Wellness Survey

2. Tell us your height & weight for an accurate BMI calculation:

3. Do you smoke?

4. How often do you have an alcoholic drink?

5. Do you do any physical activity/ exercise?

6. Does your diet include fruit and/or vegetables?

7. Do you have someone you feel comfortable talking to if you are worried or facing a difficult situation (for example a family member, friend, doctor, or colleague)?

8. In the past year, have you taken part in any national or local health initiatives (for example, fitness classes, gym membership, Walk to Work Month, Dry January, or Stoptober)?

9. Have you increased your level of walking or daily step count in the past year?

10. How do you normally travel to work?

11. Do you have a long-term medical condition that requires you to take regular medication in the short to medium term?

12. Are you aware of any opportunities to participate in mindfulness activities (for example, mindfulness study days, stress management courses, or breathing exercises)?

13. Have you taken part in any mindfulness opportunities?