Loughborough Food & Wellbeing Hub

Loughborough Food & Wellbeing Hub

This 3 weekly sessions will provide you with food support along with the skills and support you need for health, nutrition and wellbeing.

To assess your suitability to this programme please answer the questions below

Is your household income over 35k per year*

Are you currently struggling with an alcohol, drug or gambling addiction?*

If you have answered yes to any of the above questions, unfortunatley our programme will not be a suitable fit for your needs. If you require further support please contact your GP surgery. If you answered No to all of the questions please proceed with the form.

1. Full Name

2. Email address

Phone Number

Area CodePhone Number

4. Postcode

How many people are your in your Household?

How many Adults 65+yrs?

How many Adults 18-64yrs?

How many Children 5-17yrs?

How many Children 0-5yrs?

8. Do you have any dietary requirements or food allergies?

13. Please tell us about any disabilities

We need your consent to record your personal details. These details may contain your personal and sensitive data, including name, address. date of birth etc. We are required by law the Data Protection Act (DPA) 2018 and General Data Protection Regulations (GDPR) 2018 to ask for your permission to record your details. Your details will be stored in a safe, shared electronic management system accessed by staff of Communities Food and Wellbeing Hub. As part of your support we may pass on your details to other groups or organisations that may be be a support to yourself.

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