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Welness Program Stryker

Dear Sir / Madam,

Please take a few minutes to complete the following survey.

Beveiligd
1

What is your age?

Kies één antwoord
2

What is your gender

Kies één of meer antwoorden
3

I am looking forward to join the Wellness Program

Kies één antwoord
4

I feel healthy

1 means very unhealthy, 10 means very healthy
5

I have enough energy

1 means no energy, 10 means a lot of energy
6

I would like to be more physically active

1 means I do not want to be more active, 10 means I really want to be more active.
7

During the day I experience pain or other physical problems.

1 means I have no pain at all, 10 means I have a lot of pain every day
8

I pay enough attention to a healthy lifestyle

1 means no attention at all, 10 means a lot of attention
9

I would like to spend more time and energy on a healthy lifestyle

1 means I do not want to spend any time on this, 10 means I want to spend a lot of time on this
10

I feel like I belong in society

1 means I feel like I don't belong at all, 10 means I feel like I fully belong
11

I can concentrate/focus well

1 means I can't focus at all, 10 means I can focus very well
12

I sleep well

1 means I sleep poorly, 10 menas I sleep very well
13

I find it easy to make social contact with others

1 means I find it difficult to connect, 10 means I find it very easy to connect
14

I feel happy

1 means very unhappy, 10 means very happy
15

I look forward to going to work

1 means I never look forward to it, 10 means I always look forward to it
16

I have enough energy to carry out my tasks at work

1 means I have no energy, 10 means I have a lot of energy
17

I enjoy my work

1 means not at all, 10 means very much
18

I pay attention to my posture when lifting heavy objects.

1 means not at all, 10 means very much.