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Health Needs Assessment

We are taking part in the regional Better Health at Work Award scheme aimed at improving the health, safety and wellbeing of the workforce. Part of this work will involve looking at health training, work based health interventions, policies and our culture around wellbeing at work. It will also include displays, posters and other campaigns and events taking place. This scheme is coordinated by the Northern TUC and more details may be found at www.betterhealthatworkaward.org.uk

By completing the following questionnaire, you will help us and future Health Advocates to address the health issues that are important to you. The questionnaire should take no more than 5 minutes to complete.

This Health Needs Assessment is entirely confidential and we encourage you to be as honest and open as you can be. You will not be asked to enter your name or any personal identifiable information and none of the questions are compulsory.

If you have any further questions regarding this survey, or if you are interested in becoming a Health Advocate, please contact your Health Advocate(s).

    Your health advocates are:

    Deb Tweedy
    Helen Casely
    Robyn Carroll
    Lewis Gransbury
    Joanna Nolan

    About you

    What is your age?

    What is your gender?

    General Health

    How would you describe your overall general health:

    On a scale of 1-10, how would you rate your current mental wellbeing?
    (1= Very poor, 10 = Excellent)

    On a scale of 1-10, how would you rate your current physical wellbeing?
    (1= Very poor, 10 = Excellent)

    In the past week, on how many days have you done a total of 30 minutes or more of physical activity, which was enough to make you breathe harder?
    (eg. brisk walking, gardening, cycling, swimming)

    How many portions of fruit and vegetables do you usually have each day (including fresh, frozen and canned in juice)?
    - A portion of vegetables approximately equals one handful or 3 serving spoons of vegetables or salad vegetables.
    - A portion of fruit equals approximately a tablespoon of dried fruit, 1 medium sized piece of fruit (e.g. apples), 2 small pieces of fruit (e.g. kiwi fruit, apricot)
    - Or a 125ml glass of pure fruit juice (counts as one portion only per day).

    Over the last month, to what extent has your sleep troubled you in general?

    How many days a week do you have a problem with your sleep?

    Alcohol

    How often do you have a drink containing alcohol?

    How many units of alcohol do you drink on a typical day when you drink alcohol?

    How often have you had 6 or more units on a single occasion in the last year?

    What do you think is the recommended weekly unit consumption limit for ‘lower risk’ drinking?

    Smoking

    Do you currently smoke?

    If yes, would you be interested in help to quit smoking?

    Health Checks

    If you qualify for a NHS Health Check, would you be willing to attend this in your workplace?
    e.g. height and weight, blood pressure, cholesterol check, diabetes check, lifestyle advice and direct referral

    Do you have any existing cardio-vascular conditions?
    (high blood pressure, heart disease, diabetes, stroke or high cholesterol)

    Have you had a similar assessment within the past 5 years?

    Work and Health

    In general, how do you find your job?

    In the last 12 months, have you suffered from an injury or illness that was either caused or made worse by your current job?

    In the last 12 months, have you gone to work despite feeling that you should have taken the day off sick?

    Which of the following health, safety and wellbeing issues would you like to see addressed in your workplace? Please circle all that you are interested in.

    How would you like to receive health and wellbeing information? (tick all that apply)

    If there was one thing in your workplace that would improve your mental health, what would it be?

    If there was one thing in your workplace that would improve your physical health, what would it be?

    If there was one thing in your workplace that would improve your safer health, what would it be?