Consent Request Form

This form asks for your consent to allow us to use your personal data for the reasons stated below. You should only sign it if you want to give us your consent.

Who are we?

The name of the organization asking you for consent to use your information is:

Reed Wellbeing Limited

We would like to use the following information about you:

· Name

· Address

· Post code

· Email address

· Date of birth

· Telephone number

• Gender
• Ethnicity
• Disability status
• Information about your current lifestyle
• Information about your current heart health
• Information about your wellbeing
• Information about your levels of stress
• Physical health check measures (this will vary according to the nature of the Health Check your employer purchases):
  • • Blood pressure
    • Heart rate
    • Total cholesterol
    • Glucose
    • Height
    • Weight
    • Body Mass Index
    • Healthy weight range
    • Waist circumference
    • Hip circumference
    • Waist to hip ratio
    • Body fat %
    • Body fat % clinical catgeory
    • Hydration %
    • Cholesterol ratio
    • Tryclycerides
    • LDL Cholesterol
    • HbA1C
    • Cardiac risk level
    • Carbon monoxide
    • Lung age
    • FEV1 lung function
    • % of predicted FEV1
    • Metabolic age
    • Basal metabolic rate
    • Bone density
    • Bone density score
    • Muscle mass
    • Muscle mass score
    • Visceral fat score
    • Haemoglobin
    • Coeliac status
    • Vitamin D level
    • PSA

Why would we like to use your information?

We would like to process the data requested above to perform a health assessment on you.

What will we do with your information?

Your information will be processed to provide you with an individualised Health Report. This will be available on the portal after your Health Check has been completed.

We will securely store this information for 8 years and may use anonymised data for the purposes of service improvement and research and development.

Your employer will receive an anonymised, aggregated summary report of the results of all employees who completed a Health Check within their organisation. Please note that your employer will not be able to identify you from the aggregated information we provide them.

How to withdraw your consent

You can withdraw the consent you are giving on this form at any time. You can do this by emailing RinP.dataprotection@reed.co.uk.