Optional Step to complete to earn incentive(s)
CLICK HERE TO PRINT Step 3 Incentive Program Form
Complete Incentive activities between December 1st - November 30th each year.
DEADLINE: All Step3 tracking forms MUST be received no later than November 30th each year.
Harlem Wellness Tracking Forms are available for Activities #3 - #11. If a different tracking form or phone app is being used, the details collected MUST match that on Harlem's Wellness Tracking Forms. Please number your days on the form you are turning in.
Click on the tracking form below to print:
Activity #3 Step Count Tracking Form
Activity #4 30 Min Exercise Tracking Form
Activity #5 Food Intake Tracking Form
Activity #6 Tobacco Cessation Tracking Form
Activity #7 Instructor Lead Fitness or Relaxation Class Tracking Form
Activity #8 / #9 BMI Reduction Tracking Form
NEW!! Activity #10 Maintain Healthy BMI for a period of 3 Months Tracking Form