Sign Up Form – ICS Staff Wellbeing Workshops Winter 2023

Breathe Drawing for Unwinding (online)
Breathe Dance for Mind and Body (in person)
Breathe Musical Meditations for Relaxing (in person)
Breathe Journalling for Calm and Creativity (online)

How did you hear about Breathe’s Arts for Staff Wellbeing Programme? (select from dropdown) Staff Bulletin Email Whatsapp Poster Through a Colleague Intranet Directly through Breathe Other If you answered 'Other' to the question above, please specify: Are you a health care or social care worker? Health Care Social Care What area of the South East London ICS do you work within (e.g. SLaM, King’s, GSTT, Lewisham & Greenwich, Bromley, Oxleas etc)?

What is your role?

Do you have any access or support needs to ensure you can take part in this activity? (E.g. wheelchair access, captioning for online activity, large print information, sign language interpretation) Yes No
If you answered 'Yes' to the question above, please give details:

Check this box if you would like to hear about exciting new taster sessions such as live music, visual arts, improv and more!
Yes, please sign me up.
Is there is a new artform you would like to see? If so, have your say below. We’d love to hear your suggestions!

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