Corporate Event Enquiry Question Title * 1. What is the name of the company or department or organization you represent. Please provide your name and contact details so that we may contact you with the quote for these services: Question Title * 2. Please tell us about yourself or your company's needs: Question Title * 3. What kind of corporate wellness service are you looking for? Professional Development (Training, Lunch & Learn, Presentations, Leadership Development, Executive Coaching) Employee Counselling Support (Counselling/Therapy including: marital, group, individual, family, assessments, etc) Drug Screening (urine tests and/or substance abuse counselling) Team Building Activities (interactive group processing, challenges, indoor and outdoor activities) Mediation (Problem Solving, Conflict Resolution, Remediation) Consultation (HR Development) Crisis Intervention (Grief, Trauma, Job Loss, etc...) Staff Retreat (Fun, Relaxation, Rejuvenation, Socializing, Reprieve, Reward, Reflect) Other (please specify) Question Title * 4. How many people are employed by your company? Question Title * 5. How many people will be included in the corporate service you are enquiring about? Question Title * 6. Duration of services? If enquiring about an annual contract for employee counselling benefits, please indicate 'Annual' (Be specific and include multiple days if applicable, e.g. 30 minutes, 1 hour, 90 minutes, 3 hours, 4.5 hours, 8 hours,10 hours split 5 hours a day for 2 days, etc...) Question Title * 7. Where would you like this event to take place? On your own premises At a location you will arrange At a remote beach location to be arranged by The Wellness Centre at an additional cost At a remote conference facility to be arranged by The Wellness Centre at an additional cost At a nearby beach location to be arranged by The Wellness Centre at an additional cost At a nearby conference facility to be arranged by The Wellness Centre at an additional cost Other (please specify) Question Title * 8. Will food/refreshments be needed for this event? Do you want The Wellness Centre to arrange menu items at an additional cost, otherwise you are welcome to arrange your own? Question Title * 9. What are your budget constraints, or expectations for cost of these services: Question Title * 10. Anticipated date(s) of the services you are seeking (we typically require a minimum of 2 weeks' notice unless it is a crisis): Done