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Commit 395906a5 authored by Krista Naber's avatar Krista Naber
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added the pre and post assessments to the repository

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assessment/well_ambass_course_postassess.html 0 → 100644
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<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
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Membership and regular participation in the UNL Web Developer Network
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http://wdn.unl.edu/. Click the WDN Registry link to log in and
register your unl.edu site.
All UNL template code is the property of the UNL Web Developer Network.
The code seen in a source code view is not, and may not be used as, a
template. You may not use this code, a reverse-engineered version of
this code, or its associated visual presentation in whole or in part to
create a derivative work.
This message may not be removed from any pages based on the UNL site template.
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<title>UNL | Office of the Chancellor | Wellness Initiative | Wellness Ambassadors | Wellness Ambassador Course Post Assessment</title>
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<link rel="stylesheet" type="text/css" href="/ucomm/templatedependents/templatecss/components/forms.css" />
<link rel="stylesheet" type="text/css" href="css/wellness.css" />
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<h1>University of Nebraska&ndash;Lincoln</h1>
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<li class="first"><a href="http://www.unl.edu/">UNL</a></li>
<li><a href="http://www.unl.edu/ucomm/chancllr/">Office of the Chancellor</a></li>
<li><a href="http://wellness.unl.edu/">Wellness Initiative</a></li>
<li><a href="http://wellness.unl.edu/wellness_ambassadors.shtml">Wellness Ambassadors</a></li>
<li>Wellness Ambassador Course Post Assessment</li>
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<h1>Wellness Initiative</h1>
<!-- InstanceEndEditable --></div>
<div id="pagetitle"><!-- InstanceBeginEditable name="pagetitle" --><h2>Wellness Ambassador Course Post Assessment</h2> <!-- InstanceEndEditable --></div>
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<form action="" method="post">
<fieldset>
<legend>POST ASSESSMENT</legend>
<ol>
<li><label for="name" class="element"><span class="required">*</span>Name</label><div class="element"><input id="name" name="name" type="text" /></div></li>
<li><label for="email" class="element"><span class="required">*</span>Email</label><div class="element"><input id="email" name="email" type="text" /></div></li>
<li style="padding-bottom:10px;"><label class="element"><span class="required">*</span>What is Wellness?</label>
<div class="element">
<ul style="list-style:none; margin-left:130px;">
<li><input name="what_is_wellness" value="a" type="radio" id="wiw_a" /><label for="wiw_a">a)&nbsp;&nbsp;An interactive process of becoming aware of and practicing healthy choices to<br />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;create a more successful and balanced lifestyle</label></li>
<li><input name="what_is_wellness" value="b" type="radio" id="wiw_b" /><label for="wiw_b">b)&nbsp;&nbsp;The achievement of and/or maintenance of an emotionally, physically, and<br />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;spiritually fit body.</label></li>
<li><input name="what_is_wellness" value="c" type="radio" id="wiw_c" /><label for="wiw_c">c)&nbsp;&nbsp;A radical, cookie-cutter approach to achieve physical fitness.</label></li>
<li><input name="what_is_wellness" value="d" type="radio" id="wiw_d" /><label for="wiw_d">d)&nbsp;&nbsp;The physical state of good health as well as the mental ability to enjoy and<br />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;appreciate being healthy and fit.</label></li>
<li><input name="what_is_wellness" value="e" type="radio" id="wiw_e" /><label for="wiw_e">e)&nbsp;&nbsp;The end result of working to achieve optimum balance of all elements of<br />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;wellness.</label></li></ul></div></li>
<li style="padding-bottom:10px;"><label for="7_wellness_elements" class="element"><span class="required">*</span>What are the Elements of Wellness as recognized by the UNL Chancellor's Committee on Wellness? List all 7:</label><div class="element"><textarea id="7_wellness_elements" name="7_wellness_elements" cols="60" rows="5"> </textarea></div></li>
<li style="padding-bottom:10px;"><label class="element"><span class="required">*</span>Wellness&nbsp;Ambassadors...<br />(mark all that apply)</label>
<div class="element">
<input name="a_devote" id="a_devote" type="checkbox"><label for="a_devote">a)&nbsp;&nbsp;Devote themselves to serving the needs of others</label><br />
<input name="b_focus" id="b_focus" type="checkbox"><label for="b_focus">b)&nbsp;&nbsp;Focus on the needs of those that they lead</label><br />
<input name="c_develop" id="c_develop" type="checkbox"><label for="c_develop">c)&nbsp;&nbsp;Develop employees to bring out strengths</label><br />
<input name="d_coach" id="d_coach" type="checkbox"><label for="d_coach">d)&nbsp;&nbsp;Coach and encourage others</label><br />
