Wellbeing Roadshow - Autumn 2022 Question Title * 1. Organisation name Question Title * 2. Your name Question Title * 3. How many young people will be at the roadshow (we require a staff to CYP ratio of 2 staff per 30 young people) Question Title * 4. Please confirm the name, phone and email addresses for the supporting members of staff Question Title * 5. Tell us more about the young people attending, what are some of their support and wellbeing needs? What type of activities are they interested in Question Title * 6. Area for the roadshow to be set up (i.e. amount of free space indoor/outdoor etc) Question Title * 7. How will you support as to gather feedback from the young people, parents/carers and staff about the roadshow? Question Title * 8. Newham Talking Therapies are able to provide tailored workshop to support professionals; delivering stand alone workshop or as part of the roadshow. Would you like them to get in touch Question Title * 9. Have you previously hosted a Wellbeing Roadshow in 2020/2021 Yes No Question Title * 10. Please confirm your general availability for an initial meeting to discuss your expression of interest 10am 11am 12pm 2pm 4pm Monday Monday 10am Monday 11am Monday 12pm Monday 2pm Monday 4pm Tuesday Tuesday 10am Tuesday 11am Tuesday 12pm Tuesday 2pm Tuesday 4pm Wednesday Wednesday 10am Wednesday 11am Wednesday 12pm Wednesday 2pm Wednesday 4pm Thursday Thursday 10am Thursday 11am Thursday 12pm Thursday 2pm Thursday 4pm Friday Friday 10am Friday 11am Friday 12pm Friday 2pm Friday 4pm Other (please specify) Question Title * 11. Please share at least 3 suitable dates and times for the Wellbeing Roadshow (NB: Take note that we might need at least 1 month to effectively plan for the roadshow) Date / Time Date Time AM/PM - AM PM Date / Time Date Time AM/PM - AM PM Date / Time Date Time AM/PM - AM PM Done