Care Requirements - Support Needed by Client 

Select from the list below the support required by the client by deleting any that are not appropriate:

Bathing & personal grooming 

Companionship 

Helping with mobility 

Help keeping active 

Light housework 

Meal preparation 

Medication reminders 

Running errands 

Toilet & continence care 

Trips out of the house 

Care Requirements - Previous Condition Experience Needed by CAREGiver

Select from the list below any previous condition experience needed by the CAREGiver by deleting any that are not appropriate. Please note if you are able to train the CAREGiver and they do not need prior experience please delete all of the above options as it could limit potential CAREGivers.

Anxiety

Confusion

Incontinence

Care Requirements - Previous Equipment Experience Needed by CAREGiver

Select from the list below any previous equipment experience needed by the CAREGiver by deleting any that are not appropriate. Please note if you are able to train the CAREGiver and they do not need prior experience please delete all of the above options as it could limit potential CAREGivers

Wheelchair

Client Description

Enter any additional information below (including if role requires supporting more than one person), and any interests or preferences that may help finding the best CAREGiver for the role