Sometimes loud music can cause conflict in supported lodgings how do you think that you could stop this becoming a problem

							Family Placement Services
Children’s Services
Manchester City Council
Wenlock Way Offices
5th Floor
Wenlock Way
West Gorton
Manchester
M12 5DH


                                   SUPPORTED LODGINGS SCHEME
                                     LODGERS MATCHING FORM
The purpose of the ‘matching process is to help the scheme workers to place you with a
Lodgings Provider you feel suited to, in an area and environment that you feel comfortable in.
All information is confidential.

Name:

Contact Address:




Date:

1.     Now you have been through the referral and assessment process, do you still feel that
       Supported Lodgings is what you want?




2.     Have you talked about Supported Lodgings with friends and family, how do they feel about
       it?




3.     Would you prefer to stay with a family, or single male, or female? If you have a preference,
       why?




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4.     Do you smoke? If no, do you want to go to a non-smoking house?




5.     Do you have any problems living somewhere there are pets?




6.     Do you have any religious or cultural requirements that we need to be aware of?




7.     Do you require a special diet?




8.     What food do you like to eat?




9.     What food do you like to cook?




10. When in supported lodgings you will have to pay the lodgings provider a minimum of
    £15.00, which covers your breakfast and evening meal. What other expenses do you think
    that you will have?




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11. Are you able to help around the house to assist with cooking, cleaning, shopping etc.




12. Do you watch much TV?




13. What programmes do you like?




14. Have you got your own TV?




15. Do you like music, if yes, what type of music do you like?




16. Have you got your own system?




17. Sometimes loud music can cause conflict in supported lodgings – how do you think that
    you could stop this becoming a problem?




18. Have you got friends or family that you would want to phone when you are in supported
    lodgings? The phone is another area, which can cause problems, as it is not included in
    your rent. How do you think that you could stop this becoming a problem?




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19. Do you have friends that you would like to invite around?




20. Would you want to stay out late at night/all night at times?




21. If you are not on a scheme/working, how do you spend your days?




22. Are there any types of behaviour that you think would be unacceptable from either the
    carer or yourself, if you were in supported lodgings?




23. What would be your ideal placement? (e.g. quiet house, privacy, involvement in household
    etc)




24. Any further information that you feel is important about the placement?




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