Register for Back Up on Track Family Support

We are committed to helping the family members of newly injured people, and the individuals themselves, get the support they need, at a time, and in a way, that suits them best – be that digitally or in person.

Our services aim to develop practical skills and build confidence to help you positively adjust after spinal cord injury. Together with the NHS, our aim is to provide a holistic package of support designed around you.

Fill in the form below to find out more information about our family support service and we’ll be in touch shortly.

Back Up on Track Family Referral Form

  • Self evaluation questions

    By answering these questions, this will help make sure Back Up provides the support package that's right for you. Also, through completing these questions, you'll help us to secure funding so we can provide these vital services to more people in the future. For the purposes of this form, one is the lowest/least and five is the highest/most.
  • On a scale of 1 to 5 (1 lowest, 5 highest) how positive are you feeling about the future?
  • I've been feeling useful
  • I've been feeling relaxed
  • I'm feeling optimistic about the future
  • I've been thinking clearly
  • I've been feeling close to other people
  • I've been able to make up my own mind about things
  • How confident do you feel in being able to support your friend/relative with their spinal cord injury?
  • How knowledgeable do you feel about spinal cord injuries in general?