The Oxford Health Plans Workplace Wellness Survey. October 2002

Transcription

1 The Oxford Health Plans Workplace Wellness Survey October 2002

2 Table of Contents Introduction Methodology Reading Notes Key Findings A. The Four Health Wellness Segments of Americans B. The Segments Overall Health Profile C. The Segments Eating Habits D. The Health Vices of the Segments E. How the Segments Exercise F. The Impact of the Workplace on the Segments Health Appendix - Sampling Plan - Clustering Process - Questionnaire 2

3 Introduction Oxford Health Plans has developed this survey with the hopes of better understanding employed Americans attitudes and behaviors concerning their health. This survey focuses on opportunities and obstacles to good health in the workplace. Specifically, this research addressed the following question areas: - Overall self-evaluation of health and diet - Current eating and exercise habits - Unhealthy behaviors, e.g., smoking and drinking - Presence of stress at work - Opportunity for exercise and healthy eating at work - Participation in specific health programs at work News reports recently noted obesity is about to become the number one preventable health hazard in the country (for the first time overtaking smoking). Many of the illnesses that plague us today are directly and indirectly related to our lifestyle poor exercise and eating habits. When working at a desk job, the lack of physical exercise becomes even more ingrained in our habits, compounding the problem. 3

4 Methodology Telephone interviews were conducted in April 2002 using a random digit dial (RDD) method. - 1,000 interviews nationwide augmented interviews in New York, New Jersey and Connecticut (n=150 from each state) - More details regarding the sampling plan can be found in the Appendix A market segmentation analytical approach was used to cluster the population into groups based on their reported behaviors and self-appraisals on specific health-related questions. See the Appendix for a detailed description of the clustering procedures. 4

5 Reading Notes The base sizes are noted for each question. Bold numbers indicate that the percentage(s) shown for a segment are significantly higher that percentage(s) in at least one other segment at the 95% confidence level. 5

6 Key Findings

7 A. The Four Health Wellness Segments of Americans THERE ARE FOUR MAJOR HEALTH WELLNESS SEGMENTS OF AMERICANS BASED ON THEIR HEALTH-RELATED BEHAVIORS AND THEIR SELF- APPRAISALS OF THEIR HEALTH AND HEALTH HABITS. The four health wellness segments are: The Worried Well Those with relatively few unhealthy behaviors but low perceived health. The Truly Healthies Those with relatively few unhealthy behaviors and high perceived health. The Health Evaders Those with a relatively large number of unhealthy behaviors and low perceived health. The Health Illusionists Those with a relatively large number of unhealthy behaviors but high perceived health. 7

8 Segment Proportions "Truly Healthies" 32% "Health Evaders" 32% "Worried Well" 18% Not Classified 1% "Health Illusionists" 17% 8

9 Worried Well and Truly Healthies Demographics - These two segments are very similar demographically 48% male (vs. 47% for Truly Healthies ) Younger (40.7 vs for Truly Healthies ) No difference in marital status More educated than the other two segments - The one difference is HH Income Worried Well average HH income is $61.6K/year Truly Healthies is $67.4K/year 9

10 Health Evaders Demographics - 54% male - Older (44.6 years of age on average) - Divorced, separated or widowed (15%) - Less educated 36% report finishing high school as the last level of education completed - Slightly lower HH Income ($58.7K on average) 10

11 Health Illusionists Demographics - 50/50 male/female - Older (45 years of age on average) - Less educated 35% report finishing high school as the last level of education completed - Slightly lower HH Income ($58.2K) 11

12 Demographics Worried Well Truly Healthies Health Evaders Health Illusionists Male Female Age (mean in years) Married Single Previously married High School Grad or less Graduate school or more HH Income (mean in $000)

13 B. The Segments Overall Health Profile Worried Well Truly Healthies Health Evaders Health Illusionists Perceived health (mean on a 10-pt. scale) 2+ years since last doctor visit (%) Percent (%) having: High Blood pressure High cholesterol Heart condition Diabetes Asthma Arthritis Overweight 25+ pounds overweight

