The 2025 HRA Survey
All Your Responses are confidential and helps us get better benefits for everyone at MUSC! We use this information to negotiate better rates for insurance and programs.
NAME
AGE
HEIGHT
WEIGHT
Which Region do you work?
Select which region of the state you work
Charleston/Orangeburg
Catawba
Pee Dee
Tidelands
How would you rate your health?
In general, would you say your health is...?
Excellent
Good
Fair
Poor
How satisfied are you with your life?
In general I am..?
Very Satisfied
Satisfied
Dissatisfied
Very Dissatisfied
How would you rate your stress level?
In general I am..?
No Stress
Slight
Moderate
Extreme
How Happy are you?
Happy
Unhappy/Sad
Do you Smoke?
(any substance)
Never smoked
Quit smoking (more than 1 year)
Quit smoking (less than 1 year)
Smoked within 30 days
If you smoke, was it smokeless tobacco?
(e.g. Vape)
yes
No
N/A
If YES, Have you thought about quitting?
(for at least 20 minutes in a day)
Yes I am working on it
Yes I am thinking of it
No
How much Alcohol do you drink?
(per week)
None
One drink per day or less
Two drinks per day
More than 2 drinks per day
Are you currently pregnant?
(per week)
Yes
No
N/A I'm biologically assigned male by birth
In the last 7 days, how often did you exercise?
(for at least 20 minutes in a day)
Every day
3-6 days
1 - 2 days
0 days / None
If you exercised, how long did you exercise?
(In Minutes)
0-10 min
10-20 min
20 min - 60 min
60 min
How intense was your typical exercise?
Light (like stretching or slow walking)
Moderate (like brisk walking)
Heavy (like jogging or swimming)
Very heavy (like fast running or stair climbing)
I am currently not exercising
Have you had your yearly flu shot?
(For this last year)
Yes
No
In the last 7 days, how often did you eat 3 or more servings of fruits or vegetables in a day?
(as part of a meal or anytime)
Every day
3-6 days
1 - 2 days
0 days / None
In the last 7 days, how often did you eat high fiber or whole grain foods?
(e.g. whole wheat bread, high-fiber cereal, oatmeal,brown rice or whole wheat pasta)
Every day
3-6 days
1 - 2 days
0 days / None
In the past 2 weeks, how often have you felt down, depressed, or hopeless?
(mood)
Almost all of the time
Most of the time
Some of the time
Almost never
In the past 2 weeks, how often have you felt little interest or pleasure in doing things?
(mood)
Almost all of the time
Most of the time
Some of the time
Almost never
*********
In the past 2 weeks, how often have you felt nervous, anxious, or on edge?
(anxiety)
Almost all of the time
Most of the time
Some of the time
Almost never
How often is stress a problem for you in handling such things?
(E.g. Your health?, Your finances?, Your family or relationships? Work?)
Almost all of the time
Most of the time
Some of the time
Almost never
How often do you get the social and emotional support you need:
(support)
Always
Usually
Sometimes
Rarely
Never
In the past 7 days, did you need help from others to take care of things such as laundry and housekeep- ing, banking, shopping, using the telephone, food preparation, transportation, or taking your own medications?
()
Yes
No
Each night, how many hours of sleep do you usually get?
()
7+
4-6
2-4
0-2
Do you always fasten your seat belt when you are in a car?
()
Yes
No
**************
Are your cholesterol numbers within the recommended ranges ?
(if taken in the past)
Yes
No
I don't know?
How is your Systolic blood pressure?
(first - top number)
[
This one
/ Not this one]
Good - 119 or lower
Slightly high - 120 to 129
Moderately high - 130 to 139
High - 140 to 159
Very high - 160 or higher
I don't know
How is your Diastolic blood pressure?
(second - bottom number)
[Not this one /
This one
]
Good - 79 or lower
Moderately high - 80 to 89
High - 90 to 99
Very High - 100 aor higher
I don't know
A person parking next to you in the garage looks at you and says "Nice Tire!" (Most ridiculous answer wins a gift certificate to Target)
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Benefits health Risk Assessment Survey 2025-2026
