Before beginning this questionnaire, please have your medical
information at hand, including your height, weight, approximate dates
of most recent preventive services and health screenings, and blood
pressure and cholesterol measurements, if known. While none of this
information is required, including it will make your HRA Profile
more accurate and complete.
You may submit a questionnaire only when you are eligible.
You will be informed of eligibility at the appropriate time.
You may return here to see your current report whenever you wish.
Your privacy comes first! Your Last Name
and Last 5 digits of Social Security Number are required
to confirm your eligibility to use this HRA. Beyond this
purpose, your information is considered anonymous. Your personal
health information is held in confidence by
the University of Michigan Health Management Research Center
and is never shared or used without your permission, except in aggregate,
anonymous form for scientific research.
Parkwest may receive your identified personal health information
for intervention programs based upon identified health risks. Your
organization and others responsible for tracking your participation may
be informed of your participation (never any personal health information
shared) in this HRA for incentive purposes.
To personalize your questionnaire:
This Web site is designed so that you don't need to use your browser's
[Back] button. But if you do ... for the privacy of your data, you
may also need to click [Refresh] or [Reload] as instructed.