ADCES Survey Reduce your healthcare cost and increase driver retention Step 1 of 9 - Your Information 11% We need your consent before we can proceed to generate your ROI AnalysisConsent?We respect your privacy and request to collect your contact information and information about your Fleet to provide you with a report illustrating cost savings a Diabetes Prevention Program can contribute towards your Health & Wellness programs cost. You also agree the information may be used by Healthy Trucking of America to contact you about other programs we provide. See Full Disclosure --Select--YesNo If you're a fleet looking to reduce your healthcare cost for professional drivers and increase driver retention, we've got you covered. 25 years of experience working with fleets have helped us create a simple straightforward ROI Analysis that shows you can't not afford to put in a DPP. Healthy Trucking of America (HTA) has been working with Association of Diabetes Care & Educations Specialists (ADCES) raising awareness about the prevalence of prediabetes amongst the driver community by giving away FREE DPP pilot programs to Fleets expanding coverage of the National DPP lifestyle change program. This questionnaire will collect information about your interest and experience with the National Diabetes Prevention Program (National DPP) lifestyle change program. Your information will contribute to help improve the health and wellness of Professional Drivers all across America. It only takes 5 minutes to complete and will provide you with an ROI that really works.Name* First Last Organization* USDOT Number Title Email* Phone Number* Where is your organization headquartered?(City,State) In which state(s) do your employees work?Hold Ctrl key while selecting multiple choicesAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Please tell about your driversHow many are Owner Operators?Please enter a number from 0 to 1000000.How many are Company Drivers?Please enter a number from 0 to 1000000.What is the % of drivers you will replace because they cannot pass a DOT Medical Examination?How much does it cost you to replace a driver?Number of non driver employees in your organizationPlease enter a number from 0 to 1000000. Organization’s benefitsApproximately how many total lives are covered under your organization’s benefits?Please enter a number from 0 to 1000000.What is your organization’s benefit structure?--Select--Self-insuredFully-insuredDo you use a third party administrator to manage your benefit program?--Select--YesNoWhat is the name of the TPA company? Who is your current health insurance provider? Please list all if you have more than one. Does your organization offer the National Diabetes Prevention lifestyle change program as a covered benefit?--Select--YesNo Who is your DPP Provider?--Select--Well SparkOmadaLivongoOtherWhat is name of DPP provider? Please indicate if the National DPP lifestyle change program benefit is a wellness or medical benefit.--Select--MedicalWellnessI don't knowHow is the National DPP lifestyle change program delivered to your employees? (Select all that apply)Hold Ctrl key while selecting multiple choicesIn-person classesOnline classesTelehealth/distance learningOtherDoes your organization intend to retain the benefit?--Select--YesNoI don’t knowPlease describe any successes or challenges your organization has had with implementing the benefit. Does your organization's health plan or third party administrator (TPA) offer the National DPP lifestyle change program as an add-on benefit?--Select--YesNoI don’t knowWhat do you see as barriers to coverage of the National DPP lifestyle change program? (Select all that apply)Hold Ctrl key while selecting multiple choicesNeed more informationCostEvidenceLeadershipToo much going on / competing prioritiesChallenges due to COVID-19Lack of employee interest due to transient populationOtherPlease describe other Do you have any questions about the NDPP?I would be interested in someone contacting me about the following (select all that apply):Hold Ctrl key while selecting multiple choicesLearning more about the National DPP lifestyle change programTaking action / preparing to cover the National DPP lifestyle change programLearning more about Wellspark DPP providerNothing at this timeHiddenLead SourceWebHiddenSubject HiddenLead CategoryFleet ServicesCommentsThis field is for validation purposes and should be left unchanged.