JOINT LABOR-MANAGEMENT BENEFITS COMMITTEE

www.keepingLAwell.com

Joint Labor-Management Benefits Committee (JLMBC) COMMITTEE REPORT 19-05

JLMBC MEMBERS: Employee Organizations David Sanders, Chairperson Paul Bechely Chris Hannan Steve Koffroth William Violante Management Wendy G. Macy, Vice-Chairperson Neil Guglielmo Rich Llewellyn Tony Royster Matthew Rudnick

Date: February 7, 2019 To: JLMBC From: Staff Subject: LIVEwell Program Update RECOMMENDATION That the JLMBC receive and file staff report regarding LIVEwell Program developments, updates, and activities. DISCUSSION

A. Engagement Plan & Events Update

(1) Communications

October 2018 was dedicated to prevention with communications, clinics, and the monthly webinar addressing Flu Shots and Breast Cancer Awareness. Continuing with the Prevention Wellness Building Block in November 2018, Health Screening Clinics were held and a Back Care webinar taught employee participants how to protect, strengthen, and maintain a healthy back. December focused on Stress Management with communications, classes, and the monthly webinar. The webinar, called Relaxation Techniques for Managing Stress, provided stretching, relaxation, and nutrition tips. Also, communications for the 2019 Feel Like A Million Program began with a postcard mailed to members and an all-City email sent to promote registration (Attachment A-J).

(2) Regular Events: Education Classes, Clinics, and Webinars

Education Classes As noted above, October and November were prevention clinics so the only education class was December’s “Mood & Food.” The purpose of the class was to help employees identify triggers and develop skills to manage emotional eating. Staff worked with Anthem to develop the presentation for that class as well as a Mindful Eating Wallet Tip Card that was distributed to participants. The classes began on December 4th with nine City locations in total. Participation details will be provided later in the report.

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Clinics The LIVEwell Program expanded the Flu Shot Clinics to 11 City locations in October 2018 where 776 employees were immunized. That was a 110% increase over 2017 when 370 employees were immunized at six locations. The increase was due in part to additional locations, yet five repeat locations saw an increase in flu shot participation over the previous year, ranging from 11% to 69% increases. New locations included the Central Library, Recreation & Parks Central Service Yard, Los Angeles World Airport (LAWA) Administration West building, the Marvin Braude building, and the Garland building. The 2018 Health Screening Clinics took place in 12 City locations with 491 employees participating, resulting in a 60% increase over the previous year when 325 employees received health screenings at eight City locations. The increase was due in part to additional locations, yet four of the repeat locations saw an increase in health screening participation over the previous year, ranging from 8% to 58% increases. New locations included the Central Library, Central Service Yard, the Marvin Braude building, and the Garland building. Finally, there was one additional Vision Pop-Up Clinic in November. It took place at City Hall East for one week where 52 employees received an exam. Participation by Location For the period October 1 – December 31, 2018, 35 classes and clinics were held, with 1,613 employees having attended those events. Following is the chart showing the distribution of class and clinic attendees by location:

Webinars In November, Kaiser helped employees learn how to protect, strengthen, and maintain healthy backs through posture, positioning, stretches, and gentle exercises. The Back Care Webinar was attended by 112 employees.

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Former provider Managed Health Network (MHN) provided the December webinar called Relaxation Techniques for Managing Stress where employees learned about practical and portable relaxation techniques as well as how to identify the symptoms of stress build-up. That webinar was attended by 201 employees. Staff worked with Anthem to develop the January 2019 webinar presentation Resolve to Get & Stay Healthy. This webinar aimed at starting the new year off right, helped employees set meaningful wellness goals and plans. The webinar was attended by 75 employees. The Relaxation Techniques for Managing Stress and Back Care Webinars are the highest attended webinars to date produced by the LIVEwell Program. Engagement Results Overall, engagements are tracking ahead of the fiscal year goal (below) at 4,290 of 6,000 total engagements or 71.5%. See below for engagement results by month.

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In response to a request from the November 1, 2018 JLMBC meeting, following is a recap of key metrics tracked for fiscal year 2017-2018, where results reflect the impact of the LIVEwell program just one year after launch:

• Program Awareness: Creating awareness is the foundation for program participation and healthy behavior adoption. LIVEwell program awareness increased from 61% to 80% of employee survey respondents, achieving the goal for the year.

