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* 1. Are you:

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* 2.  Are you aware that the Shire of Victoria Plains has a Disability Access and Inclusion Plan?

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* 3. Have you accessed any of the following services in the Shire of Victoria Plains? (Please tick all that apply)

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* 4. Have you experienced any difficulty accessing or using these services?

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* 5. Do you think these services are inclusive for people with disability?

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* 6. Have you attended any community events in the Shire of Victoria Plains such as festivals, concerts, community markets, workshops, community meetings etc?

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* 7. If Yes, how would you rate the event and venue for accessibility and inclusion?

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* 8. Please select the buildings and facilities you have accessed in the Shire of Victoria Plains. (Please tick all that apply)

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* 9. Please share any difficulties you have experienced accessing the Shire’s buildings and facilities. Please state which one/s and why

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* 10. Overall how would you rate Shire of Victoria Plains buildings and facilities?

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* 11. How do you rate signage on the Shire of Victoria Plains buildings and facilities?

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* 12. How would you rate accessible parking at the Shire's buildings and facilities?

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* 13. How would you rate adequate and accessible ramps and pathways to shire buildings and facilities?

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* 14. How would you rate shire buildings and facilities as having appropriate equipment and resources for people living with disability?

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* 15. Please share your ideas on improving accessibility naming the buildings and services where needed.

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* 16. How do you find out about what is happening in your community?

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* 17. Do you require information about services, facilities or events in alternative
formats?

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* 18. What is your preferred method of contacting Shire of Victoria Plains?

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* 19. What is your preferred method for the Shire of Victoria Plains to contact you?

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* 20. If you have made a complaint to the Shire of Victoria Plains, please share your experiences of the complaints process.

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* 21. Do you believe people living with disability have the same opportunities as other people to participate in community consultation and community decision making processes?

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* 22. How do you prefer to engage in community consultation and feedback? (Please tick all that apply)

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* 23. Do you think there are employment, training, or volunteering opportunities for people with disability in the Shire of Victoria Plains?

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* 24. If you or someone you know has a disability and have encountered barriers when seeking employment, training or volunteering opportunities in the Shire of Victoria Plains, please share the experience/s here. Your response is confidential.

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* 25. Overall how would you rate the Shire of Victoria Plains as being an inclusive community for people living with disability?

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* 26. How would you rate the Shire of Victoria Plains as being an inclusive community for all people?

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* 27. Please share any additional comments both positive experiences and areas where improvement is needed.

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