Great Place Research and Consultancy

Commitment to Action
Organization Details
Employee Strength Declaration
Organization Contacts
Other Details

* Mandatory Fields

Welcome!

Congratulations on taking the first step towards creating a workplace culture that fosters a healthy and high-performance environment.

Eligibility Criteria :

Employee Strength: Minimum 100 employees on the company payroll in India.
Years of Operation: Minimum 2 years in India.

Commitment to Action: We commit to take action on the findings of the Health and Wellness Survey conducted for our organization and building a workplace environment that fosters a healthy and high-performance culture.

Insights that will enable you to take action: Minimum investment of INR 1.25 lacs plus applicable taxes for conducting the assessment covering a statistically valid sample of employees and sharing an employee survey report.

Next Steps: I want to proceed to creating a healthy and high-performance workplace culture.*

Want to know more? Write to us at contactus@workplacewellnessindex.com

Organization Details

Organization's Name
Please enter the legally registered name of the organization*

Industry*
Note :Please select the industry category that best represents the primary business your organization is engaged in.

Note :You are not required to select an industry vertical if it does not represent your organization’s major line of business. Industry Vertical*

How many manufacturing units do you have in India?*

How many retail outlets do you have in India?*

Business Description
Please give a brief snapshot of your business, its products/services and the type of customers you provide services to*

India Head Quarters Address*

State*

City*

Pin-code*

Website*

(Eg:- www.abc.com)

Number of Years of Operation in India*

Is Your Organisation part of a Group?* Yes No

Group Name*

Employee Strength Declaration

Employee Strength Declaration:
Please note that the information being declared below must include all the employees of the organization, without any exceptions, unless and until notified to and approved by the Workplace Wellness Team

Number of White Collar Employees on your Organization's Payroll*

Do you have Blue Collar employees on your Organization's payroll?* Yes No

Total Employees on your Organization Payroll

Do you have Contract staff?* Yes No

Note : Great Place considers the experience of all employees in the assessment and reserves the right to include all critical stakeholders of the organisation (White collar, Blue collar, Contract staff involved in key functions, etc)

Project Co-ordinator's Details

A Project Co-ordinator coordinates the complete process on behalf of the organization. Kindly enter the details of the person who will be the single point of contact for us
Name*

Designation*

E-mail ID*

Landline Number

Mobile Number*

LinkedIn Profile URL (Eg:- https://www.linkedin.com/in/example/)

CEO/MD/Head of the Organization/Country Head Details

Name*

Designation*

E-mail ID*

Landline Number

Mobile Number*

LinkedIn Profile URL

(Eg:- https://www.linkedin.com/in/example/)

Note : - Please note that after filling this form, the participation intimation will be communicated to the CEO/MD/Country Head, and HR Head of the Organization. The final result communication will also be sent to them after completion of the assessment process.

HR Head's Details

Same as Project Co-ordinator

Name*

Designation*

E-mail ID*

Landline Number

Mobile Number*

LinkedIn Profile URL

(Eg:- https://www.linkedin.com/in/example/)

Marketing Head's Details

Name

Designation

E-mail ID

Landline Number

Mobile Number

LinkedIn Profile URL

(Eg:- https://www.linkedin.com/in/example/)

GSTIN Details Information

GSTIN Number *

State Code *

Other Details

Is your organization currently going through, or has gone through a merger or acquisition in the last 12 months, or is planning a merger or acquisition in the next 6 months?

Merger or Acquisition*

How did you and your team members learn about this certification programme?*

In what ways can participating in this certification programme benefit your organization?*

Have you worked with Great Place before?*

Please enter the text as it is shown in the box below*

Welcome!

Congratulations on taking the first step towards creating a workplace culture that fosters a healthy and high-performance environment.

Eligibility Criteria :

Commitment to Action: We commit to take action on the findings of the Health and Wellness Survey conducted for our organization and building a workplace environment that fosters a healthy and high-performance culture.

Insights that will enable you to take action​: Minimum investment of INR 1.25 lacs plus applicable taxes for conducting the assessment covering a statistically valid sample of employees and sharing an employee survey report.

Next Steps: I want to proceed to creating a healthy and high-performance workplace culture.*

Want to know more? Write to us at contactus@workplacewellnessindex.com

Organization Details

Employee Strength Declaration

Project Co-ordinator's Details

CEO/MD/Head of the Organization/Country Head Details

HR Head's Details

Marketing Head's Details

GSTIN Details Information

Other Details

Insights that will enable you to take action: Minimum investment of INR 1.25 lacs plus applicable taxes for conducting the assessment covering a statistically valid sample of employees and sharing an employee survey report.