Enquire About Clinic Room Hire

Full Name *

Phone *

Email *

How did you first find out about our treatment rooms? *

Instagram

Website

Facebook

Google Search

Reccomendation

Existing therapist

Passing By

Visited Other Therapist At One Of The Locations

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What made you enquire today? *

Saw an Instagram Story

Saw the advert

Visited the website

Saw available room

Location suited me

Been following for a while

Recommendation

common.other_option

Which Location Would You Like? *

Hilton, Derby

Derby Centre Near Mackworth

Both Locations

Either, No Preference

Did someone recommend you? If so please tell us so we can thank them

What is your profession? *

What treatments do you offer? *

How long have you been in business? *

Just starting out

Under 2 years

Under 5 years

5 -10 years

10 plus

Not in business yet

How Would You Describe Your Business? *

Hobby

Side Hustle

I have a full or part time job elsewhere

This is my main job

Website (if applicable)

Social Handles (if applicable)

Where are you currently working from? *

How busy are you? *

I haven't got any clients

I have a few clients

I'm under 50% booked and building

I am over 50% booked and building

I'm fully booked and looking to increase capacity

I am full and not taking on new clients

Other

Do you have preferred days or are you flexible? *

What room type do you require? Do you require a physical therapy room (with an electric couch), a talking therapy room with chairs or A larger room for group sessions? please note all rooms have chairs and a desk *

Physical Therapy Room With Electric Couch

Talking Therapy Room

Either Physical Therapy Or Talking Therapy Room

Group Session Room

I Need More Than One Type

Training Room With Screen

When would you like to start with us, if our space is suitable? *

What is todays date? *

Is there anything else you'd like to add?

Just so you know... we'll use your details to respond to your enquiry about hiring space at ORA Wellbeing. We'll also send you a short series of helpful follow-up emails with more information about our spaces and what ORA has to offer. You can opt out of these emails at any time.

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