Welcome to Healthy USM's monthly quiz contest.

The winner's name will be posted on the website in July. The winner will receive a $25 Hannaford gift certificate.

To be eligible you have to be a USM employee, retiree or a dependant of a USM employee. Fill out your information below with your answer to the quiz. You will then be entered into the drawing. One winner will be drawn at the end of every month.

Good Luck!

	True
	False
Please select one: USM Employee     Dependent      Retiree
Name:
Phone Number:
E-mail Address:
If you are a dependent of a USM employee please give the name of the employee
Employee Name: