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Who We Are
Events
Contact Us
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Nervana Health Corporate Wellness Event - Request Form
Company name
*
Company contact first name
*
Company contact last name
*
Email
*
Phone
How many employees expected for event?
*
Date Range and ideal time(s) of day
*
Describe the office space you have
*
Traditional office (Individual assigned offices / cubicles)
Flexible / Co-working (Different kinds of desks / tables, no assigned seats, can move around)
Warehouse
Factory
Other
Employees are...
*
In office daily
Hybrid (some days in office, WFH or in the field other days)
Primarily in the field
Primarily WFH
Other
What is the physical nature of your company?
Employees spend most of their time sitting at desks
Employees spend most of their time driving
Employees spend most of their time on their feet
Employees regularly lift, carry, or move items using their low back and/or knees
Employees perform repetitive hand or arm tasks (typing, scanning, tools)
Employees frequently work in awkward or cramped positions (overhead reaching, kneeling, twisting)
Other
What is the goal of the corporate event?
*
Team bonding
Movement
Healing pain
Education
Stress relief/reset
Other
Do you have a budget range in mind?
*
Choose one
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