SCIA Supporter Survey 2022

SCIA Supporter Survey

This survey gives us the opportunity to discover your thoughts about SCIA and our services.

We appreciate you taking the time to fill in this survey, share your thoughts and tell us a little about yourself.

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* 1. Contact Details

Full Name

Email Address

Phone Number

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* 2. What motivates your to support Spinal Cord Injuries Australia (SCIA)?

I want to show my support for those affected by a spinal cord injury and/or neurological condition

I am a member of SCIA

I think people with disabilities should have the right to access the best possible support

I have a spinal cord injury and/or neurological condition

Other (please specify)

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* 3. What types of conditions are most important to you?

Spinal Cord Injury (SCI)

Multiple Sclerosis (MS)

Motor Neuron Disease (MND)

Cerebral Palsy (CP)

Amputee

Acquired Brain Injury (ABI)

Spina Bifida

Stroke

Parkinson's

Other (please specify)

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* 4. Have you or someone you know been affected by a spinal cord injury?

Yes - If yes, please answer question 4

No - If no, skip to question 5

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* 5. If you answered 'Yes' to the above question. What is your relationship with that person?

I have a spinal cord injury

Someone in my family has a spinal cord injury

Someone I know well has a spinal cord injury

Someone know uses SCIA services

Someone I knew well had a spinal cord injury, but has now passed away

Other (please specify)

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* 6. Which of our services is the most important to you? Select all that apply.

Peer & Family Support – Giving practical help from people with lived experience

Employability – Specialised employment service

NeuroMoves – Exercise rehabilitation program

Advocacy – Speaking on behalf of disadvantaged people

Other (please specify)

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* 7. Thinking about your support for SCIA or other charities, which of these phrases best describes you? Select all that apply.

I carefully consider the impact of my donations

I give when I receive a communication

I give the same amount to all the charities I support

I vary how much I give

I prefer to give to specific projects or areas of work

I have donated to research

I would prefer to donate to provide support for people with disability

I am financially able to give and feel its right to give back

I give when I can afford to do so

Other (please specify)

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* 8. How many charities would you have donated more than $20 to in the past year? Please enter number.

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* 9. Gifts in Wills to SCIA are an increasingly important way for people to leave a lasting legacy. These gifts ensure that we can continue to provide support for people who live with a spinal cord injury and/or neurological condition.

Would you consider leaving a gift in your Will to SCIA?

Yes, I have already included SCIA in my Will

My family would be pleased if I left a gift to charity in my Will

I know I can provide for my family and also include a charity in my Will

I intend to include SCIA in my Will

I am considering including SCIA in my Will and would like more information

I would consider leaving 1% of my estate to SCIA

I do not have a Will

I do not have a Will and would like more information

I am not able to include SCIA in my Will, at this time

Other (please specify)

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* 10. Within this financial year, do you think you would consider making
a special donation of $1,000 or more to a specific project?

Yes, I’m interested in special projects (tick your preferred)

Specialised Equipment for rehabilitation

Practical assistance following hospital release

Special project within your state

Possibly, it would depend on when and what the project was

Not this financial year but maybe in the following year

Not at this time

Other (please specify)

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* 11. If you have considered SCIA in your Will would you be interested in sharing your story with us?

Yes - If yes, please enter your contact information so we can get in touch

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* 12. Which of the following best describes you?

Male

Female

Non-binary

Prefer not to answer

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* 13. Which best describes your age band?

18-24

25-34

35-44

45-54

55-64

65-74

75 and over

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* 14. Which of the following best describes your relationship status?

Married or de facto

Single

In a relationship

Widow/Widower

Other (please specify)

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* 15. What is the make up of your family? Please tick all that apply

No children

Children living at home

Children have left home

Grandchildren

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* 16. We value and welcome your feedback and invite your comments regarding the work of SCIA or any other disability issues.

Please let us know your thoughts in the comment box below.

SCIA Supporter Survey 2022