First Name

Last name

Are you aged 18 or older? yes/no

Phone number

e-mail address

Drop down list of locations and ask them to choose the one they are closest to.

I confirm that this is a location I can easily travel to: yes/no

Swimming ability. I can swim [check box]:

At least 50m without stopping (2 lengths of a standard pool)

Around 25m without stopping (1 length of a standard pool)

Less than 25m or I am unable to swim

Once you submit this form a member of our research team will be in touch to answer any questions and take you through the consent process

Please indicate when you would be able to take a call from them?

……………… open text box or other recommendation

And when not to call.

……………… open text box or other recommendation

Thank you for completing this form. After you submit this, you should receive an email confirming we have got your form. This will include a copy of the participant information sheet and a link to a consent form and a short questionnaire.

If you have any problems completing this form or don’t receive a confirmation email please don’t hesitate to contact us by email at [email address] or phone [phone number].

Button to click to submit the information ‘Submit Form’

After completing the sign-up form, the study enrolment process consists of the following four steps:

1. on sheet that we will email to you
2. If you still want to take part, complete the short questionnaire and online consent form.
3. Meet with one of our research team to ask questions and, discuss your health history and check your eligibility
4. Finally, complete some online questionnaires asking you about your wellbeing and mental health. We can support you to do this or you can do this on your own, whatever you prefer.