Fit Together Questionnaire Sign Up Sheet

To use the Fit Together questionnaire and get a health risk analysis based on the information you provide, you will need to sign up and click on SUBMIT. THIS HEALTH RISK ANALYSIS IS NOT A SUBSTITUTE FOR EXAMINATION AND CONSULTATION WITH A PHYSICIAN. WE STRONGLY ENCOURAGE YOU TO CONTACT YOUR PHSYCIAN WITH THE RESULTS OF THIS ANALYSIS TO DETERMINE ANY FURTHER COURSE OF ACTION. If you have questions about signing up, the questionnaire or your personal report, please visit our Frequently Asked Questions.

In order to proceed, we also require you to enter your age, gender, race, zip code and education information which will be used strictly for research purposes and to improve the questionnaire and health risk analysis. No other individually identifying information is required. Neither the NC Health and Wellness Trust Fund nor any other party will have access to any individual data. Overall data gathered may be aggregated for the purpose of improving this service, statistical purposes and/or research. Before signing up, you will be asked to review and accept the terms of our Privacy and Data Use Policy.

After you accept these terms and fill out the demographic data, you can proceed with the electronic questionnaire. After completing the questionnaire, you will then get a print-ready personal report with your health risk analysis. If you want your report emailed, you will have that option at the end of your report. Your email address will not be stored or used to solicit you for products and/or services.

Fit Together Privacy and Data Use Policy

Please read this Privacy and Data Use Policy and indicate your acceptance below:

Fit Together is committed to safeguarding your consumer privacy on our Web site. As a government/business partnership, we operate under a strict set of strict privacy principles.

The only information Fit Together obtains from individual users of its questionnaire is that supplied voluntarily by visitors.

Fit Together registration system does not ask for or collect individually identifiable information from users (name, phone number, e-mail or home address, etc.)

Fit Together will collect general statistical information about users of the questionnaire as a group. Individually identifiable information will not be or collected or shared at any time. Fit Together employs strict security measures to safeguard online transactions. Individual information is stored in a secured database which produces the personal weight analysis report.

In order to provide users with valuable information on weight management, nutrition and exercise or physical activity services, Fit Together provides links to various third party Web sites. Fit Together exercises no authority over linked sites, each of which maintains independent privacy and data collection policies and procedures. Fit Together assumes no responsibility or liability for these independent services or organizations and is not responsible for the policies or procedures of organizations or services. These destination links are provided only for your convenience, and as such, you access them at your own risk. However, any comments pertaining to a website or any service or organization accessed through Fit Together links are greatly appreciated. You can send questions about this Privacy and Data Use policy by e-mail to fittogether.nc@ncmail.net.

I understand and accept this Privacy and Data Use Policy.