Healthy Habits
Please answer the questions below to help us customize your member experience, communications, and special offers.
*
Indicates required field
Do you identify as:
Choose One:
*
Female
Male
Prefer not to answer.
Marital Status:
Choose One:
*
Married
Single
Prefer not to answer.
Do you have children?
Choose One
*
Yes
No
Prefer not to answer.
Your Age:
Choose One
*
21 and Under
22-34
35-44
45-54
55-64
65-74
75+
Prefer not to answer.
How do you prefer to receive communications from HealthyHabits:
Choose One:
*
Email
Text Message
How often would you prefer to receive your HealthyHabits member communications:
Choose One
*
Weekly
Monthy
Health Insurance:
Choose One
*
HMO
PPO
Medicare/Medicaid
No Insurance
Prefer not to answer.
How often do you get prescription medication:
Check all that apply:
*
Weekly
Monthly
Other
Prefer not to answer.
Please share your interests!
Check all that apply:
*
Family
Cooking
Travel
Sports
Reading
Entertainment
Shopping
Music
Travel
Please list an other interests:
*
Name
*
First
Last
Email
*
Submit
Contact us anytime.
sales@joinhealthyhabits.com
(888) 540-5552
Healthy Habits FAQ's
News & Resources