Nomination for the START Lifestyle Change award

Tri-Health Cincinnati

The American Heart Association and Tri-Health wants to recognize individuals who have made positive changes to improve their quality of life and health, and influenced thos around them to do the same. No change is too small; every accomplishment is significant and should be celebrated!

Nomination for the Start! Lifestyle Change Award can be submitted by friends, co-workers, relatives or individuals may choose to nominate themselves. One winner will be awarded to each of the three categories: Physical Activity, Nutrition and Inspiring Others. Winners will be chosen by a selection committee and announced at the Heart Mini Marathon and Walk on March 20, 2011.

Deadline for nomination submission: Friday, March 4, 2013

For more information, contact Missy Ford at 513-281-1433 or missy.ford@heart.org.

Nominee Name

Company (if applicable)

How may we contact the nominee if he/she is selected?

Phone Email

Nominated by

Phone Email

Relationship to nominee

In what way has this person improved his/her lifestyle? Please describe the person's accomplishments in the applicable areas below:

Increased Physical Activity

Healthier eating habits/ Weight Loss

Managing heart-related risk factors

Changing the lifestyle, not only of themselves, but of those around them

Personal Story- Why do you think this person deserves a Start! Lifestyle Change Award? Did he/ she lose weight? Start exercising more? Inprove his or her blood pressure? Change the health of others including themselves? Please include information regarding his or her success. Pictures speak volumes- we welcome photos you would like to include to support your nomination and celbrate the achievements!