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* 1. What is your postcode?

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* 2. Do you or someone you know have a physical or psychosocial (mental health) disability?

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* 3. How would you rate your experience when applying for an NDIS package of service?

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* 4. Did you feel your doctor had sufficient knowledge to assist you in your application for an NDIS package of service?

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* 5. Do you believe there was enough information available in the clinic outlining the NDIS?

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* 6. Were the clinical staff employed in the clinic able to provide you with information that may have assisted you to make an informed decision regarding the NDIS?

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* 7. Do you believe there has been enough information provided in your community regarding what NDIS means or may provide for the consumer?

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* 8. If you do not consider there has been enough education provided in your community how/what type of education or information would benefit your community?

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* 9. If a focus group discussion was held in your community to address barriers identified from this survey, do you think this would be of value?

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* 10. Are you aware of who can assist you locally with completing the NDIS application and NDIS plan?

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* 11. Are you aware of the services/supports that are available in your community that can be included in your NDIS plan (i.e to assist you with daily living skills and community participation)

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* 12. Do you use My Community Directory (web search) to find services and supports within your community?

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* 13. Please provide your and contact details if you wish to be contacted to discuss any of your responses. This information will remain confidential.

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* 14. Do you have any further comments in regards to your experience of the NDIS service you have received?

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