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!
Last Name and
are required to confirm your eligibility to use this
Health Risk Appraisal (HRA).
Beyond this purpose, your
is considered anonymous. It
is held in confidence by
the University of Michigan Health Management Research Center
and otherwise is used only in an aggregate, anonymous form for scientific
research and benchmarking purposes.
By completing this HRA
you are authorizing the transfer of personal data to
the University of Michigan Health Management Research Center.
None of your personal identifiable health information will be shared with
Your employer may receive your name and
only for the purpose of administering and awarding any eligible
incentive for completing the Health Risk Appraisal. Your
Health Risk Appraisal information
may be used
wellness vendor program administrators
for your employer's health management programs as well as
other related services.
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.