What we need to know about the patient Please complete the form below: What is the name of the patient?(required) What is the contact details?(required) What is the e-mail address?(required) In which area does the patient reside in?(required) What is the age of the patient? Is the patient male/female? MaleFemale Approximate weight of the patient? Approximate length of the patient? What kind of illness does the patient have/symptoms? Type of accommodation? own homeinstitutionfrail careretirement villagesecurity complex Gender preference of care worker? Language preference – First? Language preference – Second? Shifts required to work? DayNightSleep-in Does the patient have existing bedsores?