Participant Survey - Cure Care Australia

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Participant Survey

- Step 1 of 9

Participant Name *

Date *

Staff Member Assisting (if applicable):

Do staff treat you with respect? *

Yes
No

Do staff treat you fairly and kindly? *

Yes
No

Do staff listen to what you want? *

Yes
No

Can you choose your supports and daily activities? *

Yes
No

Are you included in decisions about your supports? *

Yes
No

Do staff explain things clearly? *

Yes
No

Do you know your rights as an NDIS participant? *

Yes
No

Have you been given information about your rights? *

Yes
No

Additional Comments

Do your supports help you reach your goals? *

Yes
No

Did you help make your support plan? *

Yes
No

Do staff know your likes, dislikes, and routines? *

Yes
No

Do staff respect your culture, religion, and beliefs? *

Yes
No

Do staff help you be as independent as possible? *

Yes
No

Are your supports provided the way you want? *

Yes
No

Additional Comments

Do you feel safe when staff support you? *

Yes
No

Do you know who to talk to if you feel unsafe? *

Yes
No

Has someone explained how to make a complaint? *

Yes
No

Do staff treat you kindly and respectfully? *

Yes
No

Have you ever felt ignored, unsafe, or uncomfortable with supports? *

Yes
No

Do staff respect your privacy? *

Yes
No

Additional Comments

Do you get information in a way you understand? *

Yes
No

Can you contact the provider easily when you need to? *

Yes
No

Are changes to your supports explained to you? *

Yes
No

Do staff speak to you respectfully? *

Yes
No

Do you know who will support you? *

Yes
No

Additional Comments

Do you know how to make a complaint? *

Yes
No

Would you feel comfortable making a complaint? *

Yes
No

Have you shared feedback about your supports before? *

Yes
No

Do you feel staff listen to your feedback? *

Yes
No

Have problems or concerns been fixed properly? *

Yes
No

Additional Comments

Do staff arrive on time? *

Yes
No

Are your supports provided regularly and reliably? *

Yes
No

Do staff have the right skills to support you? *

Yes
No

Are you told about changes to your supports? *

Yes
No

Do staff respond to your needs quickly? *

Yes
No

Additional Comments

Do staff respect your privacy? *

Yes
No

Do staff keep private conversations confidential? *

Yes
No

Do you feel your personal information is kept safe? *

Yes
No

Are you comfortable with how your information is shared? *

Yes
No

Additional Comments

Are you happy with your supports? *

Yes
No

Would you recommend this provider to other people? *

Yes
No

What does the provider do well?

What could the provider do better?

Is there anything else you would like to tell us?

Regional Coverage:

CURE CARE AUSTRALIA proudly services the regions of South West Sydney, Brisbane, Logan, and Ipswich. We are dedicated to providing accessible, high-quality care across these areas, supporting individuals within their local communities.

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1300 498 144

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