Check if you are eligible for a service

Label
1. Is your referral for a Children Service or an Adult Services?*
  
  Childrens Service
  
  Adult Service
Looking after myself
1. Do you need help with your personal care: washing, getting up out of bed, going to the toilet, dressing, eating and preparing meals. It may also include taking medication and keeping healthy and well
2. I need help looking after myself?*
  
  Yes
  
  No
Community Supports
1. Do you need help to get out and about?
  Do you require support to maintain / develop social relationship and to safely access the community?
2. Do you need help with maintaining your links within the Community?*
  
  Yes
  
  No
Managing Tenancy
1. Do you need support to do your housework, shopping, routine maintenance, budgeting and paying bills?*
  
  Yes
  
  No
Safe
1. Do you require help to stay safe?*
  
  Yes
  
  No
Available Support
1. Do you have support which is unpaid, for example, from friends, family, or neighbours?*
  
  Yes
  
  No
Label
1. 1. Based on your answers, it looks like you may be eligible for a service,
    please complete our online form to request a service
2. 1. Based on your answers, it looks like you may not be eligible for a service from us. You can find more information on supports and local services who can provider you with the help, support or advice you need.

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