Develop Your Self-Care Plan
This self-care plan has been developed in collaboration with the Nursing and Midwifery Health Program Victoria (NMHPV) and Ausmed Education Pty Ltd.  It was informed by the NMHPV Health and Wellbeing Promotion Program Pilot which was funded by the Department of Health and Human Services, Victoria.
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Purpose
To guide you in developing a self-care plan to monitor and focus on your health and wellbeing.
Outcome
By completing this survey, you will have an opportunity to take the time to reflect on your current state of health and wellbeing through the development of a self-care plan.  You will then be able to decide whether you intend to improve any aspects of your current state of health and wellbeing.  This may include a list of up to three specific health-related activities.  You will also have immediate access to relevant online resources to assist you to achieve better health and wellbeing.
Privacy
In order to complete and access your self-care plan, you will be asked to provide an email address. We will not use this email address for any other purpose unless you have consented to us doing so. Any information gathered in completing the self-care plan may be used for evaluation purposes, however, it will be disconnected from your email address, and personal data will be de-identified. Any information you provide will be managed according to the NMHPV Privacy Statement at www.nmhp.org.au/nmhpv-privacy-statement.html 
If this survey raises concerns for you, please contact NMHPV between 8.30am - 5.00pm, Monday to Friday on (03) 9415 7551.  In addition, Nurse & Midwife Support is available 24/7 nationwide on 1800 667 877 or visit www.nmsupport.org.au
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This form was created inside of Ausmed Education Pty Ltd.