Understand the purpose, privacy and choices before you begin.
Before you begin
Proposed basic wellbeing questionnaire
Six topics · DRAFT-01 · no clinical score
This proposed assessment helps you reflect on everyday wellbeing and find the right place to ask for support. Clinical follow-up, if offered, is reviewed by the designated care team.
What it asks
General wellbeing, activity, sleep, nutrition, stress and access to care.
Who sees responses
In production, you and appropriately authorized clinical personnel in the assessment service.
Your choices
This draft is optional. Prefer not to answer is available on every item. The actual plan terms still require review.
Time and help
Completion time has not been established. You can request language, format or access assistance.
Your benefit decision stays separate
Declining or pausing this draft does not change your benefit election, payroll authorization or provider activation. The assessment is never part of the benefit-decline route.
How privacy works
Responses and any reviewed results stay in the separate assessment service. Shield receives only specifically permitted operational status. Employer managers and general support do not see answers, health scores or clinical notes. Actual provider identity, privacy disclosures, retention and recipient permissions must be approved before real use.
A preview for review
This is a proposed interface with fictional responses. The questionnaire is not clinically validated, approved for this plan or connected to a live provider.
Employee