Champion Contest Submission

Let us know which activities you implemented for the Well Wisconsin Champion Contest by completing this submission form. Put a check by the activities you completed this quarter and we'll tally up your points. Contact us at wellwi-employersupport@webmd.net with any questions.

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* 1. First Name:

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* 2. Last Name:

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* 3. Employer:

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* 4. Email Address:

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* 5. Select the activities below that you completed for your quarterly submission:

Attended Well WI Awards Ceremony (Q1 only)

Completed the Wellness from Within Challenge (Q2 only)

Hosted a flu clinic (Q3 only)

Attended champion network meeting

Promoted quarterly Well Wisconsin programs

Invited a WebMD team member to present at wellness committee meeting

Hosted a Well Wisconsin presentation (implemented by the WebMD team)

Hosted a Well Wisconsin interactive event (implemented by the WebMD team)

Hosted a biometric screening

Completed a Well Wisconsin champion consulting meeting

Hosted an employer-sponsored activity

Shared Well Wisconsin resources during new hire orientation

Achieved my goals with either the Move for a Million or Side Quests challenges