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# Description Points 1 Health Education/Screening (Wellness sponsored) 10 pts/each 2 Self Care Activity (self exams; eye, dental, physical) 2 pts/each 3 Exercise Program (1 pt/30 minutes w/max of 7 pts/wk) 4 Weight loss program (must see loss) 3 pts/month 5 CPR/First Aid Certification (2 pts/mo) 6 Non Tobacco user (4 pts/mo 16 pts/tri) 7 Water Program (6-8 glasses/day) 2 pts/wk 8 Use safety equipment (id: helmet, seat belts) 1 pt/wk 9 Stress Mgmt (ie: yoga, reading, massage) 1 pt/wk 10 Non-Use of sick time (3 pts/mo 12 pts/tri) 11 Quit Tobacco use (10 pts/mo for up to 1 year) 1 time only # Description Points 1 Health Education/Screening (Wellness sponsored) 10 pts/each 2 Self Care Activity (self exams; eye, dental, physical) 2 pts/each 3 Exercise Program (1 pt/30 minutes w/max of 7 pts/wk) 4 Weight loss program (must see loss) 3 pts/month 5 CPR/First Aid Certification (2 pts/mo) 6 Non Tobacco user (4 pts/mo 16 pts/tri) 7 Water Program (6-8 glasses/day) 2 pts/wk 8 Use safety equipment (id: helmet, seat belts) 1 pt/wk 9 Stress Mgmt (ie: yoga, reading, massage) 1 pt/wk 10 Non-Use of sick time (3 pts/mo 12 pts/tri) 11 Quit Tobacco use (10 pts/mo for up to 1 year) 1 time only # Description Points 1 Health Education/Screening (Wellness sponsored) 10 pts/each 2 Self Care Activity (self exams; eye, dental, physical) 2 pts/each 3 Exercise Program (1 pt/30 minutes w/max of 7 pts/wk) 4 Weight loss program (must see loss) 3 pts/month 5 CPR/First Aid Certification (2 pts/mo) 6 Non Tobacco user (4 pts/mo 16 pts/tri) 7 Water Program (6-8 glasses/day) 2 pts/wk 8 Use safety equipment (id: helmet, seat belts) 1 pt/wk 9 Stress Mgmt (ie: yoga, reading, massage) 1 pt/wk 10 Non-Use of sick time (3 pts/mo 12 pts/tri) 11 Quit Tobacco use (10 pts/mo for up to 1 year) 1 time only # Description Points 1 Health Education/Screening (Wellness sponsored) 10 pts/each 2 Self Care Activity (self exams; eye, dental, physical) 2 pts/each 3 Exercise Program (1 pt/30 minutes w/max of 7 pts/wk) 4 Weight loss program (must see loss) 3 pts/month 5 CPR/First Aid Certification (2 pts/mo) 6 Non Tobacco user (4 pts/mo 16 pts/tri) 7 Water Program (6-8 glasses/day) 2 pts/wk 8 Use safety equipment (id: helmet, seat belts) 1 pt/wk 9 Stress Mgmt (ie: yoga, reading, massage) 1 pt/wk 10 Non-Use of sick time (3 pts/mo 12 pts/tri) 11 Quit Tobacco use (10 pts/mo for up to 1 year) 1 time only 12 Theme of Trimester (on City Intranet) 12 pts/trimester 13 Blood Donations (5pt/donation) Month April August December Sub-Total for Month #4 Name: Incentive: TOTAL POINTS FOR TRIMESTER Sub-Total for Month #2 WELLNESS TRIMESTER LOG Month March July November Sub-Total for Month #3 Month January May September Sub-Total for Month #1 Month February June October