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6. Designation
12. How aware are you of the following policies and/or practices? (Please select all that apply)
I am aware I know where to access
Family friendly e.g. maturity,
paternity and adoption
Grievanance
Sickness absence
Equality policies
Harassment and bullying
policy
Special leave
Health and safety policy
13. How aware are of the following employee support? (Please select all that apply)
I am aware I know where to access
Counseling service (via
occupational health)
Health and fitness consultation (via
occupational health
Mindfulness workshops
Resilience workshop
Staff mentoring schemes
Bullying and harassment support
and advice
Equality and diversity officer
Support and advice via Human
Resource
Sports facilities and advice
Occupational Health And Safety: - This section asks you questions about the potential risk to
your health, safety and well being in your workplace and the measures in place to reduce these
risks.
14. Are you aware if your workplace poses any of the following potential risks to your health?
15. Are you aware if your workplace poses any of the following potential risks to your safety?
17. Are there any other potential safety risks you’re aware of ?
Yes
No
18. If yes, what are they and how would you address these?
Your Physical activity: - Adults should aim to be active daily. Regular moderate intensity
physical activity – such as walking, cycling, and gardening, vacuuming or participating in sports
– has significant benefits for health.
19. How much time do you spend on moderate physical activity per week?
None
1- 30 mins
31- 60 mins
61-90 mins
91- 120 mins
121- 150 mins
>150 mins
24. Studies have shown that people who eat plenty of fruit and vegetables have a lower risk of
developing many diseases. A portion is one piece of fruit (apple, banana), two pieces of small
fruit (plums), a handful of fruits (grapes, strawberries), a small bowl of salad or two tablespoons
of vegetables.
Remember, fresh, frozen, dried, canned, and juices (one per day) all count.
25. What else could the Organization do to support you to eat more healthily? (Please select all
that apply)
Mental health and wellbeing: - Mental health is defined as a state of well-being in which every
individual realizes his or her own potential, can cope with the normal stresses of life, can work
productively and fruitfully, and is able to make a contribution to her or his community. Various
factors in workplaces can affect a person’s mental wellbeing including culture, stress, physical
environment, work life balance, communication and opportunities for career progression.
26. Do you feel that the following areas within the Organization understand what impacts on
your mental health and wellbeing at work?
28. Do you feel that the following areas within the Organization supports flexible working
practices to help you deal with the responsibilities you have out with work?
29. Stress is the name given to what happens when pressure becomes excessive and exceeds an
individual's ability to cope.
Please select the response most relevant to you for each statement.
1.
2.
3.
31. Are you aware that the Organization provides the following? (Please select all that apply)
Staff counseling (via Occupational Health)
Mindfulness workshops
Resilience workshops
Mental Health First Aid Workshop
Stress Awareness training for managers
Referrals via Occupational Health to sport and fitness resources
32. What else could the Organization do to support your mental health and wellbeing? (Please
select all that apply.)
33. I would recommend the following as a good place to work. (Please select the relevant
response)
34. Do you know how to report incidents of violence and/or aggression at work?
Yes
No
35. Do you feel that the following areas within the Organization would be supportive towards
employees experiencing violence and/or aggression at work?
36. How often have you been aware of the Organization or yourself experiencing any of the
following from people associated with the Organization (e.g customers, contractors, visitors,
suppliers) in the past 12 months?
37. How often have you been aware of the Organization or yourself experiencing any of the
following from people within the Organization (e.g staff members, students) in the past 12
months?
38. Which health, safety and wellbeing topics would you like the Organization to provide
information, education or support on? (Please select all that apply).
Cancer awareness
Oral health
Heart health
Sexual health
Hand hygiene
Stroke
Dementia/Alzheimer’s
Foot care
Back Care
Travel Health
Men’s health
Women’s health
Diet and fitness
Stress
Smoking
Alcohol
Other please specify