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1. Wellbeing Activities

Living Well UK are looking to run some regular outdoor wellbeing activities for the community, we need to collect some basic information. The information you share with us will help us determine which activities we should look to provide, the information we are asking for is not intended to be used to identify any particular person/s attending these sessions, it is for monitoring purposes only.

The information that we collect will only be shared within our Consortium and to Funders of our services.

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* 1. First Name

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* 2. Surname

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* 3. Address

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* 4. Postcode

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* 5. Attendee's Age

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* 6. Attendee's Gender (if you would prefer to self identify here please do)

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* 7. Which area do you live in

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* 8. What outdoor activities would you like to take part in

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* 9. What locations in the West Midlands would you travel to for activities - list as many as you wish

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* 10. How often would you attend sessions - frequency for e.g weekly, twice weekly, fortnightly,  monthly?

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