• Total Program Engagements: Staff’s goal was to create employee engagement with the wellness program, which is the second step toward healthy behavior adoption. The LIVEwell Program achieved 6,539 member engagements (not including employee surveys) or 163% of the goal of 4,000 engagements.

• Exercise: Staff’s goal was to increase the number of employees who exercise (one of the four Wellness Building Blocks) regularly. Employees who do not exercise regularly decreased from 32% to 30%, based on survey respondents.

• Nutrition: Staff’s goal was to establish a baseline to measure nutrition (one of the four Wellness Building Blocks), based on the recommended two cups of fruits and vegetables or more per day. Baseline data has been established at 82% of employees not getting the recommended daily amount. This question will be repeated in the 2019 survey to measure progress.

• Vision: Staff’s goal was to increase vision exam utilization (part of the Prevention Wellness Building Block) for members from 22% to 27%. Vision exam utilization in fact increased to 35%.

• Dental: Staff’s goal was to increase dental preventative cleanings (part of the Prevention Wellness Building Block) from 54% to 57% of eligible members. Dental cleanings grew to 55%.

• EAP: Staff’s goal was to increase Employee and Family Assistance Program (EFAP) overall utilization (part of the Stress Management Wellness Building Block) from 4.8% to 6% of eligible members. Due to the transition in providers, comparative data is still pending.

2019 LIVEwell Wellness Strategic Plan Below is the 2019 LIVEwell Strategic Plan. As always, the strategy is to leverage carrier partner resources to address and alternate each of the four wellness building blocks throughout the year with a variety of methods, tools, and channels. Each year the topics evolve to keep employees interested, address varied employee needs, and raise the level of education by providing new research, methods, resources, materials and tools. At the same time, the plan includes special topics and events that leverage key partnerships and stakeholder support. New events include a Maternity Wellness Workshop to help expectant parents, as well as employees interested in starting a family, learn about how to have a healthy pregnancy. In addition, an Aging Well Workshop is being developed with the City’s Deferred Compensation Plan and potentially Los Angeles City’s Employee Retirement System to bridge programs for continuity of healthy behaviors into retirement. Also, more cooking demonstration classes have been added. These popular events teach employee skills to plan, shop, and prepare healthy meals for themselves and their families.

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Finally, the plan continues to expand the wellness program’s reach through participation in department events (LADOT Health Fair, Custodian and Employee Appreciation Events and the Port’s Health Fair) and LIVEwell Local on-site visits where regular events do not take place for varied reasons. Events have been expanded in 2019 to include more locations, plus morning and night times as well as weekends. Once Limeade resources are in place, LIVEwell will offer quarterly online challenges enabling members to participate no matter their location, occupation or schedule.

JAN FEB APR MAY JUN

Month's Themes:New Year's/

Weight Management

Heart Health/ Stress Management

Stress Awareness Month

Mental Health; Women's Health

Men's HealthGreat Outdoors

MonthClasses & Clinics (Source) Anthem Anthem Anthem Anthem NA

8-12 Locations per monthExercising Using

Resistance BandsMindful Meditation Cooking Demo

Maternity Health Class: 4 locations

Massage Clinics Chair ExercisesNA - LIVEwell

Festival

Building Outreach:Special Events Port Fair LADOT FAIR

LIVEwell Local Visits: 4 buildings per month

Local: 4 buildings Local: 4 buildings Local: 4 buildings Local: 4 buildings Local: 4 buildings

Special Events & Activities Kaiser: FLAM Team Challenge

SURVEY LIMEADE: Team Challenge

Festival: 6/19

Webinars (All are Anthem through HealthFAX, except DD = Delta Dental)

HF: Resolve to Get & Stay Healthy

HF: Holistic Health

HF: A Laugh a Day Helps Keep the

Stress Away

HF: It's Getting Hot in Here -

menopause management

HF: Men's Health

Monthly Education Emails Weight Management…

Eating & Exercise for Good Health

Heart HealthFoods that Fight

StressEAP Resources

(with CHOOSEwell)Top 10 LA Hikes

AUG SEP OCT NOV DEC

Select H&W Observances/ Seasonal Events

na National Child Obesity Awareness

National Breast Cancer Awareness

American Diabetes Month

Holidays, Open Enrollment

Month's Themes:Aging

Well…Including Fruit & Veg/ Child

Obesity MonthFlu Prevention; Breast Cancer

Diabetes Prevention

Stress/ Holidays

Classes & Clinics (Source) EyeMed Anthem/Chef Ann Anthem Anthem/Chef Ann Kaiser Kaiser Anthem

