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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.