Staff Health & Wellbeing Team Building Programme - Y2SHWTB12 (RMK) - Page 1 of 4 - NI Direct

Introduction

1. What is your name?

Name

2. What is your email address?

3. What is your organisation?

Organisation

4. Job Title

(Required)

5. Are you a Registered Nurse

(Required) Yes No No but i work within a nursing / nursing assistant role

6. Department

7. Division / Directorate

8. Title of Programme (What did you do / Where did you go?)

Title of Programme

9. Date of Programme

Date

Day (dd)
-

Month (mm)
-

Year (yyyy)

10. Champion's Name