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Find Your Live in Carer

Personalised Live in Care Introductions Across the UK

We help families connect with experienced self-employed live-in carers suited to their loved ones' needs, including dementia care, complex care, hospital discharge, ongoing long-term health needs, and support in the comfort of their own homes.

Complete this short form and a member of our team will contact you shortly to discuss suitable options.

What happens next? We review your requirements We identify suitable live-in carers We contact you to discuss potential matches You decide whether to proceed Typical response time:

Within 2–4 hours during working hours.

Questions? We are here to help.

☎ 07727 304424 ✉ info@setupmycare.co.uk

SECTION 1

1. Who is completing this form?

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E

2. Your full names

3. Email

4. Your Contact telephone number

5. Who is the care for?

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D

6. Best contact

7. Best time to contact you

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B
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D

Section 2

8. Name of Service User

8a. Care Address / where will the care be provided?

9. Age range

10. Gender

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B

11. Current living situation

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D
E
F

SECTION 3 — Support Needed

12. What type of support is required?

13. Does the person have any diagnosed conditions?

14. Mobility level

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15. Does the person require support during the night?

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B
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D

16. Is lifting or hoisting required?

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B
C

SECTION 4 — 17. Carer Preference

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B
C

18. Preferred qualities in a carer

19. Is there a private bedroom available for the live-in carer?

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B

20. Is WiFi/internet available in the home?

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B

21. Are there pets in the home?

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B
C
D

22. Does anyone smoke inside the property?

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B

SECTION 5 — Timing & Budget

23. When is support needed?

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D

24. Expected duration of care

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B
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D

25. What weekly budget range are you considering?

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D

26. Do you required care for couples?

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B
C

SECTION 6 — Additional Information

27. How did you hear about us (select all that apply)?

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28. Is there anything else you would like us to know?

FINAL CONSENT

29. Consent checkbox

30. Contact consent checkbox