PARAQUAD SA Support Services Survey

1. It would be helpful for us to know which of our services you have received in the past 12 months. Please select the service(s) that you have received.

Community Lifestyle Advisory Service (Michael Arthur/Nicola Bennett)
Peer Support Counselling (Vicky Machen/Phil Herreen/Neil Lillecrapp)
Volunteer Program (Megan Quirk/Mick Occhiuto)
Recreation Program (Vicki McCartney)
Counselling and Family Support (Sharron Neeson)
QWERTY Internet Cafe (Thayne Jackman)
Property and Accommodation (Heather Hales)

2. Do we consider your needs when we provide services to you?

3. Do we offer you enough choice in the service provided?

4. Do we give you clear information about what services we will provide?

5. Do we provide you with services in the way we said we would?

6. If we need to make changes to your service do we explain the reasons?

7. If we need to make changes to your service, do we give you enough notice?

8. Are you satisfied that any personal information that we have about you, such as your address, are kept private and will not be given to other people without your consent?

9. If you were not happy about the service you received, would you feel comfortable in telling us about this?

10. Do you feel confident that we will listen to any concerns you have about the service you receive?

11. Do you feel confident that we will deal fairly with any concerns you raised about our services?

12. Are you aware of other places where you can go to raise your concerns about the service that you receive?

13. Have you received information from us about advocacy?

14. If you were to choose someone to speak on your behalf (to act as your advocate) do you think we would accept this arrangement?

15. If you wanted to, do you feel that you could have a say in the way that PARAQUAD SA is run?

16. Are you satisfied with the way we manage our business?

17. Do our staff and volunteers carry out their work well?

18. Would you say that our services are relaible?

19. Have you ever been concerned about your safety or security because of the actions of our staff or volunteers?

20. If yes, what were your concerns

21. Do you think we are sensitive and responsive to any financial limitations you may have?

22. If you live in a rural or remote area, do you think we are sensitive and responsive to your needs?

23. Do you think we are sensitive and responsive to the customs and traditions of your nationality and culture?

24. You are:

Male
Female

25. You are aged between:

26. The services you receive are primarily :

To help you as a person with a disability
To help you as a support person / carer of a person with a disability

27. You are: (tick all that apply)

From a non English speaking background
An Aboriginal or Torres Strait Islander
Centrelink benefit or on a low income
Living in a rural or remote area
Caring for someone with a disablity
None of the above

28. If you have been answering the survey for someone else who could not complete it themselves, please indicate your relationship to this person:

29. If you want to make any comments about our services and the way in which they can be improved, please use the space provided.