1. 

 

One serve of vegetables is best described as something similar to the size of your closed fist. So hopefully that gives you a bit of an idea what 5 needs to look like. Naturally a piece of fruit like an apple or a banana is considered one serve. if you were going for grapes, then a fist sized bunch would be about right.

2. 

Strongly Agree

Agree

I don't really think about it

Disagree

3. 

7 + serves

4-7 serves

2-4

Less than 2 serves

Not Sure

4. 

Promotion of healthy eating messages

Adequate kitchen facilities – adequate fridge space, food heating facilities

Healthy vending machine/food options

Food delivery includes healthy options

Coaching/support to address barriers to healthy eating

Not Sure

None of the above

5. 

Any amount

Greater than 5 per day

Greater than 10 per day

Greater than 20 per day

6. 

I have never smoked or have successfully quit longer than 12 months ago

I have recently quit within the last 12 months

I am considering quitting but have not yet quit

I am not currently interested in quitting

7. 

Smoker

Non Smoker

Quit within the last 12 months

8. 

Subsidized NRT

Smoke free workplace policy

Coaching / support to address barriers to quitting

Hypnosis, Medication

Not Sure

None of the above

9. 

150 minutes

90 minutes

60 minutes

I don't know

10. 

I really enjoy physical activity

I'm ok with physical activity

I tolerate physical activity

I don't like physical activity

11. 

Strongly Agree

Agree

I don't really think about it

Disagree

12. 

Greater than 150mins

100 - 150mins

50-100mins

Less than 50mins

13. 

Promotion of physical activity/initiatives to promote physical activity – walking challenges

Lockers/showers

Secure bike facilities

Gym subsidies

Flexible work conditions

Not Sure

14. 

7-9 hours

6-7 hours

5-6 hours

I have no idea

15. 

My sleep supports me to achieve all i want to in a day

My sleep impacts slightly on my daily functioning

My sleep impacts moderately on my daily functioning

My sleep impacts considerably on my daily functioning

16. 

Strongly Agree

Agree

Disagree

Strongly Disagree

17. 

Very satisfied

Satisfied

Dissatisfied

Very Dissatisfied

18. 

7-9 hours

6-7 hours

5-6 hours

Less than 5 hours

19. 

Promotion of the importance of sleep

Sets achievable workloads and deadlines

Supports flexible working conditions

Coaching/support to address issues relating to sleep/fatigue or pain e.g. EAP, health program etc

Not Sure

20. 

Water

Electrolytes

Juice

Soft Drinks

21. 

Strongly Agree

Agree

I don't really think about it

Disagree

22. 

More than 2 litres

1 - 2 litres

500ml - 1 litre

Less than 500ml

23. 

Promotion of the importance of hydration

Access to suitable drinking water

Regular opportunities to hydrate and use the bathroom

Established working in hot conditions policy

Coaching/Support to address barriers to adequate hydration

Not Sure

24. 

50

30

20

10

40

25. 

Strongly Agree

Agree

I don't really think about it

Disagree

26. 

Strongly Agree

Agree

Disagree

Strongly Disagree

27. 

Yes, I have a number of people I can share my thoughts/feelings/worries with

Yes, I have one person I can share my thoughts/feelings/worries with

I have people in my life, but none that I can share thoughts/feelings/worries with.

I have no-one to share my thoughts/feelings/worries with

28. 

Exercise and eaten well

Meditate/pray

Socialize with family and friends or participate in valued hobby/ activity

Prioritise sleep

Avoid alcohol and other drugs

Other

Not Sure

I have also done the following 

29. 

Promotion of positive mental health and the importance of seeking help if experiencing issues with mental health

Sets achievable workloads and deadlines

Supports flexible working conditions

Coaching / support to address issues relating to stress/ anxiety/ depression or pain e.g. EAP, GP, Psychologist, Peer support, etc.

Not Sure

None of the above

30. 

EAP

Flexible working conditions

Regular staff review

Health Programs

Paid maternity/paternity leave

Other

Not Sure

Please list any other initiatives or programs 

31. 

Strongly agree

Agree

Disagree

Strongly Disagree

32. 

Strongly agree

Agree

I don't really think about it

Disagree

33. 

Strongly Agree

Agree

Disagree OR Not Sure

Strongly Disagree

34. 

30ml spirits, 285ml full strength beer, 100ml of wine

50ml spirits, 400ml full strength beer, 150ml of wine

70ml spirits, 500ml full strength beer, 250ml of wine

I have no idea

35. 

Strongly Agree

Agree

I don't really think about it

Disagree

36. 

None

1-2

2-4

Greater than 4

Not Sure

37. 

Promotion of the importance of moderation / recommended alcohol guidelines

Binge drinking is discouraged

Nonalcoholic options and food always provided at work functions and responsible consumption of alcohol encouraged

Monday morning conversations rarely involve alcohol related discussion

Coaching / support to address issues relating to alcohol

Not aware of any

Not Sure

38. 

Squat while correctly maintaining lumbar curve

Bend your knees and keep your back straight

Physically move it with your mind

Bend from the hips and arch your back

Not Sure

39. 

Strongly Agree

Agree

I don't really think about it

Disagree

40. 

Not limited at all

Slightly limited or 1 -2 times per week

Limited a fair amount or 3-4 times per week

Limited a considerable amount or Daily

41. 

Not impacted at all

Impacted a little or 1-3 times per week

Impacted a fair amount or 3-4 times per week

Impacted a considerable amount or on a daily basis

42. 

Promotion of safe work practices

Appropriate training and equipment to perform my job safely

Job rotation

Clear and easy reporting processes for incidences or injuries

Coaching/support to address any musculoskeletal issues

Not Sure

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