Organisations Pre interest Wellbeing Workshop Form

Wellbeing Workshop Pre-interest Form
Thankyou for expressing interest in our wellbeing workshops to delivered within your organisation.

Please note, all wellbeing workshops are fully funded and include handouts, copies of presentations and certificates. Each wellbeing workshop will last approx 2 hours.

Please complete the form below and we will be in touch with you soon, to discuss your needs.
Your Name/ Contact Person:*
Organisation Name:*
Organisation Address: *
Organisation Postcode:*
Organisation Telephone:*
Organisation Email:*
example@example.com
Rough idea of number of participants:*
e.g. 12 people

Below are a list of wellbeing workshops that we can offer. Please select which ones you are interested in us delivering for you. *

	Wellbeing workshop choices
1 - 5 Ways 2 Wellbeing
2 - Break the habit - Smoking
3 - Sleep
4 - Healthy Eating
5 - Stress & Relaxation
6 - Confidence in communication
7 - Mindfulness
8 - Physical Activity

For more information about our well being workshops, please look at this document:
Data Collection

For funding purposes we need to collect certain data about participants who complete our well being workshops. Please answer the questions below:

	Yes	No
Completion of a register - name, postcode of each participant
Completion of a pre interest form - can be anonymised
Completion of a evaluation form - can be anonymised

BMS Wellbeing CIC -

www.bmswellbeing.com, joelwhite@bmswellbeing.com, Mobile: (+44) 07853 629 771
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Wellbeing Workshop Pre-interest Form