Blood cholesterol screening made available?
Health Screenings HS12_2: Blood cholesterol: Are high risk employees referred to health professional for treatment and provided follow up education?
Health Screenings HS13: Diabetes or pre-diabetes screening made available?
Health Screenings HS13_2: Diabetes or pre-diabetes: Are high risk employees referred to health professional for treatment and provided follow up education?
Health Screenings HS14: Obesity screening made available?
Health Screenings HS14_2: Obesity: Are high risk employees referred to health professional for treatment and provided follow up education?
Health Screenings HS15: Breast cancer using mammography screening made available?
Health Screenings HS15_2: Breast cancer using mammography: Are high risk employees referred to health professional for treatment and provided follow up education?
Health Screenings HS16: Colorectal cancer screening made available?
Health Screenings HS16_2: Colorectal cancer: Are high risk employees referred to health professional for treatment and provided follow up education?
Health Screenings HS17: Cervical cancer screening made available?
Health Screenings HS17_2: Cervical cancer: Are high risk employees referred to health professional for treatment and provided follow up education?
Health Screenings HS18: Depression screening made available?
Health Screenings HS18_2: Depression: Are high risk employees referred to health professional for treatment and provided follow up education?
Health Screenings HS19: Arthritis or other musculoskeletal problems screening made available?
Health Screenings HS19_2: Arthritis or other musculoskeletal problems: Are high risk employees referred to health professional for treatment and provided follow up education?
Health Screenings HS2A: Thinking about all of the screenings offered to employees at this worksite, were they usually offered to employees
Health Screenings HS2B: Think about all of the health screenings offered to employees at this worksite. Would you estimate the usual employee participation as:
Health Screenings HS3: During the past 12 months, were flu shots made available to your employees?
Disease or Risk Management DM11M1: Asthma: Information such as brochures, videos, posters, pamphlets, newsletters
Disease or Risk Management DM11M2: Asthma: Educational seminars, workshops, or classes on preventing and controlling the condition
Disease or Risk Management DM11M3: Asthma: One-on-one counseling/coaching and follow-up monitoring
Disease or Risk Management DM12M1: Cardiovascular disease: Information such as brochures, videos, posters, pamphlets, newsletters
Disease or Risk Management DM12M2: Cardiovascular disease: Educational seminars, workshops, or classes on preventing and controlling the condition
Disease or Risk Management DM12M3: Cardiovascular disease: One-on-one counseling/coaching and follow-up monitoring
Disease or Risk Management DM13M1: Cancer or cancer survivorship: Information such as brochures, videos, posters, pamphlets, newsletters
Disease or Risk Management DM13M2: Cancer or cancer survivorship: Educational seminars, workshops, or classes on preventing and controlling the condition
Disease or Risk Management DM13M3: Cancer or cancer survivorship: One-on-one counseling/coaching and follow-up monitoring
Disease or Risk Management DM14M1: Diabetes or pre-diabetes: Information such as brochures, videos, posters, pamphlets, newsletters
Disease or Risk Management DM14M2: Diabetes or pre-diabetes: Educational seminars, workshops, or classes on preventing and controlling the condition
Disease or Risk Management DM14M3: Diabetes or pre-diabetes: One-on-one counseling/coaching and follow-up monitoring
Disease or Risk Management DM15M1: Depression: Information such as brochures, videos, posters, pamphlets, newsletters
Disease or Risk Management DM15M2: Depression: Educational seminars, workshops, or classes on preventing and controlling the condition
Disease or Risk Management DM15M3: Depression: One-on-one counseling/coaching and follow-up monitoring
Disease or Risk Management DM16M1: High risk pregnancy: Information such as brochures, videos, posters, pamphlets, newsletters
Disease or Risk Management DM16M2: High risk pregnancy: Educational seminars, workshops, or classes on preventing and controlling the condition
Disease or Risk Management DM16M3: High risk pregnancy: One-on-one counseling/coaching and follow-up monitoring
Disease or Risk Management DM17M1: Hypertension or high blood pressure: Information such as brochures, videos, posters, pamphlets, newsletters
Disease or Risk Management DM17M2: Hypertension or high blood pressure: Educational seminars, workshops, or classes on preventing and controlling the condition
Disease or Risk Management DM17M3: Hypertension or high blood pressure: One-on-one counseling/coaching and follow-up monitoring
Disease or Risk Management DM18M1: High blood cholesterol: Information such as brochures, videos, posters, pamphlets, newsletters
Disease or Risk Management DM18M2: High blood cholesterol: Educational seminars, workshops, or classes on preventing and controlling the condition
Disease or Risk Management DM18M3: High blood cholesterol: One-on-one counseling/coaching and follow-up monitoring
Disease or Risk Management DM19M1: Obesity: Information such as brochures, videos, posters, pamphlets, newsletters
Disease or Risk Management DM19M2: Obesity: Educational seminars, workshops, or classes on preventing and controlling the condition
Disease or Risk Management DM19M3: Obesity: One-on-one counseling/coaching and follow-up monitoring
Disease or Risk Management DM20M1: Migraine/headache: Information such as brochures, videos, posters, pamphlets, newsletters
Disease or Risk Management DM20M2: Migraine/headache: Educational seminars, workshops, or classes on preventing and controlling the condition
Disease or Risk Management DM20M3: Migraine/headache: One-on-one counseling/coaching and follow-up monitoring
Disease or Risk Management DM2A: Thinking about all of the disease management programs offered to employees at this worksite, were they usually offered
Disease or Risk Management DM2B: Did your organization provide any training for managers/supervisors about disease management topics?
