This template has been optimized for Facebook Messenger. You can add, delete, and edit questions, but make sure to only use the following questions types:

• Multiple Choice (single answer)
• Single Textbox
• Comment Box

The page title and description above won’t be seen by people taking your survey in Messenger. Learn more about designing and previewing a survey for Messenger at

Question Title

Please answer the following five questions.

Be as honest as you can. Your answers remain confidential and anonymous.

Question Title

1. Are you a Canberran with a disability?

Question Title

2. Is Canberra an inclusive place for people with disabilities to live, work, study, and be healthy and happy?

Question Title

3. How would you rate the following for Canberrans with disabilities?

  Poor Satisfactory Excellent
Health system & services
Employment opportunities & support
Education opportunities & support
Paths, pedestrian crossings & buildings
Housing options & services
Sports, arts & other social opportunities

Question Title

4. Please tell us what you’d like to see improved in Canberra for people with disabilities.

Question Title

5. Please tell us the best way we can get in touch with you if you are randomly selected to receive a gift voucher.

Thankyou for taking the time to tell us what you think! Together we have a stronger collective voice for people with disabilities in Canberra.

If you’re not a member, join today - it’s free for individuals with a disability at

Thanks again & have a great day!