Gamblers Help

What is your waist measurement?

Please note the ‘Range’ value that corresponds to your waist size from the table for your gender. Then select the applicable range option from below.
Hint: Measure your waist below the ribs while standing (usually around the belly button). If you don’t have a tape measure refer to the clothing sizes in the table.

Women

Range	1		2		3
Clothing size	10	12	14	16	18	20	22	24
Waist (cm)	Less than 88cm		88 - 100cm		More than 100cm

Women (Asian, Aboriginal or Torres Strait Islander descent)

Range	1		2		3
Waist (cm)	Less than 80cm		80 - 90cm		More than 90cm

Women

Clothing size	Range
10 - 12	1
14 - 16	2
18+	3
Waist (cm)	Range
Less than 80cm	1
88 - 100cm	2
More than 100cm	3

Women (Asian, Aboriginal or Torres Strait Islander descent)

Waist (cm)	Range
Less than 80cm	1
80 - 90cm	2
More than 90cm	3

Men

Range	1		2		3
Clothing size	S	M	L	XL	XXL	XXXL
Waist (cm)	Less than 102cm		102 - 110cm		More than 110cm

Men (Asian, Aboriginal or Torres Strait Islander descent)

Range	1		2		3
Waist (cm)	Less than 90cm		90 - 100cm		More than 100cm

Men

Clothing size	Range
S - M	1
L - XL	2
XXL+	3
Waist (cm)	Range
Less than 102cm	1
102 - 110cm	2
More than 110cm	3

Men (Asian, Aboriginal or Torres Strait Islander descent)

Waist (cm)	Range
Less than 90cm	1
90 - 100cm	2
More than 100cm	3

Range 1

Range 2

Range 3

Your score is

0

and your risk level is

Low

0 - 5

Low
6 - 11

Medium
12 +

High

Low risk

Approximately 1 person in 14 will develop diabetes within 5 years.
Medium risk

Approximately 1 person in 7 will develop diabetes within 5 years.
High risk

Approximately 1 person in 3 will develop diabetes within 5 years.

or call our team on 13 74 75

You may be eligible for the Life! program.

Life! has helped over 70,000 Victorians improve their eating habits, physical activity and stress management.

You may still be eligible for the Life! program if you are:

18 years or over and have a;

BMI (Body Mass Index) score of 25 or higher (or 23 if you are of Asian background). Body mass index (BMI) is used to determine whether you are in a healthy weight range for your height.

18 years or over and have been diagnosed with one or more of the following;

heart disease or stroke (e.g. heart attack, arrythmia, angina, heart failure)
diabetes during pregnancy
chronic kidney disease
high cholesterol
high blood pressure
high blood glucose levels
polycystic ovarian syndrome

45 years or over (OR 35 years or over when of Aboriginal and/or Torres Strait Islander descent) and have an Absolute Risk score of 10% or over when referred by a GP clinic

If you meet one of these criteria, contact us to find out how you can enrol in the Life! program today

or call our team on 13 74 75

Submit your details and we will get back to you shortly.

First name

Last name

Email

Phone

What is your gender?

Male

Female

Your height: 178.5cm5'8"

90cm

210cm+

Your weight: 75kg

30kg

200kg+

How did you hear about us?

Best time of the day to contact you?

Optional message

I give my consent for Diabetes Victoria staff from the Life! program to contact me regarding the Life! program and for any personal information collected to be used for necessary Life! program administrative operations.

First name

Last name

What gender do you identify as?

Street address

Suburb

State

Postcode

Postal address same as above?

Postal Address

Email

Mobile

Business hours phone

Preferred method of contact

Qualification

Other qualification

General work experience

Group facilitation work experience

Experience working with people from culturally and linguistically diverse backgrounds

Do you speak a language other than English?

Which languages?

Are you interested in delivering the CALD Life! program?

In which language?

Do you have regular access to a computer?

Do you have broadband internet connection?

Name of organisation

Is the organisation an existing Life! provider?

