Latitude Corporate Wellness Presentation Inquiry Form
Thank you for your interest in partnering with us to enhance your company Wellness program! Our goal is to create an engaging, impactful experience tailored to your team's unique needs and goals. To help us assess the best fit for your session and ensure we cover topics that resonate with your organization, please provide us with a few details below. This information will help us align our expertise with your priorities, ensuring that your team gains valuable, actionable insights.

We look forward to collaborating with you to support the wellbeing and productivity of your team!

We will be in touch soon!
Email *
Company info: Name of company
Company info: Address of company
Company info: What industry is your organization a part of? (i.e Medical, Legal, Accounting/Finance, Tech, etc)
Company info: What are your company values?
What dates work best for you for the presentation?
What topic would you like the presentation to be on?
What discipline would you like presenting:
Clear selection
Specific goals and outcomes you hope to achieve from the session.
Topics of interest: Areas of focus, such as mental health, burnout prevention, work-life balance, resilience, and other themes relevant to your team. Please list them in order of importance to your organization.
If there is time permitting, are there additional topics would you like covered in the presentation or future presentations?
Audience details: Approximately how many people will be attending?
Audience details: Roles of folks attending
Audience details: Any particular challenges or stressors the team may face. For example, lateral violence between team members, psychological safety, significant turnover, etc.
Preferred presentation format: Do you have a preference for in person or online?
Clear selection
Preferred presentation format: How long would you like the session to be? *
Preferred Presentation Format 
Clear selection
What is your budget for the session(s)? *
Are you interested in an ongoing partnership? *

Additional Comments: Any other preferences or considerations to help us customize your experience.
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