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Share Your LiveWELL Success Story
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1.
What is your first and last name?
(Required.)
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2.
I am a:
(Required.)
Colleague
Spouse/LDA
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3.
I am a colleague/spouse/LDA of:
(Required.)
St. Elizabeth’s Hospital – O’Fallon
St. Joseph’s Hospital – Breese
St. Mary’s Hospital – Decatur
St. Anthony’s Memorial Hospital – Effingham
St. Joseph’s Hospital – Highland
St. Francis Hospital – Litchfield
St. John’s Hospital – Springfield
Holy Family Hospital– Greenville
St. Joseph’s Hospital – Chippewa Falls
Sacred Heart Hospital – Eau Claire
St. Mary’s Hospital Medical Center – Green Bay
St. Vincent Hospital – Green Bay
St. Clare Memorial Hospital – Oconto Falls
St. Nicholas Hospital – Sheboygan
HSHS Medical Group, Inc.
Prairie Cardiovascular Consultants, Ltd.
Prairie Education and Research Cooperative
Hospital Sisters Health System
Good Shepherd Hospital - Shelbyville
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4.
Current LiveWELL Level?
(Required.)
Level 1 (1,000 to 2,499 points)
Level 2 (2,500 to 4,999 points)
Level 3 (5,000 points and above)
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5.
What is your favorite LiveWELL challenge category so far? (select one)
(Required.)
Physical
Financial
Emotional
Work Well-being
Why?
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6.
Tell us what you have liked most about HSHS LiveWELL and/or share your success story.
(Required.)
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7.
HSHS will highlight colleague stories on the HSHS Benefit website (
Share Your Story examples
) and/or in other publications. Are you interested in sharing your story publicly?
(Required.)
Yes, I am willing to share my story!
No, I do not want my story to be shared publicly.
8.
If you answered ‘yes’ to Question 7, please upload a photo of you “living well” to be used if your story is selected.
Choose File
No file chosen
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9.
What type of LiveWELL challenges would you like to see in the future?
(Required.)
Current Progress,
0 of 9 answered
