Wellness Vision

Wellness Vision
A wellness vision is a compelling statement of who you are, and what healthy behaviors you want to be doing consistently. Wellness is a presence of well-being and the culmination of life and healthy habits, it’s not the absence of disease or illness.

Wellness is the quality or state of being in good health or one’s best possible health, especially as an actively sought-after goal. Wellness is the condition of good physical and mental health, specifically when maintained by proper diet, exercise, and life habits.
Personal Information
Name*

First NameLast Name
Email*
example@example.com
Are you an employe or a family member?*

EmployeeFamily Member
If you are a family member please select the OnPurpose employee you are related to.
Gender*

FemaleMaleNon- binary
Age*
Starting Weight*
Goal Weight*
Wellness Goals
1. I will commit to eating no more than blanks* FitPoints per day for 30 days
2. I will commit to drinking blanks ounces of water per day for 30 days.
3. I will commit to completing 1 or more of the following exercises at least 30 minutes per day and 3 days per week (12 days).*

WalkingElipticalWeight liftingCardio/ AerobicsBike ridingSwimmingCalisthenics workoutsOther
4. I commit to tracking my exercise using my WW app or my journal each day for at least 12 days.*

YesNo
I would like to participate in the HealthyWager program.

YesNo
Provide further information if any
Our Terms and Conditions
One's health and well-being are directly influenced by their nutrition and vice versa. By completing this form you accept that all mentioned information is correct and that you are accepting a treatment that is prepared based on the provided data.

We strongly encourage all participants to review their wellness visions with their primary care physicians prior to committing to the challenge. A free wellness visit is available without a co-pay with most health insurance plans. Any health condition that occurred by a lack of information or that is triggered due to the provided diet will be on customers' responsibility.
Date*

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Date
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Wellness Vision

Personal Information

Wellness Goals

Our Terms and Conditions