
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.
Company Name
Contact Person
Job Title
Email Address
Phone Number
Company Address
City
State
Zip Code
Number of Employees
Industry
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?
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?
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):
Do you have a dedicated space for on-site fitness classes?
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
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):
Are there any specific instructors or certifications you prefer?
Would you like to include wellness workshops or seminars as part of the program?
Do you have any other requests or special considerations?
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:
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:
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:
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:
Section 4: Facilities and Logistics
Purpose: To evaluate the company’s available resources and space for hosting on-site fitness classes.
Key Insights:
Section 5: Budget and Commitment
Purpose: To understand the company’s financial investment and long-term commitment to the program.
Key Insights:
Section 6: Additional Information
Purpose: To capture any special requests or preferences that may not fit into the previous sections.
Key Insights:
Section 7: Consent and Authorization
Purpose: To formalize the company’s agreement to provide accurate information and move forward with program planning.
Key Insights:
Why This Form is Effective
How to Use the Form Effectively
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.