Let’s work together

Let me get to know your company better to ensure a smooth and successful collaboration.

This form helps me understand your company’s unique needs, goals, and challenges, allowing me to tailor my services specifically for you. By providing these details upfront, we can save time, streamline communication, and ensure our collaboration is as effective and impactful as possible.

For the best experience, please complete the form on a desktop to ensure all sections are easy to view and fill out. Your insights are the foundation for achieving the best results together!

Company Name

Company Website

Industry

Office Location(s)

Brief Company Overview

Number of Employees

Contact Name

First Name

Last Name

Phone

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What are your primary goals for employee wellness? (e.g., improved productivity, stress management, nutrition education, reduced sick days, team building, etc.)

Are there specific health or nutrition concerns you’d like to address in your organization?

Do you currently have a wellness or health program in place? If yes, please provide a brief description.

Have you previously worked with a nutrition or wellness professional? If so, what was your experience?

Are there any resources (e.g., gym, kitchen, wellness budget) already available to your employees?

Are there specific employee groups you’d like to focus on? (e.g., executive teams, remote workers, high-stress departments)

What is the average age range of your employees?

What type of sessions are you interested in? (e.g., workshops, group classes, individual consultations, webinars, etc.)

Do you prefer in-person sessions, virtual sessions, or a combination of both?

How frequently would you like sessions to be conducted? (e.g., weekly, monthly, quarterly)

Preferred days and times for sessions or workshops?

Do you have a budget in mind for this wellness initiative?

Is there anything else you’d like me to know about your company or employees?

How did you hear about my services?