Have your say about youth with disability!

Youth with Disability Network NSW

Answering this survey will take no more than five minutes of your time.The aim of this survey is to receive input from young people with disability in order to identify the main issues they find important. These findings will assist PWDA in establishing Youth with Disability Network NSW that will be a network for those with a disability. PWDA greatly appreciates your time and looks forward to receiving your input.

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* 1. Do you find the issues below of importance for those with a disability? (1 = not at all/strongly disagree; 5 = highly important/strongly agree)

	1	2	3	4	5
Employment	Employment 1	Employment 2	Employment 3	Employment 4	Employment 5
Education	Education 1	Education 2	Education 3	Education 4	Education 5
Housing	Housing 1	Housing 2	Housing 3	Housing 4	Housing 5
Transport	Transport 1	Transport 2	Transport 3	Transport 4	Transport 5
Health	Health 1	Health 2	Health 3	Health 4	Health 5
Mental Health	Mental Health 1	Mental Health 2	Mental Health 3	Mental Health 4	Mental Health 5
Bullying	Bullying 1	Bullying 2	Bullying 3	Bullying 4	Bullying 5
Social Services	Social Services 1	Social Services 2	Social Services 3	Social Services 4	Social Services 5
Support	Support 1	Support 2	Support 3	Support 4	Support 5
Accessibility	Accessibility 1	Accessibility 2	Accessibility 3	Accessibility 4	Accessibility 5
Diversity	Diversity 1	Diversity 2	Diversity 3	Diversity 4	Diversity 5
Inclusion	Inclusion 1	Inclusion 2	Inclusion 3	Inclusion 4	Inclusion 5
A NSW based advocacy group 'Youth with disabilities network NSW'	A NSW based advocacy group 'Youth with disabilities network NSW' 1	A NSW based advocacy group 'Youth with disabilities network NSW' 2	A NSW based advocacy group 'Youth with disabilities network NSW' 3	A NSW based advocacy group 'Youth with disabilities network NSW' 4	A NSW based advocacy group 'Youth with disabilities network NSW' 5
Having your voice heard in relation to the issues you find important	Having your voice heard in relation to the issues you find important 1	Having your voice heard in relation to the issues you find important 2	Having your voice heard in relation to the issues you find important 3	Having your voice heard in relation to the issues you find important 4	Having your voice heard in relation to the issues you find important 5
The ability to interact with individuals with a disability on social media	The ability to interact with individuals with a disability on social media 1	The ability to interact with individuals with a disability on social media 2	The ability to interact with individuals with a disability on social media 3	The ability to interact with individuals with a disability on social media 4	The ability to interact with individuals with a disability on social media 5

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* 2. Would you be interested in disability activism in the following areas?

	Yes	Maybe	No
Employment	Employment Yes	Employment Maybe	Employment No
Education	Education Yes	Education Maybe	Education No
Housing	Housing Yes	Housing Maybe	Housing No
Transport	Transport Yes	Transport Maybe	Transport No
Health	Health Yes	Health Maybe	Health No
Mental Health	Mental Health Yes	Mental Health Maybe	Mental Health No
Bullying	Bullying Yes	Bullying Maybe	Bullying No
Social Services	Social Services Yes	Social Services Maybe	Social Services No
Support	Support Yes	Support Maybe	Support No
Accessibility	Accessibility Yes	Accessibility Maybe	Accessibility No
Diversity	Diversity Yes	Diversity Maybe	Diversity No
Inclusion	Inclusion Yes	Inclusion Maybe	Inclusion No

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* 3. Have you experienced any issues in an area(s) personally as a result of your disability? If so, please explain.

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* 4. Are there any other issues that are of concern to you that have not been identified?

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* 5. Age (Optional):

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* 6. Sex:

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* 7. Suburb/Postcode:

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* 8. Do you identify as LGBTQIA?

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

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* 10. Were your parents born overseas?

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* 11. Is English your second language?

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* 12. Do you currently work?

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* 13. Do you currently study?

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* 14. Do you identify as someone with a disability?

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* 15. Do you have a family member who identifies with a disability?

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* 16. Do you know someone (other than a family member) who identifies with a disability?

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* 1. Do you find the issues below of importance for those with a disability? (1 = not at all/strongly disagree; 5 = highly important/strongly agree)

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* 2. Would you be interested in disability activism in the following areas?

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* 3. Have you experienced any issues in an area(s) personally as a result of your disability? If so, please explain.

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* 4. Are there any other issues that are of concern to you that have not been identified?

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* 5. Age (Optional):

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* 6. Sex:

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* 7. Suburb/Postcode:

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* 8. Do you identify as LGBTQIA?

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

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* 10. Were your parents born overseas?

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* 11. Is English your second language?

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* 12. Do you currently work?

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* 13. Do you currently study?

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* 14. Do you identify as someone with a disability?

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* 15. Do you have a family member who identifies with a disability?

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* 16. Do you know someone (other than a family member) who identifies with a disability?

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* 17. What is the preferred method you would like to be consulted?

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* 18. Would you like to be a part of the 'Youth with Disabilities Network NSW'?

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* 19. Name (Optional):

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* 20. Email (Optional):

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* 21. Phone (Optional):