This template is designed to help us better understand your life situation and preferences so that we can offer tailored perks and benefits that best support your needs. Please complete the following sections to provide information on your preferences and requirements.

Section 1: Work Location Support If you frequently travel or have specific location preferences, please provide details on the kind of support you need:

• Preferred work locations (home, co-working spaces, etc.):

• Frequency of travel:

• Travel support requirements (accommodation, transportation, etc.):

Section 2: Insurance - Family and Health Status Please provide information on your family and health situation to help us offer appropriate insurance coverage:

• Family status (single, married, children, etc.):

• Health conditions or concerns:

• Preferred insurance coverage (health, dental, vision, etc.):

Section 3: Workstation Support Let us know your workstation preferences and requirements for a comfortable and productive work environment:

• Home office setup (desk, chair, monitor, etc.):

• Equipment preferences (laptop, keyboard, mouse, etc.):

• Mobile or on-the-go work setup requirements:

Section 4: Wellness Choices Tell us about your wellness habits and preferences to help us provide relevant support:

• Physical activities (yoga, gym, sports, etc.):

• Preferred wellness programs or memberships:

• Dietary preferences or restrictions:

Section 5: Mental Health Support Provide information on your mental health needs and preferences:

• Preferred mental health support resources (therapy, counseling, apps, etc.):

• Stress management techniques or practices:

Section 6: Professional Development Share your professional development goals and interests:

• Areas of interest for skill development or growth:

• Preferred learning formats (online courses, workshops, conferences, etc.):

Section 7: Work-Life Balance Help us understand your work-life balance preferences and requirements:

• Desired work schedule or flexibility:

• Preferred vacation policy (unlimited time off, minimum days off, etc.):

Section 8: Networking and Team Building Let us know your preferences for networking and team-building activities:

• Preferred team-building activities or events:

• Networking opportunities or interests (virtual meetups, industry events, etc.):

Section 9: Recognition and Rewards Share your preferences for recognition and rewards:

• Preferred types of recognition (public acknowledgment, private feedback, etc.):

• Desired rewards (bonuses, gift cards, experiences, etc.):

Please complete this template and return it to [designated HR contact] by [deadline]. Your input will help us better understand your needs and preferences, allowing us to create a more tailored and supportive work environment for you. Thank you for your participation!