Overview:

TATA Motors is planning to come up with an initiative of a wellness program which is

specifically designed to take care of anyone who drives or owns TATA vehicles.

FOR CUSTOMERS
Name:
Contact no:
Status:
(Fleet size & drivers)

What is the your route of operation?

 Pan India
 Interstate
 Intrastate
 Point to Point

How many days on an average are you on the road continuously? 


What is your cycle of commuting daily?

 Every day of the week 


 4-6 days a week 

 2-3 days a week 

 At least once a week 


When was the last time your driver had fallen ill or met with any accident?
Was it an accident or a health issue like Cold/cough/fever/Joint Pain/Diabetes?

If accident:
What was the reason/cause behind the occurrence of such events?

 Speed
 Inattention/Lack of concentration
 Drink Driving
 Distraction while being on mobile/phone
 Driver fatigue
 Other factor (Comment):

How did you cover your driver’s health expenses?

 Allowances
 Checkup camps
 Insurance
If health Issue, what was the issue related to out of the following:
 Diabetes
 Lever
 Thyroid
 Eye Checkup
 Blood Pressure
 ECG
 Comment: If any other

How much did you spend on the after-treatment or checkup?

 100-1000
 1000-5000
 5000-10000
 Above 10000

If TATA Motors comes up with this initiative of wellness program:

Would you be interested to enroll in this program?
Yes/No

Please rate your level of importance for the following three types of help:
(1-highest, 2-Moderate, 3-Least)
 Telephonic Help
 Consultancy Help
 Regular checkup

How much are you willing to pay for this Wellness Program?
 100-500
 501-1000
 1001-2000
 Above 2000

Any suggestion/recommendations/additional information you would like to add in this

plan for making it more effective?
Comments:
 FOR DRIVERS
Company Name:
Contact No:
Age:
Which Vehicle:

What is the your route of operation?

 Pan India
 Interstate
 Intrastate
 Point to Point

 How many days on an average are you on the road continuously? 


 What is your cycle of commuting daily?

 Every day of the week 


 4-6 days a week 

 2-3 days a week 

 At least once a week 


When was the last time you had fallen ill or met with any accident?
Was it an accident or a health issue like Cold/cough/fever/Joint Pain/Diabetes?

If Accident:
What was the reason/cause behind it?

 Speed
 Inattention/Lack of concentration
 Drink Driving
 Distraction while being on mobile/phone
 Driver fatigue
 Other factor (Comment):

How much did you spend for the treatment?

 100-1000
 1000-5000
 5000-10000
 Above 10000

If health issue, what was it related to:

 Diabetes
 Lever
 Thyroid
 Eye Checkup
 Blood Pressure
 ECG
 Comment: If any other

Where did you go for the check up?

 Local Clinic
 Family Doctor
 Self-prescribed
 Hospital

What was the average amount you spent for the check-up?
 100-1000
 1000-5000
 5000-10000
 Above 10000

If TATA Motors comes up with this initiative of wellness program:

Would you be interested to enroll in this program for your driver?
Yes/No

Please rate your level of importance for the following three types of help:
(1-highest, 2-Moderate, 3-Least)
 Telephonic Help
 Consultancy Help
 Regular checkup

How much are you willing to pay for this Wellness Program?
 100-300
 300-600
 600-1000
 Above 1000

How much will you rate this initiative of Wellness Program out of 5?
1-Bad
2-Not satisfactory
3-Neutral
4-Good
5-Excellent

Any suggestion/recommendations/additional information you would like to add in this

plan for making it more effective?
Comments:
24 X 7 telephonic help
6 profile tests
regular health camps
50000 hospitilaztion expenses

https://docs.google.com/forms/d/e/1FAIpQLSc7mt2ppceSBBwhsqT_83Cd-
w3o0OYrJPQV1NVxnVGZMbpI5g/viewform?c=0&w=1
Customers

https://docs.google.com/forms/d/e/1FAIpQLScJmqKL7OciluPEMzJPQbY9fEHkOMyPH143FR
E5ExUF-HHywA/viewform?c=0&w=1

Drivers