Step 2: Please share some more information so we can prepare a personalized quote for your business.

Company or Organization Name *

City *

State *

Industry *

Company Website

Number of Employees *

Your Best Contact Info

First Name *

Last Name *

Email *

Phone *

I give Alive & Well persmission to contact me via SMS and email, including appointment reminders, updates, and offers. Opt out at any time.

We respect your privacy.

Your Benefit Values

Do you currently offer any health benefits?

Yes, but I'm looking for something different.

Yes, and I'd like to offer more to my employees.

Not yet.

How important is it to you to offer valuable employee health benefits?

Not importantVery important!

Which of the following are you interested in? (Please check all that apply.)

Saving money on healthcare benefits

Encouraging employee recruitment and retention

Connecting employees with accessible medical care

Improving employees' overall health and wellness

Boosting employee morale

Reducing sick days or lack of productivity

Offering affordable alternatives to health insurance

Your Healthcare Goals

Which services are you interested in for your team? *

24/7 Medical HelpLine (call/text)

Visits from a medical provider to your workplace

Provider visits to the home (house calls)

Onsite first aid for minor injuries

Financial assistance for major medical costs

Mental health support

Employee wellness programs or challenges

Other (Please describe below.)

How much would you like to contribute to your employees' health benefits? *

100%.

At least 50%.

Nothing.

I'm not sure.

What is most important to you when it comes to healthcare benefits?