Our goal is always to provide you with fun and fresh wellness incentive campaigns that assist you in making meaningful lifestyle changes. To ensure we are meeting our goal, we need to hear from you. Please answer the questions below to help us understand how you felt about the recently-completed program.

1.Do you plan on using the Self-Care Essentials book more in the future? (Check one)

Yes

No

Maybe

2.Did you successfully complete your online Personal Health Record? (Check one)

Yes

No

3.Were the challenge activities easy to understand? (Check one)

Yes

No

4.If the challenge was offered again would you recommend it to a co-worker? (Check one)

Yes

No

Maybe

5.On a scale of 1 to 6, by completing this program I am more confident in my ability to:
lowest 1 2 3 4 5 6 highest

1

2

3

4

5

6

Communicate more effectively with my Primary Care Physician (PCP).

1

2

3

4

5

6

Not make unnecessary trips to the Emergency Room and Urgent Care centers.

1

2

3

4

5

6

Receive my recommended immunizations and other preventive care services.

1

2

3

4

5

6

Review my medical bills carefully before paying them.

1

2

3

4

5

6

Understand my health plan and how to use it.

1

2

3

4

5

6

Become a more informed healthcare consumer and make better health decisions.

1

2

3

4

5

6

Thank you for taking this survey. Please remember to submit your Activities Checklist no later than February 28, 2018 for credit.  

6.Address

Name

Email Address