Workplace Services Enquiry form

If you would like to get in touch with me to discuss options before filling in this form, please contact me.

Thanks,
Billy


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Please note down which industry sector(s) best describes your business
What size is your business? *
Please note down what goals and expectations you have
e.g non-specific lower back pain
Please note down any issues that have recently come up
eg ergonomic chairs, lighting
eg screen breaks, desk breaks, correct lifting techniques
Does your company offer private health care which also covers complimentary therapies?
Staff turnover:
If you have anything you'd like us to answer pop it in here
Are you comfortable for any photos / videos of your business to be shared online or on social media? *
I will never post anything without first asking your permission.
The Small Print
Cancellation Policy *
I respectfully ask that you provide me with a 24 hour notice of any schedule changes or cancellation requests. When you cancel or miss your appointment without providing a 24 hour notice I am unable to fill that appointment time. For this reason, you will be charged 50% of the service fee for the first missed session and 100% of the service fee for each appointment after that. I understand that emergencies can arise and illnesses do occur at inopportune times. Late cancellation due to emergency, illness, or inclement weather will generally not result in any missed appointment charges, but this is determined on a case-by-case basis.
Privacy Policy *
We do not share any of your information with any third parties or profit from your personal information and data. Our Privacy Policy can be found at the bottom of each page.
Please write your name or initials in the box below. By signing this form electronically you are agreeing to the terms and conditions herein.
Date Today *
Date Today

*ALL SESSIONS, WORKSHOPS AND EVENTS ARE FINAL SALE. REFUNDS NOT PERMITTED.
MISSED APPOINTMENTS WILL RESULT IN THE EARLIEST AVAILABLE RESCHEDULE DATE.*