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 Identification Number and Group Password are required to confirm your eligibility to take advantage of this Health Risk Assessment (HRA). Beyond this purpose, your information is considered anonymous. Your data are held in confidence by the University of Michigan Health Management Research Center and are used in an aggregate, anonymous form for reporting and scientific research. For complete details, see our privacy statement via the "Privacy" link above.


Identification Number webhra-demo Group Password Confirmed
HRA Password Confirmed

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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Oct 10, 2015; 14:02:48 EDT Problems: