After filling in and submitting this form, the council will review the information for eligibility to be included within the Wellbeing Options Directory.
* Fields in Red/Bold are mandatory.
Please answer the following questions on a scale of 1 - 5, where 1 is strongly disagree and 5 is strongly agree;
Unless you advise us otherwise, we may use your feedback for promotional purposes; any identifying information will be removed before use.
If you’d like a response to your feedback or suggestions, please leave your contact details and a member of the team will respond within two working days.