Skip to content
Copy of Copy of Clem Jones Centre Inclusive Gym Project Survey
1.
I am a:
A person with a disability
Family member or carer of a person with disability
2.
How are you completing this survey?
Answering for myself
Answering for myself with help from someone
Answering on behalf of someone else
3.
If someone else is helping you complete this survey, are they?
A friend or family member
A carer
A program worker
Someone else: _______________________________________________
Not relevant
4.
How did you find out about this project?
From the organisation that runs this project
From a Local Area Coordinator
From an NDIS provider
From a family member, friend or advocate
From a website (please describe.............................................)
Somewhere else (please describe.............................................)
5.
I can better access services or activities outside of the program:
Strongly agree
Agree
No Change
Disagree
Strongly disagree
Not relevant
6.
I feel more confident about participating in social or community services and activities outside of the program:
Strongly agree
Agree
No Change
Disagree
Strongly disagree
Not relevant
7.
I feel like I have a say on issues that are important to me:
Strongly agree
Agree
No change
Disagree
Strongly disagree
Not relevant
8.
Since participating in this project I have started doing new things away from home (for example I got a job, joined a gym or community group or I started volunteering. You may add more detail below if you want)
Yes
No
Prefer not to answer
9.
Thinking about your own goals and achievements, can you tell us three things that have changed after visiting the inclusive gym project?
a)
b)
c)
10.
Please share further details about your experience at the gym if you want to:
11.
Do you have a National Disability Insurance Scheme (NDIS) Plan?
Yes
No
Prefer not to answer
12.
If you answered ‘no’ in the previous question, have you interacted with the NDIS? If so, how?
I applied but was declined access to the NDIS
I applied for access and waiting for an answer
I am waiting on a plan
I have not interacted with the NDIS yet
Prefer not to answer
Not relevant
13.
Do you agree to us sharing your survey results with the Department of Social Services? If you say no, your answers will not be shared with them.
Yes
No
Current Progress,
0 of 13 answered