Feel Good Bag Nomination Form

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If you need any assistance with this form, please phone 01595 745035 or email mindyourhead@shetland.org.

Email *

What is your name? *

What is your contact number? *

What is your home address? *

Please choose one: *

(A) I am applying for a Feel Good Bag for someone else

(B) I am applying for a Feel Good Bag for myself

If you answered (A) to the above question, what is the name of the person you are applying for?

What is your relationship to them?

Just checking--is this a surprise for them? *

Yes (don't worry, we won't spoil it!)

No (copy that!)

What is the age range of the person you are nominating? This would give us a better idea of what Feel Good items we can curate, so even a "guess-timate" would be helpful! *

5-8

9-12

13-17

18-24

25-34

35-44

45-54

55-64

65+

Tell us why you are nominating yourself or another person: *

What are the hobbies and/or interests about the person being nominated?

Do they have any special requests or food allergies?

Please note: Feel Good Bags must now be collected from Market House reception.

Market House opening hours:

Monday-Thursday | 9am-5pm (closed 1pm-2pm for lunch)

Friday | 9am-4pm (closed 1pm-2pm for lunch)

By signing your name below, you are giving Mind Your Head permission to use the above information anonymously for its stakeholders, funders, and online/print publicity. If you would NOT like us to use your information, please tick the box below. *

Yes, I give Mind Your Head permission to use the above information ANONYMOUSLY for its stakeholders, funders, and online/print publicity.

Please do not use any of my information apart from this application.

Please provide us with an electronic signature by writing your name below, and a member of our team will be in touch with you shortly if your application is successful. *

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