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Well & Simple Corporate Wellness Questionnaire
Please provide the following information as completely as possible so we can assess your workplace needs and how we can best serve them.
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Email
*
Your email
Company Name
*
Your answer
Contact Person
*
Your answer
Contact Phone
*
Your answer
Company Size
< 100 employees
100-500 employees
500-1000 employees
Clear selection
Are you interested in wellness programming for all of your employees or certain groups?
All
Management
Senior Management
Administrative Staff
Office Staff
Production Staff
Other:
Have you implemented company wellness programs in the past? If so, please describe them.
Your answer
What do you feel worked and didn't work about these past programs?
Your answer
What is your budget for corporate wellness?
*
Your answer
Which of Well & Simple's corporate wellness services are you interested in learning more about?
*
Health & wellness workshops
Cooking & food prep demos
Workplace group exercise
Health & wellness outings
Wellness challenges
On-site health coaching
Webinars
All of the above
Other:
Required
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