Space to Breathe - Referral Pathway

Space to Breathe is seeking to build bespoke and relevant referral pathways for different organisations who regularly refer people to Space to Breathe. Please use this form to express potential needs and for us to organise a pathway.

Space to Breathe exist to create conversations around mental health and wellbeing through the creative arts, non-religious spirituality, yoga and positive psychology. We help people build emotional awareness and emotional regulation that enables healthy wellbeing and puts people on the path to recovery.

We then work with the NHS, organisations, charities, businesses, communities and individuals to create tailored and contextual responses and projects aimed at enabling everyone to live as healthily as possible.

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* 1. What is the name of your organisation?

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* 2. What is your name?

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* 3. What is your email address?

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* 4. What services do you think you'd want to refer people to?

Restorative Yoga (Yoga Nidra)

Traditional Yoga

Mindfulness and Meditation

One to one emotional regulation support

Counselling

Other (please specify)

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* 5. How many people do you estimate you might want to refer per year?

1-5

6-10

11-20

Over 20

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* 6. Please tell us why you think the services Space to Breathe offer could be of value to the individuals you work with

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* 7. If you referred patients to Space to Breathe, would you be willing to

consider a donation to Space to Breathe

consider partnering in a funding bid with Space to Breathe

be able to grant funds to Space to Breathe for the referrals

share data on patient recovery as a result of our work together

none of the above

Other (please specify)

Thank you so much for completing this form. We'll be in touch very shortly.