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2018 City Wellness Evaluation Form http://cityofracine.org/health/wellness Attach this form to the 2018 Licensed Healthcare Provider Form Check One: Employee Participants NameEmployee # Employee Spouse

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How to fill out 2018 city wellness evaluation

01

Step 1: Obtain a copy of the 2018 city wellness evaluation form.

02

Step 2: Read the instructions and review the questions on the form.

03

Step 3: Fill out personal information such as name, address, and contact details.

04

Step 4: Answer each question accurately and honestly based on your health and wellness activities in 2018.

05

Step 5: Double-check your answers for any mistakes or missing information.

06

Step 6: Sign and date the form.

07

Step 7: Submit the completed form to the designated city wellness evaluation department.

Who needs 2018 city wellness evaluation?

01

Any individual residing in the city who wants to evaluate their wellness status for the year 2018.

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What is city wellness evaluation form?

The city wellness evaluation form is a document used to assess and report on the wellness initiatives and programs implemented by a city.

Who is required to file city wellness evaluation form?

City officials and organizations responsible for overseeing wellness programs within the city are required to file the evaluation form.

How to fill out city wellness evaluation form?

To fill out the city wellness evaluation form, individuals must provide information on the wellness programs offered, participation rates, outcomes, and any improvements made.

What is the purpose of city wellness evaluation form?

The purpose of the city wellness evaluation form is to measure the effectiveness of wellness programs, identify areas for improvement, and ensure that resources are being used efficiently.

What information must be reported on city wellness evaluation form?

Information such as program details, participant demographics, measurable goals, outcomes, and any barriers faced must be reported on the form.

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