DISABILITY ACCESS AND INCLUSION PLAN CONSULTATION SURVEY

This short survey will seek your views and experience with accessing the Shire of Narrogin’s services, facilities, employment, and information, including whether there have been barriers faced by people with disability when engaging with the Shire of Narrogin.

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* 1. Please select your age range:

Under 18

18 – 24

23 – 34

35 – 44

45 – 54

55 – 64

65+

Prefer not to say

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* 2. Do you identify as:

Male

Female

LGBTQIA+

Prefer not to say

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* 3. Do you identify as Aboriginal or Torres Strait Islander?

Yes

Prefer not to say

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* 4. Do you identify as (Select all that apply):

A family member, carer, or friend of a person with disability

A person with disability

An employee of the Shire of Narrogin

A disability service

Other (please type other option here)

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* 5. Is English your first language?

Yes

If no, please tell us your first language

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* 6. Do you Identify as a person with disability?

Yes

Prefer not to say