Gaeil Triucha CLG, Healthy Club Project Phase 3, Expression of Interest Form 

Thank you for taking the time to complete this expression of interest form. The information which you provide will form the basis to identify the needs within our community over the next 18 months of the Healthy Club Project Phase 3 and also to have sustainability for the future of our club.
Closing date for receipt of completed expression of interest forms is Saturday 28th July 2018. 
For further information on the Healthy Club Project Phase 3 or if you would like to get involved, please contact our
Healthy Club Officer, Pauline McCarey mobile 087 4300 770 or
email: paulinemccarey@hotmail.com

Please enter your Gender

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* 1. Please enter your Gender

Please enter your relevant category

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* 2. Please enter your relevant category

What two Health and Wellbeing areas could Truagh Gaels address?

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* 3. What two Health and Wellbeing areas could Truagh Gaels address?

Please suggest two practical actions that Truagh Gaels could take to address these areas?

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* 4. Please suggest two practical actions that Truagh Gaels could take to address these areas?

Please indicate your interests in the following?

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* 5. Please indicate your interests in the following?

Physical activities for Special Needs/Disabilities? (please specify)

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* 6. Physical activities for Special Needs/Disabilities? (please specify)

Please indicate your interests in the following? (Nutrition)

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* 7. Please indicate your interests in the following? (Nutrition)

Please indicate your interests in the following? (Mental Health Awareness)

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* 8. Please indicate your interests in the following? (Mental Health Awareness)

Please Indicate your interests in the following courses? (Please specify)

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* 9. Please Indicate your interests in the following courses? (Please specify)

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