OCCSPIRE HEALTH

(Occupational Health Consulting & Telemedicine}

Client Needs & Subscription Interest Survey

Thank you for your interest in OccSpire Health’s Services!

We offer monthly subscription plans for occupational health consulting and telemedicine treatment. To help us tailor a Subscription-Based package that meets your company’s specific occupational health consulting and telemedicine needs, please complete this survey and submit below!

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1. Company Information

Company Name:

Industry: 

Number of Employees:

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2. Workplace Health Priorities

What are your top priorities for occupational health & telemedicine? (Check all that apply)

3. Current Occupational Health & Telemedicine Use and Needs

What occupational health services do you currently use? (Check all that apply)

What occupational health services do you currently need? (Check all that apply)

How frequently does your company require occupational health services?

Number of injuries last year (estimated):

How soon are you looking to implement or adjust your occupational health services?

4. Subscription-Based Service Preferences

Which type of subscription plan best suits your company’s needs?

Telemedicine Only 

Consulting Only 

Consulting + Telemedicine 

Which pricing model would you prefer for a monthly subscription plan?

Per Employee Per Month (PEPM) 

Flat-Rate Subscription 

Hybrid Model 

5. Budget Considerations

What is your budget range for a monthly subscription for occupational health telemedicine and consulting service

6. Contact Information

Preferred Contact Method

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Thank you for completing this survey!

We will review your responses and follow up with a customized subscription plan based on your needs.

Sincerely,

OccSpire Health, LLC

contact@occspirehealth.com