Initial Query: Student Wellbeing Form

Queen's University Belfast is committed to supporting all students throughout their time at Queen's. A wide range of support services are available to all students, which offer information, advice, and specialist services both internal and external to the University. We encourage students to engage with support services, to ask for assistance, and to consider their options and prevent, alleviate or resolve difficulties as they arise.

If you have a wellbeing issue or concern, please complete the form below and a member of the team will be in touch with you.

SWS Form: Initial Query: Student Wellbeing Form

Section A: Student Details

Section B

It would help us to have some background information about your specific issue or concern, so if you decide to attend a meeting with us, we can collate relevant support information for your session. Please tick the box(s) below to provide us with some information relevant to your circumstances. (more than one can be ticked)

Emotional / personal
Physical health
Mental health
Relationship issues
Suicide ideation
Traumatic event
Domestic Violence
Bullying / Harassment
Other (specify below)

Section C

Staff at Student Wellbeing are committed to ensuring urgent cases are dealt with promptly. On a scale of 1 to 10 please rate how anxious, worried or concerned you feel by your specific issue or concern. (10 being very anxious, worried or concerned)

1 2 3 4 5 6 7 8 9 10

We take all requests for support very seriously and we endeavour to get back to students as soon as possible.

Student Wellbeing Service is available Monday to Friday, 9am -5pm and therefore the email account and forms are monitored during this period. The Service closes on recognised public holidays and University Closure Days.

Please note: If you feel you need more immediate support, you can access a counsellor 24 hours a day, 7 days per week via our freephone telephone service on 0808 800 0016.
Other possible supports include the Samaritans 116 123, Lifeline 0808 808 8000 or 24-hour domestic and sexual violence helpline 08088021414.