2021-2023

Sydney Community Services

CONSUMER SURVEY

Thank you for taking the time to complete this survey.

Your responses will help us to improve our services to you and our community.

Question Title

* 1. Which gender group do you belong to?

Male

Female

Question Title

* 2. What age group do you belong to?

60-64 years

65-69 years

70-79 years

80-89 years

90+ years

Question Title

* 3. Who is filling in the form?

Service recipient

Service recipient's family member

Carer

Question Title

* 4. Other than English what language(s) do you speak at home?

Question Title

* 5. Could you tell us which supports and services do you use?

	Do you use this service?	How many years have you used this service
Community Nursing	Community Nursing Do you use this service? menu	Community Nursing How many years have you used this service menu
Community Nursing - Personal Care	Community Nursing - Personal Care Do you use this service? menu	Community Nursing - Personal Care How many years have you used this service menu
Home Maintenance and Modification	Home Maintenance and Modification Do you use this service? menu	Home Maintenance and Modification How many years have you used this service menu
Gardening	Gardening Do you use this service? menu	Gardening How many years have you used this service menu
Domestic Assistance - Linen and light cleaning	Domestic Assistance - Linen and light cleaning Do you use this service? menu	Domestic Assistance - Linen and light cleaning How many years have you used this service menu
Social Support Individual - accompanied activities i.e. shopping	Social Support Individual - accompanied activities i.e. shopping Do you use this service? menu	Social Support Individual - accompanied activities i.e. shopping How many years have you used this service menu
Social Support Individual - volunteer visiting	Social Support Individual - volunteer visiting Do you use this service? menu	Social Support Individual - volunteer visiting How many years have you used this service menu
Social Support Individual - phone shopping and monitoring	Social Support Individual - phone shopping and monitoring Do you use this service? menu	Social Support Individual - phone shopping and monitoring How many years have you used this service menu
Day Trips - Tuesday	Day Trips - Tuesday Do you use this service? menu	Day Trips - Tuesday How many years have you used this service menu
Day Trips - Boomers	Day Trips - Boomers Do you use this service? menu	Day Trips - Boomers How many years have you used this service menu
Day Trips - Meeting House	Day Trips - Meeting House Do you use this service? menu	Day Trips - Meeting House How many years have you used this service menu
Lane Cove Village Bus	Lane Cove Village Bus Do you use this service? menu	Lane Cove Village Bus How many years have you used this service menu
Meeting House Shopping Bus	Meeting House Shopping Bus Do you use this service? menu	Meeting House Shopping Bus How many years have you used this service menu
Hunters Hill Seniors Hub	Hunters Hill Seniors Hub Do you use this service? menu	Hunters Hill Seniors Hub How many years have you used this service menu
Social Support Program for Culturally and Linguistically Diverse Communities (CALD)	Social Support Program for Culturally and Linguistically Diverse Communities (CALD) Do you use this service? menu	Social Support Program for Culturally and Linguistically Diverse Communities (CALD) How many years have you used this service menu
Meals	Meals Do you use this service? menu	Meals How many years have you used this service menu
Social Activities	Social Activities Do you use this service? menu	Social Activities How many years have you used this service menu
Flexible Respite	Flexible Respite Do you use this service? menu	Flexible Respite How many years have you used this service menu
Community Advisory Program	Community Advisory Program Do you use this service? menu	Community Advisory Program How many years have you used this service menu
Social Support Individual - Meeting House	Social Support Individual - Meeting House Do you use this service? menu	Social Support Individual - Meeting House How many years have you used this service menu

Question Title

* 6. How did you hear about Sydney Community Services? (SCS)
please tick relevant box

Website

Social Media

Family or Friend

SCS Community Advisor

General Practitioner (GP)

Police

Social Worker

Counsellor/Psychologist/Theraplist

Hospital

ACAT

MAC

Event

Local Council

Volunteering with SCS

Other (please specify)

Question Title

* 7. Do you have a copy of your support/clinical care plan

Yes

Comment (optional)

Question Title

* 8. Does it reflect your needs?

Yes

Comment Optional

Question Title

* 9. Are you involved in all decisions about the services and supports you receive from us?

Yes

Comment (optional)

Question Title

* 10. Are you involved in the decision about the services and supports you
received from us in Service Times?

Yes

Comment (optional)

Question Title

* 11. Are you involved in the decision about the services and supports
you receive from us in regards to Staff?

Yes

Comment (optional)

Question Title

* 12. Are you involved in the all decisions about the services and supports
you receive from us in regards to Activities undertaken?

Yes

Comment (optional)

Question Title

* 13. Do staff keep you informed about your : Services Changes?

Yes

Comment (optional)

Question Title

* 14. Do staff keep you informed about your : Complaints?

Yes

Comment (optional)

Question Title

* 15. Do staff keep you informed about your : Care and Support?

Yes

Other (please specify)

Question Title

* 16. Do staff keep you informed about your : Service Options?

Yes

Comment (optional)

Question Title

* 17. Do staff keep you informed about your : Service Referrals?

