Question examples Opening Soon Step 1 of 13 7% CAPTCHA About you By providing a submission you consent to the department collecting and using your responses in accordance with the privacy notice.I have read and agree with the privacy notice and consent to participate in this consultation Yes We will first ask you some general questions about you and/or your organisation. What state or territory do you live in? Australian Capital Territory New South Wales Northern Territory Queensland South Australia Tasmania Victoria Western Australia Outside Australia Is the region you live in: City area Regional area Rural/remote area Prefer not to say Do you identify as Aboriginal and/or Torres Strait Islander? Yes No Prefer not to say Do you identify as Culturally or Linguistically Diverse (CALD)? Yes No Prefer not to say Are you responding as an individual or on behalf of an organisation? Individual Organisation Organisation What are best describes where you provide services?(You can pick more than one option) City Regional area Rural/remote area N/A What best describes you?(You can pick more than one option) A person living with disability A carer, family member or friend of a person with disability A disability service provider A disability employment provider Disability peak body A disability advocacy provider Work for a disability organisation A mainstream provider Other Please specify Following are example of question types Example of conditional logic (selecting No opens up a text field for more information)Do surveys make you happy? Yes No Why do surveys not make you happy? Example of a Likert ScaleLikert scaleStrongly disagreeDisagreeNeutralAgreeStrongly agreeQuestion 1Question 2Question 3Question 4Question 5 Text field optionsSingle line of text Paragraph text Upload files Attachments Drop files here or Select files Accepted file types: pdf, doc, docx, rtf, jpg, Max. file size: 5 MB, Max. files: 5. Allowed file types: pdf, doc, docx, rtf, jpg Maximum individual file size limit: 5MBMaximum file size - 5 mega bytes. PhoneThis field is for validation purposes and should be left unchanged.
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