Student Services

Health & Wellbeing

Do you need help? If so, please complete and submit this form. Please include as much detail as possible to help us respond appropriately.

Click the submit button when you are finished. You will need to complete all sections and submit the form in one session. By completing this form you are consenting to being contacted through the email address you supply on this form.

Required fields are marked with required

Please correct the following errors:
1. About you
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2. About your concern
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3. Impact on your studies
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How well are you coping with your studies?
(when 1 is not at all and 10 is coping very well)
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Yes No
4. About your wellbeing
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Yes No
If yes, then how long have you been experiencing these difficulties?
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Consent Statement

The information you supply on this form will help us respond to your request, including by phone. We'll treat your personal details with respect and keep them safe, and we'll never sell them to other third parties for commercial use. Please review our privacy statement for more information about how we use your data.