8-12 Locations per monthVision Clinics (4 locations only)

Cooking Demos (remaining locations)

Aging Well Class with LACERS &

RETIREwell

Cooking Demo 5-6 locations

Flu Shots Health Screenings Yoga

Leadership Engagement Classes HR Mgrs/ExecsBuilding Outreach:

Special Events LAWA FAIR CUSTODIAN FAIRLIVEwell Local Visits:

Local: 4 buildings Local: 4 buildings Local: 4 buildings Local: 4 buildings Local: 4 buildingsSpecial Events & Activities Rock N Stroll 9/21 LIMEADE: Team Webinars (All are Anthem through HealthFAX, except DD = Delta Dental)

HF: Super Foods & Super Moves

HF: Nutrition for Children

DD: Dental HygieneHealth

HF: Easy Ways to Eat Right and Stay

HealthyHealth

HF: Mindful Meditation

Monthly Education Emails Brain Exercises for Aging Well

Health Cooking Tips Chair ExercisesDiabetes

PreventionBoost your mood

Colors are these Building Blocks: Nutrition Physical Activity/ Exercise

Stress Management Prevention

All Building Blocks

LIVEwell 2019 Plan Overview

Nutrition; Maternity Health

Vision; Nutrition

Anthem/Chef Ann

Local: 4 buildings

Local: 4 buildingsLIMEADE: Team Challenge

MAR

JUL

na

HF: Nutrition at Your Fingertips (with Interactive Tools)

HF: Building Resiliency

Diet Myths

Eyemed: Vision Health

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(3) Special Events LIVEwell Local Targeted building outreach continued to build stakeholder interest and support and employee participation. Staff promotes LIVEwell Program events, activities, and resources to encourage healthy behaviors. Staff also distributes wellness tools such as physical activity equipment. In October, LIVEwell visited the Central Library and Recreation & Parks Central Service Yard, attracting 66 and 22 employees respectively, which was helpful since these are two locations where wellness event scheduling has been challenging. Public Works Bureau of Sanitation’s Media Center requested a wellness visit which took place in November, resulting in contacts with 75 employees. Subsequently, this location has been added to the regular monthly event schedule. In January, LIVEwell also revisited the Harbor Department with 23 engagements. Joint Los Angeles City-County Family Event “Rock N’ Stroll – September 19, 2019 The date for the four-hour annual event has been selected as September 19, 2019. Staff will prepare and present the event proposal to the JLMBC for approval once details are available.

Feel Like A Million Team Challenge Event

The 2019 Feel Like A Million Team Challenge is underway with communications as noted previously. Registration takes place January 14th through January 30th. The challenge began on January 28thand lasts for four weeks. Feel Like A Million is an online team-based program through Kaiser’s vendor Health Enhancement Systems (HES). It has been customized for the City and branded with the name of the LIVEwell Program. Feel Like A Million goes beyond exercise to incorporate other healthy behaviors including nutrition, stress reduction, volunteering, and other activities. Employees experience how daily rituals contribute to improved energy, reduced stress, enhanced focus, and greater resilience. Research indicates there is a 50% increase in program participation when a team challenge is involved. Given this fact and that last year’s team competition was so popular, there will be a team challenge again this year. Still, employees do not have to participate in the team challenge to take advantage of the program. Individuals not on a team can still participate and use the Feel Like A Million program on their own.

Team Competition Summary:

• Duration: Four week competition, January 28 – February 24, 2018 • Goal: For each team to reach a virtual $1,000,000 (per person) • Teams: 4-40 employees per team • Scoring: Scores are based on the team’s average virtual dollars

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• Prizes: Prizes will be awarded to the top three teams. In the event of a tie, a random drawing will be held among the top teams. 1st place: FitBit Iconic 2nd place: LIVEwell Exercise Ball Kits 3rd place: LIVEwell Resistance Band Kits

Submitted by: _________________________________ Joan Centanno Approved by: _________________________________ Steven Montagna

Take charge of your health and wellness with these free on site flu shot and health screening clinics. 

