Complete Health Improvement Program Intake Information
CHIP is a transformative, 18 session lifestyle change program. We are so happy that you are interested in joining us for the summer 2018 virtual class!

Live Healthy Appalachia (LHA) has been offering CHIP for nearly a decade, and has found that everyone has a better experience when we provide as much information about the program and expectations before registration. Please answer the following questions as best as you can.

What is your name? *

Are you currently covered by OU health insurance?

Do you plan to maintain your OU health insurance coverage after July 1st?

The next few questions relate to the logistics of the classes and the expectations of participation.

This class will be presented completely virtually, meaning that you will need an Internet connection to access materials before class, and an Internet connection and clear phone connection to participate in scheduled group discussions via Zoom.

Do you have access to an Internet connection for video streaming, and clear phone service?

Group discussion via web conference and phone will take place over the lunch hour (roughly 12-1) on Tuesdays and Thursdays, from late May through July.

Is this a time that you will be able to participate in the group discussion portion of the class? You do not need to be in your office to participate.

There will be roughly 90 minutes of work outside of class time to complete each week (two educational videos, two short quizzes, some reading and workbook exercises). Will you be able to set aside time to complete this work?

OU Human Resources will pay 100% of the cost of CHIP for employees that meet the following requirements:

1. Participate in at least 14 of the 18 scheduled lunchtime conference calls via Zoom.

2. Attend the virtual orientation session via Zoom on May 17th.

3. Complete all 18 CHIP Session modules, which include a 25-minute video and a short quiz.

4. Participate in the pre-CHIP and mid-CHIP health screenings (these are biometric screenings that include a lifestyle evaluation survey). We will be at OU-Zanesville on May 14th and June 18th and OU-Lancaster on May 15th and June 20th for screenings.

Do you anticipate conflicts with any of these requirements? Please select all that apply

The next few questions will will provide you with more information about CHIP

CHIP is an evidenced-based, intensive lifestyle change program that focuses on increasing consumption of plant-based whole foods and reducing processed and animal-based foods, as well as increasing physical activity and navigating the psycho-social aspects of whole health.

During CHIP, participants who follow the program can experience normalized blood pressure, lower cholesterol and triglycerides, reduced weight and BMI and stabilized fasting blood sugar. Some participants have been able to reduce or eliminate the need for medications.

Do you have any specific goals bringing you to the CHIP program?

In lieu of attending the scheduled CHIP Info Session at your campus, we'd like to schedule a short phone call with you to go over further program details and answer any questions you may have about CHIP.

Please provide us with a few dates and times when you would be available to chat with a member of the CHIP team.

What is the best number to reach you for that phone call? We will confirm a time before we call you.

Thank you so much for taking the time to answer this survey! We will be reaching out to you soon.

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