Corporate Wellness Program:
On-Site Fitness Class
Client Intake Form

Employees participating in a fitness class in a workplace gym or studio.
 

Thank you for your interest in our On-Site Fitness Classes as part of your Corporate Wellness Program. This form is designed to help us understand your company’s needs, employee preferences, and suitability for the programs we offer. Please provide as much detail as possible to ensure we tailor our services to meet your goals.

I. Company Information

Company Name

Contact Person

Job Title

Email Address

Phone Number

Company Address

City

State

Zip Code

Number of Employees

Industry

II. Program Goals and Objectives

What are the primary goals of implementing an on-site fitness program? (Check all that apply)

Improve employee health and wellness

Reduce stress and burnout

Boost employee morale and engagement

Increase productivity

Reduce absenteeism

Foster team building and camaraderie

Other (Please specify):

Are there any specific health concerns or challenges your employees face that you would like the program to address?

Obesity/weight management

Chronic pain (e.g., back pain, joint issues)

Stress and mental health

Low energy levels

Sedentary lifestyle

Other (Please specify):

Do you have any existing wellness initiatives?

If yes, please describe:

III. Employee Preferences and Suitability

What types of fitness activities do you think your employees would be most interested in? (Check all that apply)

Yoga

Pilates

High-Intensity Interval Training (HIIT)

Strength Training

Zumba/Dance Fitness

Meditation and Mindfulness

Stretching and Flexibility

Bootcamp

Cycling/Spin Classes

Other (Please specify):

What is the average fitness level of your employees?

Beginner

Intermediate

Advanced

Mixed levels

Are there any physical limitations or health conditions among employees that we should consider when designing the program?

If yes, please specify:

What is the preferred duration for each fitness session?

30 minutes

45 minutes

60 minutes

Other (Please specify):

What is the best time for on-site classes?

Before work (e.g., 7:00 AM - 8:00 AM)

During lunch break (e.g., 12:00 PM - 1:00 PM)

After work (e.g., 5:00 PM - 6:00 PM)

Other (Please specify):

How often would you like the classes to be held?

Once a week

Twice a week

Three times a week

Daily

Other (Please specify):

IV. Facilities and Logistics

Do you have a dedicated space for on-site fitness classes?

If yes, please describe the space and available equipment:

If no dedicated space is available, are you open to creating a temporary fitness area?

What is the maximum number of employees you expect to participate per session?

1-10

11-20

21-30

30+

Are there any specific days of the week that are better for scheduling classes?

Monday

Tuesday

Wednesday

Thursday

Friday

No preference

V. Budget and Commitment

What is your budget for the on-site fitness program?

$500.00−$1,000.00 per month

$1,000.00−$2,500.00 per month

$2,500.00−$5,000.00 per month

$5,000.00+ per month

Other (Please specify):

How long are you looking to commit to the program initially?

1 month

3 months

6 months

1 year

Other (Please specify):

VI. Additional Information

Are there any specific instructors or certifications you prefer?

If yes, please specify:

Would you like to include wellness workshops or seminars as part of the program?

If yes, please specify topics of interest:

Do you have any other requests or special considerations?

VII. Consent and Authorization

By signing below, you acknowledge that the information provided is accurate and authorize us to use it to design a customized on-site fitness program for your company.

Signature:

Thank you for completing this form! We will review your responses and contact you shortly to discuss the next steps. If you have any questions, please feel free to reach out to us.

Form Template Insight

Please remove this form template insight section before publishing.


Below is a detailed breakdown of the On-Site Fitness Classes for Corporate Wellness Programs Client Intake Form, including insights into its purpose, structure, and the importance of each section. This form is designed to gather comprehensive information to create a tailored fitness program that aligns with the company’s goals, employee preferences, and logistical requirements.


