Employer Assessment Form

Data mining is the process of finding patterns and correlations within large data sets to predict outcomes. Using a broad range of techniques, you can use this information to increase revenues, cut costs, improve employer relationships, reduce risks and more.

Employer Name

Employer Location(s)

Total Employees

HR/Employee Handbook

Alcohol and/or Drug Policy

Funding

Current Premium Rates

Current Premium Rates (copy)

Current Premium Rates (copy) (copy)

Current Premium Rates (copy) (copy) (copy)

Insurance Carrier/Third-party Administrator

Employee Assistance Program (EAP) Provider

Entertainment Expense Detail (Line item reporting)

Current issues / concerns around corporate alcohol use

Goals for corporate wellness program addressing alcohol use

Message

info@100proofliving.com

100 Proof Living is an evidence-based corporate wellness solution designed to help companies understand, identify, and address the significant burden of excessive alcohol use in the work environment.