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1) What kind of EAP are you interested in? (click all that apply) Personal Sessions (click here for more info) Telephonic (click here for more info) Internet (click here for more info) All 2) If personal, how many sessions? (click here for more info) 3 5 7 Quotes for all of the above 3) Are you interested in a comprehensive program that includes work/life services? (click here for more info) yes no 4) When is your client considering the implementation of an EAP? ASAP 1-3 Months 1-6 Months Year 5) Please describe the industry your client does business in: Please check the box that applies to you: The company I represent has over 200 employees The company I represent has between 50 - 200 employees