2.8. Self-Reported Wellness 
Program readiness was ensured at baseline and the end of the study using self-reported wellness status as determined by PROMIS Global-10 questionnaire and a normal comprehensive blood metabolic panel result. The PROMIS Global short form was scored into a Global Physical Health component and Global Mental Health component. The summed raw scores from PROMIS Global were converted into standardized T-score distributions such that a 50 represents the average (mean) for the US general population [