Exit this survey Indigenous resource survey Question Title * 1. Your name (optional): Question Title * 2. Date you completed this survey: I completed this survey on Date Question Title * 3. You are: Person receiving aged care Partner/spouse Relative Friend Advocate Legal representative Aged care staff Other Other (please specify) Question Title * 4. Your gender: Male Female Question Title * 5. Your age: 18-34 35-50 51-65 66-86 87+ Question Title * 6. Your location: ACT NSW NT Qld SA Tas Vic WA Question Title * 7. Where did you find out about this brochure? Aged care provider White pages Advocate Volunteer GP or health professional Website Brochure Poster Other Other (please specify) Question Title * 8. Which resource are you providing feedback for? Flipchart Fact sheet Brochure Go to Next questions