This Employee Needs Survey is a simple tool that tells us about your well being and health interests and needs. This survey will take about 10 minutes to complete.
Aggregate (anonymous) results of this survey will be used to help plan activities and secure resources to meet our employees' needs.

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* 1. In general, how would you rate your health?

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* 2. Imagine your health 5 years from now. How would you rate your expected health? 

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* 3. How many hours of sleep do you get each night? 

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* 4. Have you felt downhearted or blue in the past month?

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* 5. Overall, I am satisfied with my life

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* 6. At 2 am, how many people could you call for help and they'd come?

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* 7. Have you had a flu shot in the past 12 months? 

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* 8. Which of these areas are of biggest concern to you and your health? (Rank 1-3, with 1 being the greatest concern).

Having a primary-care medical provider you can call for basic health care is a critical part of of maintaining good health and ensuring you're getting the health screenings you need.  Examples of primary care providers include physicians (MD or DO), Nurse Practitioner, and Physician Assistants.

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* 9. Having a primary-care medical provider you can call for basic health care is a critical part of of maintaining good health and ensuring you're getting the health screenings you need. Examples of primary care providers include physicians (MD or DO), Nurse Practitioners, and Physician Assistants.

Do you have a primary care provider you consistently call when seeking medical care (Whether that be the YOC Health Center or a provider in the community)?

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* 10. Please indicate how satisfied you are with each area of wellbeing in your life

  Very Satisfied Somewhat Satisfied Neither satisfied nor dissatisfied Somewhat Dissatisfied Very Dissatisfied
Career/Purpose (how you occupy your time; liking what you do every day)
Social (having strong connected relationships and love in your life)
Financial (managing your economic life well)
Physical (having good health and enough energy to get things done each day that are important to you)
Emotional (having enough mental energy to get things done each day that are important to you)
Community (feeling connected to the community where you live)

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* 11. How important is it to you for the YOC to develop more programs and resources to better support you in each area of wellbeing?

  Extremely important Important Undecided Not important at all
Career Wellbeing/purpose
Social Wellbeing
Financial Wellbeing
Physical Wellbeing
Emotional Wellbeing
Community Wellbeing

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