YMCA Employee Wellness Survey We Care About Your Health! Please fill out this survey so we can learn more about your wellness. 1 Please select the YMCA that you primarily work at:   Allston-Brighton/Oak Square East Boston Training, Inc.   Black Achievers Hyde Park Waltham Chinatown/Wang Metro Offices West Roxbury Huntington Ave/Central Needham/Charles River Woburn/North Suburban Charlestown/Constitution Inn Reading/Burbank Dorchester Roxbury 2 Are you male or female?   Female Male 3 What is your employment status?   Part-Time Full-Time Exempt 4 Please rate your current level of overall health and wellness.  Please rate on a scale from 1 to 10:   1 Very Low 2 3 4 5 Moderate 6 7 8 9 10 Very High 5 How often do you currently participate in health and wellness activities?   Once a week   2-3 times per month   2-3 times per week   Once a month 4-5 times per week   Less than once a month 6-7 times per week   6 Does your YMCA and/or supervisor support you in improving your health and wellness?  Please rate on a scale from 1 to 5.   1 Not Supportive 2 3 Somewhat Supportive 4 5 Very Supportive 7 Would you participate in a health and wellness routine more regularly if you knew your workplace encouraged it?   Yes   No   8 What could the YMCA do to support your overall health and wellness more? 9 Would you be interested in YMCA staff programs to improve your health and wellness?   Yes   No   10 If you are interested in working with other staff, what types of programs would you be interested in?   Walking Running Weight Loss   Stretching Biking Resistance Training Meditation Hiking Yoga Nutrition Basketball Pilates Cooking Volleyball Other 11 How often have you used your free YMCA membership in the last month?   Never   6-9 times per month   Less than 3 times per month   More than 9 times per month 12 In addition to your free YMCA membership, how much would you be willing to spend to participate in employee health and wellness programs and services, per month?   $10 or less   $25-$50   $10-$25   $50+ 13 Please list any additional comments here: Thank you for taking this survey. We appreciate your feedback.