Part 1 – Information about you | Our Community Access and Inclusion survey 2024

Note: This document has survey questions. If you use a screen reader, switching between Browse and Forms Mode may make it easier to answer questions.

Part 1 – Information about you

It’s important for us to learn more about:

our community.

Questions for you to think about

Question 1

What state or territory do you live in?

Please choose the answer that is true for you.

Australian Capital Territory

Northern Territory

New South Wales

Queensland

South Australia

Tasmania

Victoria

Western Australia

Question 2

What is your post code?

Please share your answer in the box below.

Question 3

	What type of area do you live in?
	Please choose the answer that is true for you.
	Metropolitan area Metropolitan areas are: cities the suburbs around the city.
	Regional area Regional areas are: small towns places far away from cities.
	Remote area Remote areas are far away from any cities or towns.
	If you chose ‘Remote area’, what is the name of the place where you live?

Question 4

	How old are you?
	Please choose the answer that is true for you.
	0 to 9 years old
	10 to 14 years old
	15 to 19 years old
	20 to 29 years old
	30 to 44 years old
	45 to 64 years old
	65 years old and over
	I don’t want to say

Question 5

	Your gender is what you feel and understand about who you are as a person. You might think of yourself as a man or woman or something different. You can choose the words that are right for you.
	What is your gender?
	Please choose the answer that is true for you.
	I am male.
	I am female.
	I am non-binary. If someone doesn’t feel they are male or female, they might say they are non-binary.
	I don’t want to say.
	I want to explain my gender in the box below.

Question 6

Are you a:

person with disability?

person who needs support for your mental health?

parent of a child with developmental delay or concern?

Some children might not grow or develop in the same time as other children of the same age.

They may need extra help to do everyday things.

When this happens, we say they have a developmental delay or concern.

Please choose the option that is the best answer for you.

You can choose more than one option.

I have a disability.

I need support for my mental health.

I have a child with developmental delay or concern.

I don’t:

have a disability
have a child with developmental delay or concern
or
need support for my mental health.

I don’t want to say.

Question 7

What type of disability do you have?

What type of mental health do you have?

Please choose the option that is the best answer for you.

You can choose more than one option.

I am a child younger than 9 years old with a developmental delay or concern.

I have a sensory disability.

A sensory disability can affect how someone:

sees
hears.

I have an intellectual disability.

An intellectual disability affects how you:

learn new things
solve problems
communicate
do things on your own.

I have a physical disability.

A physical disability affects how someone:

moves
uses their body.

I am neurodiverse.

When someone is neurodiverse:

they think in a different way
their brain works in a different way.

I have a psychosocial disability.

A psychosocial disability comes from a person’s mental health.

I have anxiety.

If you have anxiety, you:

worry about things that may or may not happen
have trouble controlling how you think.

I have depression.

If you have depression, you feel bad most of the time and there is no sign your feelings will change.

I don’t want to say.

I want to explain my disability or mental health in the box below.

Question 8

Are you a carer?

What type of carer are you?

Please choose the option that is the best answer for you.

You can choose more than one option.

I am a family member who cares for a person:

with disability
who needs support for their mental health
aged from 0 to 9.

I am a family member who cares for a person:

with disability
who needs support for their mental health
aged 10 or older.

I am a carer who doesn’t get paid.

I care for a person:

with disability
who needs support for their mental health
aged from 0 to 9.

I am a carer who doesn’t get paid.

I care for a person:

with disability
who needs support for their mental health
aged 10 or older.

I am a friend of a person:

with disability
who needs support for their mental health.

I am a paid service provider.

A service provider can offer supports and services to people:

with disability
who needs support for their mental health.

I am none of these.

I don’t want to say.

Question 9

	Are you Aboriginal or Torres Strait Islander?
	Please choose the answer that is true for you.
	I am Aboriginal.
	I am Torres Strait Islander.
	I am Aboriginal and Torres Strait Islander.
	I am none of these.
	I don’t want to say.

Question 10

	How many years have you lived in Australia?
	Please choose the answer that is true for you.
	Less than 1 year
	1 to 3 years
	3 to 5 years
	More than 5 years
	I don’t want to say

Question 11

What country were you born in?

Please share your answer in the box below.

Question 12

	Do you speak a language other than English at home?
	Please choose the answer that is true for you.
	Yes.
	No.
	I don’t want to say.

If you chose ‘Yes’, what language do you speak at home?

Please share your answer in the box below.

Question 13

	The letters LGBTQAI+SB stand for lesbian, gay, bisexual, transgender, queer or questioning, asexual, intersex, sistergirl and brotherboy.
	The ‘+’ is for people who are part of the LGBTQAI+ community but don’t talk about themselves using a word from this list.
	People also use these words to talk about their: sexuality – who they're attracted to gender.
	Are you part of the LGBTQAI+SB community?
	Please choose the answer that is the best answer for you.
	Yes.
	No.
	I don’t want to say.