Disease or Risk Management DM3: During the past 12 months, have you had an onsite health clinic available for employees at this worksite location?
Incentives KP2: During the past 12 months, have you offered any incentives related to the health promotion/wellness programs you have offered to your employees?
Incentives KP3_1: Tied primarily to participation or attendance in a health programs?
Incentives KP3_2: Tied primarily achieving a particular health standard?
Incentives KP3_3: Tied to both participation and achieving a health standard?
Incentives KP4: We understand that many factors influence whether employees achieve certain health goals, but if you were to focus solely on the use of incentives, how effective were the incentives you offered for achieving their intended outcome?
Incentives KP5A: Premium discounts
Incentives KP5C: Copay differences
Incentives KP5E: Cash rewards
Incentives KP5F: Add money to flexible spending accounts
Incentives KP5G: Additional paid time off
Incentives KP5H: Gifts or prizes
Incentives KP5J: Other
Incentives KP5J: Other -- Alpha Response
Work-Life Programming, Policies and Benefits WL1: During the last 12 months, did this organization or your health plan offer an Employee Assistance Program (EAP) to employees and/or their families?
Work-Life Programming, Policies and Benefits WL2: During the past 12 months, did your worksite provide training to prevent bullying or violence in the workplace?
Work-Life Programming, Policies and Benefits WL3M1: During the past 12 months, did this worksite location provide employees with any of the following: Paid sick hours or days
Work-Life Programming, Policies and Benefits WL3M2: During the past 12 months, did this worksite location provide employees with any of the following: Paid personal hours or days
Work-Life Programming, Policies and Benefits WL3M3: During the past 12 months, did this worksite location provide employees with any of the following: Paid vacation hours or days
Work-Life Programming, Policies and Benefits WL3M4: During the past 12 months, did this worksite location provide employees with any of the following: None
Work-Life Programming, Policies and Benefits WL3M5: During the past 12 months, did this worksite location provide employees with any of the following: Other
Work-Life Programming, Policies and Benefits WL5: Offer employees flexible work schedules (Note: flexible schedules can include allowing employees to choose their own starting and quitting times within a range of hours, working compressed work weeks, telew
Work-Life Programming, Policies and Benefits WL6: Allow employees to work from home?
Work-Life Programming, Policies and Benefits WL7: Offer disability leave or disability insurance?
Work-Life Programming, Policies and Benefits WL8: Offer paid family leave for new parents?
Work-Life Programming, Policies and Benefits WL9: Allow employees to take unpaid parental leave?
Work-Life Programming, Policies and Benefits WL11: Help employees cover any costs of child care for their children by directly reimbursing for costs or by providing a flexible spending account?
Work-Life Programming, Policies and Benefits WL12: Offer on-site or off-site child care for employees?
Work-Life Programming, Policies and Benefits WL14: Help employees cover any costs of eldercare?
Work-Life Programming, Policies and Benefits WL15: Offer on-site or off-site eldercare for employees?
Program Barriers B1_1: To what extent has lack of employee interest been a barrier?
Program Barriers B1_2: To what extent has employee distrust of employer-sponsored programs been a barrier?
Program Barriers B1_3: To what extent has cost been a barrier?
Program Barriers B1_4: To what extent has lack of trained and experienced staff been a barrier?
