Buddy Scheme

Name

Age

Email Address

(Tick as many as you like)

Tell us about any other hobbies not on the list:

What are you looking for in a buddy?

Shared hobbies / Interests

Making a new friend

Similar Diagnosis

(If you ticked this box, write your diagnosis here)

Live nearby

(If you ticked this box write your location here)

Someone to join the online activities with me

Someone to talk to when I need support

Is there anything else you are looking for in a buddy?

What would you like a potential buddy to know about the kind of person you are?

Eg. I’m quiet / I’m outgoing etc.

What would you like us to know in order to support you and find you a good match?

Thank you for taking time to complete the sign-up sheet. We will be in touch when we have found someone, we think will make a good buddy for you.