Login
English
Español
About Us
Get Started
How It Works
We need some basic information about you so we can ask the right questions:
What is Your Name?
*
What is Your Work ID?
*
Are you male or female?
*
Male
Female
When were you born?
*
Month
01 - January
02 - February
03 - March
04 - April
05 - May
06 - June
07 - July
08 - August
09 - September
10 - October
11 - November
12 - December
Day
Year
What race do you mostly identify with?
*
Aleutian, Alaska native, Eskimo, or American Indian
Asian
Black
White
Pacific Islander
Other
I Don't Know
Are you of Hispanic Origin?
*
Yes
No
Which location are you working with?
UMC-Main
El Paso Health
UMC Surgical Hospital
UMC Neighborhood Clinics
UMC Correctional Facilities
Other Off-Site Clinics
What type of insurance coverage do you have?
UMC-Preferred Administrators
Other Type of Insurance Coverage
No Insurance Coverage
In order to take this health risk survey, you are required to create an account.
Create an account by clicking the button below.
Information you entered on this page will be saved.
Let's Start!