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Tell us more about your business’ wellness needs

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Company Information

COMPANY NAME

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Existing Client?

INDUSTRY

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CONTACT PERSON | FULL NAME

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DESIGNATION

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CELLPHONE NUMBER

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OFFICE NUMBER

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EMAIL ADDRESS

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Site and Employee Information

Site Breakdown

SITE 1: SPECIFIC LOCATION (E.G., SANDTON, GAUTENG, ETC.)

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NUMBER OF EMPLOYEES (AT THIS SITE)

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SERVICES CURRENTLY OFFERED (AT THIS SITE)

ADDITIONAL SERVICES REQUIRED (AT THIS SITE)

TOTAL NUMBER OF EMPLOYEES

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Services Information

Does the organisation currently offer any wellness services?

Please complete the above question.

What value does your organisation expect to see from a wellness programme / what problems does your organisation hope to address by implementing a wellness programme?

What service/s are required?

Telephonic Counselling

Face to Face Counselling Sessions

Trauma Management

Financial and Legal Telephonic Support

Managerial Services

Organisational Consulting

Launch Pack + Marketing Material-Printed

Wellness Audits and Surveys

Wellness Days (Screening)

Learning Solutions

Wellness Talks and Workshops

Lifestyle Management

Digital Access to Services

Launch Pack + Marketing Material-Digital

Thank you

A member of EHS will contact you to discuss our various offerings and build your tailored solution.

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sales@lifehealthcare.co.za

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