Name of company

 

Contact name

 

Number of employees

 

Nature of business

 

Has company got an EAP in place?

Yes
No

 

If Yes, which provider?

 

Cost per employee?

 

Type of EAP

 

(i.e. telephone based only, or telephone based and face-to-face sessions inc. suggested number of sessions)

 

Renewal date

 

Please send quote to :

 

Name

 

Address

 

Post code

 

Email

 

Tel