'The Ride' SA Tour Survey

The Ride SA Tour

http://www.theridemovie.org/

The Ride SA Tour is sponsored by the Julia Farr MS McLeod Benevolent Fund, part of the Julia Farr group. For more information about the Julia Farr MS McLeod Benevolent Fund visit www.jfm.org.au. For more information about the Julia Farr group visit www.juliafarr.org.au.

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* 1. Please enter today's date.

Today's date:

Date

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* 2. Name of town/city where the event is being held:

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* 3. Name of venue:

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* 4. Please take a moment to reflect on your experiences of the venue and tick the relevant response.

	Happy	Neither happy or unhappy	Unhappy
Seating / tables	Seating / tables Happy	Seating / tables Neither happy or unhappy	Seating / tables Unhappy
Room temperature	Room temperature Happy	Room temperature Neither happy or unhappy	Room temperature Unhappy
General cleanliness	General cleanliness Happy	General cleanliness Neither happy or unhappy	General cleanliness Unhappy
Restrooms	Restrooms Happy	Restrooms Neither happy or unhappy	Restrooms Unhappy
Accessibility	Accessibility Happy	Accessibility Neither happy or unhappy	Accessibility Unhappy

Do you have any other comments?

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* 5. Do you identify as:

A person living with acquired brain injury?

A person living with a degenerative neurological condition?

A person living with another type of disability?

A family member of a person living with acquired brain injury?

A family member of a person living with a degenerative neurological condition?

A family member of a person living with another type of disability?

A community member interested in the topic or other?

Other (please provide more information)

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* 6. What have you learnt after watching 'The Ride' movie?

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* 7. Is there something you will now do (or do differently) as a result?

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* 8. What do you think could happen in your local community to better support people living with disability to live a good life?

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* 9. We invite you to provide any other comments.

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* 10. Please enter your email address below if you would like to be added to The Ride mailing list. Your email address will not be shared with a third party.

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* 11. Please enter your email address below if you would like to be added to the JFA Purple Orange mailing list. Your email address will not be shared with a third party.

Thank you for your feedback.