NDIS Carers Online Pre Questionnaire Nov/Dec 2017

Question Title

* 1. Your Location (town or suburb)

Question Title

* 2. Your Gender

Question Title

* 3. How long have you been caring for?

o to 5 years

5 to 10 years

10 to 20 years

Over 20 years

Question Title

* 4. Please tick the box that best matches your opinion

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
I understand what NDIS is about	I understand what NDIS is about Strongly Agree	I understand what NDIS is about Agree	I understand what NDIS is about Neutral	I understand what NDIS is about Disagree	I understand what NDIS is about Strongly Disagree
I feel confident to deal with NDIS	I feel confident to deal with NDIS Strongly Agree	I feel confident to deal with NDIS Agree	I feel confident to deal with NDIS Neutral	I feel confident to deal with NDIS Disagree	I feel confident to deal with NDIS Strongly Disagree
I understand what inclusion means	I understand what inclusion means Strongly Agree	I understand what inclusion means Agree	I understand what inclusion means Neutral	I understand what inclusion means Disagree	I understand what inclusion means Strongly Disagree
I understand what choice and control means	I understand what choice and control means Strongly Agree	I understand what choice and control means Agree	I understand what choice and control means Neutral	I understand what choice and control means Disagree	I understand what choice and control means Strongly Disagree
I understand what types of supports NDIS will fund	I understand what types of supports NDIS will fund Strongly Agree	I understand what types of supports NDIS will fund Agree	I understand what types of supports NDIS will fund Neutral	I understand what types of supports NDIS will fund Disagree	I understand what types of supports NDIS will fund Strongly Disagree
I feel I understand how to find supports in the community	I feel I understand how to find supports in the community Strongly Agree	I feel I understand how to find supports in the community Agree	I feel I understand how to find supports in the community Neutral	I feel I understand how to find supports in the community Disagree	I feel I understand how to find supports in the community Strongly Disagree
I feel confident I have the skills to assist me in my caring role	I feel confident I have the skills to assist me in my caring role Strongly Agree	I feel confident I have the skills to assist me in my caring role Agree	I feel confident I have the skills to assist me in my caring role Neutral	I feel confident I have the skills to assist me in my caring role Disagree	I feel confident I have the skills to assist me in my caring role Strongly Disagree

Question Title

* 5. Would you like to stay connected with the group at the end of the program?

	Yes	No
Would you like to stay connected with the group at the end of the program?	Would you like to stay connected with the group at the end of the program? Yes	Would you like to stay connected with the group at the end of the program? No

Contact email:

Question Title

* 6. Did you find it easy to join the group?

	Yes	No	N/A
Did you find it easy to join the group?	Did you find it easy to join the group? Yes	Did you find it easy to join the group? No	Did you find it easy to join the group? N/A

If no, what problem did you encounter?

Question Title

* 7. What do you hope to gain from attending this program?