Sensory assessment
If you have sight loss, hearing loss or combined sight and hearing loss, you may need support to stay independent at home.
This assessment will help to identify what type of support could improve your daily life. This may include equipment, help to learn new skills or care and support services.
- The assessment will take about 30 minutes to complete
- You will need to register using an email address. This will allow you to save your form and come back to it
- When you encounter a question with a red asterisk (*), it means the question is mandatory and must be answered to continue.
If you have specific sight or hearing sensory needs, this assessment is designed to address those needs. However, if you have needs additional to your sensory needs, you should complete a Needs Assessment first.
What we need you to tell us
The form asks questions about your situation. Use the free text boxes to give full details of what you can and cannot manage.
Next steps
Once you have submitted the form, you will receive an email confirmation. We will review your information and get in touch by phone or email. This form is the start of the assessment process. It will help us to work with you to find out what support you might need.
Further information
More information is on our website: Support to stay at home (opens in new tab)