Program Eligibility

In order to participate in the Stepping On program, participants must meet the following 5 criteria:

If you answer No to any of the the below, don't worry our friendly staff members will contact you to discuss further. 
 
 
 
1. 65+ or older (or 55+ for Aboriginal/Torres Strait Islander) for the required My Aged Care funding
 
Yes
No
 
2. Able to walk safely in home without using a walking frame
 
Yes
No
 
 
3. Live in your own home (ie not in a Residential Aged Care home)
 
Yes
No
 
3. Be able to do light exercise in a group setting
 
Yes
No
 
 
5. Am able to follow instructions or participate in group activities
 
Yes
No
 
 
 
 
 
Who are you enquiring for?*
 
 
 
Who to contact regarding Enquiry (if applicable)
 
 
 
Potential participant details: 
 
First Name*
 
 
Last Name*
 
 
 
Email
 
 
Mobile*
 
 
 
Participant Post Code*
 
 
 
 
 
 
Referrer details (if applicable) 
 
Referrer First Name
 
 
Referrer Last Name
 
 
 
Referrers Email
 
 
Referrer Mobile
 
 
 
 
 
Alternate friend / family member to contact (only required if potential participant is not the preferred contact) 
 
Friend / Family First Name
 
 
Friend / Family Last Name
 
 
 
Friend / Family Email
 
 
Friend / Family Mobile
 
 
 
1_Random Email
 
 
1_Lead Channel
 
 
How did you hear about us?
 
 
Marketing Campaign
 
 
1_Enquiry Details
 
 
I would like to receive communications such as newsletters, articles, products and services, promotions, discount offers and events from Catholic Healthcare.
 
 
 
 
 
 
 
Business Unit
 
 
Post Code
 
 
1_Reason for enquiry
 
 
I consent to completing this registration form. I understand that I will be contacted by a Catholic Healthcare staff member confirming registration. If I am completing this form on someone else, I declare that they have consented to this registration.