Workplace Wellness Program Request | Chakra.lk

Workplace Wellness Program Request

Blank Form (#4)

First Name

Last Name

Email

Organizations / Company /Team

Job Title/Position

Company Information

Company Size (number of employees)

Company Address

Address Line 1

Address Line 2

City

State

Country

Company Website

Program Preferences

Type of Wellness Program

Yoga

Awareness Programs

Wellness Programs

Other Or Custom

Desired Program Duration

One-time workshop

Weekly sessions

Monthly sessions

Custom

Preferred Start Date

Wellness Goals

Additional Comments/Requirements

Quick Links

Get In Touch

2023 Chakra.lk© All Rights Reserved| Created By Netcash.lk