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Assessment Tools
Assessment Tools
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Using This Resource
Acknowledgements
Resource References
Survey Reports
Building Your Family Safety & Health Program
Making the Business Case
Protective Actions
Essential Elements
Developing Program Goals
Steps for Continuous Improvement
Assessments and Performance Measures
Driving Safety
Impact on the Workplace
Safety Belts
Distracted Driving
Impaired Driving
Did You Know?
Benchmarking to National Health Goals
Healthy Eating
Nutrition Basics
2010 Dietary Guidelines for Americans
Impact on the Workplace
What Employers Can Do
Special Populations
Weight Management
Dietary Reductions
Food Safety
Safety in the Kitchen
Did You Know?
Benchmarking to National Health Goals
Increasing Physical Activity
Impact on the Workplace
Impact of Obesity and Diabetes on the Workplace
Workplace Benefits
Ergonomics
Physical Activity and Safety
Physical Activity Guidelines
Health Benefits
Did You Know?
Benchmarking to National Health Goals
Preventing Unintentional Overdoses
Impact on the Workplace
Opioid Analgesics
Did You Know?
Benchmarking to Prevent Unintentional Overdoses
Children and Overdoses
Tobacco Cessation
Secondhand Smoke
Impact on the Workplace
Tobacco-Free Policy
Treatment
Health Benefits of Cessation
Did You Know?
Benchmarking to National Health Goals
Vaccine-Preventable Disease
Impact on the Workplace
Global Workforce
Older Workers
High Risk
Did You Know?
Benchmarking to National Health Goals
Family Safety & Health Webinars
Quick Off-the-Job Safety Presentations
 

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.

Driving Safety

Are You a Defensive Driver?

Distracted Driving Survey

Healthy Eating

SuperTracker -  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

Community Health Assessment aNd Group Evaluation (CHANGE) can help identify organizational environment and policy practices currently in place. The tool will help assess where improvement scan be made. The tool includes specific assessments for the worksite.

Worksite Wellness Employee Interest Survey -Sample Worksite Wellness Survey from Tompkins County.

Behavioral Risk Factor Surveillance System (BRFSS) - Ask your employees the physical activity questions from the BRFSS. Compare employee numbers with state levels of physical activity.  Finally, use Healthy People 2020 to identify goals for improving activity levels among employees and their families. For physical activity, Healthy People 2020 goals seek a 10 percent improvement.

Health Management Research Center Health Risk Appraisal - use the physical activity questions in this sample HRA to find out the current level of physical activity with your employees.

Preventing Unintentional Overdoses

What Do You Know About Unintentional Overdoses Quiz

Quiz Answers

Tobacco Cessation

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.

Vaccine-Preventable Disease

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.

 

 
 
 
 
 
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