14 Worried Well (18%) Overall Health This segment, by definition, is a contradiction. They exhibit fewer unhealthy behavior items, yet they perceive themselves to be less healthy than the other segments. Relatively low perceived health (7.3 on a 10-point scale) Less likely to have any of the conditions included in the survey. The one exception, and possible reason for their lower perceived health scores, is the proportion that say they are overweight (20%). 14

15 Truly Healthies (23%) Overall Health This segment is the healthiest, in self-perception and reality. The highest perceived health (9.6 on a 10-point scale) Least likely to have any of the conditions included in the survey 15

16 Health Evaders (32%) Overall Health This segment exhibits a logical combination of lower perceived overall health with several potentially serious health conditions. Lowest perceived health (6.9 on a 10-point scale) among all of the segments More likely to have high blood pressure (29%), high cholesterol (25%), a heart condition (12%), diabetes (13%), asthma (11%) or arthritis (27%) A majority of the diabetes cases are classified as Adult Onset Diabetes Nearly half say they are overweight (46%) especially 25 lbs. or more (66%) 16

17 Health Illusionists (12%) Overall Health Despite reported health conditions, Health Illusionists believe they are very healthy overall. Among the highest perceived health (9.5 on a 10-point scale) among all of the segments More likely to suffer from arthritis (33%). Also more likely to have high blood pressure (17%) and high cholesterol (18%), but not at nearly the same levels as the Health Evaders One in four say they are overweight (41%) especially 25 lbs. or more (55%) 17

18 C. The Segments Eating Habits Worried Well Truly Healthies Health Evaders Health Illusionists Perceived diet (mean on a 10-pt. scale) glasses of water a day 5 servings fruits/vegetables Take vitamins 3 meals a day Fried foods Salty/sugary snacks Balanced breakfast in the morning Buy food from vending machines

19 Worried Well Overall Diet - Respondents perceive there is room for improvement in their overall diet (7.2 on a 10-point scale) - However, their behavior belies their perceptions. They are more likely to: Drink eight glasses of water per day (50%) Eat five servings of fruits and vegetables (40%) Take vitamins (58%) Eat three meals per day (73%) Eat a balanced breakfast in the morning (52%) 19

20 Truly Healthies Overall Diet - The highest perceived overall diet rating (7.2 on a 10- point scale) - Very similar eating patterns compared to the Worried Well. They are more likely to: Drink eight glasses of water per day (56%) Eat five servings of fruits and vegetables (47%) Take vitamins (60%) Eat three meals per day (76%) Eat a balanced breakfast in the morning (61%) 20

21 Health Evaders Overall Diet - Lowest perceived overall diet (6.0 on a 10-point scale) - Some bad eating habits combined with other healthier eating habits suggest this segment is trying to eat healthier More likely to eat salty or sugary snacks (27%), fried foods (25%), and purchase food and snacks from vending machines at work (36%) Less likely to eat three meals a day (52%), take vitamins (40%), and drink eight glasses of water per day (33%) Also report eating five serving or fruits and vegetables per day (24%) and a balanced breakfast (33%), but these levels are not as high as those from the Worried Well and the Truly Healthies 21

22 Health Illusionists Overall Diet - Low perceived overall diet (6.9 on a 10-point scale) - Similar diet patterns compared to Health Evaders, but even less likely to: Eat five servings of fruits and vegetables per day (16%) Eat a balanced breakfast in the morning (25%) 22

23 Help With Eating Problems Worried Well Truly Healthies Health Evaders Health Illusionists Medical professional ever told you that you need to lose weight Do you feel you need to lose weight Ever consulted a nutritionist Consulted a nutritionist in the past year

24 Worried Well and Truly Healthies Help With Eating Problems - The main difference between this group and the Truly Healthies is that the Worried Well are more likely to have been told by a medical professional that they needed to lose weight (21% vs. 10%) - The Worried Well are more likely to have been to a nutritionist at some point in their lives (36%) 24

25 Health Evaders Help With Eating Problems - 41% of the Health Evaders have been told by a medical professional to lose weight even more (69%) feel they need to lose weight This is not surprising considering two-thirds of this segment is 25+ pounds overweight - This need to lose weight has not necessarily translated into a call to action only 13% have consulted a nutritionist in the past year 25

