Equity Works Feedback Survey Question Title * 1. In the last six months, how often have you/your family member used Equity Works services? Everyday Weekly Fortnightly Monthly A couple of times Not at all Other (please specify) Questions 2 to 7 are framed as statements. We would like to get an understanding of your satisfaction with the services you receive from Equity Works. Please let us know to what degree you agree or disagree with the statements.We welcome all of your feedback and appreciate you taking the time to respond to this survey. Question Title * 2. In the last 6 months Equity Works have met my requirements for flexible service delivery. Strongly Agree Agree Slightly Agree Neither Agree Nor Disagree Slightly Disagree Disagree Strongly Disagree If you wish to write a comment instead of rating. Question Title * 3. I am happy with the quality of the direct support staff that support me/my family member. Strongly Agree Agree Slightly Agree Neither Agree Nor Disagree Slightly Disagree Disagree Strongly Disagree If you wish to write a comment instead of rating. Question Title * 4. I am happy with the quality of service delivered by office based Coordination staff who work with me. Strongly Agree Agree Slightly Agree Neither Agree Nor Disagree Slightly Disagree Disagree Strongly Disagree If you wish to write a comment instead of rating. Question Title * 5. I have control and choice in regards to planning and individualising my services. Strongly Agree Agree Slightly Agree Neither Agree Nor Disagree Slightly Disagree Disagree Strongly Disagree If you wish to write a comment instead of rating. Question Title * 6. I feel confident to give Equity Works feedback if I am not satisfied with the services I have received. Strongly Agree Agree Slightly Agree Neither Agree Nor Disagree Slightly Disagree Disagree Strongly Disagree If you wish to write a comment instead of rating. Question Title * 7. Could you please tell us one thing (or more) that you think Equity Works does well? Question Title * 8. Could you please tell us one thing (or more) we could change to improve our service to you? Question Title * 9. Would you like to be contacted about your feedback? No Yes If Yes, please provide contact details Question Title * 10. Please write your name for entry into the Gift Card draw. Done