Program Barriers B1_5: To what extent hasconflicting or competing business demands been a barrier?
Program Barriers B1_6: To what extent has concern about confidentiality/privacy been a barrier?
Program Barriers B1_7: To what extent has demonstrating program results been a barrier?
Program Barriers B1_8: To what extent has lack of qualified vendors been a barrier?
Program Barriers B1_9: To what extent has lack of senior management support been a barrier?
Program Barriers B1_10: To what extent has lack of middle management or supervisor support been a barrier?
Program Barriers B1_11: To what extent has changes in the regulatory environment /legal concerns been a barrier?
Program Barriers B1_12: To what extent has lack of physical space at work been a barrier?
Occupational Safety and Health OSH1: Is there at least one dedicated person who is responsible for the safety of employees at this worksite location?
Occupational Safety and Health OSH2: Does the person who is responsible for employee safety also have responsibility for promoting health/wellness at this worksite location?
Occupational Safety and Health OSH3: Have a written injury and illness prevention program?
Occupational Safety and Health OSH4: Have a policy requiring or encouraging the reporting of worksite injures and near misses, and illnesses?
Occupational Safety and Health OSH5: Provide opportunities for employee input on hazards and solutions to reduce or eliminate those hazards?
Occupational Safety and Health OSH6: Provide new employees with formal training on how to avoid on-the-job accidents, injuries, and illnesses?
Occupational Safety and Health OSH7_1: Efforts to protect and promote worker health include changes to improve work design and the work environment, along with educating individual workers.
Occupational Safety and Health OSH7_2: Employees and management work together to set priorities, plan, implement and evaluate both safety and health promotion programs.
Occupational Safety and Health OSH7_3: Decision-making about policies, programs and practices related to worker health is coordinated across departments.
Emerging Issues E1M1: Best practices for employee safety and health promotion
Emerging Issues E1M2: Conducting health and safety risk assessments
Emerging Issues E1M3: Documenting health improvements and cost impacts of wellness and safety programs
Emerging Issues E1M4: Laws, regulations, policies and standards related to workplace health and safety programs
Emerging Issues E1M5: Health care insurance, coverage, workers compensation, and claims processes
Emerging Issues E1M6: Partnership building, integration, coordination and collaboration
Emerging Issues E1M7: Leadership and management engagement
Emerging Issues E1M8: Program planning, implementation and evaluation skills
Emerging Issues E1M9: Other
Emerging Issues E2: On a scale of 1-10, to what extent do you believe that employees work within a culture of health at this worksite location?
Workforce Demographics WD1_1: What percentage of employees are under age 30?
Workforce Demographics WD1_2: What percentage of employees are age 60 or older?
Workforce Demographics WD2: What percentage of employees are female?
Workforce Demographics WD3: What percentage of employees are hourly/non-exempt?
Workforce Demographics WD4: What percentage of employees work something other than a typical daytime shift?
Workforce Demographics WD5: What percentage of employees regularly work remotely or off-site?
Workforce Demographics WD6: What percentage of employees are under collective bargaining or unionized?
Workforce Demographics WD7: What is the average annual percentage of turnover at this worksite location?
Supplemental HPR5_2A_S: Participate in a community coalition that is addressing excessive alcohol use, drug abuse, or both?
Supplemental HPR5_2B_S: Offer excessive alcohol use or drug abuse support programs?
Supplemental HPR5_2C_S: Have a formal, written policy for addressing employee use of alcohol at the worksite/on the job?
Supplemental HPR5_2D_S: Have a formal, written policy addressing employee use of drugs at the worksite/on the job?
Supplemental HPR5_2E_S: Have a formal, written policy addressing employee use of medical marijuana at the worksite/on the job?
Supplemental WL1_1_S: Does the EAP offer screening, referrals and/or brief interventions for excessive alcohol use?
Supplemental WL1_2_S: Does the EAP offer screening and referrals to specialized treatment programs for alcohol dependence?
Supplemental WL1_3_S: Does the EAP offer screening, referrals and/or brief interventions for substance abuse?
Supplemental WL1_4_S: Does the EAP offer screening, referrals and/or brief interventions for stress, anxiety and/or depression?
Supplemental WL1_5_S: Does the EAP offer screening, referrals and/or brief interventions to identify, prevent and/or treat domestic violence?
Supplemental HPR9_2A_S: Provide training for workers about the importance of getting sufficient sleep for their safety, health and well-being both on and off the job?
