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:

  • you

  • our community.

Questions for you

Question 1

Please choose the answer that is true for you.

Question 2

Please share your answer in the box below.

Question 3

Please choose the answer that is true for you.

Metropolitan areas are:

  • cities
  • the suburbs around the city.

Regional areas are:

  • small towns
  • places far away from cities.

Remote areas are far away from any cities or towns.

Please share your answer in the box below.

Question 4

Please choose the answer that is true for you.

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.

Please choose the answer that is true for you.

If someone doesn’t feel they are male or female, they might say they are non-binary.

Question 6

  • person with disability

  • person who needs support for your mental health

  • parent of a child with a 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.

Question 7

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

You can choose more than one option.

A sensory disability affects your senses, like your:

  • sight
  • hearing.

An intellectual disability affects how you:

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

A physical disability affects how someone:

  • moves
  • uses their body.

Autism can affect how you:

  • think
  • feel
  • communicate
  • connect and deal with others.

ADHD can affect how you:

  • think
  • behave
  • focus on a task.

When someone is neurodivergent, their brain works in a different way.

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

Question 8

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

You can choose more than one option.

I care for a person aged from 0 to 9 years old:

  • with disability
  • who needs support for their mental health.

I care for a person aged 10 years or older:

  • with disability
  • who needs support for their mental health.

A service provider can offer supports and services to people:

  • with disability
  • who needs support for their mental health.

Question 9

Please choose the answer that is true for you.

Question 10

Please choose the answer that is true for you.

Question 11

Please share your answer in the box below.

Question 12

Please choose the answer that is true for you.

Please share your answer in the box below.

Question 13

The letters LGBTQAI+SB stand for lesbian, gay, bisexual, transgender, queer or questioning, asexual or agender or aromantic, 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.

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

Question 14

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