University of Michigan

A program sponsored by:

Health Management Research Center

It's Your Life


Health Risk Assessment Questionnaire
HMRC Version

To complete the Health Risk Appraisal questionnaire please complete login information and answer the questions below.

If you are returning to review your personal results only, just fill in your Name, Employee ID and Password, and click "Enter".


Your Last Name Employee ID
Visit for ID information specific to your company.
HRA Password
For the privacy of your information,
  •  If this is your first time here:
        *Enter a password (in both boxes) that is at least 4 characters in length and click "Enter"
        *Record and save
your password for future use
  •  If you know your password:
        *Enter it once in the top box and click "Enter"
  •  If you do not know your password:
        *A password is not required to complete the questionnaire, although it is preferred.
         To take questionnaire without a password, click "Enter" below
        *To recover your password click the "I've lost my Password" box and
         your password will be emailed to the address on file
        *If you have any questions about your email address or need to make changes to your
         email address click the "I've lost my password" box

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

Oct 26, 2016; 9:13:13 EDT Feedback: