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Express your Interest in our Mental Wellbeing Program
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* Indicates required question
What is the full name of your organization?
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Your answer
Link to your organization's website
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Your answer
What is your first name?
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Your answer
What is your last name?
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Your answer
Who would you like to offer the program to?
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My employees
Beneficiaries of my organization (e.g., customers, users, participants of our program(s))
Other:
Required
How many employees do you have?
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Your answer
How many beneficiaries will you have in 2024 overall (can be an educated guess)?
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Your answer
Which pricing is feasible for your org?
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Welfare price <$550 / participant
Standard price $550 / participant
Supporter price >$550 / participant
Please briefly explain here what made you pick that option:
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Your answer
What would be possible ways to provide your share of program costs?
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Coverage by a (mental) health budget for employees
Coverage by direct donations
Coverage by the partcipants themselves
Coverage likely not possible (apply for a stipend within <5min in the next stage)
Other:
If we agree: When would we ideally start to deliver the wellbeing program to (some of) your people?
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Your answer
Your email address
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Your answer
Anything else you'd like to share? Any open questions you have?
Your answer
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