Corporate Wellness Corporate Wellness Intake Form Fitness At Your DoorName First Last Email Job TitleJob FunctionCompany NameHow many employees?What’s your budget for this program?How long would you like to do this program?What are your core values?What type of educational work shops do you believe your business needs? This includes workshops & team building exercises.What type of classes or personal training would your team like to be involved in? Functional Fitness Aerobics Balance & Alignment Boxing HIIT Strength training Sculpt & tone Water Aerobics Yoga Zumba Other (Fill In)We have health professionals that specialize in serval different niches. If your selection is not listed, please fill in “other” with preferred training style.Will this be remote or in person or Hybrid style?RemoteIn PersonHybridWhat other offerings would you be interested in? Other- fill in optionTell us more about your employees well-being goals.What’s your annual employee retention rate? (% of total employees)Whose your insurer?What’s your cost of insurance claims and cost of workers’ compensation claims year-over-year?ADDITIONAL OFFERS Biometric Screening Meal prep Nutritionist Health coach Mental health coach Life coach Massage therapist Performance coach Online coaching CAPTCHA
