The use of whole family assessment to identify the needs of families ...
The use of whole family assessment to identify the needs of families ...
The use of whole family assessment to identify the needs of families ...
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Family InformationPlease give details <strong>of</strong> your extended <strong>family</strong> and support networksPlease give details <strong>of</strong> significant <strong>family</strong> eventsHousingHow would you rate this area <strong>of</strong> your life with 0 being very poor and 10 being very good?Score (please cross a box)0 1 2 3 4 5 6 7 8 9 10What brought you <strong>to</strong> Blackpool?What type <strong>of</strong> accommodation do you live in? (please cross a box)1) Blackpool Coastal Housing 2) Private Rented3) Housing Association 4) Owner Occupied5) O<strong>the</strong>r (please specify)What kind <strong>of</strong> tenancy do you have? (please cross a box)1) Secure 2) Introduc<strong>to</strong>ry3) Assured short-hold 4) O<strong>the</strong>r (please specify)Who is your landlord?Does Housing Benefit pay your rent?Do you have any rent / mortgage arrears? If yes, how much?Have you ever been served notice <strong>to</strong> vacate your current or past accommodation?Have you ever received a warning letter regarding your behaviour at <strong>the</strong> current or a previous property?What were your previous addresses over <strong>the</strong> past 5 years?Please list <strong>the</strong> people who live in your ho<strong>use</strong> and <strong>the</strong>ir relationship <strong>to</strong> you.Think Family F1Page 5 <strong>of</strong> 7
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