Changing Places Survey Question Title * 1. Do you know what a Changing Place facility is? Very familiar Somewhat familiar Not so familiar Not at all familiar Question Title * 2. Have you ever used a Changing Places facility? Yes, as a person with disability Yes, as a carer or support worker No Comment: Question Title * 3. Were you aware that there are Changing Places facilities located at Scarborough Beach and Karrinyup Shopping Centre in the City of Stirling? Yes No Question Title * 4. To assist in identifying locations where there may be a demand for Changing Places facilities, please select from the drop down menu. Balga Ward Coastal Ward Doubleview Ward Hamersley Ward Inglewood Ward Lawley Ward Osborne Ward Comment: Question Title Question Title * 5. Would you like more information on Changing Places facilities? Yes No If yes, please provide contact details: Done