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Listening Ear Referral Form

Your Data and GDPR

Manchester Mind is registered with the Information Commissioner’s Office (ICO), and complies with the requirements and procedures of the General Data Protection Regulation (GDPR).

The personal details you give on this form will be stored in our password protected database, that only current Manchester Mind staff can access.

Under GDPR we hold and use this data on the basis of Legitimate Interest. To enable us to deliver the service(s) you have requested

We do not, and never will, sell your data for marketing purposes. We will only use it in the manner described below.

  • Your details will be used to contact you and discuss how we can help you
  • We will also use this data internally to monitor the effectiveness and fairness of our services

All information provided will be held securely by Manchester Mind in accordance with our Data Policy. For more information see our Data Privacy Notice.

Eligibility

The Listening Ear Service is open to people who:

  • Are aged 18 or over
  • Are residents of Manchester City Council
  • Have a current mental health problem

Please answer the following questions to confirm your eligibility.

Are you (your family) a Manchester Resident

Not sure of your local council? Find out using this postcode search.

Do you have a current mental health problem?
Your Details

Please leave either a phone or mobile number, or an email address, so that we can contact you about your enquiry.

Your Address
How do you prefer to be contacted?

Are you happy for voicemail messages to be left? Should we leave a message if someone else answers the phone? Is there anyone we should not speak to? Please give as much detail as possible.

About Your Situation
Please give as much detail about your situation as you are able to.
Are you getting help or support from any other agencies?

The Listening Ear Service

A Manchester Mind staff member or volunteer will call you once a week, on an agreed date and time.   The call provides a confidential space where you can talk about anything that’s on your mind. 

You will be listened to without judgement or any pressure.  The call will last for up to an hour and will usually be with the same listener.  We can offer a maximum of 6 calls. 

We will email you a listening ear agreement with further details for you to read through and confirm if you are happy to proceed.

Listening Ear Preferences
Do you have a preference for a male or female listener?
Are you able to converse in English?
Would a weekly call work for you?
Can you do the same time and day each week?
Availability for phone calls
Have you used Manchester Mind Services before?
How did you hear about us?