26 Health Illusionists Help With Eating Problems - 24% of the Health Illusionists have been told by a medical professional to lose weight even more (61%) feel they need to lose weight These proportions are lower than those for the Health Evaders - Similar to Health Evaders, this need to lose weight has not necessarily translated into a call to action only 9% have consulted a nutritionist in the past year 26

27 D. The Health Vices of the Segments Worried Well Truly Healthies Health Evaders Health Illusionists Drink beer, wine or alcohol 3+ glasses per day Smoke cigarettes Drink coffee or tea 4+ cups per day

28 Worried Well and Truly Healthies Vices No vices for either of these groups 28

29 Health Evaders Vices This segment is more likely to engage in certain behaviors that could lead to serious health problems in the future. More likely to drink more than three glasses of alcohol per day (19%) More likely to smoke cigarettes (31%) They are just as likely as other segments to drink coffee or tea (77%), however, they do drink MORE coffee or tea (25% drink 4 or more cups per day) 29

30 Health Illusionists Vices This segment perceives itself to be healthier overall compared to Health Evaders. However, the fact that they participate in the vice activities gives rise to the theory that they are either in denial, or they are somehow overcompensating for these bad behaviors. More likely to drink more than three glasses of alcohol per day (21%) More likely to smoke cigarettes (31%) They are just as likely as other segments to drink coffee or tea (79%), however, they do drink MORE coffee or tea (29% drink 4 or more cups per day) 30

31 E. How the Health Segments Exercise Worried Well Truly Healthies Health Evaders Health Illusionists Exercise frequency (% saying never ) At end of work day, Idosomeexercise I should be more active Would be healthier if I exercised more often I feel better after I exercise I feel physical discomfort at the end of my work day At the end of the work day Ispendmostofmytimesitting

32 Worried Well Exercise Habits - This segment is one of the more active segments (only 9% say they never exercise) - However, they appear to feel unsatisfied with their exercise habits I should be more active (58%) I would be healthier if I exercised more often (58%) 32

33 Truly Healthies Exercise Habits - This segment is also one of the more active segments (only 9% say they never exercise) - However, where the Worried Well seem unsatisfied with their exercise habits, the Truly Healthies are able to more fully realize the benefits of exercise At the end of the work day, I do some form of exercise (45% vs. 31% for the Worried Well ) I should be more active (41% vs. 55%) 33

34 Health Evaders Exercise Habits - This segment is very similar to the Health Illusionists in terms of their lack of physical exercise - However, they are less likely than Health Illusionists to feel guilty about it 59% feel they should be more active (compared to 66% of Health Illusionists ) 34

35 Health Illusionists Exercise Habits - One-third (32%) never exercise, however, evidence shows that they feel exercise would be beneficial 66% feel they should be more active 70% say they would be healthier if they exercised - Barriers to exercise also appear to exist for this segment They are less likely than other segment to report feeling better after exercise One-third (34%) report some sort of physical discomfort at the end of the work day, which may lead to a sedentary existence over half (52%) spend most of their after work time sitting 35

36 F. The Impact of the Workplace on the Segments Health

37 Perception of Work Impact on Health Nearly two-thirds (63%) of employed Americans say they look forward to going to work They tend to be older and from the Southern or Western U.S. However, about one-third report descriptions of their workdays that are not very desirable: - Once I m at work, I have no downtime (35%) - From the time I arrive at work to the time I leave to go home, I never leave the building (35%) - I generally eat lunch and work at the same time (32%) And fewer say: - My family and friends think I am a workaholic (26%) - I sit at my desk most of the day (24%) - I often miss personal family activities due to my job (16%) - I am unable to use up my vacation time due to demands at work (16%) - My job makes me feel older than I am (13%) - My work often causes me to lose sleep at night (13%) - At least one day a week my ability to perform my job fully is restricted due to my personal health or disability condition (6%) 37

