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Well@ Client Information Questionnaire

Hope you are well. Thank you for your interest in Well@.

Please complete the following questions to help us understand your needs.

Sector:
Private
Public
Government
Type of Organization:
School
University
Corporate
Wellness Clinic
Other
Number of Employees (or Participants if applicable):
1-50
51-100
101-500
501-1000
1001+
Preferred Mode of Delivery:
On-Site Programs
Retreat Programs
Virtual Programs
Hybrid (On-site and Virtual)
Preferred Timeframe for Starting a Well@ Program:
Immediate (within 1 month)
1-3 months
3-6 months
6+ months
How did you hear about Well@?
Referral
Website
Social Media
Conference/Event
Other
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