Champion Contest Submission

Let us know which activities you implemented for the Well Wisconsin Champion Contest by completing this submission form. Put a check by the activities you completed between January 1 and May 31 and we'll tally up your points. Complete five activities from the list below to earn 50 points and submit by May 31.

Round 1: January 1 through May 31
Round 2: June 1 through October 31

Stay tuned for more details on the second round of the contest! Contact us at wellwi-employersupport@webmd.net with any questions.
1.First Name:
2.Last Name:
3.Employer:
4.Email Address:
5.Select the activities below that you completed for round 1 (Jan 1- May 31) submission:
6.If you completed the Champion's Choice activity, tell us about what you did.