Aurora Health Care University of Michigan / Health Management Research Center


Health Risk Assessment Questionnaire

Before beginning this questionnaire, please have your medical information at hand. This includes your height, weight, blood pressure and cholesterol measurements, and the approximate dates of your most recent health screenings. While none of this information is required, including it will make your personal health report more accurate and complete.

You may return here to see your current report whenever you wish.

Your privacy comes first! Your Social Security Number and Group Password are required to confirm your eligibility to use this HRA. Beyond this purpose, your information is considered anonymous. It is held in confidence by the University of Michigan Health Management Research Center and Aurora Health Care and is never shared or used without your permission, except in aggregate, anonymous form for scientific research. For complete details, see our privacy statement via the "Privacy" link above.

Aurora Health Care toll-free support line: 877-765-3213


Social Security Number Group Password
HRA Password
For the privacy of your information,
a. If this is your first time here, please enter any password of your choice, using at least four letters or digits. Record and save this password to use when you return here other times. Enter your chosen password twice, once in each box.
b. If you've already registered a password, please enter it once here. This password is not required to enter to complete a questionnaire. However, without it, for the privacy of your information, your report will not include any comparison results from your previous questionnaire.

I've lost my password

To personalize your questionnaire:


Cigarette Smoking
How would you describe your cigarette smoking habits?
Still smoke cigarettes
Used to smoke cigarettes
Never smoked cigarettes


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Developed by the University of Michigan Health Management Research Center

Dec 7, 2016; 20:00:45 CST Feedback: