Family Safety & Health
Employee Risk Perception List - identify priority topics for interventions that are needed most by employees
Employee Risk Perception List Worksheet - a scoring worksheet identifying highest risk ratings based on all employee responses to risk perception list
Risk Priority Decision Chart - prioritize several off-the-job intervention options
Employee Needs and Interests Survey - determine the needs and interests of your employees to develop a health and safety program
Health Risk Appraisals (HRAs)
Preventive Services Prioritization Tool - The Prioritization tool assists employers in determining which preventive services should be included in the benefit plan based on health and economic value or employee demographics and risk factors.
NSC Perception Surveys
Matrix - Use this matrix to outline your program, document specific areas to cover and develop strategies for communications and implementation. Use this sample matrix to get started.
Are You a Defensive Driver?Distracted Driving Survey
- track your nutrition and physical activities and get a personalized plan.Weight Management
- tools to help track and manage weight. Daily Food Plan
- develop your personalized food plan based on individual needs
Increasing Physical Activity
Preventing Unintentional Overdoses
What Do You Know About Unintentional Overdoses Quiz
Sample Employee Opinion Surveys
- North Carolina Department of Health and Human Services survey assesing employees interest in a smoke-free workplace policy.Employee Needs and Interests Survey
will help you determine the needs and interests of your employees to develop a health and safety program.
Monthly Attendance Record - documents how many work days were missed due to the flu and which departments were impacted for the month. This form can be used for missed days due to other vaccine preventable diseases as well.
Vaccination Assessment Form - documents what vaccinations employees have and have not received.