Lifegain Health Culture Audit

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.

NORMS

Our behavior is influenced by the groups to which we belong.  Our family, friends, and coworkers are examples of these groups; they all have expectations for how people should behave, even when it comes to health practices.  In the left column below, fill in the circle that represents your level of agreement that the behavior is currently considered expected or normal among your immediate group of coworkers ("current norm").   In the right column, fill in the circle which indicates the degree to which you desire the behavior to be the norm.

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
Self Care

The current norm

 

The way I would like it to be

 

As I see it, it is normal practice in my work unit for people to...

1

2

3

4

5

 

1

2

3

4

5

  

   

Come to work rested.

   

Take on only as much responsibility as can be handled.

   

Practice some form of stress management technique.

   

Achieve a balance between work, rest and play.

   

Organize work to avoid injury (such as office layout, lighting, lifting and safety gear).

   

Use car seat belts.

   

Not smoke.

   

Avoid smoky places.

   

Eat nutritious foods that are low in salt, fat and sugar.

   

Maintain a healthy weight.

   

Be physically active most days of the week.

   

Drink alcohol moderately, if at all.

   

Take only those drugs that are medically necessary.

   

Get help with alcohol or other drug problems early on.

   

Find out about home care before seeking non-emergency medical services.

   

Have a personal primary care physician .

   

Take responsibility to help control insurance costs by being a careful consumer of medical resources.

   

Return to work as quickly as possible after an illness or injury.

   

Not come to work sick.

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

 
Healthy Fun

The current norm

  

The way I would like it to be

  

As I see it, it is normal practice in my work unit for people to...
1 2 3 4 5   1 2 3 4 5    
   

Find ways to make everyday or routine tasks interesting.
   

Enjoy friendly competitions.
   

Enjoy eating healthy foods.
   

View exercise as fun.
   

Find times to kick back and relax.
   

Laugh and tell jokes.
   

Share ideas about things that are fun to do.
   

Have fun at social events without eating or drinking too much.

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

Full Potential

The current norm

 

The way I would like it would be

 

As I see it, it is normal practice in my work unit for people to...

1 2 3 4 5   1 2 3 4 5    
   

Develop work and career skills.

   

Achieve financial security.

   

Approach life with integrity.

   

Explore talents and interests.

   

Be persistent in pursuing goals and dreams.

   

Be open to new ideas and experiences.

   

Be in touch with inner feelings and motivations.

   

Develop a sense of spirituality or meaning in life.

   

Find ways to make a contribution to the world.

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

Mutual Respect
The current norm   The way I would like it to would   As I see it, it is normal practice in my work unit for people to...
1 2 3 4 5   1 2 3 4 5    
   

Find ways to renew and develop friendships.

   

Say hello.

   

Share credit for success.

   

Treat all people with respect and fairness regardless of sex, age, race, disability, or sexual preference.

   

Appreciate the value of having a variety of backgrounds and traditions.

   

Be a good listener.

   

Respond in times of need.

   

Ask for help when it is needed.

   

Join a support group  when faced with a continuing health problem (such as cancer).

   

Celebrate accomplishments.

   

Resolve conflict in positive ways.

Support

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

Organizational leaders model a healthy lifestyle.

This organization demonstrates its commitment to supporting healthy lifestyles through its use of resources such as time, space and money.

People at this organization are taught skills needed to achieve a healthy lifestyle.

New employees at our workplace are made aware of the organization's support for healthy lifestyles.

People are rewarded and recognized for efforts to live a healthy lifestyle.

My immediate supervisor supports my efforts to adopt healthier lifestyle practices.

Coworkers support one another in efforts to adopt healthier lifestyle practices.

My friends support one another in efforts to adopt healthier lifestyle practices.

My family members and/or housemates support one another in efforts to adopt healthier lifestyle practices.

Work Climate

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

This organization 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).

This organization 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).