Access and Inclusion Community Survey

The City of Greater Geraldton is interested in hearing your thoughts on the accessibility of its services, facilities and information.

Your comments will inform the development of strategies that will improve access and inclusion for everyone, and to develop the City’s new Disability Access and Inclusion Plan 2013 – 2018.

If you need assistance to complete this survey a City of Greater Geraldton staff member can interview you over the telephone or a facilitator can be organised upon request to meet with you to talk through your answers to this survey. For assistance please call 9965 6774 or 9965 6773.

Please mark boxes that are appropriate. All questions are optional.

Question Title

1. Participant Details
We welcome all residents to undertake this survey however it is helpful for us to know if you are:

A person with a disability

Responding for a person with a disability

Other community member

Question Title

2. If you have a disability or impairment it may assist us to better understand the nature of your restrictions. Example: mobility, vision, hearing impairments, etc…
Please tell us about your disability or impairment .

Question Title

3. Please provide your information.

Male

Female

Aged : 0 -12

Aged : 13-17

Aged : 18-39

Aged : 40-59

Aged : 60-69

Aged : 70-79

Aged : 80 +

Question Title

1. Participant Details We welcome all residents to undertake this survey however it is helpful for us to know if you are:

Question Title

2. If you have a disability or impairment it may assist us to better understand the nature of your restrictions. Example: mobility, vision, hearing impairments, etc… Please tell us about your disability or impairment .

Question Title

3. Please provide your information.

Question Title

4. please provide your postcode

1. Participant Details
We welcome all residents to undertake this survey however it is helpful for us to know if you are:

2. If you have a disability or impairment it may assist us to better understand the nature of your restrictions. Example: mobility, vision, hearing impairments, etc…
Please tell us about your disability or impairment .