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Corporate Wellness Intake Form
Reduce the unhealthy effects of inactivity with rewarding wellness plans that improve the health and productivity of your workforce. Louis will email you shortly after your submission.
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* Indicates required question
Email
*
Your email
1. What is your first name and your title?
*
Your answer
2. What is the name of the company?
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Your answer
3. What is the size of this company?
*
Less than 25
25-100
101-200
201-300
301-400
401-500
Required
4. What type of workforce do you have?
*
On-site
Remote
Hybrid
Required
5. Where is this company located?
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Your answer
6. Does your workspace have an updated gym or space for activity? Please elaborate on your current situation:
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Your answer
7. Please mark what employees currently have access to:
*
Accessible Stairs
Accessible Walking
Standing Desks
Treadmill Desks
Healthy Food Offerings
Exercise Equipment
Activity Space
Personalized Wellness Plans
Team Building Challenges
Ergonomic Work Equipment
Performance Coaching
Other:
Required
8. Please mark what specialized wellness solutions you'd like to explore:
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Team Buidling Challenges & Forums
Health Screenings
Customized Wellness Plans
Ergonomic Design
Habit Forming Prompts
In-Person YogaLEAN
Virtual TrampoLEAN
Group Fitness Classes
In-Person Fitness Training
Virtual Fitness Training
Health Performance Coaching
Nutrition Coaching
Innovative Gym Design
Wearable Fitness Technology
Required
9. Please share your company's long term and short term corporate wellness goals :
*
Your answer
A copy of your responses will be emailed to the address you provided.
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