Carer's Assessment

Digital Carer's Self Assessment

Is this the right form for you?

Who this form is for

This self-assessment form helps you tell us about the support you might need due to your caring role - whether that's help with day-to-day tasks, finding time for yourself, or getting the right advice and support.

You can complete this form if:

You look after an adult who needs help with daily life, such as getting washed, dressed, or out and about.
You're finding parts of your caring role hard and want to see what support might be available.
You'd like advice, practical help, or to explore whether the council can support you as a carer.
You already get support from the council and want to review your current support arrangements

You can fill this form in yourself, or someone else can help you - a friend, family member, or someone who supports you in your caring role.

Let's check a few details before you begin:

Just so you know

Questions with a star (*) need to be answered before you can go to the next section.

Do you already get support with your caring role that is arranged or funded by the council? * This field is required

Yes

Not sure

Who is filling in this assessment? * This field is required

I am the unpaid carer

I am completing this on behalf of someone else

Need help filling in this form?

If you don't have anyone who can support you, please get in touch with us. We can arrange for someone called an advocate to help you understand and complete the form.

Do you wish to submit this anonymously? * This field is required

Yes

As you complete the form, please involve the person as much as possible in answering the questions.

Where the form says "you" or "your", it refers to the person you're filling it in for.

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