Better Mississippi Initiative Health Survey
This challenge is simple! All you have to do is take the health survey below and commit to 5 out of the 11 Better Mississippi Initiative Challenge activities. Remember that the attempt matters the most and every step counts. These activities are meant to get you headed in the right direction toward optimal health.
Sign in to Google to save your progress. Learn more
Email *
Last Name *
First Name *
Age *
State of Residence *
Height *
Weight *
What is your BMI? *
According to your BMI (body mass index), which category do you fit under? https://www.bcbst.com/providers/MPMTools/BMICalculator.shtm *
Do you currently have any of the health issues below? *
Required
Have you had a health screening with in the last 12 months? *
What health markers are you seeking to improve? *
Required
Have you taken any steps to improve your health markers? *
Required
What resources can Operation Fit Nation provide to help improve your overall health? *
Phone Number
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms