Have your say

Thank you for participating in this short survey. It will help us to understand the needs of our patients with a disability, and their family and carers.

Depending on your answers, the survey should take around 5-10 minutes to complete.

The survey is anonymous, so please be open and honest with your responses. The information you provide will only be used to help improve our services and will not affect your relationship with Monash Health or any of the clinicians or specialists who your provide care. 

If you choose, you can stop or exit this survey at any time by closing your browser window and your responses will not be captured. 
 

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* 1. Please tell us which of the following statements best describes you. Select all that apply

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* 2. How old are you?

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* 3. If you are a relative or a carer of a person with a disability, how old is the person you care for?

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* 4. What is the main language you speak at home?

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* 5. Are you of Aboriginal or Torres Strait Islander origin? (For persons of both Aboriginal and Torres Strait Islander origin, mark both ‘Yes’ boxes).  Select all that apply

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* 6. What is your gender identity?

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* 7. What description below best describes your disability, or the person you care for?

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* 8. Which Monash Health site do you visit most? Select one only

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* 9. How can Monash Health make services or venues easier for people with disability to use? 


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* 10. What are the biggest barriers or challenges for people with disability in receiving care at Monash Health?  Select all that apply



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* 11. Thinking about the way we communicate with you, or the person you care for, how could Monash Health better meet your comminication needs? 

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* 12. Thinking about your disability, or the disability of the person you care for, how can Monash Health improve the care we provide to you overall?

Thank you for taking the time to complete this survey. Your responses will help us to better understand the needs of people who access Monash Health sites and services.

If you have any questions in relation to the survey, or if you would like to speak to someone with regards to your feedback, please email disabilityactionplan@monashhealth.org.  

Please don’t forget to click the ‘submit’ button below to register your survey.
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