38 Perception of Work Impact on Health Percent (%) Saying Statement is Accurate (5,4 on a five point scale) Total Men Women NE NC S W HS Coll Grad Look forward to work No down time at work Never leave the building at work Eat lunch/work at same time People think I m a workaholic Sitatmydesk most of day Miss personal activities Unable to use all vacation time Job makes me feel older than I am Work causes sleep loss Can t do job for physical reasons

39 Workplace Stress Worried Well Truly Healthies Health Evaders Health Illusionists Work causes me to lose sleep Work and eat lunch at the same time Once at work, I have no down time I never leave the building when once at work Miss personal family activities due to work People think I m a workaholic Most days I look forward to work Can t use all vacation time due to work demands Job makes me feel older than I really am One day/week can t do job due to phys. problem I sit at my desk most of the day Motivated to perform well at work (mean on a 10-point scale) Useful at work (mean on a 10-point scale)

40 Worried Well and Truly Healthies Workplace Stress - Neither of these segments exhibit any of the workrelated stress factors - However, the Truly Healthies seem more satisfied with their jobs Most days I look forward to going to work (68% vs. 57% for Worried Well ) Truly Healthies are more motivated by work (8.9 on a 10- point scale) and feel more useful at work (9.0 on a 10- point scale) 40

41 Health Evaders Workplace Stress This segment is less satisfied with their jobs More likely to say their job makes them feel older than they are (19%) and less likely to look forward to going to work (54%) They are more likely to miss personal family activities (20%) and lose sleep (15%) because of their jobs They are less motivated (8.2 on a 10-point scale) and feel less useful (8.4 on a 10-point scale) at work than other segments 41

42 Health Illusionists Workplace Stress - This segment is different from Health Evaders in terms of how much they look forward to going to work 68% agree that they look forward to work on most days (vs. 54%) - They also feel more motivated to perform well at work (8.8 on a 10-point scale) and feel more useful at work (8.9 on a 10-point scale) 42

43 Workplace Wellness Programs Worried Well Truly Healthies Health Evaders Health Illusionists Massage therapy Meditation room Daily walk Fitness club membership On-site health clinic On-site work out facility On-site health screening Healthy meal choices Work from home Worksite wellness education TAD/modified duties Flex time Paid time for doctor appt. 33% 52% 31% 63% 67% 62% 58% 67% 59% 54% 58% 73% 29% 51% 36% 47% 63% 61% 64% 54% 40% 49% 46% 58% 75% 71% 73% 56% 75% 76% 73% 74% 68% 70% 75% 83% 63% 60% 60% 65% 39% 40% 47% 45% 72% 80% 81% 79% 83% 83% 89% 81% Percentages represent the proportion of people who participate in the program, ONLY if it is available to them. 43

44 Appendix

45 Sampling Plan The total sample size is n=1,000 for the national survey. The sampling error for statistics of this population is ± 3 percent. Within this sample are the following breakdowns: - Gender: Men = 501 Women = Age years old = years old = years old = years old = years old or more = Region North East = 194 North Central = 405 South = 179 West = Education High school graduate or less = 318 College graduate, no graduate school = 497 Graduate School = 173 There are 450 Tri State (New York, New Jersey and Connecticut) augments, resulting in 545 total interviews in the Tri State area. The sampling error for statistics of this population is ± 5 percent. - NY = 225; NJ = 164; CT = Gender: Men = 266 Women =

46 Method of Clustering Self Appraisal - On a scale from 1 to 10 with 10 being excellent and 1 being poor, how would you rate your overall health? - Those choosing 9 or 10 were classified as high perceived health ; those answering 1-8 were classified as lower perceived health 46

47 Method of Clustering, cont. Behavioral Input Item Presence of disease/condition Pounds overweight 8 hours of sleep 8 glasses of water Five serving fruits/vegetables Take vitamins 3 meals a day Fried foods Salty/Sugary snacks Balanced breakfast Drink beer, wine, alcohol and # of glasses Smoke Drink coffee or tea and # of cups Never exercise Last medical exam Score 2 points for each 1 to 25 lbs = 1 point; 26+ = 2 points Rarely/never = 1 point Rarely/never = 1 point Rarely/never = 1 point Rarely/never = 1 point Rarely/never = 1 point At least most of the time = 1 point At least most of the time = 1 point Rarely/never = 1 point 3+ glasses = 1 point 1 point 4+ cups = 1 point 1 point 2+ years = one point 47

