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GoCo CHSP Consumer survey
1.
What ACTIVITIES do you attend? What SUPPORT do you receive from us? (You may tick more than one box.)
Bingo
Aboriginal Elders Arts and Craft
Exercise, strength and balance group
Transport
Meals with friends / Coffee Club
Lawn mowing
Social groups at the GoCo Centre
Tambar Springs meals & activities
Shopping/ community outings
One off trips or overnight excursions
Meals on wheels
Respite care
Other (please specify)
2.
Is this support SUFFICIENT and APPROPRIATE to your needs (including to help you have as much social contact as you want with people you like)?
Yes
No
If no, what additional/different supports do you need?
3.
Does our support help you TO MAINTAIN YOUR INDEPENDENCE and ABILITY to live the life you want at home and in your community?
No
Helps a little
Helps moderately
Of great help
No
Helps a little
Helps moderately
Of great help
4.
Have you ever COMPLAINED about our activities or support?
Yes; was your complaint dealt with promptly and appropriately?
No; would you feel comfortable to complain/provide feedback in future?
5.
As a result of our support and planning, do you feel MORE SAFE, SECURE, INDEPENDENT AND BETTER ABLE TO LIVE AT HOME?
No
A bit
Generally
Always
N/A
No
A bit
Generally
Always
N/A
6.
Are our workers and volunteers RELIABLE? (For example, do they do what they say they are going to do, when they say they are going to do it?)
Always
Usually
Sometimes
Rarely
Never
7.
Do we provide the support AGREED in your support plan?
Always
Usually
Sometimes
Rarely
Never
8.
Do we LISTEN to you and ASK how you think our support and activities could be improved?
Always
Usually
Sometimes
Rarely
Never
9.
Do we RESPECT YOU and YOUR LIFESTYLE, CULTURE and/or RELIGION?
Always
Usually
Sometimes
Rarely
Never
10.
Are you satisfied with our SKILL, KNOWLEDGE, CONDUCT & the QUALITY of our work?
Always
Usually
Sometimes
Rarely
Never
11.
Could we provide A BETTER SERVICE to you?
Yes
No
If Yes, how?
12.
Are you satisfied with the MANAGEMENT AND COST of our support?
Very satisfied
Satisfied
Mostly satisfied
Dissatisfied
13.
Overall, are you happy with our support?
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
14.
Do you identify as Aboriginal or Torres Strait Islander?
Yes
No
15.
How often do you use the internet to search for health information and advice?
Always
Often
Rarely
Never
I don't have access to the internet
16.
If you would like GoCo to see your individual response, please write your name here:
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