Register your interest
Sign up to register your interest in our Physical Active Counselling course.

Please note:
ā€” Your details will be kept safe and will not be shared with anyone outside of Projekt 42.

Email address *
Your full name *
Your answer
Contact phone number *
Your answer
Age *
Your answer
Mental Illness *
Are you currently taking medication for your mental illness? *
Tell us about your current physical fitness level *
Very unfit
Very fit
Are you currently in employment? *
Are you currently in full-time education? *
Do you currently have a gym membership? *
Are you currently working with a counsellor? *
Are you currently working with a life coach? *
Have you ever meditated before? *
Which is the following activities are you interested in? *
Required
Any other comments
Your answer
I confirm that the answers I have given to the questions in this form are accurate and true. *
Required
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