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Health Risk Assessment (HRA) EMBED SFMC

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Thank you for working to complete this Health Risk Assessment.  
This form takes on average 15 minutes to complete.  If you are unable to finish this assessment in one sitting, you are able to save your responses and come back later to finish.  Please complete this first page and click "Next" for instructions on how to save and continue.
Member information:
Format: MM/DD/YYYY This question requires a valid date format of MM/DD/YYYY.
calendar
Format: ###-###-####
This question requires a valid number format.
What type of plan do you have?
2. Which plan do you have?
Health Risk Assessment
2. In general, how would you rate your overall health? *This question is required.
3. Have you ever served in the military? *This question is required.
4. Do you have VA or Tricare coverage? *This question is required.
4. Do you experience any of the following in the place you live? *This question is required.
4. Have you moved three or more times in the last year? *This question is required.
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