Review of the Coordination and Funding of Financial Counselling Services Across Australia – Referrals survey This survey is designed to be completed by companies or services that make referrals to financial counselling service providers. Step 1 of 6 16% Name First Last Organisation name (if applicable)Role in your organisation (if applicable)Contact e-mail address State/territory*Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern AustraliaOtherPlease specify (e.g. Norfolk Island)* Stakeholder Category (please select all that apply) Banking - financial products Debt collection Financial inclusion Housing / Tennant organisation Ombudsman Lawyer Telecommunications provider Utility provider Other You have selected 'Other', please describe* Would you like your response to be considered in confidence?*YesNoThe source of non-confidential contributions may be cited as part of the Review, however contributions made in confidence will not have their author/contributing agency referenced. Any public request for access to a confidential submission will be determined in accordance with the Freedom of Information Act 1982 (Cth). Have you seen any change in your usage of/referral to these services?*YesNoYou have selected 'Yes', please describe*Have you referred consumers to financial counselling and been informed that there is no availability for the person to be seen / wait times are extensive?YesNoYou have selected 'Yes', please describe*How do you view the nexus between your organisation and financial counsellors? If applicable, please describe any benefits received by your company or service as a result of financial counselling in your response.Do you provide any support to the financial counselling services that you interact with?*YesNoYou have selected 'Yes', please describe* Who should bear/contribute to the cost of financial counselling services? (please select all that apply): Industry Government Customer You have selected 'Industry', please describe which industries and by what means?You have selected 'Government', please describe what level of government and the role they should play?UntitledYou have selected 'Customer', please describe by what means? Do you collect data about financial counselling/referrals?YesNoYou have selected 'Yes', please describe the data you collect and how you use it in your response.*NameThis field is for validation purposes and should be left unchanged.