Mindfulness on prescription course screening and consent

Section

For example, retired, full-time, part-time, flexible working, unemployed, student

Equality and diversity information

Do you recognise yourself as someone with a disability?
Are you an unpaid carer?
How would you describe your gender identity?
What is your sexual orientation?

Course information

Are you happy to complete the pre and post wellbeing and evaluation forms and understand that your information will be kept confidential?
Any reports generated from these courses will be anonymised

Your feelings and attitudes to life

Currently (in the last few weeks) to what extent do these statements reflect your feelings and attitudes to life?

I feel able to cope most of the time:
I feel satisfied with my life most of the time:
I find life enjoyable most of the time:
Are you currently depressed?
Are you in treatment or on medication?
Are you having thoughts of harming yourself in any way?
If you have experienced a significant trauma or loss, or have significant mental health issues, the course may be challenging at this point in your life. Can you confirm that you have not recently experienced trauma or loss?

Confirmation

Responsibility for your wellbeing
Invoicing
Course fee is £50.00 per person
Terms and conditions