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Heaven Sent Lifestyle Management Inc.
1-888-773-3953


 
 


Clients Needs Assessment Form

Please complete this form to receive a customized assessment of your corporate needs. All information provided by our clients is kept in the strictest of confidence with careful adherence to the privacy laws. Mandatory fields are indicated by an asterisk (*), all other fields are optional


    Company Information


 
   
*Company Name: 
*Number of Employees: 
*In what province(s) do
you have employees? 
   

    Primary Contact

   
*Full Name: 
*Title: 
*Telephone: 
Fax: 
*Email Address: 
Area of responsibility:  Benefits Administrator
Recognition/Rewards
   

    Services of Interest

   
Please indicate the services that most appeal to your staff: 
Household Management
Party Planning
Personal Assistant
Relocation Service
Pet Service
Errands
Concierge
Elderly Accompaniment
New Mom
Other
How will our services be used in your company?
Augment Benefits Package
Recognition/Rewards
Target implementation date of these services to your employees?
Immediately
3 months
6 months
12 months
Other
   
 

* Required fields.



 
   
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