Relates to required fields
Expression of Interest - Your details
Title
Select....
Mr
Mrs
Miss
Ms
Dr
Prof
Rev
First Name
Middle Names
Surname
Date of Birth
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Address
Town/City
Postcode
Email Address
Contact Telephone Number
Mobile Phone Number
Preferred method of contact
Email
Phone
Text/SMS
Post
Preferred time of contact
Mornings
Afternoons
Evenings
Anytime
About You
Primarily, in what role will you be using the Recovery College? As a:
Select
Service User
Carer
Relative/Friend
Professional / Staff
And do you belong to another group as well?
Service User
Carer
Relative/Friend
Professional / Staff
Do you currently access mental health services?
Yes
No
Which Partner services do you currently access?
Select
Restore
MIND
Response
Elmore Community Services
Connection Floating Support
Oxford Health
Ethnicity
Select....
White British
White Irish
White Scottish
White Irish Traveller
White other
Black African
Black Caribbean
Black other
Asian Indian
Asian Pakistani
Asian Bangladeshi
Asian Chinese
Asian other
Mixed White & Black Caribbean
Mixed White & Black African
Mixed White & Asian
Mixed other
Any other ethnic group
I do not wish an ethnic background to be recorded
How did you hear about us?
Select
Carer
Connection
Connection FS
CPN
Elder Stubbs
Elmore
Elms Centre
Email from the trust
Employment Coach
Flyer
Friend
From Oxfordshire Mind
GP / MIND
Hospital chaplin
Internally
Key Nurse - Prospectus
Key Worker
Launch day
Littlemore recovery group
Manzil Way Restore
Mind
Mind and Restore
Newspaper
NHS
NHS Profession
OFAFE
OMHP
OMHP staff
Other
Ox Health
Partnership
Peer tutor job advert
Response
Restore
Restore Coach
Restore Facebook
Restore Op Project
Restore Recovery Group
Restore Staff
Rethink
Rethink / Family & Friends
Student placement
Talking Shop Community Org
Through Restore and Mind
Through Restore Coaching
Through Work
Ward Nurse
Warneford Day Hospital
Website
Word of Mouth
Work
Work (Restore)
Please select the courses of interest to you
Recovery College Induction
Introduction to Recovery
Understanding Mental Health
Introduction to the Caring Role
Tutor Training
Understanding Psychosis
Understanding Depression
Wildlife and Wellbeing
Understanding Self-harm
Benefits of Pets
Parenting in Recovery
Navigating the System
Tai Chi and Wellbeing
Food and Wellbeing: An Introduction
Understanding Stigma
Introduction to Personality Disorders
Making Career Choices - National Careers Service Information Session
Other course of interest, not listed
Your single preferred location
Select
Abingdon
Aylesbury
Banbury
Bicester
Cholsey
Didcot
Faringdon
Milton Keynes
Online
Oxford
Wallingford
Witney
Please select other locations that are suitable
Abingdon
Aylesbury
Banbury
Bicester
Cholsey
Didcot
Faringdon
Milton Keynes
Online
Oxford
Wallingford
Witney
Other preferred location not yet listed
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