Print Health Culture Audit Survey

Lifegain Health Culture Audit Short Form

Organizational culture plays an important role in supporting healthy lifestyles. The following confidential and anonymous survey measures how this works in your organization. Survey results will be used to help enhance existing health promotion services

Note: There are no right or wrong answers. We are asking for your opinion.

Please indicate your level of agreement with the statements below using the following scale:

1 Strongly Disagree, 2 Disagree, 3 Undecided/Don't Know,4 Agree, or 5 Strongly Agree

1	2	3	4	5
					In my work unit, living a healthy lifestyle is considered important.
					My immediate supervisor models a healthy lifestyle.
					My workplace demonstrates its commitment to supporting healthy lifestyles through its use of resources such as time, space and money.
					People in my work unit are taught skills needed to achieve a healthy lifestyle.
					New employees in my work unit are made aware of the organization's support for healthy lifestyles.
					In my work unit, people are rewarded and recognized for efforts to live a healthy lifestyle.
					In my work unit, participation in healthy activities is a primary way to renew friendships and to meet new people.
					In my work unit, unhealthy behavior such as smoking and excess drinking is discouraged and confronted.
					My work unit has a sense of community (for example, people really get to know one another, feel as if they belong and care for one another in times of need).
					My work unit has a shared vision (for example, people feel that the organization's conduct is consistent with their personal values and people are clear about how they fit in with the big picture).
					My work unit has a positive outlook (for example, people enjoy their work, celebrate accomplishments, adopt a "we can do it" attitude and bring out the best in each other).
					My immediate supervisor supports employees' efforts to adopt healthier lifestyle practices.
					My immediate coworkers support one another's efforts to adopt healthier lifestyle practices.
					My family members and/or housemates support one another's efforts to adopt healthier lifestyle practices.
In my immediate work unit, it is normal for people to...
					Be physically active (at least 4 days a week).
					Maintain a healthy weight.
					Eat foods that are low in fat and refined sugar.
					Drink alcohol moderately if at all (that is, not more than 14 drinks per week or more than 5 drinks on a single day).
					Use car safety belts.
					Follow safety precautions at work (including practicing good lifting techniques and organizing the work environment to avoid injury).
					Not smoke.
					Stay current on medical screenings.

Lifestyle Change Questions

In the past year have you attempted one or more health-supporting lifestyle changes such as trying to lose weight, exercise or manage stress?

Yes No

If you did attempt lifestyle change last year, how successful were you in maintaining your new desired lifestyle?

Very Successful Moderately Successful Not Successful

Comments

Please share any thoughts or concerns not fully covered by the survey questions.