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Corporate Client Questionnaire
* Indicates Required Field

*Business Name *Contact Name
*Position Company Website
*Address *City
*State/County *Country
*Postal Code *Email
*Telephone
 Work Phone
Mobile/Cell
 Fax
Do you have onsite facilities or corporate gym memberships? Yes
No
Approximate number of employees to be included:
Questions/Comments
Areas of expertise

Acupuncture Aerobics Aromatherapy
Athletics Body Massage Bodybuilding
Boxing Canoeing Cardio
Caving Chiropractor Circuits
Core Stability Cycling Dance
Dietician Equestrian Fencing
Fitness Camps Fitness Consultant Flexi Bar
Football Golf Gp Referral
Gym Stick Gymnastics Hang Gliding
Health Club Hockey Juvenile
Keep Fit Life Coach Lifestyle Consultant
Marathon Martial Arts Meditation
Motor Sports Mountain Expedition Nutrition
Outdoor Work Personal Trainer Physiotherapist
Pilates Pre Post Natal Reflexology
Resistance Training Rock Climbing Rowing
Rugby Running Senior Citizens
Skiing Snowboarding Skydiving Soccer
Sports Injury Sports Massage Step
Strongman Training Swimming Swiss Ball
Tai Chi Tennis Triathlon Iron Man
Weight Management Weight Training Yoga
Youth Obesity Other:  
 
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