for employers

Service
Name of Company
Company Contact Name
Date
MM slash DD slash YYYY
What employee benefit programs do you currently offer, if any?
What are your objectives for providing work-place fitness classes?
Have you offered workplace fitness classes before?
- Yes
- No
If you discontinued these classes, what was the reason? What would you change about the service provided?
How many classes a week would you like to offer for your employees?

Facilities
What kind of space do you have available for classes? (ex: workout room, conference room, kitchen area, etc.)
Please describe the room in detail, including size, wall space, and furniture in the room.
Will set-up and cleanup be necessary before and after every class?
- Yes
- No
What times is the room available for a class?
If you have a workout room, what kinds of props are available?
Does the company have a budget to provide mats and recommended props for the class? (If so we can purchase them for you)
What kind of storage do you have available for employees to keep their own yoga mats and props?
Do you have a sound system in that space?
- Yes
- No
Do you have showers available for employees?
- Yes
- No

Employees
What is the nature of the majority of work that your employees do? (examples: computer work, labor/heavy lifting, creative art projects, customer service).
How many hours a week does your average employee work?
What is the average age of your employees?
Identify where you would like to see improvement in the company regarding overall employee health and satisfaction?