Yes

Other (please specify)

Question Title

* 18. Do staff keep you informed about our : Latest SCS news/events

Yes

Comment (optional)

Question Title

* 19. Do you feel safe from COVID-19 when you receive our services

Yes

Comment (optional)

Question Title

* 20. Do you feel safe and free from abuse and/or neglect while receiving services from us?

Yes

Comment (optional)

Question Title

* 21. Do we treat you with dignity and respect at all times?

Yes

Comment (optional)

Question Title

* 22. Do we respect your identity, culture and diversity?

Yes

Comment (optional)

Question Title

* 23. Has your personal information been kept private and confidential by SCS?

Yes

Comment (optional)

Question Title

* 24. Are you comfortable giving positive and/or negative feedback, including making a complaint?

Yes

Comment (optional)

Question Title

* 25. Would you be interested in becoming a consumer representative?

If you were to become a consumer representative you would sit on advisory sub-committee that reviews SCS policy, procedures, strategies and services etc.

Yes

Question Title

* 26. Overall, how satisfied are you with the support/services you receive?
Please tick the relevant box

Very Satisfied

Satisfied

Not Satisfied

Strongly Dissatisfied

Neutral

Question Title

* 27. If we become a HCP (home care package provider) - would you be interested in receiving services from us?

Yes

Question Title

* 28. Does the SCS invoice contain the information you need to be clear about your fees and charges?

Yes

Question Title

* 29. What do you like best about SCS?

Question Title

* 30. What can we do to improve or make our services better?

Question Title

* 31. Sydney Community Services is seeking your ideas on what you think our values should be?

Question Title

* 32. Follow up: If you would like a call back, please provide your contact details

Name:

Phone Number:

If you could like to receive our e-newsletter please provide your email address:

Please provide the dated you completed this survey

2021-2023 Sydney Community Services CONSUMER SURVEY

Question Title

* 1. Which gender group do you belong to?

Question Title

* 2. What age group do you belong to?

Question Title

* 3. Who is filling in the form?

Question Title

* 4. Other than English what language(s) do you speak at home?

Question Title

* 5. Could you tell us which supports and services do you use?

Question Title

* 6. How did you hear about Sydney Community Services? (SCS) please tick relevant box

Question Title

* 7. Do you have a copy of your support/clinical care plan

Question Title

* 8. Does it reflect your needs?

Question Title

* 9. Are you involved in all decisions about the services and supports you receive from us?

Question Title

* 10. Are you involved in the decision about the services and supports you received from us in Service Times?

Question Title

* 11. Are you involved in the decision about the services and supports you receive from us in regards to Staff?

Question Title

* 12. Are you involved in the all decisions about the services and supports you receive from us in regards to Activities undertaken?

Question Title

* 13. Do staff keep you informed about your : Services Changes?

Question Title

* 14. Do staff keep you informed about your : Complaints?

Question Title

* 15. Do staff keep you informed about your : Care and Support?

Question Title

* 16. Do staff keep you informed about your : Service Options?

Question Title

* 17. Do staff keep you informed about your : Service Referrals?

Question Title

* 18. Do staff keep you informed about our : Latest SCS news/events

Question Title

* 19. Do you feel safe from COVID-19 when you receive our services

Question Title

* 20. Do you feel safe and free from abuse and/or neglect while receiving services from us?

Question Title

* 21. Do we treat you with dignity and respect at all times?

Question Title

* 22. Do we respect your identity, culture and diversity?

Question Title

* 23. Has your personal information been kept private and confidential by SCS?

Question Title

* 24. Are you comfortable giving positive and/or negative feedback, including making a complaint?

Question Title

* 25. Would you be interested in becoming a consumer representative?If you were to become a consumer representative you would sit on advisory sub-committee that reviews SCS policy, procedures, strategies and services etc.

Question Title

* 26. Overall, how satisfied are you with the support/services you receive? Please tick the relevant box

Question Title

* 27. If we become a HCP (home care package provider) - would you be interested in receiving services from us?

Question Title

* 28. Does the SCS invoice contain the information you need to be clear about your fees and charges?

Question Title

* 29. What do you like best about SCS?

Question Title

* 30. What can we do to improve or make our services better?

Question Title

* 31. Sydney Community Services is seeking your ideas on what you think our values should be?

Question Title

* 32. Follow up: If you would like a call back, please provide your contact details

2021-2023

Sydney Community Services

CONSUMER SURVEY

* 6. How did you hear about Sydney Community Services? (SCS)
please tick relevant box

* 10. Are you involved in the decision about the services and supports you
received from us in Service Times?

* 11. Are you involved in the decision about the services and supports
you receive from us in regards to Staff?

* 12. Are you involved in the all decisions about the services and supports
you receive from us in regards to Activities undertaken?

* 25. Would you be interested in becoming a consumer representative?

If you were to become a consumer representative you would sit on advisory sub-committee that reviews SCS policy, procedures, strategies and services etc.

* 26. Overall, how satisfied are you with the support/services you receive?
Please tick the relevant box