Answer the following questions after reviewing the Health and Well-Being, Beginning to Manage Stress, and Employee Safety modules. Send completed questionnaire via mail, fax, or email to:
Michael J. Loomis, MPH
Department of Administrative Services
25 Capital St. Room 412
Concord NH, 03301
phone:(603) 271-4103 fax:(603) 271-7049 e mail :
Name __________________________ Phone____________________ Date of Birth_______________
Please select the correct answer
1. Anthem Health Reward activities that reward points to trade in toward $300 in gift cards or Visa Reward Cards include:
A. Know Your Numbers Health Screening
B. Healthy Lifestyles Program
C. Employee Health Education Program
D. Claims-Based Preventive Care Screenings
E. Flu Vaccination
F. ConditionCare Program
G. All of the Above
2. 66% of the general population experienced stress in the past two weeks, with almost 50% rating it as moderate or high stress.
True False
3. Additional annual health reimbursement programs and savings opportunities include….
A. $200 Health Reimbursement Arrangement for completing the Health Assessment Tool (HAT) also known as the Well-Being Assessment.
B. $150 Community Health Education Reimbursement Program
C. $450 Health Club Benefit or $200 Fitness Equipment Reimbursement (HMO only)
D. All of the Above
4. The Vitals SmartShopper benefit researches the cost of over 40 different medical procedures. When employees and dependents contact Vitals to find a cost-effective medical service provider for a medical procedure and they use that provider for the procedure, they will receive a monetary incentive.
True False
5. Which of the following statements are true about the State Employee Assistance Program?
A. Services are confidential and voluntary to assist state employees and family members.
B. Works closely with members to identify issues before they disrupt life.
C. Will help employee’s ability to carry out his/her job.
D. All of the Above
6. If you see a potential slip/trip/fall hazard, you should ___________ it.
A. Report
B. Ignore
C. Tell a co-worker
D. All of the Above
7. One aspect of proper lifting technique includes maintaining a neutral spine.
True False
8. Safe driving includes?
A. Wearing your seat belt
B. Not using hand-held mobile electronic devices while driving
C. Avoid backing if possible
D. All of the above
9. Stress is defined as “A state of mental or emotional strain or tension resulting from adverse or very demanding circumstances”.
True False
10. Name three things you will do to improve your health after reviewing these modules?
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Ver. 12/13/16