Healthy For Good Lifestyle Change | Nomination Form

2018 Southern Maine Heart Walk

 
AHA HW HFG logo 2018 Southern Maine Heart Walk
Healthy For Good™ Lifestyle Award
Nomination Form

 

Healthy For Good™ is a revolutionary movement to inspire you to create lasting change in your health and your life, one small step at a time. The approach is simple: Eat smart. Add color. Move more. Be well.

Are you A Healthy For Good™ Hero? The American Heart Association and Anthem BlueCross BlueShield want to recognize individuals who have made or have encouraged someone to make positive changes to improve the quality of their life and health.

Nominations for the Healthy For Good™ Lifestyle Award can be submitted by friends, co-workers or relatives, and individuals can nominate themselves. Winners will be chosen by a volunteer committee.

Click here to print a hard copy of the form. All nominations must be submitted by Tuesday, May 1, 2018.


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How may we contact the nominee if he or she is selected?

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Question - Required - Has this person made changes/influenced change in one or more of the following areas?

 

 

 

 

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(Maximum response 255 chars, approx. 5 rows of text)

 

2018 Southern Maine Heart Walk
Healthy For Good Lifestyle Change
is locally sponsored by

Anthem BCBS

 

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