Our privacy notice is available here. Please enable JavaScript in your browser to complete this form.Parent Carer NameCharity Log NumberPhoneEmailArea they live inAshfordCanterburyDoverFavershamFolkestone and HytheThanetOut of Area - Outside of KentOut of Area - Inside of KentHave you accessed Parent Carer support from us at Carers' Support East Kent?YesNoIf you didn't access Parent Carer support from us at Carers' Support East Kent:Something prevented you from accessing this supportYou did not need support at this moment in timeIf you did access Parent Carer support from us at Carers' Support East Kent, what services did you access?Information and sign postingEmotional supportAttended workshopsA grantA referral to another organisation for further supportOther (give details)Details of other services accessed:How have you found this support? Very goodGoodSatisfactoryUnsatisfactoryWhat have you found most useful about this support? It has increased my knowledgeI feel more confident and in controlI have felt more supportedI know and am able to access my rights and entitlements (e.g. financially or support with an Education Health Care Plan) - EHCPConnect with other Parent CarersWould you be interested in attending a Parent Carer workshop?YesNoWhat type of workshop would be useful?Financial WellbeingKnow Your Rights: Education Health Care Plans (EHCP)Supporting a child with SEN and disabilitiesHow to support a child who has mental health illness or self-harmingHow to handle challenging behaviours and de escalationSelf-care- how to look after your own well being and connecting with othersManaging relationships and support for siblings (and the wider family)Planning for the futureOther (Please complete "Other type of workshop" below:)None of the aboveOther type of WorkshopWhat day of the week?MondayTuesdayWednesdayThursdayFridayWhat time of day?AMPMHow to meet us?Face to faceOnline (Zoom) would of Do you need any further support in your caring role?YesNoWhat support do you need?Triage to personalised individual supportFinancial support from our Carer Money Matters teamSign postingWorkshopsReferral to relevant serviceEmotional supportSupport group (online)Preferred Method of ContactLetterMobile phoneNoneLandlineEmailTextAnyAddress 1Address 2TownPostcodeContact InstructionsData Consent:The lawful basis used for processing data is legitimate interest. We may legally be required to share information without your consent, such as in an emergency situation or where there is a risk of serious harm.Data ConsentUnknownNot ApplicableYes - by postYes - by emailYes - verbalYes - by websitePrivacy Notice Link:In order to be able to provide you with a service we need to collect certain information about you. This will be stored securely and more information on how we store and use your data can be found in our privacy notice on our website.Privacy Notice LinkUnknownNot ApplicableYes - by postYes - by emailYes - verbalYes - by websiteExternal Referrals:We may identify other services and support that could be of benefit to you. We will ask your consent before making a referral.External ReferralsUnknownNot ApplicableYes - by postYes - by emailYes - verbalYes - by websiteDate consent givenThe lawful basis used for processing data is legitimate interest. In an emergency situation or where there is a risk of serious harm, we may need to / be required by law to share information without your consent.Please confirm that you have read and understood the above *I confirm that I have read and understood the above.Please confirm that you have read and understood our privacy notice *I confirm that I have read and understood the privacy noticeSubmit
