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Cafe Neuro Community Pre-session needs assessment

For The Burnout Rest & Reset Sessions / The Catford House Evening
This short form helps us to make sure the session works for you. It takes less than 2 minutes. Your answers are confidential and used only to support you on the day.

What is your name?

Do you have accessibility needs?(e.g mobility, hearing, sight)?

Do you have Sensory needs we should know about? (e.g. noise., lighting, scent, sensitivity)?

Is there anything that would help you feel safe and comfortable on the day?

Is there anything else you would like us to know before you attend?

I confirm that I will not attend if I am unwell and will cancel my ticket via Eventbrite so someone else can take my place.

Do you intend to bring your service animal?

A
B
If YES- Please note: Owners are responsible for their animal's behaviour and welfare throughout the session, including keeping them under control at all times and clearing up after them. Cafe Neuro Community cannot accept liability for any accidents involving animals