Rajomon Wellbeing Onboardin

Step 1/3

Your Details

Let’s get to know you so we can personalise your experience.

Full Name

Email Address

Mobile Number

Your Age Range

Under 25

25–34

35–44

45–54

55–64

65+

State

Choose a state

How did you hear about us?

Choose one

Step 2/3

Who Are You Representing?

Are you exploring Rajomon Wellbeing for yourself, your organisation, or as a health professional?

I’m here for myself and/or my family

I want to explore support for my own wellbeing and finances

I represent an organisation

I’m exploring solutions for our staff's financial and physical wellbeing

I’m a health practitioner

I’m interested in partnering or learning more

Are you interested in:

Health support (rebates, wellness, etc.)

Financial advice

Both

When would you like to speak with us?

Preferred Day

Choose a preferred day

Preferred Time

Choose a preferred time

Any questions before we speak?

If there's anything you'd like to ask or let us know, pop it in the box below.

Organisation Name

Role/Position

Approximate team size

What are you interested in?

Employee wellbeing programs

Financial education or advice for staff

Both

When would you like to speak with us?

Preferred Day

Choose a preferred day

Preferred Time

Choose a preferred time

Any questions before we speak?

If there's anything you'd like to ask or let us know, pop it in the box below.

Practice or Clinic Name

Your Profession (GP, Physio, Chiro, etc.)

Clinic Website (optional)

Are you currently working with financial service providers?

Yes

Are you:

Looking to refer clients to Rajomon

Interested in joining the health partner network

Want to learn more

When would you like to speak with us?

Preferred Day

Choose a preferred day

Preferred Time

Choose a preferred time

Any questions before we speak?

If there's anything you'd like to ask or let us know, pop it in the box below.

Step 3/3

Thanks for Reaching Out to Rajomon Wellbeing

We appreciate your interest in Rajomon’s health and financial wellbeing platform.

We will reach you very soon.

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