Workplace Wellness Inventory

Use this form to assess workplace wellness and perceptions of workplace wellness at your library.

Management: Provide employees with electronic or paper copies of this form. Allow 1-2 weeks for employees to reflect and assess wellness practices. You may also wish to complete your own inventory. Collect forms and compile data. The areas marked “sometimes” or “never” are those that may require attention to make your library workplace a healthier environment.

Library Employees: Reflect on the seven components of wellness in your workplace. Complete this form and return to management.

As a Team: Look at the Workplace Wellness Inventory results. Brainstorm and implement measures to increase wellness at your library.

To download a pdf version of this form, click here.

Workplace Wellness Inventory

Please return to _________________ by _________.

Physical Wellness

How often are these statements true at your library? Always Sometimes Never
Employees have access to health insurance.
Fitness programs/activities are sponsored by the employer or available to employees at a reduced rate.
Employees are encouraged to take breaks and move about throughout the day.
Healthy foods are available in vending machines and at workplace dining facilities.

Environmental Wellness

How often are these statements true at your library? Always Sometimes Never
Ergonomic furnishings and computer stations are available to all employees.
The air is clean; steps are taken to control mold, mildew, and other irritants.
Recycling is available and encouraged.
Employees are encouraged and empowered to use safe lifting, climbing, bending, and carrying practices.

Social Wellness

How often are these statements true at your library? Always Sometimes Never
Employees feel comfortable sharing personal information with each other.
Employees have opportunities to create meaningful relationships with colleagues.
The library director/management takes time to establish relationships with all employees.

Spiritual Wellness

How often are these statements true at your library? Always Sometimes Never
Employees feel as thought their work is meaningful and valuable.
Spiritual diversity is respected and valued.
Employees are comfortable with the ethical standards employed at the library.

Emotional Wellness

How often are these statements true at your library? Always Sometimes Never
Employees feel personally valued.
Employees can comfortably say “no”, when asked to perform additional duties.
Library management is trustworthy.
Stress management is encouraged and promoted.

Intellectual Wellness

How often are these statements true at your library? Always Sometimes Never
Cultural and/or professional development opportunities are provided and/or encouraged by the employer.
Critical thinking and problem solving are encouraged.

Occupational Wellness

How often are these statements true at your library? Always Sometimes Never
Employees have time outside of work to pursue activities that are personally stimulating.
Employees feel satisfied in their jobs.
Employees are encouraged to set short- and long-term professional goals.

To download a pdf version of this form, click here.

Document updated by Jenny McElroy, Dory Cochran, & Amanda Avery ALA Emerging Leaders Project 2016.