Well-evate Executive Leadership Retreat - Pilot Program Interest Form

If you're ready to make an impact with your employee wellness efforts, then you know getting your leaders involved and serving as role models is a critical success to improving program outcomes. This unique 1-day off-site retreat is designed to get your leaders out of the offices and learn about the important of their own health and self-care, and how to effectively lead with a well-being mindset.

I am interested in learning more about offering this 1-day Executive Leadership Retreat to my employees *

Yes

Company/Organization Name *

Your Name *

Your Email *

Your Phone Number *

Role at Organization *

Where is your organization located? *

What level of employees would you consider inviting to participate in this retreat? *

SVP

EVP

President

C-Suite

Other

Approximately how many leaders do you anticipate participating in this Executive Leadership Retreat? *

<5
5 - 10
11 - 20
>20
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What type(s) of wellness events have you previously offered in the past? *

How would you rate the overall employee participation in your prior wellness efforts? *

1
2
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4
5
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How involved were your organization's LEADERS in your prior wellness efforts? *

1 being No Involvement and 5 being Extremely Involved

1
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5
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What have been some of the biggest challenges getting leaders to be more involved in your organization's wellness efforts? *

Are you interested in working with Mandy for any of her additional employee wellness services? *

Keynote Presentation

Single Event - Program Creation & Delivery

Concierge Program Consulting

Other

THANK YOU FOR YOUR INTEREST IN PARTICIPATING IN THE PILOT PROGRAM FOR THIS EXECUTIVE LEADERSHIP RETREAT. WE WILL BE IN TOUCH WHEN MORE INFORMATION IS AVAILABLE.

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

SUBMIT