48 The Wellness Segments Worried Well Fewer unhealthy behaviors (1-4 items) and lower perceived health ( 1-8 ) Truly Healthies Fewer unhealthy behaviors (0-4 items) and perceived good health ( 9, 10 ) Health Evaders More unhealthy behaviors (5+ items) and lower perceived health ( 1-8 ) Health Illusionists More unhealthy behaviors (5+ items) and perceived good health ( 9, 10 ) 48

49 Questionnaire

50 Supplements: NY ( ) NJ ( ) CT ( ) WORKPLACE WELLNESS SURVEY SCREENER Respondent s Name: Address: City: State: Zip Code: Area Code: Telephone # Interviewed By: Date: Validated By: Date: Hi, my name is from. speak to the adult male or female head of the household? We re a national polling company conducting a survey on topics related to health. May I a. Do you or any member of your immediate family work for (READ LIST) Yes No A market research, public relations or advertising firm ( ) ( ) A health care or medical facility of any kind ( ) ( ) An insurance company ( ) ( ) (IF YES TO ANY OF THE ABOVE, TERMINATE)

51 b. Do you currently have health insurance coverage, either your own or through a family member? This would include Medicare or Medicaid. Yes ( ) (CONTINUE) NO ( ) (TERMINATE) c. DELETED QUESTION d. Are you currently employed? Employed Not Employed Student Retired Refused ( ) (CONTINUE) ( ) (TERMINATE) ( ) (TERMINATE) ( ) (TERMINATE) ( ) (TERMINATE) e. Is that Full time, ( ) Part time, or ( ) Modified duties? ( ) Refused ( ) f. Are you self-employed? Yes ( ) No ( ) Refused ( ) g. RECORD RESPONDENT S SEX: Male ( ) (CHECK QUOTA) Female ( ) (CHECK QUOTA WORKPLACE WELLNESS SURVEY

52 MAIN QUESTIONNAIRE 1. Which of the following types of health insurance coverage do you have? (READ LIST) Medicare ( ) Medicaid ( ) ManagedCarePlanprovidedbyyouremployer ( ) Individual Managed Care Plan you purchased yourself ( ) Do not read: Other form of health insurance: SPECIFY: ( ) Don t know ( ) Refused ( ) 2. On a scale of 1 to 10, with 10 being excellent and 1 being poor, how would you rate your overall health? Poor Excellent Overall Health Rating DK/ NA 3. And, on a scale of 1 to 10, with 10 being excellent and 1 being poor, how would you rate your overall diet? Poor Excellent Overall Diet Rating DK/ NA

53 4. How long has it been since your last regular checkup or physical (IF FEMALE ADD: OTHER THAN A GYNECOLOGICAL EXAM)? (READ LIST) Oneyearorless ( ) More than one year, but less than 18 months ( ) Between 18 months, but less than two years ( ) Two years or more ( ) Do not read: Don t recall/don t remember ( ) Refused ( ) 5a. Which, if any, of the following conditions do you have? (ROTATE) a. High blood pressure b. High cholesterol c. Heart condition d. Diabetes e. Asthma f. Arthritis g. Overweight 5b. IF HEART CONDITION IN Q5a: Is this condition (READ LIST AND CHECK ALL THAT APPLY) a. Angina b. Congestive heart failure c. History of heart attack(s) IF YES: How many? d. Stroke e. Heart murmur f. Other Heart Condition (PLEASE SPECIFY: ) 5c. IF DIABETES IN Q5a: Is that Type II Diabetes, also known as Adult Onset Diabetes? (Yes or No) 5d. IF OVERWEIGHT IN Q5a: You indicated that you are overweight. Please indicate how many pounds you would need to lose to be at your normal weight. Is it (READ LIST)?

