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. Author manuscript; available in PMC: 2014 May 30.
Published in final edited form as: J Public Health Manag Pract. 2013 May-Jun;19(3 0 1):S105–S113. doi: 10.1097/PHH.0b013e3182849f21

Table 1.

Worksite and Energy Balance Survey Items by Section

Section 1. Job and Worksite Characteristics (n=12 items) Section 4. Cafeteria (n=12 items; yes/no)
Number of employees Cafeteria, snack bar, or food service employees
Supervise others Purchased food or beverage
Number of years at main job Fresh fruits and vegetables
Number of days per week typically work Non-fried meat entrees
Number of hours per week typically work Low fat snack items
Type of shift typically work Low fat dairy products
Flexibility Sandwiches made with whole grain bread
Number of work days missed due to health Food in smaller portions
Mode of transportation to work Symbols/signs to identify healthy food alternatives
Number of minutes to get to work Calorie information
Another job Posters or signs encouraging healthy eating
Number of hours per week typically at other job Affordable prices for fresh fruits and vegetables
Section 2. Neighborhood Around Workplace (n=12 items; strongly disagree to strongly agree) Section 5. Vending (n=5; yes/no)
Fast food Vending machines for employees
Healthy restaurants Purchased food or beverage ≥ once/week
Stores within walking distance Low-fat snacks
Transit stop within 10-15 min. walk Low-fat or fat free milk, or water
Sidewalks Symbols/signs to identify healthy food alternatives
Bicycle facilities
Free/low cost recreation facilities Section 6. Meals (n=5; open-ended number)
Crime rate makes it unsafe to walk
High traffic Number of times brought lunch last week
Others are physically active Number of times purchased cafeteria meal last week
Interesting things to look at Number of times purchase fast food meal last week
Walk in workplace neighborhood ≥ once/week Number of times purchased meal from sit-down restaurant last week
Section 3. Programs, Facilities, and Policies (n=32; yes/no)* Number of times purchased meal from another type of restaurant last week
Personal services
Health fairs Section 7. Organizational and Social Environment (n=6 items; strongly disagree to strongly agree)
Worksite challenge events
Regular exercise programs Company values healthy lifestyle
Indoor exercise facilities Co-workers are good role models for healthy food choices
Outdoor exercise facilities
Shower facilities Co-workers are good role models for being physically active
Place to lock bike
Flexible time for physical activity during work Co-workers eat fruits and vegetables
Physical activity breaks Co-workers use alternative transportation to get to work
Free/reduced membership to offsite exercise facility Co-workers are physically active during work breaks
Incentives to walk or bike to work
Incentives to use public transit
Maps or signs of walking routes
Signs encouraging stair use
Information encouraging physical activity
Clean water fountain
Free water bottles or water cooler
*

Missing items from the list were whether the respondent used the facility or participated in the program.