Health Risk Assessment Questionnaire

Please provide the following information to begin:

Company and employee info

Before beginning this questionnaire, please have your medical information at hand if you have not participated in one of our health fairs. Please have available your height, weight, approximate dates of most recent preventive services and health screenings, and blood pressure and cholesterol measurements.

Please Note: If you have participated in one of our health fairs and had your biometric measurements and labs drawn by us and it has been more than two weeks since the health fair, then your BP, Ht, Wt, blood glucose(sugar) and cholesterol values should have automatically populated the appropriate questions.

You need to create a login and password. You will need the login and password in order to access your account and review your current report.

Your privacy comes first! Your Last Name and Employee ID are required to confirm your eligibility to take advantage of this Health Risk Appraisal (HRA). Beyond this purpose, your information is considered anonymous. Your data are held in confidence by the Total Care Health Professional Corporation and Boyce and Bynum Pathology Laboratories and may be used in an aggregate, anonymous form for reporting and scientific research. For complete details, see our HRA privacy statement via the "Privacy" link above and as located on our website at

Authorized Users
- The HMRC HRA Questionnaire and Profile are available to you from Total Care Health in cooperation with the Boyce and Bynum Pathology Laboratories. There is no charge to you for this service!

What is the Health Risk Assessment Questionnaire?
- This free and confidential health survey takes about 5 minutes to complete. A personal report will be generated, identifying lifestyle behaviors to maintain or improve your health. Even a small change, such as walking every day for 30 minutes, can greatly help your health.

Participate if you want to know how to ...

  • improve your quality of life.
  • prevent future personal health problems.
  • be healthier.
  • gain an understanding of the impact of daily lifestyle choices on future health.

Or, are you curious about:
Increasing the amount of activity/exercise you do on a weekly basis?
What is a healthy weight range/BMI is?
What can I do to help prevent heart attack, stroke, or cancer?

The Health Risk Assessment Questionnaire is for:
- Adults age 19 and over.

All information on the questionnaire is:
- Processed by the Total Care Health Professional Corporation and Boyce and Bynum Pathology Laboratories where a personal health report is produced.

When you read your HRA Personal Health Report, you may gain a better sense of the steps you can take to improve your health.

Employee ID:
Employee Last Name:

Already answered the questionnaire?

If you've previously answered an HRA questionnaire and provided a password, visit our user login page to review your HRA reports.