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General Client Survey
We ask you to complete this survey to help My Supports improve our services.
My Supports is always looking for ways we can improve our services, so your honest feedback is
greatly appreciated.
We thank you for taking the time to complete our survey.
OK
1.
Full Name:
2.
Are you a client, family member/carer of a client of My Supports?
I am a client of My Supports
I am a family member/carer of a client of My Supports
If you are a family/carer please provide clients name:
3.
Which state are you located?
Western Australia
South Australia
Victoria
New South Wales
Queensland
Western Australia
South Australia
Victoria
New South Wales
Queensland
4.
What type of services are you currently receiving from My Supports (You can select more than one)
Support coordination
Support work
Support to help me access my community
Support to assist me in my home
Support to assist me in my employment or to help me find a job
Other (please specify)
5.
Overall how satisfied are you with My Supports out of 10
1 star
2 stars
3 stars
4 stars
5 stars
6 stars
7 stars
8 stars
9 stars
10 stars
Other (please specify)
6.
If you have a Support Worker, how satisfied are you with your support worker out of 10?
1 star
2 stars
3 stars
4 stars
5 stars
6 stars
7 stars
8 stars
9 stars
10 stars
Who are your Support Workers?
7.
How satisfied are you with your co-ordinator out of 10?
1 star
2 stars
3 stars
4 stars
5 stars
6 stars
7 stars
8 stars
9 stars
10 stars
Who is your coordinator?
8.
How are you dealing with the current COVID-19 situation? Do you feel supported? Would you like your Coordinator to contact you regarding any concerns you may have?
9.
Do you have any questions or concerns surrounding your NDIS plan or funding during this time? If so would you like a call back from your Coordinator to discuss this further?
10.
Would you recommend My Supports to family or friends?
Yes
No
11.
Do you have any other comments, questions, or concerns?
Current Progress,
0 of 11 answered