54 a. 1to10lbs. b. 11 to 25 lbs. c. 26 to 40 lbs. d. 41 to 70 lbs. e. More than 70 lbs. 6. Now I am going to ask you questions about your lifestyle or daily routine. How often do you do the following? Answer: always, most of the time, some of the time, rarely, never? (RANDOMIZE CATEGORIES AND REPEAT UNTIL ALL ITEMS ARE RATED.) Most of Time Some of Time Rarely Never Always a. Get eight hours of sleep a day. ( ) ( ) ( ) ( ) ( ) ( ) b. Drink eight glasses of waterdaily. ( ) ( ) ( ) ( ) ( ) ( ) c. Eat five servings of fruits and/or vegetables a day. ( ) ( ) ( ) ( ) ( ) ( ) d. Take a vitamin, herbal or nutritional supplement one or more times a day. ( ) ( ) ( ) ( ) ( ) ( ) e. Eat threemeals aday. ( ) ( ) ( ) ( ) ( ) ( ) f. Eat fried foods. ( ) ( ) ( ) ( ) ( ) ( ) g. Eat saltyorsugarysnacks between meals. ( ) ( ) ( ) ( ) ( ) ( ) h. Eat a balanced breakfast in the morning. ( ) ( ) ( ) ( ) ( ) ( ) 7a. Do you drink beer, wine or alcohol? Yes ( ) No ( ) Don t recall/don t recall ( ) Refused ( ) DK/ NA

55 7b. If YES TO Q7a: Approximately, how many glasses of beer, wine or alcohol do you drink in a typical day? WRITE NUMBER 8a. Do you smoke cigarettes? Yes ( ) No ( ) Refused ( ) 8b. IF YES TO Q8a: How many do you smoke in a typical day? WRITE NUMBER 8c. Do you smoke cigars, chew tobacco or smoke a pipe? Yes ( ) No ( ) Refused ( ) 9a. Do you drink coffee or tea? Yes ( ) No ( ) 9b. If YES to Q9a: About how many cups in a typical day?

56 10. The next set of questions will focus on your exercise habits. First, how often, if at all, do you exercise? (READ ANSWERS: DIVIDE ORDER OF ANSWERS TO BE HALF GOING FROM A TO F AND THE OTHER HALF IN THE REVERSE ORDER.) a. Never b. Once a week c. Twice a week d Three times a week e. More than three times a week, but not everyday f. Everyday 11a. Speaking about exercising, how many times a week, if at all, do you do the following? 11b. IF AT LEAST ONCE A WEEK ASK: And, on average, how long do you (INSERT ACTIVITY) each time? Is it 1 to 10 minutes, 11 to 20 minutes, 21 to 30 minutes or more than 30 minutes? (ASK BOTH QUESTIONS, IF APPLICABLE FOR ONE ACTIVITY BEFORE ASKING ABOUT THE NEXT ACTIVITY) a. Walk b. Run or jog c. Lift weights or strength condition d. Participate in an exercise class Q11a: Number of Times/Week Q11b: Length of average session Never One Two Three 3 to 6 7 DK 1 to to to 30 >30 DK 12. Has a doctor or any other medical professional ever told you that you needed to lose weight? a. Yes b. No

57 13. Do you personally believe you need to lose weight? a. Yes b. No 14. Have you consulted with a nutritionist in the past year? a. Yes b. No 15. IF NO TO Q14: Have you ever consulted with nutritionist? a. Yes b. No 16. Earlier you said you work. I m going to read some statements, which you might or might not use to describe yourself and your work. Using a scale of 1 to 5, with a 5 being extremely accurate and 1 being extremely inaccurate, how well does the following statement describe you? (START WITH X D ITEM. REPEAT UNTIL ALL ITEMS ARE RATED) Extremely Inaccurate Extremely Accurate a. My work often causes me to lose sleep at night b. I generally work and eat lunch at the same time c. Once I m at work I have no down time d. From the time I arrive at work until I leave to go home, I never leave the building e. I often miss personal family activities due to my job f. My family and friends think I m a workaholic DK/ NA DK/ NA DK/ NA DK/ NA DK/ NA DK/ NA

