Wellness Risk M a n a g e m e n t
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Self-Help Click Here

Participant's Qualification Form

Help for Worker's Wellness,
Cost Free to the Company


NOTE: A worker can send WRM an email with the green table found below, filled out on their own.

Please be aware that a participant must have a unique email address different from their company, and from every other company. Data that goes to participants with regard to Wellness Risk Management and Testing at TheQ.ca is private. Companies cannot have access to that personal data. Companies get an averaged amalgamated set of statistics on ten or more participants who are enrolled in any cohort.

A person wishing to be a Participant client MUST purchase a workshop before they send us this form below. See the Workshop-Purchase link located above the hands in the graphic above to purchase a WRM Self-Help Wellness Course. (BETA Program is an exception.)

An interested worker will need the name of their company, the physical address where they work and the department, division, or shift they work in. That company name and address must be the same as what the company used to enrol with WRM.

We say again, the name of the company and the address of the company must be the same as what the company used to enrol in Wellness Risk Management. Please don't guess at your company name or address. Check it out. It may be on your company's bulletin board or web site. We set this protocol so we can get the worker into the correct company venue, and thus, the correct statistical research cohort. Some companies have several venues. Each venue is a separate cohort.

When your company enrolled it supplied WRM with a contact person in the company. A worker can contact that person for the correct data.

We suggest that companies post their company name and address data on a bulletin board somewhere under the banner of Wellness Risk Management, so everyone can check there first. If your company has not enrolled with WRM then please contact us.

Just like in school, we all need to qualify for Wellness Risk Management Workshops. That qualification is present to establish a proper Wellness Mind-Set. Form 3 starts that qualification process for you. The form on this page is not Form 3. This page is the PRE-FILL form to ensure accurate information so we can pre-fill Form 3 and send it to the client mostly filled in to let the client confirm the data then submit the Form 3.

The Participant Enrollment Form 3 is a Fillable PDF form which is sent out to the prospective client at the start of the Participant Enrollment process. That Form 3 will come to the participant AFTER the Green pre-fill table, shown below, has been sent to us at WRM.

A potential participant (someone with interest in helping themselves improver their Wellness), can enrol in only one company. A worker who works for two or more companies will have to choose which company to enrol with.

Company Enrollment is free. The Worker enrollment has a fee to enrol that covers help with the measurement process and the Courses/workshops. (Except in the BETA Program.)

If you are a worker who would like to enrol as a participant to build better Wellness for yourself, then gather the data for the green table below then send the green table to us in an email please after you have purchased a workshop. (WRM Self-Help Wellness Course) (Except in the BETA Program.)


Participants in the WRM Research Program

There is a crucial point in qualification. People considering to become participants in the Wellness Risk Management program should ask themselves a specific question.

We know EVERYONE wants to learn optimal health secrets and chronic disease prevention strategies. So, we don’t have to ask those questions.



The question we want potential participants to ask themselves is:

“Am I willing to pay some money to help train myself to be more REGULAR with science-based chronic disease prevention strategies AND Optimal Health Secrets?”


If the answer is yes, then the amount one would have to pay is in reality, quite irrelevant isn’t it? (It is not expensive.) The end result justifies the fees. However, the onus needs to be on the participant not the workshop instructor. This is a crucial point of qualification.

Wishing to get the body and mind ready for some near future event, happening, or function, is a great motivator for behavioural change. In the absence of that near future event, one has to generate one’s own motivation. That is exceedingly difficult to do on one’s own, for a length of time that will make a significant difference in the Wellness of the body and mind. Wellness Risk Management tackles that problem head on.

What the WRM program asks of people is for them to make science-based lifestyle changes, identified by the WRM program as priorities for them at this point in time in their lives. To that end we have much science to follow and lots of time to coax ourselves along the roadway to Optimal Health Secrets and Chronic Disease Prevention Strategies.

Please consider joining the Wellness Risk Management research project as a participant and make a commitment to yourself.


