Wellington and Wiveliscombe Health and Wellbeing Coaches - Self-Referral

Wellington and Wiveliscombe Health and Wellbeing Coaches - Self-Referral

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Wellington and Wiveliscombe Health and Wellbeing Coaches - Self-Referral
Hello and welcome, from the Health and Wellbeing Coaches!

Your Health and Wellbeing Coaches support individuals with long term health conditions to live fulfilling, active lives.  

We can help you access fun, safe activities and guide you as you overcome your challenges. We can point you towards community groups allowing you to build friendships while starting to move more. 

So that we can better understand how to support you, could you please complete the following questions. 
Other
- Unstable and uncontrolled angina or heart disease.
- Pain in limbs when exercising with heart disease.
- A stroke or TIA less than 3 months ago.
- Osteoporosis with a history of fractures.
- Blood pressure that drops when standing.
- COPD with ventilator support
- Severe arthritis with nerve damage
- Advanced diabetes
1 - Not at all confident2.3.4.5678910- Extremely confident
1. Not able2. A little able3. Quite able4. Very able

GDPR:

SASP's legal obligation is to retain information of our customers through this form for the sole purpose of providing information and continued exercise provision through any of our provided services. Upon completion of your form through website, all electronic files/records and information therein may be stored for as long as the patient remains in the care of the Health and Wellbeing Coaching team; and thereafter for a period of up to 5 years of inactivity, under our statutory requirement. Information will be held electronically in files accessible only by SASP staff, who are directly involved in patient care or data entry processing of patient records. All information provided will be treated as confidential and will not be given to any other person(s)/organisations(s) without written consent of the patient concerned. Please also note that it is your right to withdraw your consent/opt out at any time. You have a right to request a copy of the personal data that SASP holds about you at any time. If you wish to do so, please email enquiries@sasp.co.uk. For further information about what data we collect, why it is collected and what we do with it, please see our full privacy policy at www.sasp.co.uk/privacy-policy

Partners and Sponsors

Partners and Sponsors

  • Sport England
    Active Partnerships
    Somerset Business Award Winner
    Somerset Chamber of Commerce
    CPSU
    Disability Confident
  • Somerset Skills & Learning
    Youth Sport Trust
    activity alliance
    Somerset Partnership
    Somerset County Council
    Avon & Somerset Police
  • Homes in Sedgemoor
    Macmillan Cancer Support
    Community Council for Somerset
    Spark Somerset
    YMCA Dulverton Group
    Department for Work & Pensions
  • EDF
    SAPHTO
    together team
    Somerset Cricket Board
    British American Football Association
    Badminton England
  • Somerset FA
    British Cycling
    Create Development
    Children in Need
    The Salvation Army
    Lifeline
  • Channel Adventure
    Nova Sports & Coaching
    Somerset Community Foundation
    Sports Coach UK