Privacy Assurance:
If your employer has agreed to compensate you for completing the following screener(s), then upon doing so your name and/or employee identification number will be disclosed to your employer to enable your employer to confirm your participation and compensate you accordingly.
Beyond that, none of the data you provide in the screener(s) will be shared with your employer in a personally identifiable manner. Your employer will only be given access to non-identifiable, aggregate data for all screening participants that will enable your employer to glean certain statistical information and trends.
If this screening is being sponsored by your Employee Assistance Program (EAP), then depending upon the results of your screening(s), you may be given the option to share your screening data with a behavioral health coach affiliated with your EAP. If you elect to share your data with a coach, neither the coach nor your EAP will share any of your personal screening data or results with your employer.
Should you have any questions regarding this privacy statement, you are urged to contact your HR department or EAP, as applicable.
TO MAINTAIN YOUR ANONYMITY DO NOT USE YOUR REAL NAME OR ANY NAME THAT WILL IDENTIFY YOU
Note: User name must be 4 to 14 alpha and/or numeric characters.
The characters may be all upper or lower case, or a combination of both. Do
not input spaces or use punctuation.
Note: Once you have input your User Name you will not be able to
change it.
This will appear in your profile and be viewable by all site members.
This will appear in your profile and be viewable by all site members.
Your family and friends that you designate will still be able to contact you regardless of the option
you select.
Your password must be at least 8 and not more than 16 alpha
and/or numeric characters. Do not input spaces, punctuation or special characters.
Passwords are not case sensitive, so capitalized letters are not necessary.
In case you forget your username/password; the Security Question / Answer will help you retrieve it.
If you are having difficulty reading the above code, click the speaker icon to
the right to hear the code read aloud.
Privacy Assurance: Maintaining your privacy is our number one priority. Your name and email address will not be published or disclosed to anyone other than those individuals you designate.
Note : Fields marked with an asterisk are mandatory.
Your Name, Gender & Birth Date
Your name will not be published in your profile
Your date of birth will not be published in your profile
Your Email Address
Your email address will not be published
If you do not have an email address, click
here to install a "Mock Email Address"
Your Residence Zip/Postal Code
Create a Username
This will be needed to log into the site
SMS Opt-in
By providing your cell phone number you agree to receive authentication codes for 2FA and critical account notifications via text message
Verify Your Registration* This helps prevent unauthorized registrations
By clicking on the submit button below, I hereby affirm that I have reviewed and approve of the
Opt-in and Informed Consent,
Terms of Use and
Privacy Policy of this website.