Supplemental HPR9_2B_S: Provide training for workers to help them cope with shift work and long work hours?
Supplemental HPR9_2C_S: Provide training for managers on the safety and health risks associated with employee fatigue and poor sleep?
Supplemental HPR9_2D_S: Provide training for managers to improve the organization of work so as to reduce employee risk for poor sleep and fatigue?
Supplemental HPR9_2E_S: Improve design of work schedules, including policies for the number of consecutive days or hours allowed to be worked, or the type of shifts in place?
Supplemental HPR9_2F_S: Offer breaks during the work shift or work day?
Supplemental HPR8_2A_S: Provide dedicated space that is quiet where employees can engage in relaxation activities, such as meditation, yoga, prayer or naps?
Supplemental HPR8_2B_S: Offer social events throughout the year?
Supplemental HPR8_2C_S: Provide training for managers on identifying and reducing stress-related issues?
Supplemental HPR8_2D_S: Offer opportunities for employee to participate in organizational decisions (e.g. procedures, scheduling, and workload) that affect job stress?
Supplemental HPR8_2E_S: Provide safe places and/or opportunities that encourage social connectedness for employees at work (e.g. places that that allow people to interact and build supportive relationships and meaningful connections)?
Supplemental HPR7_2A_S: Provide training for managers and workers on identifying or recognizing work conditions that might increase risk of musculoskeletal disease, arthritis, or back pain?
Supplemental HPR7_2C_S: Offer intervention strategies for controlling ergonomic hazards with engineering or administrative controls?
Supplemental HPR7_2D_S: Provide ergonomic assessments and reasonable accommodations?
Supplemental HPR7_2E_S: Educate employees about worker compensation and disability benefits?
Supplemental HPR7_2F_S: Have policies to ensure that employees return to work safely and avoid re-injury?
Supplemental HPR6_2A_S: Have a written policy on breastfeeding for employees?
Supplemental HPR6_2B_S: Provide a private space (other than a restroom) that may be used by an employee to pump breast milk?
Supplemental HPR6_2C_S: Provide access to a breast pump at the worksite?
Supplemental HPR6_2D_S: Provide flexible times to allow mothers to pump breast milk at this worksite location?
Supplemental HPR6_2E_S: Provide free or subsidized breastfeeding support groups or educational classes?
Supplemental OSH7_1_S: Senior leadership who demonstrates commitment to both safe work design and worker well-being.
Supplemental OSH7_2_S: Plan for initiatives that jointly protect worker health, safety and well-being.
Supplemental OSH7_4_S: Efforts to protect and promote worker health that include training of supervisors.
Supplemental OSH7_6_S: Communication and programming that protects worker health is included with efforts to promote employee well-being.
Supplemental OSH8_S: Does this site employ individuals who work outdoors?
Supplemental OSH81A_S: Educational information about sun protection to workers through instruction, posters, or brochures?
Supplemental OSH81B_S: Environmental approaches to encourage sun protection (e.g. provide sunscreen or shade)?
Supplemental OSH81C_S: Policies to support sun protection practices (e.g. require sun protective behavior)?
Supplemental KP1A_S: Did you partner with state/local public health agency
Supplemental KP1B_S: Did you partner with workers compensation provider
Supplemental KP1C_S: Did you partner with health related organization (e.g. American Heart Association, American Cancer Society)
Supplemental KP1D_S: Did you partner with hospital
Supplemental KP1E_S: Did you partner with community organization like the YMCA or YWCA
Supplemental KP1F_S: Did you partner with business group (Wellness Council, Chamber of Commerce or other business group)
Supplemental KP1G_S: Did you partner with other
Supplemental KP1G_S: Did you partner with other -- Alpha Response
Hospital (1=Yes,0=No)
OC1_07: What department are you most affiliated with in your worksite? Other -- Alpha Response
Work-Life Programming, Policies and Benefits WL3_05: During the past 12 months, did this worksite location provide employees with any of the following: Other -- Alpha Response
Emerging Issues E1_09: Other -- Alpha Response
Agreement to Complete Supplemental Questionnaire: 1=Yes, 2=No
ID: Respondent Unique Identifier
Region: 5 Regions
CDC_Region: 10 CDC Regions
Industry: 7 Industry Categories
Size: 8 Employee Size Categories
Varstrata: Final Variance Estimation Stratum
Finalwt_Worksite: Final Worksite Level Analytic Weight