Survey Participation Consent

Limbs 4 Life is rolling out an exciting new program in Victoria and we would like to hear from you. The Limb Loss Empowerment program (funded by the National Disability Insurance Agency) aims to provide access to information and resources, build community connections and help people to make decisions and informed choices about their disability. 

This survey is anonymous and will only take 10 minutes to complete.

Your feedback is important to us. We will use the information from this survey to help to direct areas of the program.

If you are completing this survey on behalf of someone else please respond on their behalf.

Participation in this survey is voluntary and your choice to complete the survey (or not) will not impact the services you receive from Limbs 4 Life. If you complete the survey the results will be used by Limb 4 Life to for ongoing quality improvement activities. In addition to Limb 4 Life quality improvement activities Limbs 4 Life would like to make your survey results available to Limb 4 Life researchers to complete an evaluation of the Limbs 4 Life program. No identifiable data will be provided to the researchers (that is, the researchers will not know you name, date of birth, address or contact details).

Here is the link to the evaluation explanatory statement (hyperlink). 

Question Title

* 1. Do you consent to making your anonymous survey results available to Limb 4 Life researchers?

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