DSWD FO2 Employee Health and Wellness Quick Survey Form
Dear Ma'am/Sir,

Good day!

This survey form is designed to determine your health and wellness interests/needs. Your response in this form shall serve as our basis in the design & development of appropriate Health and Wellness Programs and Services of the Agency.

Thank you in advance for you cooperation. We look forward to helping you create a more positive health-conscious workplace environment!

INSTRUCTION
Kindly mark your corresponding response and provide other details, if necessary. THIS SURVEY WILL ONLY TAKE 3 - 5 MINUTES of your time. Every information typed herein shall be treated with utmost confidentiality.
I. Personal Information/Demographics
Full Name: *
Your answer
Position
Your answer
Section/Unit/Program *
Your answer
Sex *
Age *
How would you rate your current health/wellness status? *
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