Copy of Copy of Clem Jones Centre Inclusive Gym Project Survey

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* 1. I am a:

A person with a disability

Family member or carer of a person with disability

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* 2. How are you completing this survey?

Answering for myself

Answering for myself with help from someone

Answering on behalf of someone else

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* 3. If someone else is helping you complete this survey, are they?

A friend or family member

A carer

A program worker

Someone else: _______________________________________________

Not relevant

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* 4. How did you find out about this project?

From the organisation that runs this project

From a Local Area Coordinator

From an NDIS provider

From a family member, friend or advocate

From a website (please describe.............................................)

Somewhere else (please describe.............................................)

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* 5. I can better access services or activities outside of the program:

Strongly agree

Agree

No Change

Disagree

Strongly disagree

Not relevant

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* 6. I feel more confident about participating in social or community services and activities outside of the program:

Strongly agree

Agree

No Change

Disagree

Strongly disagree

Not relevant

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* 7. I feel like I have a say on issues that are important to me:

Strongly agree

Agree

No change

Disagree

Strongly disagree

Not relevant

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* 8. Since participating in this project I have started doing new things away from home (for example I got a job, joined a gym or community group or I started volunteering. You may add more detail below if you want)

Yes

Prefer not to answer

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* 9. Thinking about your own goals and achievements, can you tell us three things that have changed after visiting the inclusive gym project?

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* 10. Please share further details about your experience at the gym if you want to:

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* 11. Do you have a National Disability Insurance Scheme (NDIS) Plan?

Yes

Prefer not to answer

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* 12. If you answered ‘no’ in the previous question, have you interacted with the NDIS? If so, how?

I applied but was declined access to the NDIS

I applied for access and waiting for an answer

I am waiting on a plan

I have not interacted with the NDIS yet

Prefer not to answer

Not relevant

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* 13. Do you agree to us sharing your survey results with the Department of Social Services? If you say no, your answers will not be shared with them.

Yes