Skip to content

Participant Survey

If you participate in activities at the center please complete this survey

A bit about you

1.  

Please tell us you age 

2.  

Gender

3.  

Are you of Aboriginal or Torres Strait Islander Group

4.  

Are you culturally or linguistically diverse?

About your experience 

5.  

Have you connected with the Community centre before this week? (i.e. in person or online)

6.  

Do you provide unpaid care to family members or others because of a disability, a long-term health condition or problems related to old age? (Excluding voluntary work for an organisation or group).

7.  

Do you need help or assistance in one more core activity areas: self-care, mobility and or communication, because of a disability, long-term health condition (lasting six months or more) or old age?

8.  

I feel better connected to other people as a result of the Community Centre. 

9.  

I have been connected to other services as a result of the Community Centre.

About our services and how they impact well being

We would like to ask you a few questions to enable us to measure how helpful our services are. You can choose to answer all or none of the questions, and choosing not to answer will not affect your access to any of our services in any way. When answering the questions, you could take account of the following:

  • There are no right or wrong answers
  • We would like you to be completely honest
  • In answering the questions it is best to think of your life as it generally is now (we all have some good or bad days)
10.  

I am content with my friendships and relationships

11.  

I have enough people I feel comfortable asking for help at any time

12.  

My relationships are as satisfying as I would want them to be