Location (in alphabetical order)

Address Room

Central Library630 W. 5th StreetLos Angeles, CA ERTC Room 10/23 11:00 a.m. ‐ 2:00 p.m. 12/4 11:00 a.m. ‐ 2:00 p.m.

City Hall East200 N. Main St.Los Angeles, CA Controller Room 351 10/16 11:00 a.m. ‐ 2:00 p.m. 11/8 11:00 a.m. ‐ 2:00 p.m.

Figueroa Plaza221 N. Figueroa St.Los Angeles, CA

5th Floor Conference Center Room

10/17 11:00 a.m. ‐ 2:00 p.m. 11/13 11:00 a.m. ‐ 2:00 p.m.

Garland Building1200 W. 7th StreetLos Angeles, CA

EWDD 6th Floor Conference Room

10/11 11:00 a.m. ‐ 2:00 p.m. 11/15 11:00 a.m. ‐ 2:00 p.m.

Hyperion Treatment Plant12000 Vista del MarPlaya del Rey, CA Multi‐Purpose Room 10/18 11:00 a.m. ‐ 2:00 p.m. 11/1 11:00 a.m. ‐ 2:00 p.m.

LAWA Admin West

7301 World Way WestLos Angeles, CA

Flu Shots: Nurse's OfficeScreenings: HR Training

10/30 10:00 a.m. ‐ 3:00 p.m. 11/27 11:00 a.m. ‐ 2:00 p.m.

LAWA Skyview

6053 W. Century Blvd.Los Angeles, CA Room 211 N/A N/A 11/28 12:00 p.m. ‐ 3:00 p.m.

Marvin Braude Building6262 Van Nuys Blvd.

Van Nuys, CAConference Rooms 

1A & B10/3 11:00 a.m. ‐ 2:00 p.m. 10/31 11:00 a.m. ‐ 2:00 p.m.

Personnel Building700 E. Temple St.Los Angeles, CA Room 115A 10/9 11:00 a.m. ‐ 2:00 p.m. 11/6 11:00 a.m. ‐ 2:00 p.m.

Police Admin Building100 W. 1st St.

Los Angeles, CA Comstat Room 10/2 11:00 a.m. ‐ 2:00 p.m. 12/6 11:00 a.m. ‐ 2:00 p.m.

Public Works Building1149 S. Broadway Los Angeles, CA

Sub‐Basement Room 7

10/4 11:00 a.m. ‐ 2:00 p.m. 11/14 11:00 a.m. ‐ 2:00 p.m.

Rec & Parks Central Service Yard (CSY)

3900 W. Chevy Chase Dr. Los Angeles, CA Conference Room 1 10/25 11:00 a.m. ‐ 2:00 p.m. 11/7 11:00 a.m. ‐ 2:00 p.m.

FLU VACCINATIONS HEALTH SCREENINGS

Attachment A

Participants will need to show their City ID at the clinic.

Click the arrow to sign up today at kp.org/wellnessevent – all Anthem and Kaiser members are eligible. New users enter signup code: LIVEwell

Note: No fasting is required for your health screening, which includes total cholesterol, HDL, glucose, blood pressure, BMI, height, weight, and body fat percentage. It takes just 10 minutes and you get your results right then. 

Click here to sign up today at kp.org/wellnessevent. New users enter signup code LIVEwell.

All Anthem and Kaiser members are eligible.Participants will need to show their City ID at the clinic.

No fasting is required. The screening includes total cholesterol, HDL, glucose, blood pressure, BMI, height, weight, and body fat percentage. It takes just 10 minutes and you get your results there.

There are still appointments available to get your free on site health screening. So sign up today!