Purpose of the Form

The primary goal of this intake form is to:

  1. Understand the company’s wellness objectives and how on-site fitness classes can support them.
  2. Assess employee needs and preferences to ensure the program is engaging and effective.
  3. Evaluate logistical and budgetary considerations to design a feasible and sustainable program.
  4. Build a strong foundation for collaboration between the fitness provider and the company.

Detailed Insights into Each Section

Section 1: Company Information

Purpose: To gather basic details about the company and establish a point of contact.


Key Insights:

  • Knowing the company’s size and industry helps tailor the program to the workforce’s unique needs (e.g., a tech company with sedentary employees may need more focus on mobility and stress reduction).
  • A designated contact person ensures clear communication throughout the planning and implementation process.

Section 2: Program Goals and Objectives

Purpose: To identify the company’s motivations for implementing the program and any specific health challenges they want to address.


Key Insights:

  • Understanding the goals (e.g., reducing stress, improving morale, or increasing productivity) helps align the program’s design with desired outcomes.
  • Identifying specific health concerns (e.g., obesity, chronic pain, or mental health) allows for targeted programming, such as low-impact classes for employees with joint issues or mindfulness sessions for stress reduction.

Section 3: Employee Preferences and Suitability

Purpose: To gauge employee interest in different types of fitness activities and assess their fitness levels and limitations.


Key Insights:

  • Offering activities that employees are excited about (e.g., yoga, HIIT, or dance) increases participation rates and program success.
  • Understanding fitness levels and physical limitations ensures that classes are inclusive and safe for all participants. For example, beginners may need modifications, while advanced participants may crave more challenging workouts.
  • Preferred timing and frequency of classes help maximize attendance by fitting into employees’ schedules.

Section 4: Facilities and Logistics

Purpose: To evaluate the company’s available resources and space for hosting on-site fitness classes.


Key Insights:

  • Knowing whether a dedicated space exists (and its size/equipment) helps determine if additional resources are needed.
  • If no space is available, the company’s willingness to create a temporary fitness area indicates their commitment to the program.
  • The expected number of participants per session ensures that classes are appropriately sized for the space and instructor attention.

Section 5: Budget and Commitment

Purpose: To understand the company’s financial investment and long-term commitment to the program.


Key Insights:

  • Budget constraints influence the scope of the program (e.g., number of classes, types of activities, or instructor qualifications).
  • The length of commitment (e.g., 3 months vs. 1 year) helps plan for program sustainability and potential scalability.

Section 6: Additional Information

Purpose: To capture any special requests or preferences that may not fit into the previous sections.


Key Insights:

  • Specific instructor certifications or preferences (e.g., yoga instructors with trauma-informed training) ensure the program meets the company’s standards.
  • Wellness workshops or seminars (e.g., nutrition, stress management) can complement fitness classes and provide a holistic wellness experience.

Section 7: Consent and Authorization

Purpose: To formalize the company’s agreement to provide accurate information and move forward with program planning.


Key Insights:

  • This section establishes trust and accountability between the fitness provider and the company.

Why This Form is Effective

  1. Comprehensive Data Collection: The form covers all critical aspects of designing a corporate fitness program, from employee preferences to logistical details.
  2. Customization: By gathering detailed information, the fitness provider can create a program that is uniquely suited to the company’s needs and goals.
  3. Employee-Centric Approach: Focusing on employee preferences and limitations ensures high engagement and inclusivity.
  4. Clear Communication: The form sets expectations and provides a foundation for ongoing collaboration between the company and the fitness provider.

How to Use the Form Effectively

  1. Encourage Honest Feedback: Ensure the company representative provides accurate and detailed responses to maximize program effectiveness.
  2. Follow Up: Use the form as a starting point for deeper discussions. For example, if employees have mixed fitness levels, explore offering tiered classes.
  3. Review and Adapt: Periodically revisit the form to assess whether the program is meeting its goals and make adjustments as needed.

This intake form is a powerful tool for creating a successful on-site fitness program that benefits both the company and its employees. By addressing goals, preferences, and logistics, it ensures a seamless and impactful wellness initiative.


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