How do you Rise and Thrive?

Tell us your stories of HOW you and your department are practicing wellness during COVID-19

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* 1. Contact Information

Name

NUID

Facility

Department

Email Address

Phone Number

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* 2. What is your department doing to support Caring Moments during the COVID 19 surge?

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* 3. Share an example of what you are doing for your own wellbeing during these challenging times.

Tell us a bit more about your response to question #2 or #3

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* 4. Why did you start this activity?

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* 5. What inspired you?

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* 6. How many employee's are participating?

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* 7. How has this impacted you and your group?

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* 8. Please attach a photo of how you or your team Rise and Thrive (optional)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 9. Shirt Information ( 1 raffle winner per week )

Men's

Ladies

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* 10. Shirt Size

Small

Medium

Large

X-Large

XX-Large

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* 11. Acknowledgement

By checking this box, I acknowledge that my submission may be used by Kaiser Permanente for the purpose of promoting its Live Well Be Well program and may be published on its website, newsletter, other websites, and print materials.