Health Risk Assessment Questionnaire

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Location: Volkswagen (Chattanooga)
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User Agreement for ProgressiveHealthLIVE - Health Risk Assessment

Provided by ProgressiveHealth, LLC (PH)

1. Health Information
Health information available through ProgressiveHealthLIVE is provided by PH solely for informational purposes as a service to promote healthy living. ProgressiveHealthLIVE allows you to complete a questionnaire to measure different areas of your lifestyle. The results of these questions are assimilated using aggregated statistical information giving generalized results for typical persons, and are not in any way to be taken as a definitive diagnosis, advice or recommendation for any individual. These results and the health information provided by ProgressiveHealthLIVE do not constitute medical advice and are not intended to be a substitute for proper professional medical care. Always consult with your doctor for appropriate examinations, treatment, testing, and care recommendations. Do not rely on information on this site as a tool for self-diagnosis.


2. General Disclaimer and Limitation of Liability
All information on ProgressiveHealthLIVE is provided "AS IS" and without warranties of any kind, either express or implied, including, but not limited to, the implied warranties of merchantability, fitness for a particular purpose, or non-infringement. Although the tools available on ProgressiveHealthLIVE may assist you with managing your health improvement goals, this assistance should be regarded simply as guidance. All information, including such guidance, is presented without any warranty as to its reliability, accuracy, timeliness, usefulness or completeness, and any decisions that you make based on any guidance are your own. PH does not warrant that access to ProgressiveHealthLIVE will be uninterrupted or error-free. You agree to use ProgressiveHealthLIVE at your own risk. PH assumes no responsibility for any circumstances arising out of the use, misuse, interpretation, or application of any information supplied on this site. You agree by accessing ProgressiveHealthLIVE that under no circumstances or any theories of liability under international or civil, common or statutory law including but not limited to strict liability, negligence or other tort theories or contract, patent or copyright laws, will PH be liable for damages of any kind occurring from the use of ProgressiveHealthLIVE or any information, goods or services obtained through ProgressiveHealthLIVE including direct, indirect, consequential, incidental or punitive damages (even if PH has been advised of the possibility of such damages), to the fullest extent permitted by law. Some jurisdictions do not allow the exclusion or limitation of certain damages, so some of these limitations may not apply to you.


3. Participation and Consent
I agree to provide timely, accurate, and honest information with regard to current lifestyle habits and lifestyle changes. Further, I understand that in order to ensure maximum benefit of program services, I may, in the future, be asked to complete voluntary HRAs in order to maintain my information. I am aware that, in connection with the program, auditing of specific individuals and physician testing may be required. Such physical testing may include, but is not necessarily limited to, height, weight, blood pressure, lipid profile, and blood glucose.
I understand there are no questions in the Health Risk Assessment Questionnaire that are related to my family medical history. The regulations in connection with the Genetic Information Nondiscrimination Act of 2008 (“GINA”), prohibit discrimination based on genetic information. I understand that I am not to include any genetic information as a supplement to any of my responses including any family medical history or any information related to genetic testing, genetic services and genetic counseling or genetic diseases for which I may be at risk.
I understand that ProgressiveHealth agrees to maintain and protect as confidential any individually identifiable health risk information about me from my employer. I understand that my employer may receive aggregate (group) risk data for the purpose of determining the overall risk of the group and identifying program(s) that might be of benefit to certain groups. I understand that my individual health risk data will NOT be scrutinized or inspected by my employer.


4. Health Risk Assessment Privacy Statement
When you complete a Health Risk Assessment, you share important information about your health, wellness, and lifestyle. PH and its Business Associates (including Erlanger Health System and Cigna Health Care) use this information to identify programs and services that can help you stay healthy, improve your health, or address other health-related issues. Examples of these services include, but are not limited to, one on one health coaching, nutrition counseling, group programs and online health and wellness programs.

We may also share information related to your Health Assessment for the following purposes:

We may tell the administrator of your health plan, (the "Plan Administrator") that you completed the Health Assessment. If your health plan offers you a benefit incentive for completing the Health Assessment, we will provide the Health Plan Administrator with information necessary to confirm your eligibility for the incentive.

We may share information with your Health Plan Administrator, to offer health and wellness programs and services to you and/or your family members.

If you are taking this Health Risk Assessment prior to your enrollment in a Health Plan, the information you provide will be stored in a secure database. If you enroll during that time, we will work with your Health Plan Administrator to match your Health Risk Assessment results with your enrollment information to provide you with program services.


5. Changes and Applicable Law
We reserve the right to make changes to ProgressiveHealthLIVE and this User Agreement.

6. Privacy
By clicking the "I agree" box below, you signify your consent to the processing (such as assessment) of your personal data by PH and its Business Associates. I acknowledge and understand the aforementioned terms.

I agree to the terms and statements outlined above.