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Demographics

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* 1. When was the last time you received service from IPC Health?

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* 2. Have you been satisfied with the service and  care you have received from IPC Health?

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* 3. Do you identify as a person with disability?

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* 4. Do you consider yourself an ally to people with disability?

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* 5. What is your gender identity?

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* 6. What is your racial or ethnic identity?

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* 7. Is English a second language?

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* 8. What is your age?

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* 9. Staff at IPC Health treat me with respect

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* 10. I would rate my disability awareness as

I am not at all aware of people with disability Excellent
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i We adjusted the number you entered based on the slider’s scale.

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* 11. I feel like disability is well understood by IPC Health

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* 12. I feel like people with disability are valued at IPC Health

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* 13. How important is inclusion of people with disability to you?

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* 14. If I raised a concern about discrimination regarding disability, I am confident IPC Health would do what is right

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* 15. When addressing how IPC Health intend to support inclusion of people with disability, I prefer the terminology

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* 16. I would show preference to an organisation that actively seeks to hire people with disability.

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* 17. IPC Health signage is easy to follow

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* 18. The disability parking is well placed

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* 19. How anxious does attending an IPC Health location make you feel?

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* 20. Have you experienced any of the following barriers to inclusion when receiving services from IPC Health (tick all that apply)?

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* 21. Has IPC Health offered you any of the following to assist with inclusion?

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* 22. How inclusive is IPC Health for people with disability

Not at all inclusive The most inclusive organisation
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i We adjusted the number you entered based on the slider’s scale.

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* 23. Is there any additional information that you would like us to know about how we can deliver on our commitment to inclusion of people with disability?

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