Disability Access And Inclusion Plan Community Survey

The Shire of Katanning is reviewing its Disability Access and Inclusion Plan (DAIP) and is calling on community members for comments and feedback. A copy of the 2011-2016 DAIP plan is available on the Shire of Katanning website, www.katanning.wa.gov.au or a hard copy is available upon request.

Question Title

* 1. Please specify whether you identify as:

A person with a disability

A carer

A service provider

Other (please specify)

Question Title

* 2. If you have a disability or are a carer for a person with a disability, please indicate the disability/disabilities:

Intellectual Disability

Visual Impairment

Deaf or Hearing Impairment

Physical Disability

Neurological Disability

Cognitive Disability

Psychiatric Disability

Other (please specify)

Question Title

* 3. If you have a disability, or are a carer for a person with a disability please provide your/their demographic information:

Male

Female

Under 15

15 to 24

25 to 29

30 to 34

35 to 44

45 to 49

50 to 54

55 to 59

60 to 64

65 and over