AHA Free Health Assessment Survey

Please fill out the following survey as instructed by your healthcare provider or employer. If you have not been instructed to do so, you do not need to complete this survey.

The survey will take between 15 and 20 minutes to complete. You will need your Employee ID number and will be asked for some of your health information. If you do not have this information, you will be able to select "I DON'T KNOW" for those options. Your Employee Number will be a unique 6-digit code provided by your employer which starts with "E0" and is followed by 4 unique numbers. You will need your Employee ID to complete the survey.

(If you are having problems viewing the survey, or there isn't a form loaded above, please click here to take the survey.)