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Aplos Health & Wellbeing Journey - February 2026 course

Submission of this form will tell us which course of workshops you would like to join on Zoom. All the information will be used only within Aplos PCN. We will not share this information with any third party for any purposes.
1.How did you find out about this programme?
2.Your first name(Required.)
3.Your surname(Required.)
4.Your mobile phone number (please leave a space after the first 5 digits)(Required.)
5.Your e-mail address(Required.)
6.Which GP practice are you registered with?(Required.)
7.When did you last think about making changes for looking after your health?(Required.)
8.How do you feel about committing to attending at least 6 of the 12 workshops?(Required.)
9.Please select your preferred time for doing the 12 workshops
(Required.)
10.By how much has your weight changed over the past 12 months?(Required.)