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Total Rewards forms and guides

Browse Forms and Guides or filter by topic, audience, or program.

Audience
Program
Topic
Document Type
 
Name/Description File type
Diabetes

No forms or guides are associated with the topic “diabetes.” However, the coverage for diabetes page offers information on obtaining diabetic supplies under your medical insurance plan or your prescription drug plan.

Other
Flex place arrangement form

This is an optional form that may be used at the manager’s discretion for setting up a flex place arrangement for an employee.

Word
Flexible work arrangement form

This is an optional form that may be used at the manager’s discretion for setting up a flexible work arrangement for an employee.

Word
Healthy for Life access and confidentiality agreement

Healthy for Life faculty or staff members, consultants, volunteers or students at the University of Missouri System may learn of, or have access to, confidential information. This agreement clarifies what confidential information is and what the corresponding responsibilities are.

PDF
Healthy for Life consent to participate and waiver of liability

Participants in the Healthy for Life weight-loss and physical activity classes must sign this consent to participate and waiver of liability form.

PDF
Million Step Pedometer Program pedometer tracker

Those participating in the Million Step Pedometer Program can use this handy spreadsheet to keep track of your steps, and has formulas to easily offer up your averages and totals.

Excel
Million Step Pedometer Program step submission and rebate form

Submit your steps by uploading a screenshot as proof of each million steps you take. Instructions and tips for uploading a screenshot are provided on the form. You must submit each one-million-step accomplishment within one year of completion in order to claim prizes. Multiple prizes may be distributed to a participant who claims more than one milestone achievement at one time at the discretion of Healthy for Life. Request a rebate by uploading a copy of your receipt from a rebate-eligible retailer. While participants may use any step-tracking device, only a Fitbit purchased at a University of Missouri Campus Store or UM Health System pharmacy is eligible for a rebate. 

Other
Patient Health Questionnaire-9 (PHQ-9) Depression Self Assessment Form

Questionnaire to help you begin to explore whether the feelings, thoughts, or behaviors you may be experiencing could be depression

PDF
Request a wellness presentation

If your office would like to learn more about a wellness topic, use our form to request a presentation.

Other
Ride to Wellness miles submission and rebate form

Submit your miles by uploading a screenshot as proof of each 500 miles you have ridden. Instructions and tips for uploading a screenshot are provided on the form. Claim a prize from our current prize list. You must submit each 500 mile accomplishment within one year of completion in order to claim prizes. Multiple prizes may be distributed to a participant who claims more than one milestone achievement at one time at the discretion of Healthy for Life. Request a rebate by uploading a copy of your receipt from a rebate-eligible retailer. While participants may use any odometer, only the Cateye Velo9 purchased at a university bookstore is eligible for a rebate

Other
Ride to Wellness Odometer Tracker

Keep track of your Ride to Wellness odometer readings over time with this handy Microsoft Excel spreadsheet that includes formulas to calculate your averages and totals throughout each week.

Excel
Share your wellness success story

We've heard some great stories from you. Keep them coming by sharing your own success story via our online form.

Other
Wellness Ambassador sign up

Wellness Ambassadors help to promote a culture of health among faculty and staff. Anyone can be a Wellness Ambassador. By joining the team, you can help others be more active, relieve stress, eat healthier and much more.

Other
Midyear Tobacco Attestation


Employees who attested to being tobacco free during the last Annual Enrollment do not need to complete this midyear attestation. This attestation is available for employees who (1) attested to being in a tobacco cessation program, (2) attested to being a tobacco user, or (3) defaulted during the last Annual Enrollment.
 

PDF
2017 Wellness Incentive quick start guide

A quick start guide for the Wellness Incentive to help you with signing up, logging in, and navigating in the Wellness Portal.

PDF
2017 Wellness Incentive Tier 2 activities

These activities are eligible for Wellness Incentive points as part of Tier 2 of the Wellness Incentive.

PDF
Flexible work arrangements development guide

Guide to help develop a flexible work arrangement for an employee.

PDF
Flexible work arrangements flex place guide for supervisors

This guide can help supervisors think of concrete ways employees can work remotely while continuing to provide support to others in the workplace. Positions that might not traditionally be thought of as being amenable to flex place arrangements can often be re-designed by thinking creatively.

PDF
Flexible work arrangements readiness assessment for managers

Complete this assessment to help determine whether an employee is ready for a flexible working arrangement.

PDF
Flexible work arrangements self-assessment questionnaire

This questionnaire may help employees determine whether they are prepared to discuss the possibility of a flexible work arrangement with their supervisor.

PDF
Freshening up without a shower

Want to exercise during the day, but aren’t sure how to return to work post-workout? This list of tips may help you find a solution to stay fresh for the rest of the business day.

PDF
Million Step Pedometer Program prize list

Participants in the Million Step Pedometer Program can earn prizes for every million steps they walk; those prizes are outlined here.

PDF
Ride to Wellness program prizes

Ride to Wellness offers rewards for participating employees who reach a milestone of distance biked.

