Employee Wellness Program Signup

Employee Wellness Program Signup — Form Fields

This hr template includes 7 fields. Wellness program enrollment form for employees to sign up for company-sponsored health and wellness activities such as gym memberships, health screenings, and wellness challenges. Free to customize and use on ZenBuild.

• Employee Name (text, required)
• Work Email (email, required)
• Department (text, required)
• Programs of Interest (select all that apply) (checkboxes, required) — options: Gym membership subsidy, Mental health / counseling resources, Wellness challenge (steps, hydration, etc.), Health screening / biometric testing, Nutrition coaching, Yoga / meditation sessions, Smoking cessation support
• Preferred Communication Method (dropdown selection, required) — options: Email, Slack / Teams, In-person announcements
• Have you participated in a company wellness program before? (multiple choice, required) — options: Yes, No, this is my first time
• Wellness Goals or Interests (long text, optional)