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Building a Healthy Future course for people with long-term conditions - summer 23
Building a Healthy Future course for people with long-term conditions - summer 23
Your Registration Info
First Name
*
Last Name
*
Email Address
*
Phone
*
Street Address
*
Supplemental Address 1
Supplemental Address 2
City
Postal Code
*
Long Term conditions
Do you have a long term physical condition?
*
Yes
No
Long-term physical condition(s)
Mental health problems- please describe
Which of these options best describe your experience of mental health problems?
I have personal experience of mental health problems
I use / have used mental health services
I care or look after someone who has mental health problems
Any other (please specify if you wish)
None of the above
Prefer not to say
What is your experience of mental health problems - If you selected other?
Where did you hear about this course?
*
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