Visual Assessment for Young Carers for young carers aged 5-11 years old BYC - Visual Assessment - Primary School "*" indicates required fields FacebookThis field is for validation purposes and should be left unchanged. Young Carers come in all shapes and sizes. They can be any young person between the ages of 5 – 17 who do lots to help a loved one with an illness, disability, mental health condition or dependent on drugs/alcohol. Barnet Young Carers is here to help you with the care you provide for your loved one by offering you someone to talk to; helping you keep up with school work; supporting your family and best of all - giving you a chance to have some fun with lots of activities. My Name Is*The Person I Care For Is*I would like a copy of my assessment* The email address will be used to email a PDF copy of this assessmentHelping around at home - please select the things you help do at home Helping with personal care - please select the things you help the person to do Helping with emotional support - please select the things you do to help the person if they are not having a good day Helping with practical support - please select the things you do to help the person Please tell us if there is someone who helps you with these things*How does caring for the person make you feel? Select the appropriate emoji* If you were granted a wish that would help you at home with your caring role, what would it be?* I live at home with:*My birthday is:* DD slash MM slash YYYY My favourite colour is:*My favourite movie is:*My favourite music is:*My favourite sport is:*My biggest talent is:*When I grow up I want to be:*If I had a super power for the day, I would like to be able to:* I am currently in year:*If I am worried about anything at school, the teacher I talk to is:*My favourite subject at school is:*The subject I might need some help with is:*The best thing about school is:*The most difficult thing about school is:*Are you ever late for school?* Never Sometimes A lot Do you ever miss school?* Never Sometimes A lot How I feel about school. Select the appropriate emoji* My favourite thing to do during the weekend is:*One activity I would like to try is:*My favourite game to play is:*If I could go on a day trip, I would like to go:*How often do you see friends outside of school?* I never see them I sometimes see them I see them a lot How I feel about my social life. Select the appropriate emoji* Are you part of any teams/clubs?* Yes No If yes, tell us what you do* Social activities and clubs (through Barnet Young Carers and local organisations)* Help in school (having someone to understand my caring role/school groups)* Outings* Help with school work (tuition; homework clubs)* Having someone to talk to about my caring role (a referral to be made to receive 1:1 mentoring/counselling)* Someone to train me with things that might make my caring role more manageable (e.g. cooking; life skills workshops)* Someone to help me look after the person I can for* Support online (Barnet Young Carers website/social media)* Is there anything else you would like support with? Let us know
