Register a Carer

It is important that we know if you are a carer so that we can make sure you receive information, services and the help that is available. If you are a carer please complete this form.

Register a Carer

About The Carer

Please use this date format: DD/MM/YYYY.
Gender *
Any responses we send will go to this email address.

Caring Situation

Who do you care for? *
Reason for caring: *

About The Cared For

Please use this date format: DD/MM/YYYY.
Gender *
Do they live at the same addess? *
Does the person you care for receive services from London Borough of Sutton? *
Do you receive Carer support or services from London Borough of Sutton *
Have you had a Carers assessment or review this year? *
Please use this date format: DD/MM/YYYY.
Are there any children / young people aged 8-25 in the family? *
If yes, may our specialist Young Carers Team contact you about them? *

Additional Information

You do not need to tell us this information, but it will help us to provide you with an indivualised service. 

It also will help us assess how well we are reaching Carers from all communities in Sutton. We only hold information relevant to your caring rols. If you wish to provide us with further information about the person you care for, you will need to gain their consent. 

What is your marital status?
What is your employment status?
What is your housing status?
How many people are there in your household?
What is your sexuality?
Do you have a health condition?

Impact Of Caring

Caring roles can very. The impact of your caring role may be due to a number of different factors; the number of hours you care each week, the demands and responsibilities placed on you as well as other support networks you may or may not have. 

For some, caring can be tricky, but they are doing okay. Please complete the following section by selecting a rating of 1-4. 

How caring places demands on you?
1- Not much demand 4 - Demands a lot
How well are you copying at this time?
1- Coping Well 4 - Not coping at all
How well supported do you feel by the people around you?
1- Well supported 4 - Not at all
Do you consider your caring situation places you at risk of any harm?

Data Protection And Confidentiality

Sutton Carers Centre (SCC) ensures that all information relevant to your caring role is held in a secure and confidential manner.