General Client Survey We ask you to complete this survey to help My Supports improve our services.My Supports is always looking for ways we can improve our services, so your honest feedback isgreatly appreciated.We thank you for taking the time to complete our survey. OK Question Title * 1. Full Name: OK Question Title * 2. Are you a client, family member/carer of a client of My Supports? I am a client of My Supports I am a family member/carer of a client of My Supports If you are a family/carer please provide clients name: OK Question Title * 3. Which state are you located? Western Australia South Australia Victoria New South Wales Queensland Western Australia South Australia Victoria New South Wales Queensland OK Question Title * 4. What type of services are you currently receiving from My Supports (You can select more than one) Support coordination Support work Support to help me access my community Support to assist me in my home Support to assist me in my employment or to help me find a job Other (please specify) OK Question Title * 5. Overall how satisfied are you with My Supports out of 10 Other (please specify) OK Question Title * 6. If you have a Support Worker, how satisfied are you with your support worker out of 10? Who are your Support Workers? OK Question Title * 7. How satisfied are you with your co-ordinator out of 10? Who is your coordinator? OK Question Title * 8. How are you dealing with the current COVID-19 situation? Do you feel supported? Would you like your Coordinator to contact you regarding any concerns you may have? OK Question Title * 9. Do you have any questions or concerns surrounding your NDIS plan or funding during this time? If so would you like a call back from your Coordinator to discuss this further? OK Question Title * 10. Would you recommend My Supports to family or friends? Yes No OK Question Title * 11. Do you have any other comments, questions, or concerns? OK DONE