To establish an understanding of the work organizational climate, values for the second and third explanatory variables were composed from the following two questions: ‘‘How much does this company focus on wellness and prevention programs (of all types, including medical or behavioral)?’’ Response choices were very little, moderately, or a great deal; and ‘‘How much does this employer promote MHN’s services?’’ Response choices were not at all, a little, moderately, or extensively. We then composed binary measures of low to moderate versus high level to reflect account manager responses.