<input name="e_facilitate" id="e_facilitate" type="checkbox"><label for="e_facilitate">e)&nbsp;&nbsp;Facilitate personal growth</label><br />
<input name="f_listen" id="f_listen" type="checkbox"><label for="f_listen">f)&nbsp;&nbsp;Listen and build a sense of community</label><br />
</div>
</li>
<li style="padding-bottom:10px;"><label for="ways_promote_well_dept" class="element"><span class="required">*</span>What are three ways you may promote wellness in your department?</label><div class="element">1. <input id="ways_promote_well_dept_1" name="ways_promote_well_dept_1" type"text" size="67"></input><br />2. <input id="ways_promote_well_dept_2" name="ways_promote_well_dept_2" type"text" size="67"></input><br />3. <input id="ways_promote_well_dept_3" name="ways_promote_well_dept_3" type"text" size="67"></input></div></li>
<li style="padding-bottom:10px;"><label for="match_stages_change" class="element"><span class="required">*</span>Match the Stages of Change:</label>
<div class="element">
<ul class="left">
<li><input id="match_pre-contemplation" name="match_pre-contemplation" type"text" size="2"><label for="match_pre-contemplation">Pre-comtemplation</label></li>
<li><input id="match_contemplation" name="match_contemplation" type"text" size="2"><label for="match_contemplation">Contemplation</label></li>
<li><input id="match_preparation" name="match_preparation" type"text" size="2"><label for="match_preparation">Preparation</label></li>
<li><input id="match_action" name="match_action" type"text" size="2"><label for="match_action">Action</label></li>
<li><input id="match_maintenance" name="match_maintenance" type"text" size="2"><label for="match_maintenance">Maintenance</label></li>
</ul>
<ul class="right">
<li><label for="match_a">a)&nbsp;&nbsp;Not yet acknowledging a need for change</label></li>
<li><label for="match_b">b)&nbsp;&nbsp;Maintaining a change</label></li>
<li><label for="match_c">c)&nbsp;&nbsp;Changing Behavior</label></li>
<li><label for="match_d">d)&nbsp;&nbsp;Recognize the problem &amp; contemplating change</label></li>
<li><label for="match_e">e)&nbsp;&nbsp;Getting ready to Change</label></li>
</ul>
</div>
</li>
<li style="padding-bottom:10px;"><label class="element"><span class="required">*</span>Lapses happen during change...</label>
<div class="element"><input name="lapses_happen" value="true" type="radio" id="lh_true" /><label for="lh_true">True</label><input name="lapses_happen" value="false" type="radio" id="lh_false" /><label for="lh_false">False</label></div>
<label class="element"><span class="required">*</span>Are they OK?</label>
<div class="element"><input name="lapses_ok" value="yes" type="radio" id="lok_yes" /><label for="lok_yes">Yes</label><input name="lapses_ok" value="no" type="radio" id="lok_no" /><label for="lok_no">No</label></li>
<li style="padding-bottom:10px;"><label for="workshopfeedback" class="element"><span class="required">*</span>Wellness Ambassador workshops are held each semester, please give your feedback on the following preferences:</label>
<div class="element" style="text-align:right;">
<label for="feedback_time">Time:</label><input id="feedback_time" name="feedback_time" type"text" size="50"><br />
<label for="feedback_duration">Duration:</label><input id="feedback_duration" name="feedback_duration" type"text" size="50"><br />
<label for="feedback_location">Location:</label><input id="feedback_location" name="feedback_location" type"text" size="50"><br />
<label for="feedback_future_topics">Future Topics:</label><input id="feedback_future_topics" name="feedback_future_topics" type"text" size="50"></div></li>
<li style="padding-bottom:10px;"><label for="elements_moreinfo" class="element">Which element(s) could you use more information on?</label><div class="element"><textarea id="elements_moreinfo" name="elements_moreinfo" cols="60" rows="5"></textarea></div></li>
<li style="padding-bottom:10px;"><label for="other_ques_comment" class="element">Other questions and/or comments:</label><div class="element"><textarea id="other_ques_comment" name="other_ques_comment" cols="60" rows="5"></textarea></div></li>
<li><label for="submit" class="element">&nbsp;</label><div class="element"><input id="submit" name="submit" value="Submit" type="submit" /></div></li>
<li class="reqnote"><label class="element">&nbsp;</label><span class="required">*</span> denotes required field</li>
</ol>
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assessment/well_ambass_course_preassess.html 0 → 100644
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<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
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Membership and regular participation in the UNL Web Developer Network
is required to use the UNL templates. Visit the WDN site at
http://wdn.unl.edu/. Click the WDN Registry link to log in and
register your unl.edu site.
All UNL template code is the property of the UNL Web Developer Network.
The code seen in a source code view is not, and may not be used as, a
template. You may not use this code, a reverse-engineered version of
this code, or its associated visual presentation in whole or in part to
create a derivative work.
This message may not be removed from any pages based on the UNL site template.
