REGISTRATION

This application is strictly in line with the charities privacy policy.

All information collected will not be shared with any organisation and will be kept solely for ANAM CARA's evaluations and statistics.

No personal data will be shared at any stage during the process and all personal data will be destroyed within a year.

Applicants must fit within the criteria; women who are;

- Currently experiencing stress, anxiety, depression or low self worth

- At risk of or are using unhealthy coping mechanisms like alcohol, prescription drugs, food or self harming

- Are in a stable place to commit to the programme

- Willing to commit to change.

PLEASE
ALSO COMPLETE YOUR
WARWICK EDINBURGH

ANAM CARA

Registration

Please fill out the following form to help us understand your physical condition.

Referrer Organisation
Armed Forces Connection
Isolation
Current Support(s)
Medication(s)
Family History
Do you experience suicidal thoughts?
Feelings
Coping Mechanism(s)