PDF
Show Me Better Health Flyer

Show Me Better Health is a health management program that helps individuals and/or their loved ones manage any chronic health condition, such as diabetes, asthma, heart disease, back pain, cancer, arthritis, fibromyalgia, and depression.

PDF
Wellness Ambassador volunteer flyer

Promotional flyer for Wellness Ambassador recruitment.

PDF
Annual Enrollment Performance Report 2015

Results of the 2015 Annual Enrollment process for active employees, conducted from October 20 to October 31, 2014.

PDF
Wellness program notice of privacy practices

This notice describes how Wellness program health information about UM System employees may be used and disclosed and how employees can access this information.

PDF
Letter to Healthy for Life class instructors

Letter to instructors of Healthy for Life classes requesting session information.

PDF
MU Wellness Ambassador directory

Directory information for the Wellness Ambassadors at the University of Missouri- Columbia.

PDF
MUHC Wellness Ambassador directory

Directory information for the Wellness Ambassadors at University of Missouri Health Care.

PDF
S&T Wellness Ambassador directory

Directory information for the Wellness Ambassadors at Missouri University of Science and Technology.

PDF
UMKC Wellness Ambassador directory

Directory information for the Wellness Ambassadors at the University of Missouri Kansas City.

PDF
UMSL Wellness Ambassador directory

Directory information for all of the Wellness Ambassadors at University of Missouri St. Louis.

PDF
Wellness Ambassadors promotional sign

Promotional sign for Wellness Ambassadors to use.

PDF
Amazing Food Minute

Listen to this short one-minute video of Dr. Rossy's BASICS of Mindful Eating. Produced by HOPE Health (www.hopehealth.com), a specialty publisher focused on producing easy-to-understand, interesting, and actionable health, wellness, and benefit media for employers and employees (1:02).

Video
Be a part of our culture of health

This video gives an overview of what it means to be part of the University of Missouri's culture of health. Interviews with employees offer great insight into the importance of healthy workplace habits and work-life balance. (4:39)

Video
Eat for Life: Eat for Life Yoga

Join Dr. Lynn Rossy in this Eat for Life yoga session. Rossy covers the basics of various types of postures, so you can lay down the groundwork for any future yoga you decide to do. (19:46)

Video
Get moving! Take the walking challenge!

This video gives an overview of walking challenges and why they are important. Walking challenges can be a great way to get your co-workers involved in friendly competition, physical activity, and a common goal. (3:17)

Video
Mindfulness-Based Stress Reduction: Yoga #1

Dr. Lynn Rossy, Health Psychologist for Healthy for Life guides you through the practice of mindful yoga. Mindful hatha yoga consists of gentle stretching and strengthening exercises, done slowly, with moment-to-moment awareness of breathing and of the sensations that arise as you put your body into various postures. (37:14)

Video
Mindfulness-Based Stress Reduction: Yoga #1 with emphasis on chair poses

In this version the camera follows Jenny more closely as she does the chair modification of each pose while Dr. Lynn Rossy, Health Psychologist for Healthy for Life guides you through the practice of mindful yoga. Mindful hatha yoga consists of gentle stretching and strengthening exercises, done slowly, with moment-to-moment awareness of breathing and of the sensations that arise as you put your body into various postures. (37:14)

Video
Mindfulness-Based Stress Reduction: Yoga #2

In this second session, Dr. Lynn Rossy, Health Psychologist for Healthy for Life guides you through the practice of mindful yoga. Mindful hatha yoga consists of gentle stretching and strengthening exercises, done slowly, with moment-to-moment awareness of breathing and of the sensations that arise as you put your body into various postures. (36:32)

Video
Mindfulness-Based Stress Reduction: Yoga #2 with an emphasis on chair poses

In this version of yoga #2, the camera follows Jenny more closely as she does the chair modification of each pose while Dr. Lynn Rossy, Health Psychologist for Healthy for Life guides you through the practice of mindful yoga. Mindful hatha yoga consists of gentle stretching and strengthening exercises, done slowly, with moment-to-moment awareness of breathing and of the sensations that arise as you put your body into various postures. (36:32)

Video
Wellness staff in the news: Radio Friends with Paul Pepper (December 8, 2009)

In this radio show, Dr. Lynn Rossy joins Paul Pepper to discuss the Eat for Life program. (8:31)

Video
Columbia additional walking trails

Additional measured trails in Columbia that do not currently have a corresponding walking map.

PDF
Columbia Discovery Ridge 1 walking map

First measured walking map around Discovery Ridge at University of Missouri-Columbia.

PDF
Columbia Discovery Ridge 2 walking map

Second measured walking map around Discovery Ridge at University of Missouri-Columbia.

PDF
Columbia Francis Quadrangle walking map

Measured walking map around Francis Quadrangle at University of Missouri- Columbia.

PDF
Columbia Hospital and Recreation Center walking map

Measured walking map around Hospital and Student Recreation Center at University of Missouri-Columbia.

PDF
Columbia Hospital and Stankowski Field walking map

Measured walking map around Hospital and Stankowski Field at the University of Missouri- Columbia.

PDF
Columbia Hospital Student Center walking map

Measured walking map around hospital and Student Center at University of Missouri- Columbia.

PDF