Location Address Room

Police Admin Building 100 W. 1st St., LA Comstat Room 12/6 11:00am ‐ 2:00pm

Marvin Braude Building6262 Van Nuys Blvd 

Van Nuys, CAConference Rooms 

1A & B10/31 11:00am ‐ 2:00pm

Public Works Building 1149 S. Broadway, LASub‐Basement 

Room 711/14 11:00am ‐ 2:00pm

Personnel Building 700 E. Temple St. LA Room 115A 11/6 11:00am ‐ 2:00pm

Garland Building 1200 W. 7th Street, LAEWDD 6th Floor Conference Room

11/15 11:00am ‐ 2:00pm

City Hall East 200 N. Main St., LA Controller Room 351 11/8 11:00am ‐ 2:00pm

Figueroa Plaza 221 N. Figueroa St., LA5th Floor Conference 

Center Room11/13 11:00am ‐ 2:00pm

Hyperion Treatment Plant12000 Vista del MarPlaya del Rey, CA

MultiPurpose Room 11/1 11:00am ‐ 2:00pm

Central Library 630 W. 5th Street, LA ERTC Room 12/4 11:00am ‐ 2:00pm

Rec & Parks Central Service Yard (CSY)

3900 W Chevy Chase Dr., LA Conference Room 1 11/7 11:00am ‐ 2:00pm

LAWA Admin West 7407 1/2 World Way West, LA MSD Lunch Room ‐ M2 11/27 11:00am ‐ 2:00pm

LAWA Skyview 6053 W Century Blvd, LA Room 211 11/28 12:00pm ‐ 3:00pm

HEALTH SCREENINGS

Attachment B

Receive a free Massage Ball Roller at class.Click here to register.

Many people struggle with eating which may be tied to stress or other emotions. This class helps you identify triggers and

develop skills to manage emotional eating.

Location Date Time Room Address

Hyperion WRP 11/29/2018 11:00 a.m. ‐ 12:00 p.m. SMF Multipurpose Room12000 Vista del MarPlaya del Rey, CA

Garland  Building 12/4/2018 12:00 p.m. ‐ 1:00 p.m.6th Floor EWDD Conference Room

1200 W. 7th St., LA

City Hall East 12/6/2018 12:00 p.m. ‐ 1:00 p.m. Controller Room 351 200 N. Main St., LA

Media Tech Center 12/11/2018 12:00 p.m. ‐ 1:00 p.m. MTC Training Room 2714 Media Center Dr., LA

Public Works Building

12/12/2018 12:00 p.m. ‐ 1:00 p.m. Sub‐Basement  Room 7 1149 S. Broadway, LA

Marvin Braude Building 12/13/2018 12:00 p.m. ‐ 1:00 p.m. Conference Room  1A & B6262 Van Nuys Blvd.,Van Nuys, CA

LAWA Admin West 12/18/2018 12:00 p.m. ‐ 1:00 p.m. HR Training Room 7307‐A World Way West, LA

LAWA Skyview 12/19/2018 12:00 p.m. ‐ 1:00 p.m. Room 211 6053 W. Century Blvd., LA

Figueroa Plaza 12/20/2018 12:00 p.m. ‐ 1:00 p.m.5th Floor Conference Center Room

221 N. Figueroa St., LA

2018 December Mood & Food Classes

Attachment C

Try these simple tipsto keep your back healthy.

Exercise your backregularly; walking,swimming and usingexercise bikes canstrengthen your back.

Use relaxation methods suchas breathing exercises tohelp manage stress, a majorcause of back pain.

Maintain good posture –avoidslumping in your chair,hunching over a desk, ortensing your shoulders up.

Try to take a short breakfrom sitting every 30minutes.

When driving longdistances, take frequentbreaks with a short walk orstretch.

Keep your mobile device atchest or eye level todecrease neck and backstrain.

Attachment D

Check that your bed provides good support and comfort, not just firmness, for your weight and build.

Never twist and bend at the same time.

For more help, watch this video:https://www.youtube.com/watch?v=RHPDiS30gYM

Maintain a healthy weight since excess weight can strain your back.

Stop smoking – Research indicates that smoking may reduce the blood supply to the discs between the vertebrae, and this may lead to these discs degenerating.

Helps decrease tension headaches ‐ In addition to a healthy diet, adequate hydration, and plenty of rest, stretching may reduce tension headaches.

Stretching increases your flexibility, and much more! 

Stretching isn’t just for superheroes!

Increases your flexibility – For everyday activities and can also help delay reduced mobility that can come with aging.

Relieves stress ‐ Your muscles tend to tighten up in response to physical and emotional stress so stretching can help relax them.

Increases your range of motion ‐ Being able to move a joint through its full range of motion gives you more freedom of movement. 

Helps to heal and prevent back pain ‐ Stretching can help reduce back pain, strengthen your back muscles, and reduce your risk for muscle strain.

