Carer Registration - Carers Voice

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12 Characters
1 Uppercase letter
1 Lowercase letter
1 Number
1 Special character

Carer Details

First Name

Last Name

Date of Birth

Your Postcode

Phone Number

Please check this is correct before submission

Are you now, or have you ever provided care for someone? (Excluding employment as a carer)

YesI have, but no longer doNo

Carer Situation

How long have you, or were you a carer?

Carer Organisation

This is about the support you access and receive.

Are you registered with a carer service?

ID No / Reference number (if known)

Your Carer ID number can be found in the Carers Card letter/email sent to you from CRISP or Carer Support Dorset. If you can't find this, please contact them and ask for your ID number

Your Experience

This is where you can tell us a bit about yourself.

Do you have any specific areas of knowledge, interests, or passions relating to caring? Please share: (e.g. caring for someone with dementia, involvement in a support group, fundraising, or anything else)

Do you want to share anything else with us?

Please tick how you would like to be involved in Carers Voice

Completing Questionnaires/ SurveysIn Person Focus GroupsSharing your Caring Story

How did you hear about Carers Voice?

Please tick this box to say that you have read and understood the privacy statement

Yes, I have read and understood the privacy statement

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Contact Information