Wellness Survey
Do you currently participate in the ICC Wellness Works Program?
If yes, what areas of Wellness do you currently participate?
I have not participated in the Wellness program because
What days and times are best for you to attend a Wellness seminar?
Please rate your interest in the following health topics
No interest
Only slightly interested
Somewhat interested
Very interested
Allergy and asthma
Back care
Blood pressure
Brain health
Healthy cooking
Heart health
Smoking cessation
Weight management
Stress management
Anxiety and/or depression
Age-related illnesses
Understanding health insurance
Cash-flow management
Retirement planning
Which of the following incentives would increase your likelihood to participate in wellness activities?
Addition comments and suggestions:
Your answer
Never submit passwords through Google Forms.
This form was created inside of Illinois Central College Student Email. Report Abuse - Terms of Service