Congratulations on completing the
30 Day Back to Healthy Nutrition Challenge!

By completing at least 25 out of 30 days of the 30 Day Back to Healthy Nutrition Challenge you will:
  • Be entered into a seasonal drawing for 1 of 10 $100 Corporate Rewards gift cards*
  • Earn 20 Healthy Lifestyle Activity Points**
After completing this form, results will be reported to Employee Wellness and points will be updated in ADP by the 15th of the following month. You will be entered into the seasonal drawing based on the date you submit this form. There is no need to submit your Challenge Packet to Employee Wellness.

*All gift cards are subject to taxation.
** This challenge can be completed once per reporting year (March - February) for points.

Question Title

Employee Information

Question Title



Question Title

Number of Days Completed (Out of 30 Days)