$Id: fixed.dwt 536 2009-07-23 15:47:30Z bbieber2 $
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<title>UNL | Office of the Chancellor | Wellness Initiative | Wellness Ambassadors | Wellness Ambassador Course Pre Assessment</title>
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<link rel="stylesheet" type="text/css" href="/ucomm/templatedependents/templatecss/components/forms.css" />
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<div id="header"> <a href="http://www.unl.edu/" title="UNL website"><img src="/wdn/templates_3.0/images/logo.png" alt="UNL graphic identifier" id="logo" /></a>
<h1>University of Nebraska&ndash;Lincoln</h1>
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<li class="first"><a href="http://www.unl.edu/">UNL</a></li>
<li><a href="http://www.unl.edu/ucomm/chancllr/">Office of the Chancellor</a></li>
<li><a href="http://wellness.unl.edu/">Wellness Initiative</a></li>
<li><a href="http://wellness.unl.edu/wellness_ambassadors.shtml">Wellness Ambassadors</a></li>
<li>Wellness Ambassador Course Pre Assessment</li>
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<div id="titlegraphic"><!-- InstanceBeginEditable name="titlegraphic" -->
<h1>Wellness Initiative</h1>
<!-- InstanceEndEditable --></div>
<div id="pagetitle"><!-- InstanceBeginEditable name="pagetitle" --><h2>Wellness Ambassador Course Pre Assessment</h2> <!-- InstanceEndEditable --></div>
<div id="maincontent">
<!--THIS IS THE MAIN CONTENT AREA; WDN: see glossary item 'main content area' -->
<!-- InstanceBeginEditable name="maincontentarea" -->
<form action="" method="post">
<fieldset>
<legend>PRE ASSESSMENT</legend>
<ol>
<li><label for="name" class="element"><span class="required">*</span>Name</label><div class="element"><input id="name" name="name" type="text" /></div></li>
<li><label for="email" class="element"><span class="required">*</span>Email</label><div class="element"><input id="email" name="email" type="text" /></div></li>
<li><label class="element"><span class="required">*</span>What is Wellness?</label>
<div class="element">
<ul style="list-style:none; margin-left:130px;">
<li><input name="what_is_wellness" value="a" type="radio" id="wiw_a" /><label for="wiw_a">a)&nbsp;&nbsp;An interactive process of becoming aware of and practicing healthy choices to<br />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;create a more successful and balanced lifestyle</label></li>
<li><input name="what_is_wellness" value="b" type="radio" id="wiw_b" /><label for="wiw_b">b)&nbsp;&nbsp;The achievement of and/or maintenance of an emotionally, physically, and<br />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;spiritually fit body.</label></li>
<li><input name="what_is_wellness" value="c" type="radio" id="wiw_c" /><label for="wiw_c">c)&nbsp;&nbsp;A radical, cookie-cutter approach to achieve physical fitness.</label></li>
<li><input name="what_is_wellness" value="d" type="radio" id="wiw_d" /><label for="wiw_d">d)&nbsp;&nbsp;The physical state of good health as well as the mental ability to enjoy and<br />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;appreciate being healthy and fit.</label></li>
<li><input name="what_is_wellness" value="e" type="radio" id="wiw_e" /><label for="wiw_e">e)&nbsp;&nbsp;The end result of working to achieve optimum balance of all elements of<br />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;wellness.</label></li>
</ul>
</div>
</li>
<li><label for="7_wellness_elements" class="element"><span class="required">*</span>What are the Elements of Wellness as recognized by the UNL Chancellor's Committee on Wellness? List all 7:</label><div class="element"><textarea id="7_wellness_elements" name="7_wellness_elements" cols="60" rows="5"></textarea></div></li>
<li><label for="why_become_ambassador" class="element"><span class="required">*</span>Why are you interested in becoming a wellness ambassador?</label><div class="element"><textarea id="why_become_ambassador" name="why_become_ambassador" cols="60" rows="5"></textarea></div></li>
<li><label for="ways_bring_well_dept" class="element"><span class="required">*</span>Are there specific ways to best bring wellness to your department?</label><div class="element"><textarea id="ways_bring_well_dept" name="ways_bring_well_dept" cols="60" rows="5"></textarea></div></li>
<li><label for="how_hear_well_init" class="element"><span class="required">*</span>How did you learn about the Wellness Initiative?</label><div class="element"><textarea id="how_hear_well_init" name="how_hear_well_init" cols="60" rows="5"></textarea></div></li>
<li><label for="why_well_import" class="element"><span class="required">*</span>Why is something like "wellness" important on campus?</label><div class="element"><textarea id="why_well_import" name="why_well_import" cols="60" rows="5"></textarea></div></li>
<li><label for="other_ques_comment" class="element">Other questions and/or comments:</label><div class="element"><textarea id="other_ques_comment" name="other_ques_comment" cols="60" rows="5"></textarea></div></li>
<li><label for="submit" class="element">&nbsp;</label><div class="element"><input id="submit" name="submit" value="Submit" type="submit" /></div></li>
<li class="reqnote"><label class="element">&nbsp;</label><span class="required">*</span> denotes required field</li>
</ol>
</fieldset>
</form>
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