FREE Chiropractic Health Talk & Workplace Exercises brought to you by Asia One Chiropractic.
[By Invite only] Asia One Chiropractic presenting - The Chiropractic Healthtalk that you need.
* Required
The total Duration(including 30 mins' Health Talk) will take approximately 1 to 2 hours depending on the screening process of the total number of attendees.
I acknowledge to receive all the complimentary perks as per stated in the email received from Asia One Chiropractic Pte Ltd, to conduct a Complimentary Health Talk at the comfort of my workplace:
I would be receiving all following complimentary perks:
1. Corporate Health Talk by Dr Neil (30 mins) (May extend due to Q&A)
2. Workplace Spinal Stretches
3. Spinal Screening + Printed Report (1-2 mins/pax)
4. Report Analysis + Doctors' Evaluation (3-5 mins/pax)
5. [Optional]: Lunch Bentos for all attendees?
*
Yes
No
Company Name:
*
Your answer
Full Name(Contact Person):
*
Your answer
Designation:
*
Your answer
Contact Number:
*
Your answer
Email:
*
Your answer
Office Address (For Health Talk):
*
Your answer
Total Number of Attendees expected:
*
12 - 20
21 - 25
26 - 30
31- 35
36 - 40
Other:
1st Preferred date to receive the Health Talk:(DD/MM/YY)
*
Your answer
2nd Preferred date to receive the Health Talk:(DD/MM/YY)
*
Your answer
Please followup with me to confirm on my registration status via:
*
Phone Call
Email
Required
We will get back to you soonest possible. :)
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms