Wellbeing at Work WHNA Request Form

Wellbeing @Work WHNA Request Form

Wellbeing @Work WHNA Request Form
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Thank you for your interest in completing a Workplace Health Needs Assessment (WHNA). Please complete this form fully to allow us to process your request and support you through the process efficiently. On completion of the form, please allow 7 days for one of our team to respond to your request. 

For more information about the Workplace Health Needs Assessment, please visit: www.lrsport.org/whna

Organisation & Contact Details

Organisation & Contact Details

Contact Details

Contact Details

Workplace Health Needs Assessment

Workplace Health Needs Assessment

Important: Please ensure you allow at least 7 days from completing this form for the Wellbeing at Work team to schedule your Workplace Health Needs Assessment. 

We recommend having the Workplace Health Needs Assessment open for approximately 4 weeks to allow enough time for employees to complete the survey. Most organisations should aim for a minimum response rate of 40%. However, this is flexible and can depend on the number of staff that your organisation employs. This will be discussed further once your request has been submitted. 

These may include occupational group, department, and working hours, for example shift work. Think carefully about what to include. We can only include additional questions for organisations who employee more than 500 staff. If your organisation is small, employees may feel that giving information, such as their pay grade for example, will identify them.

Partners

  • Charnwood LSA
    Active Oadby and Wigston
    Equality Standard
    Active Leicester
    Active Rutland
  • Blaby LSA
    Sport England
    Harborough LSA
    Active Hinckley and Bosworth
    Active Partnerships
  • Melton LSA
    Safeguarding
    NWL LSA
    Leicestershire County Council

Partners

  • Active Rutland
    Charnwood LSA
  • Sport England
    Active Hinckley and Bosworth