Wellbeing Audit Demo

2. Please select the buttons beside the words that accurately describe the way you think and feel about your health and wellbeing.

3. Please rate your general sense of wellbeing:

1 = Strongly disagree 5 = Strongly agree

	1	2	3	4	5
Generally speaking, I am optimistic about the future
I feel under constant strain
I sometimes worry about my mental health
I am living up to my responsibility to take care of my health and wellbeing
My employer is living up to their responsibility to support the health and wellbeing of the workforce
I am very clear about what I need to do in order to improve my resilience and wellbeing
Generally speaking, I feel quite happy at the moment

4. The following two boxes are optional

Think about what your employer is doing to support the wellbeing of their employees. Using no more than 140 characters ......

What is currently happening that should not be happening?

What is currently not happening that should be happening?

If you have concerns about your health and wellbeing we strongly recommend you talk to someone about this. Tick the box below to send an alert to your employer.

Whatever you're going through, you can call the Samaritans for free at any time, from any phone. Just dial: 116 123

They're available to offer support 24/7 every day of the year.

You may also want to speak to your GP.

Alert

I wish my employer to be notified that I am concerned about my health and wellbeing and I would like to speak with someone about this.

Yes No

If you have selected 'Yes', please select the email address of the person(s) that you wish to speak to about your concerns.

example1@example.co.uk
example2@example.co.uk
example3@example.co.uk
example4@example.co.uk

1. Welcome to the Wellbeing Audit Demo

2. Please select the buttons beside the words that accurately describe the way you think and feel about your health and wellbeing.

3. Please rate your general sense of wellbeing:

4. The following two boxes are optional

Alert