GCC Employee Wellness Survey 2004-2005

  1. The best days and times I can attend Wellness activities are (check all that apply):

    DaysMorning HoursAfternoon/Evening Hours
    MON 5a6a7a8a9a10a11a 12p1p2p3p4p5p6p7p8p
    TUE 5a6a7a8a9a10a11a 12p1p2p3p4p5p6p7p8p
    WED 5a6a7a8a9a10a11a 12p1p2p3p4p5p6p7p8p
    THU 5a6a7a8a9a10a11a 12p1p2p3p4p5p6p7p8p
    FRI 5a6a7a8a9a10a11a 12p1p2p3p4p5p6p7p8p

  2. I plan on participating in the following Wellness activities:

    Aerobics
    Basketball
    EcancerAnswers
    Fitness Center
    Fitness Testing     		Health Fair
    Health Screenings
    Massage Therapy
    Mobile Onsite
        Mammography (MOM)     		Nutrition Counseling
    Personal Training
    Smoking Cessation
    Tennis
    VIP Weight Management     		Volleyball
    Walking Works
    Wellness Seminars

  3. I would like to attend a wellness seminar on the following topics:

  4. I would like to see these additional wellness services:

  5. I would choose GCC cafeteria foods designated with a "Wellness" stamp of approval.

    Yes No

  6. I would like to see nutritional information (calories/fat grams, etc) on GCC Cafeteria food items.

    Yes No

  7. Please list any specific healthy foods you would like added to the GCC Cafeteria menu:

  8. I would like information on the following:

    Allergies
    Anemia
    Anxiety
    Arthritis
    Asthma
    Back/Neck Pain
    Cancer
    Caregiving     		COPD
    Coping with
        Colds and Flu
    Depression
    Diabetes
    Eating Disorders
    Ergonomics
    Fatigue     		Fitness
    GI Disorders
    Gout
    Headaches
    Healthy Eating
    Heart Disease
    High Cholesterol
    Hypertension     		Liver Disease
    Men's Health
    Mental Health Issues
    Obesity
    Osteoporosis
    Relaxation
    Renal Disease
    Skin Health     		Stress
    Stroke
    Substance Abuse
    Women's Health

  9. Comments:

GCC Employee Wellness http://www.gc.maricopa.edu/wellness/survey
Page maintained by Louise Keogh
for Glendale Community College
Last update: November 2004
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