58 g. On most days I look forward to going to work h. I am unable to use up my vacation time due to demands at work i. My job makes me feel older than I am j. At least one day a week my ability to perform my job fully is restricted due to my personal health or disability condition k. I sit at my desk most of the day DK/ NA DK/ NA DK/ NA DK/ NA DK/ NA 17. Thinking about a typical weekday and a typical weekend day, do you exercise more on the weekday or the weekend day, or is it about the same? 18. And do you eat healthier on the weekday or the weekend day, or is it about the same? 19. FOR COFFEE/TEA DRINKERS ONLY ( YES TO Q9A: Do you drink more coffee or tea on a weekday or a weekend day, or is it about the same? a. More on a weekday b. More on a weekend day c. About the same 20. Are you sitting or more inactive on the weekday or on a weekend day, or is it about the same? a. More inactive on a weekday b. More inactive on a weekend day c. About the same 21. How many days of vacation do you get from your employer each year? days 22. How many days do you think you will use this year? days

59 23. Do you plan to take more vacation or less vacation this year compared to last year? More ( ) Less ( ) DO NOT READ Don t Know ( ) 25. Please explain why you said (INSERT ANSWER)? RECORD VERBATIM 26. Please indicate how much you agree or disagree with the following statement (READ STATEMENT) Do you agree strongly, agree somewhat, neither agree nor disagree, disagree somewhat, or disagree strongly? (RANDOMIZE ORDER, CONTINUE UNTIL ALL STATEMENTS HAVE BEEN READ AND RATED) Agree Strongly Agree Some what Neither Disagree Some what Disagree Strongly a. At theend ofthe workday, Ido someform ofexercise ( ) ( ) ( ) ( ) ( ) ( ) b. I feel I should be more active ( ) ( ) ( ) ( ) ( ) ( ) c. I would be healthier if I were more active ( ) ( ) ( ) ( ) ( ) ( ) d. At the end of the work day, I spend most of my time sitting, either ( ) ( ) ( ) ( ) ( ) ( ) watching TV, reading, or working of the computer e. I usually feel better when I exercise ( ) ( ) ( ) ( ) ( ) ( ) f. By the end of the average workday, I have experienced some form of physical pain or discomfort. ( ) ( ) ( ) ( ) ( ) ( ) 27. On average, how many hours a day do you spend at work? 28. On average, how many hours a day do you spend working at home? DK/ NA

60 29a. Do you ever purchase food or snacks from vending machines while at work? a. Yes b. No 29b. If YES TO Q29a: Do you purchase food only, a beverage only, or both? a. Food only (ASK Q29c; THEN SKIP TO Q30) b. Beverage only (ASK Q29d; THEN SKIP TO Q30) c. Both (ASK BOTH Q29c and Q29d) 29c. IF FOOD IN Q29b: What food do you usually purchase? a. Candy b. Salty snack c. Cookies or other sweet snack d. Fruit e. Breakfast foods f. Granola Bar g. Nuts h. Gum i. Other (PLEASE SPECIFY) 29d. IF BEVERAGE IN Q29b: What beverage do you usually purchase? a. Juice b. Soda c. Water d. Other (PLEASE SPECIFY) 30. How long is your commute to work? hours and minutes

61 31. How do you get to work? Do you (READ AND ACCEPT MULTIPLE RESPOSNES) a. Walk b. Drive c. Take mass transit d. Other (PLEASE SPECIFY) 32. IF WALK TO Q31: How many minutes are you walking, on an average commuting day? minutes 33. On a scale from 1 to 10 where a 1 means not at all motivated and a 10 means extremely motivated, how motivated do you feel to perform well at work? 34. And on another scale from 1 to 10 where a 1 means not at all useful and a 10 means extremely useful, how useful do you feel at work? 35. Do you telecommute? Yes ( ) No ( ) Refused ( ) 36. And, how many days does your normal work week consist of? 37. Please tell me if your employer provides any of the following, and if so, if you re a participant? Provides Participates Yes No DK/NA Yes No DK/NA a. On-site work-out or exercise facility ( ) ( ) ( ) ( ) ( ) ( ) b. Membership to an off-site fitness club ( ) ( ) ( ) ( ) ( ) ( ) c. Healthy breakfast, lunch and dinner choices ( ) ( ) ( ) ( ) ( ) ( ) d. Massage therapy ( ) ( ) ( ) ( ) ( ) ( ) e. Dedicated room for meditation ( ) ( ) ( ) ( ) ( ) ( )

