CIC

Welbeing Workshops
Contact Form

Are you resident in
Trafford or East Manchester?

Are you a Charity, CIC or Community group in
Trafford or East Manchester?

Name

Company

Contact information

Postcode

Phone

Email

Residents in Trafford or East Manchester

Do you currently claim benefits? (please tick which ones apply)

Benefit options

Universal Credit

Job Seekers Allowance (JSA)

Employment Suport Allowance (ESA)

Disability Living Allowance (DLA)

Personal Independent Payment (PIP)

Which Wellbeing Workshops are you interested in attending? (Please select all the ones you are interested in)

Workshop choices

Five Ways 2 Wellbeing

Assertiveness

Emotional Resilience

Smoking Cessation

Workshop choices

Healthy Eating

Physical Activity

Sleep

Mindfulness

Organisations in Trafford or East Manchester

As an organisation are you interested in the following:

Holding workshops from your location?

Yes

No

Indviduals who access your organisation attending workshop/s

Yes

No

Thanks for Message!

Mobile: (+44) 07853 629 771

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CIC

Welbeing Workshops Contact Form

Are you resident in Trafford or East Manchester?

Are you a Charity, CIC or Community group in Trafford or East Manchester?