New Participant Orientation

Hello & Welcome to the Employee Wellness Program!

Please take some time to fill out your information and watch our introduction video.

You will receive a email from our wellness app, WellSteps, to get you set-up on the app after completing this survey. Please give 7-10 business days for the email from WellSteps to arrive in your inbox.

Welcome to our program!

Question Title

* 1. Full Name:

First Name

Last Name

Question Title

* 2. EIN (6 digit employee ID number, if you are the adult designee and not the employee the EIN will be followed by a 1, i.e. if employee's EIN was 123456, then adult designee's EIN would be 1234561.) Please make sure your EIN is correct because it will become your WellSteps app username

Question Title

* 3. Contact Information

Email Address

Phone Number

Question Title

* 4. What is your date of birth?

Input or select date

Date

Question Title

* 5. How do you identify?

Female

Male

Non-binary

Prefer not to say

Prefer to self-describe

Question Title

* 6. What is your preferred language?

English

Chinese

French

Spanish

Tagalog

Vietnamese

Other (please specify)

Question Title

* 7. Please select:

FT/PT employee eligible for benefits

Spouse/Adult designee of county employee (An adult designee can be anyone living in the household over the age of 18)

PT employee not eligible for benefits

Question Title

* 8. Which department do you work in?

Question Title

* 9. Please select:

First time joining Employee Wellness

Past participant wishing to restart the Employee program.

Question Title

* 10.
Please watch this SLCo Employee Wellness introduction video.

Question Title

* 11. How did you hear about the Employee Wellness program? (Check all that apply)

Co-worker

County Website

E-Connect

Employee Wellness Workshop

Family member

New Employee Orientation

Benefits Fair or Benefits Brochure

Other (please specify)

New Participant Orientation

Question Title

* 1. Full Name:

Question Title

* 2. EIN (6 digit employee ID number, if you are the adult designee and not the employee the EIN will be followed by a 1, i.e. if employee's EIN was 123456, then adult designee's EIN would be 1234561.) *Please make sure your EIN is correct because it will become your WellSteps app username*

Question Title

* 3. Contact Information

Question Title

* 4. What is your date of birth?

Question Title

* 5. How do you identify?

Question Title

* 6. What is your preferred language?

Question Title

* 7. Please select:

Question Title

* 8. Which department do you work in?

Question Title

* 9. Please select:

Question Title

* 10. Please watch this SLCo Employee Wellness introduction video.

Question Title

* 11. How did you hear about the Employee Wellness program? (Check all that apply)

Question Title

* 12. What questions do you have for the Employee Wellness team?

* 2. EIN (6 digit employee ID number, if you are the adult designee and not the employee the EIN will be followed by a 1, i.e. if employee's EIN was 123456, then adult designee's EIN would be 1234561.) Please make sure your EIN is correct because it will become your WellSteps app username

* 10.
Please watch this SLCo Employee Wellness introduction video.