To: Staff participating in Worksite Wellness Program
From: Shelva Moore CSH Coordinator
Date: August 24, 2012
Re: Get Fit/Stay Fit for Teachers
Congratulations to all of you who have chosen to take part in our Staff Wellness Program. Our goal is to motivate, educate and stimulate all to reach new levels in their personal health and fitness.
The Wellness Program will run September thru April. Grand prizes for the winners will be given in May. We will have quarterly winners for the staff member with the most points. Prizes include such things as a day off with paid sub, massage, gift cards, etc.
We will be using a point system throughout the year. In order to gain points, you must document your points and turn them in monthly to CSH. A point sheet will be provided. Each participant who turns in their monthly log will receive a prize at the end of the year. As part of the wellness program CSH will be offering aerobics and yoga classes free of charge to all staff. There will also be guest speakers that will be presenting programs on important health topics throughout the school year. You may earn additional points for attending these programs.
Please feel free to contact me at anytime with questions concerning the program. My phone number is 731-645-4033 or e-mail me at moores@mcnairy.org . Thanks and best of luck!
Shelva Moore Coordinated School Health
STAFF WELLNESS PROGRAM REGISTRATION FORM (Please print clearly)
Name: ____________________________ Date: __________ Date of birth: _____________________ Phone:______________________ Occupation: ______________________ School site: _____________________ Primary e-mail: ________________________________________
What are your personal health and wellness goals? _______________________________________________________________________ What are your plans for maintaining your goals once you've reached them? _______________________________________________________________________ What have you been doing to benefit your health and wellness up until now? _______________________________________________________________________ What is the biggest obstacle that keeps you from leading a healthy lifestyle? _______________________________________________________________________ What are your most motivating reasons for wanting to become healthier? _______________________________________________________________________ Do you get regular check ups, tests and health exams? _________
At your last visit, did your doctor discuss with you how you could benefit from a healthier lifestyle? ______________
Do you have any health or medical problems that we may need to be aware of? _____________________________________________________________
Current activity level: Sedentary 0 times per week, Moderate 1-2 times per week, Active 3-4 times per week, Very active 5-7 times per week: ________________________________ *I understand that I need to check with my doctor before beginning a regular exercise routine! ___________ (please initial) *Check which of the following you are ready and willing to do in order to achieve permanent results:
_____Devote at least 30 minutes, 3 times a week for physical activity.
_____Drink at least 32 ounces of water a day.
_____Implement a lifestyle change by learning about how nutrition affects my weight, my health and my body and change my eating habits accordingly.
_____Attend at least one health education, motivation and information clinic every quarter.
_____Find a partner to share in my success.
Signature
Congratulations!!! You have taken the first step to a healthier lifestyle!!!
WELCOME!
"WELLNESS PROGRAM POINTS CHART" "GET FIT/STAY FIT!" Name: Month:
*CSH will provide a box in each schools lounge for all monthly logs to be put in **If you have any questions please contact Shelva Moore or Wanda Wallace at moores@mcnairy.org or 645-4033
NAME: __________________ WEEK OF: _________________ DAILY FITNESS LOG
DAILY FOOD LOG
WEIGHT AND MEASUREMENTS (Done quarterly by school nurse by appointment)
NAME: ____________________________ DATE: ____________________________ WEIGHT: _________________________ BMI: ______________________
WEIGHT AND MEASUREMENTS (Done quarterly by school nurse by appointment)
NAME: ______________________________ DATE: ____________________________ WEIGHT: _________________________ BMI: ______________________
WEIGHT AND MEASUREMENTS (Done quarterly by school nurse by appointment)
NAME: _____________________________ DATE: ____________________________ WEIGHT: _________________________ BMI: ______________________
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