Are you eligible? Use this wellness credit calculator to see your progress.
Deadline for wellness program eligibility: May 1, 2025
Check all activities that you have completed since May 2, 2024
Please note: this form is for your personal use and is not used by the Wellness Program to manage your activity. ALL WELLNESS ACTIVITIES MUST BE UPLOADED THROUGH THE WELLNESS PROGRAM WEBSITE BY MAY 1, 2025 FOR CREDIT(S) TO BE APPLIED.
Required Activities (check all that have been completed as of today, since May 2, 2025):
Biometric Screening (provided by the Wellness Program or other licensed provider)
Health Risk Assessment (provided by the Wellness Program)
Eligible Individual Activities for Wellness Credits (check all activities that have been completed as of today, since May 2, 2025):
Annual Physical Exam
Bi-annual Dental Cleaning and Exam (6 month)
Bi-annual Dental Cleaning and Exam (6 month)
Mammogram
Well Woman Exam / Pap Smear
Colonoscopy
Bone Density (DEXA) Scan
Vision Screening / Exam
Hearing Screening / Exam
Exercise at Home / Gym membership
Individual Nutrition Coaching Sessions (3)
Wellness Course (online) #1
Wellness Course (online) #2
Wellness Course (online) #3
Wellness Course (online) #4
Wellness Course (online) #5
Wellness Course (online) #6
Wellness Workshop (in-person or online) #1
Wellness Workshop (in-person or online) #2
Wellness Workshop (in-person or online) #3
Wellness Workshop (in-person or online) #4
Community Event (ex: 5K, 10K, Half, Fun Run etc)
Annual Preventive Immunization (Flu, Pneumonia, Shingles)
This calculator is not a report of your wellness activities and is for a quick reference use only. The data you have entered will not be stored for later use and will be deleted at the time that you close this window. If you wish to use this tool in the future you will need to input your data again.
Current Wellness Credits
Should be Empty: