Wellness Incentive Activities

Report you wellness activities by completing this questioners.
Name: 


  1. What wellness activity did you complete this quarter?
    Quarterly Lunch and Learn - 10 Points (Max 40 Points)
    Monthly Newsletter and Poster Quiz - 5 Points
    Complete Health Risk Assessment - 25 Points
    Annual Physical or OB/Gyn Appointment - 10 Points
    Annual Flu Shot - 5 Points
    Semi-Annual Dental Check Up - 5 Points (Max 10 Points)
    Annual Vision Check Up - 5 Points
    Participated in a local run - 5k or longer, or an Organized Fitness Event- 55 Points (Max. 55 Points)
    Community Event - Toy donated to Toys for Tots - 5 Points


  1. Please total all of your points and tell us how many points you accumulate during this quarter?





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