Skip survey header

Mind My MS - Registration

Your details

The MS Society is working in partnership with the New Life Counselling and Aware on a 2-year pilot project ‘Mind My MS’ to provide monthly social cafes, counselling sessions and mindfulness programmes to people living with MS.

Once we receive your registration details we'll be in contact to discuss the project with you. Your data will be shared and processed by our Project partners, Aware and New Life Counselling so they can contact you and provide mindfulness and counselling services (if you choose to take part in those services). All data will be processed in line with our partners’ privacy policies. The MS Society will keep your data for up to 3 years and will only be used for this project.

Thank you for trusting us with your data. We'll do all we can to keep it safe. To find out more about how we use and manage your personal data and your rights you can see our full privacy notice

If you would like further information please contact Rachel Creighton, Project Coordinator on 028 90802 802 or email
2. Are you:
3. Your details as a referrer.
The following question is about the individual who you are referring. Please fill in their contact details
3. Please complete personal details
This question requires a valid email address.
This question requires a valid date format of DD/MM/YYYY.