Nominee Name (required)
How may we contact the Nominee if he/she is selected?
Nominated By (Your Name)
Relationship to Nominee
Please describe the person’s accomplishments in the applicable areas below.
Increased Physical ActivityHealthier Eating Habits / Weight LossManaging heart-related risk factorsChanging the lifestyle, not only of themselves, but of those around them
Why do you think this person deserves a Red Dress Award?
Did he/she lose weight?
Start exercising more?
Improve his or her blood pressure?
Change the health of others, including themselves?
Please include information regarding his or her success.
(200 words or less please)
Upload a picture of the nominee (max file size 5mb).
4 - two = ?