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NC HealthSmart Worksite Wellness Toolkit: Committee Workbook

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The Committee Workbook contains step-by-step instructions for setting up a worksite wellness committee, including sample meeting agendas, employee and worksite surveys, and informational posters and letters.

Download the entire Committee Workbook (PDF ~3.5mb)

Committee Workbook Resources (PDFs)

• Appendix A – Multi-Level Approach to Changing Behavior
• Appendix B – NC HealthSmart Worksite Wellness Program Model
• Appendix C – Worksite Wellness Committee Action Plan Template (also available as an MS Word document)
• Appendix D – Worksite Wellness Committee Sample Action Plan (also available as an MS Powerpoint Presentation )
• Appendix E – Sample Letter of Invitation to Serve on the Worksite Wellness Committee (also available as an MS Word document)
• Appendix F – Worksite Wellness Committee Member Invitation Poster
• Appendix G – Worksite Wellness Committee Member List (also available as an MS Word document)
• Appendix H – First Meeting – Sample Agenda (also available as an MS Word document)
• Appendix I – Employee Interest Survey
• Appendix J – Policy and Environment Survey
• Appendix K – Meeting Icebreakers
• Appendix L – NC HealthSmart Workbook Overview
• Appendix M – Sample Mission Statements
• Appendix N – Committee Members and Role Sharing
• Appendix O – Worksite Wellness Committee Announcement Poster
• Appendix P – Cover Letter for Employee Interest Survey (also available as an MS Word document)
• Appendix Q – Employee Interest Survey Distribution & Collection Suggestions
• Appendix R – Second Meeting – Sample Agenda (also available as an MS Word document)
• Appendix S – Score Sheet for Employee Interest Survey
• Appendix T – Score Sheet for Policy and Environment Survey
• Appendix U – Employee Evaluation of a Worksite Activity
• Appendix V – Employee Satisfaction with Worksite Wellness Program
• Appendix W – Employee Satisfaction Survey Results Form
• Appendix X – Evaluation of Wellness Committee by Committee Members
• Appendix Y – NC HealthSmart Worksite Wellness Toolkit Evaluation Form (also available as an MS Word document)

Suggested citation: North Carolina Division of Public Health, NC HealthSmart Worksite Wellness Toolkit. North Carolina State Health Plan, Raleigh, NC; 2005.

For additional questions, please email us at

worksite.wellness@ncmail.net