The following 24 Elements below are the “levers” that we believe can be applied in creating a culture of health.

We would like for you to provide input into the 24 elements. For each element, please provide your votes for the following two questions:

A. Do you apply this element in creating a healthy culture?
3 = Frequently
2 = Some of the time
1 = Not very often

B. Impact of this element on creating a healthy culture.
3 = High Impact
2 = Medium Impact
1= Low Impact

Each element is defined first in a broad sense, followed by a definition of the element as it would exist in a healthy culture.
1. NORMS: Informal and sometimes formal guidelines about what is considered normal (what is correct or incorrect) social behavior in a particular group or social unit. Norms form the basis of collective expectations that members of a culture have from each other, and play a key part in social control and social order by exerting a pressure on the individual to conform. In short, "The way we do things around here."

In a healthy culture, norms are recognized and intentionally influenced by the members of the culture to support healthy behaviors such as physical activity, close social relationships, and healthy eating.

Examples: A company identifies its priority health norm, e.g., wearing safety gear, stretching before work, daily stretches or breaks, building healthy relationships, teamwork.

Question Title

* 1a. Do you apply this element in creating a healthy culture?

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* 1b. Impact of this element on creating a healthy culture.

2. SHARED VALUES: Explicit or implicit fundamental beliefs, concepts, and principles that underlie the culture of an organization, and which guide decisions and behavior of its employees, management, and members. Sometimes referred to as priorities.

In a healthy culture, the health and wellbeing of people is among the top priorities of an organization. The organization recognizes employees as internal customers and prioritizes their needs; this is often referred to as a people-centric approach. People believe that they can achieve healthy lifestyles with individual initiative, knowledge and a supportive environment.

Example: A company’s stated values include health and well-being and are recognized at the same level as other key values – i.e. quality, customer satisfaction, etc. Health is valued in relationship to performance/productivity and is communicated to employees. Treatment of employees is seen as contributing significantly to the overall value of the enterprise. This philosophy drives various types of investments in employees and allows them to increase their potential value over time.

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* 2a. Do you apply this element in creating a healthy culture?

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* 2b. Impact of this element on creating a healthy culture.

3. EXECUTIVE LEADERSHIP: Executive leadership whose behaviors reflect that of committing to the values of the company and practices that are people centric and build strong cultures of trust within the organization. Leadership that shapes, lives, and spreads People-centric values that drive the organization to achieve exceptional results. Instills in people a sense of purpose or belonging and commitment that is not a result of some external incentive or benefit to be gained.

In a healthy culture, leaders personally embrace well-being through the evidence of it in their lifestyle and also in supporting well-being in the organization through their decision making influence and personal engagement.

Example: Senior leadership designates a budget for health and well-being activities, participates in wellness activities, etc.

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* 3a. Do you apply this element in creating a healthy culture?

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* 3b. Impact of this element on creating a healthy culture.

4. ORGANIZATIONAL LEADERSHIP: Leadership is a process of social influence in which one person can enlist the aid and support of others in the accomplishment of a common task.

In a healthy culture, executives, middle-mangers, peer leaders and champions: (1) share the vision for health and well-being, (2) serve as role models, (3) align formal and informal policies and procedures, and (4) track and celebrate health and wellbeing.

Example: Managers can offer a well-being elevator pitch and are comfortable explaining about why it’s important for employees to participate in health/wellness activities.

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* 4a. Do you apply this element in creating a healthy culture?

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* 4b. Impact of this element on creating a healthy culture.

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