EAP Enquiry

1
Source Channel (Hidden)Pipedrive Integration
Jotform
Webform
Contact Page
Direct Email
Direct Phone
2
Lead/Deal LabelPipedrive Integration
WELLBEING WORKSHOPS
WELLBEING PROGRAMS
MEDITATION CLASSES
SCHOOL WORKSHOPS
EAP
3
What's the name of the Organisation you're enquiring on behalf of?* This field is required.
4
Where is {Organisation} located?* This field is required.If there is more than one location, enter the main office/site or just one listed address. You can also enter a whole city or state if your Organisation operates virtual offices.
5
What industry category most closely aligns with {Organisation}'s industry?* This field is required.Please select the most accurate option to ensure you receive information relevant to your industry.
Agriculture, Mining & Energy
Arts, Media & Entertainment
Community Services
Education
Healthcare & Medical
Hospitality & Tourism
Manufacturing, Transport & Logistics
NFP/Charity
Professional Services
Retail
Sport & Recreation
Trade & Services
Other
6
How many employees do you have at {Organisation}?* This field is required.Enter the total number of employees you'd like included in your Employee Assistance Program.
Please Select
Please Select
Up to 15
Up to 30
Up to 50
Up to 100
Up to 200
Up to 300
Up to 400
Up to 500
500+
7
Do you currently have an EAP provider?* This field is required.
Please Select
Please Select
Yes
No
8
What's making you want to change EAP providers?Select all that apply.
Paying too much
Not enough value for money
Lack of service options (e.g. EAP only provides counselling and/or psychology)
Poor service experience
Off-shore or large provider who doesn't take the time to understand us
Little or no choice over practitioners (e.g. employees are randomly assigned a person)
Too reliant on technology (e.g. EAP Apps that don't offer a personlised human-centric approach and add to technology fatigue)
Other
9
What features are most important to {Organisation} when choosing an EAP Provider?Select all that apply.
Value for money
Lowest possible cost
Multi-dimensional support (Wide range of services targeting all areas of individual and organisational wellbeing)
An Australian-owned and run provider that cares about and understands your team
App-driven EAP rather than human-driven EAP (e.g. an App employees can download and get answers from a bot)
Ability for employees to choose their preferred Practitioner
A global large-scale EAP provider
A provider that aligns with your team and culture
Face-to-face sessions delivered in-person
24/7 access to practitioners e.g. critical incidence response
Other
10
It looks like we might not be a good fit.

If you've selected any of the following features as important to {Organisation} when choosing an EAP Provider, then our program might not be what you're looking for:

Lowest possible cost

App-driven EAP rather than human-driven EAP

A global large-scale EAP provider

Face-to-face sessions delivered in-person at your workplace

24/7 access to practitioners

Want to continue with your enquiry? Select the "Previous" button below and uncheck the above features, otherwise you can exit this form by clicking the X button in the corner of the screen.
11
What's your name?* This field is required.Please include first and last name and ensure spelling is correct.
First Name
Last Name
12
What's your email address?* This field is required.Please note, only email addresses attached to the Organisation you're enquiring on behalf of will be accepted. We don't provide details to private emails (e.g. @gmail, @outlook...etc)
example@exampleorg.com.au
13
What's your best contact number?* This field is required.For landline phone numbers enter: +(countrycode)(areacode)(phonenumber) with no spaces. For mobile numbers enter: +(countrycode)(mobilenumberwithout0) with no spaces.
Example mobile: +61412370476 | Example landline: +61398018711
Should be Empty:

It looks like we might not be a good fit.