Comments

Organisation Name

Building Name

Street address

Suburb

State

Postcode

Postal address same as above?

Postal Address

ABN

How would you best describe your provider organisation?

First Name

Last Name

Phone

Mobile

Email

Position

Fax

Manager contact details same as above?

First name

Last Name

Phone

Mobile

Email

Is there an appropriate space at your organisation or do you have access to an appropriate venue within the community for you to deliver the Life! course (i.e. private space for 8-15 people, chairs, computer/laptop and projector/screen)?

What referral pathways or networking opportunities are available to you in order to receive eligible participants for your Life! courses?

Which area/s would your organisation be interested in delivering the Life! course?

Will each facilitator be responsible for entry of participant data assigned to them; or will there be staff (i.e. administration/reception) responsible for this?

Is there an appropriate space at your organisation or do you have access to an appropriate venue within the community for you to deliver the Life! course (i.e. private space for 8-15 people, chairs, computer/laptop and projector/screen)?

Do you have Professional Indemnity Insurance coverage for at least $1,000,000 for any one claim and will this continue to be maintained for at least two years after the End Date* stated in the PSA?

* End Date will be the 30th June each year.

What is the name of the company you have Public Liability Insurance with?

Do you have Professional Indemnity Insurance coverage for at least $1,000,000 for any one claim and will this continue to be maintained for at least two years after the End Date* stated in the PSA?

* End Date will be the 30th June each year.

What is the name of the company you have Professional Indemnity Insurance with?

Is this organisation registered for GST?

Facilitator/s name (Life! trained facilitator/s or health professional/s to attend Life! facilitator training)

First name

Last name

What gender do you identify as?

Street address

Suburb

State

Postcode

Postal address same as above?

Postal Address

Email

Mobile

Business hours phone

Preferred method of contact

Qualification

Other qualification

Certification of the Health Change Australia model trainings:

Certification of Motivational Interviewing:

Provider Insurance Details

Do you have Professional Indemnity Insurance coverage for at least $1,000,000 for any one claim and will this continue to be maintained for at least two years after the End Date* stated in the PSA?

* End Date will be the 30th June each year.

What is the name of the company you have Public Liability Insurance with?

Do you have Professional Indemnity Insurance coverage for at least $1,000,000 for any one claim and will this continue to be maintained for at least two years after the End Date* stated in the PSA?

* End Date will be the 30th June each year.

What is the name of the company you have Professional Indemnity Insurance with?

The Life! Program

Description

Website

Take the Health Check

Women

Women (Asian, Aboriginal or Torres Strait Islander descent)

Women

Women (Asian, Aboriginal or Torres Strait Islander descent)

Men

Men (Asian, Aboriginal or Torres Strait Islander descent)

Men

Men (Asian, Aboriginal or Torres Strait Islander descent)

Low risk

Medium risk

High risk

or call our team on 13 74 75

You may be eligible for the Life! program.

You may still be eligible for the Life! program if you are:

If you meet one of these criteria, contact us to find out how you can enrol in the Life! program today

or call our team on 13 74 75

Gamblers Help

Description

Website

Take the Health Check

Let's get startedand check my eligibility

Women

Women (Asian, Aboriginal or Torres Strait Islander descent)

Women

Women (Asian, Aboriginal or Torres Strait Islander descent)

Men

Men (Asian, Aboriginal or Torres Strait Islander descent)

Men

Men (Asian, Aboriginal or Torres Strait Islander descent)

Low risk

Medium risk

High risk

or call our team on 13 74 75

You may be eligible for the Life! program.

You may still be eligible for the Life! program if you are:

If you meet one of these criteria, contact us to find out how you can enrol in the Life! program today

or call our team on 13 74 75

You're only one step away

Submit your details and we will get back to you shortly.

Request a Community Session

Deliver the Life! Program

Become a Life! Program Provider

Organisation Details

Main Contact Details

Manager Contact Details

Life! Program Management

Provider Insurance Details

GST Registration

Become A Life! Tele-Health Coach

Provider Insurance Details

Request a Workplace Session