Where's Healthy Hank Step Submission | Western Wisconsin Health

Where’s Healthy Hank? Weekly Step Submission

2023 Where's Healthy Hank Step Submission

NO LATE SUBMISSIONS - NO EXCEPTIONS. Weekly submissions due every Monday by midnight.
First Name*
Last Name*
Email*
Company Name (if participating in the corporate challenge)
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Week 1 Total Steps:
(Total steps from Monday, January 9 - Sunday, January 15)
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Week 2 Total Steps:
(Total steps from Monday, January 16 - Sunday, January 22)
Week 3 Total Steps:
(Total steps from Monday, January 23 - Sunday, January 29)
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Week 4 Total Steps:
(Total steps from Monday, January 30 - Sunday, February 5)
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Week 5 Total Steps:
Total steps from Monday, February 6 - Sunday, February 12)
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Week 6 Total Steps:
Total steps from Monday, February 13 - Sunday, February 19)
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Week 7 Total Steps:
Total steps from Monday, February 20 - Sunday, February 26)
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Week 8 Total Steps:
Total steps from Monday, February 27 - Sunday, March 5)
Are you assisting another participant or dependent in entering their weekly steps?
- Yes
- No

Name (Additional Participant 1)
First Last
Email
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Week 1 Total Steps
(Total Steps from Monday - Sunday)
This field is hidden when viewing the form
Week 2 Total Steps
(Total Steps from Monday - Sunday)
Week 3 Total Steps
(Total Steps from Monday - Sunday)
This field is hidden when viewing the form
Week 4 Total Steps
(Total Steps from Monday - Sunday)
This field is hidden when viewing the form
Week 5 Total Steps
(Total Steps from Monday - Sunday)
This field is hidden when viewing the form
Week 6 Total Steps
(Total Steps from Monday - Sunday)
This field is hidden when viewing the form
Week 7 Total Steps
(Total Steps from Monday - Sunday)
This field is hidden when viewing the form
Week 8 Total Steps
(Total Steps from Monday - Sunday)
Name (Additional Participant 2)
First Last
Email
This field is hidden when viewing the form
Week 1 Total Steps
(Total Steps from Monday - Sunday)
This field is hidden when viewing the form
Week 2 Total Steps
(Total Steps from Monday - Sunday)
Week 3 Total Steps
(Total Steps from Monday - Sunday)
This field is hidden when viewing the form
Week 4 Total Steps
(Total Steps from Monday - Sunday)
This field is hidden when viewing the form
Week 5 Total Steps
(Total Steps from Monday - Sunday)
This field is hidden when viewing the form
Week 6 Total Steps
(Total Steps from Monday - Sunday)
This field is hidden when viewing the form
Week 7 Total Steps
(Total Steps from Monday - Sunday)
This field is hidden when viewing the form
Week 8 Total Steps
(Total Steps from Monday - Sunday)
Name (Additional Participant 3)
First Last
Email
This field is hidden when viewing the form
Week 1 Total Steps
(Total Steps from Monday - Sunday)
This field is hidden when viewing the form
Week 2 Total Steps
(Total Steps from Monday - Sunday)
Week 3 Total Steps
(Total Steps from Monday - Sunday)
This field is hidden when viewing the form
Week 4 Total Steps
(Total Steps from Monday - Sunday)
This field is hidden when viewing the form
Week 5 Total Steps
(Total Steps from Monday - Sunday)
This field is hidden when viewing the form
Week 6 Total Steps
(Total Steps from Monday - Sunday)
This field is hidden when viewing the form
Week 7 Total Steps
(Total Steps from Monday - Sunday)
This field is hidden when viewing the form
Week 8 Total Steps
(Total Steps from Monday - Sunday)
Name (Additional Participant 4)
First Last
Email
This field is hidden when viewing the form
Week 1 Total Steps
(Total Steps from Monday - Sunday)
This field is hidden when viewing the form
Week 2 Total Steps
(Total Steps from Monday - Sunday)
Week 3 Total Steps
(Total Steps from Monday - Sunday)
This field is hidden when viewing the form
Week 4 Total Steps
(Total Steps from Monday - Sunday)
This field is hidden when viewing the form
Week 5 Total Steps
(Total Steps from Monday - Sunday)
This field is hidden when viewing the form
Week 6 Total Steps
(Total Steps from Monday - Sunday)
This field is hidden when viewing the form
Week 7 Total Steps
(Total Steps from Monday - Sunday)
This field is hidden when viewing the form
Week 8 Total Steps
(Total Steps from Monday - Sunday)
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2023 Where's Healthy Hank Step Submission

NO LATE SUBMISSIONS - NO EXCEPTIONS. Weekly submissions due every Monday by midnight.