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Healthy Workplace Awards application form
Please provide us a few details about your company and the healthy
workplace initiatives you have in place.
Once you have completed your application form, please email it to us
[email protected]
Company details
Question marked with a * are mandatory
* Company name
Website address
Industry or sector
Number of employees
Do you currently have a health insurance
scheme in place?
If yes, please provide some details
Yes:
No:
Is your company already a Simplyhealth client?
Yes:
No:
* Workplace risk assessments
Yes:
No:
* Pay for eye tests for all VDU users
Yes:
No:
* Encourage employees to eat healthily
Yes:
No:
* Encourage healthy work and home life balance
Yes:
No:
* Return to work processes after absence
Yes:
No:
* Occupational health scheme
Yes:
No:
* Employee assistance programme
Yes:
No:
* Gym facilities or gym membership discounts
Yes:
No:
* Bike to work scheme
Yes:
No:
* Flu inoculations
Yes:
No:
* Free fruit days
Yes:
No:
* Financial wellbeing strategy
Yes:
No:
Healthy workplace initiatives
Simplyhealth is a trading name of Simplyhealth Access, registered and incorporated in
England and Wales, No.183035. Registered office: Hambleden House, Waterloo Court,
Andover, Hampshire SP10 1LQ. Authorised and regulated by the Financial Services Authority.
Your calls may be recorded and monitored for training and quality assurance purposes.
If you wish to add any additional information that could help your award entry, please
enter it here:
Contact details
Please provide some details about the person we should contact in connection with this entry:
* Name
* Email address
* Telephone number
* Job title
Simplyhealth will not share these details with any company other than those in the
Simplyhealth group of companies. Your information will be used to promote both your
company and Simplyhealth by various media channels including local, national and business
press, the Simplyhealth website and in case studies.
By completing this form, you are certifying that all this information is true and correct and
you agree to it being used for promotional purposes.
Although we wish every company who applies for a Healthy Workplace Award to be
successful, unfortunately in some instances, this will not be the case. Should you be
unsuccessful in your application this time, this should not deter you from applying in future
should you add to your wellbeing programme. Please be aware that Simplyhealth’s decision is
final and awards are given at our discretion.
Simplyhealth is a trading name of Simplyhealth Access, registered and incorporated in
England and Wales, No.183035. Registered office: Hambleden House, Waterloo Court,
Andover, Hampshire SP10 1LQ. Authorised and regulated by the Financial Services Authority.
Your calls may be recorded and monitored for training and quality assurance purposes.