Agency Survey

Make A Difference

Invest In Your People

Code 1 Wellness is proud to offer a free survey for you to use at your agency. This survey helps us identify mental health issues within your agency early and helps us address those issues appropriately. Once submitted, our team will follow up with the appropriate member. Privacy is of upmost importance at Code 1 Wellness. 

To access this survey, please complete the form below and you will be redirected to download the complete form in a PDF format. 


Get In Touch

Get The Survey

Get Started Today

About us

You’re here because you know that life can be better. Through online counseling services, we’ll help you identify how best to make progress to create a life of wellness.

Code 1 Wellness is a 501(C)(3) non-profit organization.

Contact Info


Mon-Fri 8a-5p
(816)  372 – 2948



P.O. Box 901888
Kansas City, MO 64190

Scroll to Top