Booking form - Resilience and Wellbeing

We strive to create courses and resources that everyone can access. To secure a place on the course and in order for us to prepare the training and materials, please complete the online booking form below, where you can make us aware of any accessibility requirements you may have and tell us what you may need to access the course and materials.

For further queries, please contact 07594862719

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* 1. Full Name

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* 2. What pronouns do you use?

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* 3. Contact details

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* 4. Occupation

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* 5. This course is funded by Liverpool City Region, therefore funded places are subject to criteria. Please confirm which of the following apply to you:

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* 6. Are you aged 19 or above?

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* 7. Do you live in the Liverpool City Region? (This includes Wirral).

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* 8. Do you have any access, disability or training needs?

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* 9. Please Score your knowledge of emotional resilience (1=Low - 10=High)

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i We adjusted the number you entered based on the slider’s scale.

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* 10. What interested you in attending this course?

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* 11. Do you have any concerns about attending the session?

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* 12. Date(s) of training session you wish to attend (if known)

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* 13. How did you hear about the training?

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* 14. Would you like to be added to Be Well's mailing list?

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