Carers Wellbeing Check

We work in partnership with Birmingham Carers Hub and we need to ensure our wellbeing services are making a difference. Please complete the Wellbeing Check as fully as you can. You’ll be asked to complete this online form at regular intervals

    Your Details

    1. Your Health and Wellbeing

    2. Work, Education and Training

    3. Your Financial Situation

    4. Time Out

    5. Other caring and family commitments

    6. Relationships

    7. Your Home

    8. Your Diet

    9. How Safe do you Feel?

    Additional Notes and Actions

    All uses of personal data are controlled by the Data Protection Act (amended by the General Data Protection Regulations GDPR). Please see the Council and Birmingham Carers Hub website for their privacy statements and

    Carer Consent Statement

    I understand that I am giving my personal information to Birmingham Carers Hub, on behalf of Birmingham City Council and other professional agencies you are working with; and you will keep it safe and only use it to assess my needs and help plan my care support. I understand that I can take away my consent at any time. I understand that without consent, this will make it difficult to assess my needs and arrange the support I need.

    I am aware that I can say if there is any particular organisation that I do not want to see my information, and you will not share it with my relatives or friends without my knowledge or agreement. I understand that there may be exceptional circumstances where the law says Birmingham Carers Hub must show/share this assessment with someone else. The information I give is true and accurate and I understand that action maybe taken against me, if I have given false information.

    How To Find Us

    7 High Street
    B17 9NT
    T: 0121 426 2633

    Barefoot Yoga Harborne Ltd. Company number 12553712

    View on Google Maps