Wellbeing Support - South Queensland

Free and confidential wellbeing support is available to help small business owners experiencing mental health challenges.

Wellness coaches are available across Queensland, offering both face-to-face and virtual consultations. No matter where you are based in Queensland, you can access the guidance and support you need to navigate challenges and strengthen your mental wellbeing.

If you are interested in learning more, please provide your details. These will be shared with our approved third-party service provider, who will contact you to discuss next steps. 

How to register

To register, complete all fields in the registration form below and submit. .

If you require assistance with filling in the form, please contact us.

Please note fields marked with an asterisk (*) are required.

By completing and submitting this form, your business details will be added to the Small Business CRM and shared with Wellbeing support coaches in your geographical area.

You will also have the option to opt in to receive information about events, newsletters, mentoring, and other relevant opportunities.

Eligibility criteria

To be eligible for the services you must meet the following minimum criteria:

  • based in Queensland (or have a substantial business presence in Queensland)
  • hold an active Australian Business Number (ABN) and be actively operating
  • less than 20 Full Time Equivalent employees including Business Owner(s)
  • less than $10 million annual turnover.
 

Business details

 
 
 
 
Business Name or Trading Name*
 
 
 
Registered Entity Name
 
 
 
 
ABN*
 
 

NOTE!

Your ABN number is the primary way we identify you as a small business. Please double check your ABN is correct.

You can check your ABN on the ABN Lookup website.

 
Business Stage*
 
 
 
Employees (FTEs) - the total number of full-time equivalent employees in your business
 
 
 
 
Which industry do you work in?
 
 
 

Referral details

 
 
 
Please outline why you are seeking access to the service and the type of assistance you require.
 
 

Primary business contact

The Primary business contact should be the business owner.

 
First Name*
 
 
 
Last Name*
 
 
 
Business Phone
 
 
 
 
Email*
 
 
 

Communication preferences

 
Preferred communication method
 
 
 
Preferred communication time or days
 
 
 

Business street address 

Please note - Post Office Box or Accountant's / Lawyer's office address is not acceptable. Please provide either your commercial premises address or residential address from which the business operates.

 
Address Line 1*
 
 
Address Line 2
 
 
Suburb*
 
 
 
 
State*
 
 
 
 
Postcode*
 
 
 
 

Privacy

The Department of Customer Services, Open Data and Small and Family Business (CDSB) collects this information to refer small and family businesses to approved providers of, based on the geographical location of the business.

For businesses located in South Queensland, services are delivered by Business Rural Solutions Limited (trading as Small Business Financial Counselling Queensland – Southern Queensland). Further information is available at www.brs.org.au.

Information will be retained on the CDSB Small Business Customer Relationships Management (CRM) database and will be provided to approved third-party Counsellors, as listed on the delivery partners website.

We will not otherwise disclose this information to any other third party without your agreement, except in accordance with the Information Privacy Act 2009 and other relevant privacy laws.

For further information about your privacy, including how you can access and amend your personal information or complain about our management of your personal information, please refer to our Privacy Policy.

Unless advised otherwise, you may also be invited to subscribe to newsletters, invited to events or encouraged to participate in free mentoring sessions, that may be of interest.

 

Terms and conditions

You must agree to the following terms and conditions before submitting this form:

  • The applicant of this form must be authorised to make this registration on behalf of the named business.
 
I agree to the above terms and conditions.*