Copy this green table below and paste it into the body of an email then fill in column 3 and send it to WRM.

If you do not know how to perform a copy procedure then place your computer cursor anywhere in the green table and click once. Then on a windows computer press the Ctrl + A keys together. That selects everything on the page. Then Press Ctrl+C keys together. That places everything onto your computer's clipboard. Now go to your email program and open an email to send to our email address. Place the cursor into the BODY of the email and Paste that clipboard content using Ctrl+V keys. Now, at this point, fill in the table and send it to us completed. Most people now days have done this type of procedure many times.

If you have been in contact with WRM and you receive this table from WRM in an email, then we may have pre-filled some data in this form for you. Please check it for accuracy.

Copy this table and paste it into an email to WRM.

Participant's Qualification Form

Step TWO: This is a Template Pre-Fill for Form 3, PARTICIPANT WORKER ENROLLMENT

Participant Information
This information is for enrollment purposes and is not attached to any measurement data or measurement documents. It is used to track payments as well as ensure the client is assigned an anonymous codename and, it is to ensure people do not sign up more than once. The codename will not appear with this data that is in this green table. This green table data will be used to PRE-FILL the Enrollment Form 3 before we send it to the worker using the worker's email they place in item 4 in this form. The worker must have purchased a workshop already. (Except in the BETA Program.)


Please don't change data in these first two columns.


Add your data in this column below after you copy and paste the table onto an email to us. Please go to the Contact page to get the email address to send to.


This is your Column to add data.

Do not use this column in this web page here. Do not copy this form into some other program like Google. Please follow the instructions.

See above.

 1. First Name 1.:-  
 2. Middle Initial no period 2.:-  
 3. Last Name 3.:-  

 4. Your Email

You cannot leave the email address item blank. (This email address must be a unique address and NOT a common one used by other people in a household or a company.) If you do not have a unique email address then you can find a company online that provides anonymous email addresses for people. 


 5. Text Phone number

 6. Your Company Name  

(Must be the same as what the company enrolled with.) (No Hyphens are allowed in names please.)


 7. Your work Address

(Must be the same as what the company enrolled with.) (No Hyphens are allowed in addresses please.)

 8. Your job description  (Department, Shift) 8.:-  

 9. Your Age:

(Must be 18 or older as of today.)


 10. If you know the ResNumber of the research cohort you will be in then please enter it here.

You CANNOT leave item #10 blank.

If you do not know the ResNumber then please contact WRM to learn which group you will be placed in. The ResNumber stands for Research Number of a cohort. It is composed of the three letters 'Res' followed by a numeric number, followed by a set of Alpha letters. Res1a for instance. A company gets this ResNumber when they enrol.


 11. Has the Workshop payment been made? If not, then before sending in this form please go and purchase at https://theq.ca/workshop-purchase.html#purchase.

A cross-check is made so please follow instructions.



We are here to help.

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NEXT- Welcome to Wellness Risk Management

Special Note               

Wellness Risk Management is applied research at the science end of the scale.

Knowing Wellness isn't getting Wellness. Doing Wellness is applying the science. We show how that is done.

What Kind of Diseases Are Reduced with Wellness Risk Management?

All chronic diseases are reduced with multidimensional Wellness strategies because of the multidimensional nature of those strategies. Acute diseases are reduced, again because of the multidimensional nature of those strategies.

All organs and systems in the body benefit by reducing Wellness Risk. When the body moves toward optimal health by applying those optimal health secrets which science has discovered, then all parts of the body benefit. We live longer and happier due to less suffering from disease. We perform better at work, better at our recreation pursuits, and better at our interrelationship pursuits too.

Applying the rules laid out in our workshop workbooks and completing all action plan items indicated in the Wellness Risk Management Report of Findings is a ticket to better Health and better living.

It is not particularly easy to get there because we have to fight natural human tendencies that lead us toward disease and suffering.

Most people need help of one type or another. Delivering that help is what Wellness Risk Management is all about.