Workplace Wellness Interest Form

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Thank you for your interest in LifeSpring Counseling Services' Workplace Wellness program! The fact that you're here says that you are interested in serving your employees, supporting them with helpful strategies, and creating an even more amazing office culture! Please respond to the following questions, so we can get an early understanding of your needs in preparation for a zoom call together.

Full Name: *

Company name:

Your job title:

Where is your company located?

Best work phone number:

Work email address:
*

Select the types of services that you are interested in for your team: (select all that apply)

Educational workshops

Experiential workshops

Skill-based workshops

Team retreats (local, out of state, or international)

Executive retreats for CEOs and leaders

Brainspotting coaching for executives and/or CEOs

Required

Are you interested in virtual or in-person services (select all that apply)

In-person

Remote

Hybrid

Required

Tell us more about your company's needs. All services are tailored for companies' specific needs.
*

Please provide 3 upcoming dates and times when you can be available to meet for a 30 minute zoom call.
*

Thank you for submitting interest in our workplace wellness program and retreats. We will be in touch soon!

If you have any questions in the meantime, please feel free to contact me at melissa@lifespringcounseling.net

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