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Tompkins County Health Department

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New York State Department of Health

Worksite Wellness for Tompkins County: Worksite environments that support good nutrition and regular physical activity.

5 A Day Challenge

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Questions & Requests

Learn more about eating 5 a day

Tompkins County Employees’
2nd Annual 5 A Day Challenge

Have a question? Need scoresheets, or an envelope to deposit your completed scoresheets for collection? Fill out this form and submit it for prompt attention!

FROM

 

Name

 

Dept & Unit

 

Building & floor or area

 

Email* (required for a reply)

"I/we need..."

 

scoresheets   
collecting envelope
someone to collect our completed scoresheets
other:

Questions or comments 

 

 

Click the "Submit" button to send your message,
or "Reset" to clear the form

NOTE: When you click "Submit" a screen will appear reviewing what you have just sent. Use your browser's "Back" button to return to this page.

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