Here at Space 2, we aim to support your wellbeing and are required by our funders at Public Health to show the impact of our activities.
It would be great if you could fill the following form, to give us a sense of your wellbeing at present. We will then repeat this with you 2 or 3 times in future, to see if there are any changes. Many Thanks!
The Wellbeing Wheel is a prompt to help you think about how things are going in your life at the moment.
Please give a rating from 1-5 on how happy you are with your Emotional and Physical Wellbeing.
Please give a rating from 1-5 on how happy you are with the areas of your life that you want to focus on.
If you have any questions or anything you would like help with, please contact the person who leads the activity or firstname.lastname@example.org
Space2 is registered Data Controller with the Information Commissioners Office under the Data Protection Act 1998 (Reg Number: Z8853903). We collect and use information about you in order to provide the services. We may collect information on paper, or online forms, by telephone, email or a member of our staff may collect information from you in person. We will use the information you provide in accordance with the Data Protection Act 1998 and General Data Protection Regulation (GDPR) (EU) 2016/679. Information will be accurate, where necessary kept up to date and will be kept for no longer than necessary, in line with our retention policy. We will not share information about you with third parties unless required by law. We may also wish to use photographs, films or case studies of you in conjunction with the Orion partnership Better Together, Healthy communities, healthy lives publicity and evaluation. Please tick the relevant boxes if you agree to being used for this purpose.