Can calm your mind ‐ Stretching can also calm your mind. While you stretch, focusing on the stretching gives your mind a mental break.

Attachment E

How to Get Started

Anyone can benefit from a regular stretching routine of just a few minutes per day. You can stretch while seated at your desk or standing in your work space. You might even be able to stretch while you're participating in a conference call or other workplace activities. 

How to Stretch

Click on the videos to the right to understand proper form and technique for desk stretches. Each stretching video is just 1 1/2 minutes.

If you’re new to a regular stretching routine, take it slow. Never stretch beyond the point of comfort. If you have an injury, limitations, or any concerns, only perform stretches recommended by your doctor. 

The Bottom Line ‐ You don't need special equipment to stretch and you won't break a sweat, but the results can be powerful, like a superhero! 

Increases blood flow to your muscles – Stretching improves circulation which increases blood flow to your muscles. That can shorten your recovery time and reduce muscle soreness.

Improves your performance in physical activities ‐Performing dynamic stretches before physical activities can help prepare muscles for the activity. 

Improves your posture ‐ Stretching specific muscle groups can reduce musculoskeletal pain and encourage proper alignment. That, in turn, can help improve your posture.

Wellness Wednesday WebinarsAll webinars take place 12:00 p.m. ‐ 1:00 p.m. PST

Date Topic Description

October 3 Breast Cancer Awareness

It's Breast Cancer Awareness Month so here's what you need to know. Breast Cancer is the second most common type of cancer among women. So join this session to learn about risk factors, detection methods, and more. You will also be able to ask questions in this interactive, anonymous forum.

November 7 Back CareNo pain. Your gain! Learn how to protect and strengthen your back. We'll also talk about posture, positioning, stretches, and gentle exercises that can help you maintain a healthy back.

December 5Relaxation 

Techniques for Managing Stress

Relaxation helps decrease the effects of stress on your mind and body. Learn relaxation techniques that are easy to use and can be done just about anywhere. Plus, identify the symptoms of stress “build‐up," and practice strategies for stress reduction.

These are the final webinars of 2018. You don’t want to miss them!

These interactive webinars will help answer your questions about three 

important health and wellness topics.

Employees can access thesewebinars by clicking here to find the 

unique link for each session.

Attachment F

Join this webinar to learn about posture, positioning, stretches, and more to help you protect, strengthen, and maintain a healthy back. 

The Back Care Webinar is tomorrow November 7th at 12:00 p.m. Registration is not required, so just click here to join the webinar. 

Take care of your back! BEFORE AFTER

Attachment G

“re∙lax∙a∙tion” Definition: the state of being free from tension and anxiety 

Relaxation can help you reduce stress, fatigue, frustration, and more. Learn relaxation techniques you can do anywhere, experience how it works, and develop your action plan

during the Relaxation Strategies Webinar tomorrow, December 5th at 12:00 p.m.To register for the webinar, click here. All employees are welcome!

Attachment H

Joint Labor‐Management Benefits CommitteeCity of Los Angeles200 N. Spring Street, Room 867Los Angeles, CA 90012

PresortedFirst Class MailU.S. POSTAGE

PAIDLos Angeles CAPermit #12932

Get your team together, sign up, and get ready to Feel Like A Million!

Ready to have less stress and more energy? Feel Like A Million is a fun‐filled 4‐week game show‐themed program where your goal is to earn a virtual $1 million as you log daily health habits. It’s more than a fitness or nutrition program. You also earn virtual “dollars” for a wide variety of activities like word games, relaxation, volunteering, and more. Plus, teams can compete for prizes!

Registration is open January 14th ‐ January 25th at: https://cityofla.ifeellikeamillion.com.

Sign Up to Feel Like A Million in 2019!

Attachment I

Get your team together, sign up, and get ready to Feel Like A Million!

Ready to have less stress and more energy? Feel Like A Million is a fun‐filled 4‐week game show‐themed program where your goal is to earn a virtual $1 million as you log daily health habits. It’s more than a fitness or nutrition program. You also earn virtual “dollars” for a wide variety of activities like word games, relaxation, volunteering, and more. Plus, teams can compete for prizes!

Registration is open January 14th ‐ January 25th

Click here to sign up!

Sign Up to Feel Like A Million in 2019!

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