62 f. Paid personal time to go to the doctor ( ) ( ) ( ) ( ) ( ) ( ) g. Flex time, which is the ability to perform your job outside of the ( ) ( ) ( ) ( ) ( ) ( ) typical business hours h. Allows employees to work from home once in a while or more ( ) ( ) ( ) ( ) ( ) ( ) often i. Transitional alternative duty (TAD) or modified duties to encourage ( ) ( ) ( ) ( ) ( ) ( ) employees to return to work after an injury or illness j. Worksite wellness education programs ( ) ( ) ( ) ( ) ( ) ( ) k. On-sitehealth clinic ( ) ( ) ( ) ( ) ( ) ( ) l. Corporate-wide daily walk or other daily organized exercise ( ) ( ) ( ) ( ) ( ) ( ) m. On-site health screening ( ) ( ) ( ) ( ) ( ) ( ) 38. The next set of questions concern who or what should be responsible for keeping you healthy. Please use a scale from 1 to 5 where a 1 means not at all responsible for keeping you healthy and a 5 means extremely responsible for keeping you healthy. (ASK EACH BELOW; RANDOMIZE ORDER) a. How responsible do you think your employer should be for keeping you healthy? b. How responsible do you think your health plan should be for keeping you healthy? c. How responsible do you think YOU personally should be for keeping you healthy? d. How responsible do you think members of your family should be for keeping you healthy? NOT AT ALL EXTREMELY RESPONSIBLE RESPONSIBLE DK/ NA a. Employer ( ) ( ) ( ) ( ) ( ) ( ) b. Health plan ( ) ( ) ( ) ( ) ( ) ( ) c. Self ( ) ( ) ( ) ( ) ( ) ( ) d. Family ( ) ( ) ( ) ( ) ( ) ( )

63 39. What does the company that you work for do or what type of business is it in? (USE PRE-CODED LIST FROM PREVIOUS STUDY) 40. How long have you been working for this firm? Years Months 41. How many people work for the company, including all its branches, divisions and locations? Less than 5 ( ) 5-9 ( ) ( ) ( ) ( ) ( ) ( ) 1,000 or more ( ) Don t know ( ) No answer ( ) 42. Specifically, what kind of work do you do at your company? 43. What is your job title? I have just a few more questions for classification purposes.

64 h. Approximately, how old are you? Are you (READ LIST) 18 to 24 ( ) 25 to 34 ( ) 35 to 44 ( ) 45 to 54 ( ) 55 to 64 ( ) 65 to 74 ( ) 75 or older ( ) Do not read: Refused ( ) i. What is your marital status? (DO NOT READ) Married/Co-habitating ( ) Single ( ) Widowed ( ) Separated ( ) Divorced ( ) Refused ( ) j. What was the last level of education you completed? (DO NOT READ) Grade school or less ( ) Some high school ( ) High school graduate ( ) Vocational or trade school ( ) Some college ( ) College graduate ( ) Some graduate school ( ) Masters degree ( ) Professional degree ( ) Doctorate ( )

65 Refused ( ) k. Please stop me when I reach the range that best describes your annual household income before taxes? Is it (READ LIST) Under $25,000 ( ) $25,000-$34,999 ( ) $35,000-$44,999 ( ) $45,000-$54,999 ( ) $55,000-$74,999 ( ) $75,000-$99,999 ( ) $100,000-$149,999 ( ) $150,00 or more ( ) Do not read: Refused ( ) l. What is your ethnic background? Caucasian ( ) African American ( ) Hispanic ( ) Asian ( ) Refused ( ) m. If selected, would you be willing to spend more time talking to a public relations professional who might want to quote you for an article that would appear in the press? Yes ( ) No/Refused ( ) THAT ENDS THE INTERVIEW. THANK YOU FOR YOUR COOPERATION.