A-Maze-ing Ways to be Connected Participant Survey

Participant Survey
A-MAZE-ing Ways to be Connected

Get connected. Stay safe. Be a-maze-ing in emergencies and disasters
About this Survey

We want to help people learn to use phones, computers and tablets.

This can help you:

Talk to your doctor online
Use My Health Record
Get ready for storms, floods or fires
We are making a program to teach these things.

This survey helps us understand what you already know and what you want to learn.

You can do this survey with help if you want.
There are no right or wrong answers.
You can skip any question.
You can stop at any time.
About you
How old are you?*

Under 1818 - 2526 - 4041 - 60Over 60
Are you:*

A manA womanI use a different wordI don't want to say
Where do you live?*
Town or suburb
Who do you live with?

I live with my familyI live with a carer or support workerI live by myselfOther:_____________________
Do you get help from the NDIS?*

Yes, I get help from an agencyYes, I get help from my family or friendsNoI don't knowOther
How do you currently get information about emergencies and disasters? (tick all you do)*

TVFacebookInternet searchTelephone call or text messageBeing told by someoneListening to radio announcementsNewspaperLocal CouncilOther
What You Do on Your Device?
Do you use a phone, tablet or computer?*

YesNoSometimes
What do you use your device for? (tick all you do)*

Send messages or emailsUse the internetWatch videosUse health apps like My Health RecordDo a telehealth appointmentUse e-scripts to get medicineMake medicare claimsI don't use any apps or the internet
Do you know how to use your device in an emergency?*

YesNoNot sure
Do you know about the Bundaberg Disaster Dashboard?*

YesNoNot sure
Would you like to learn more about being safe in emergencies by using your phone, tablet or computer?*

YesNoMaybe
How Do You Like to Learn?
What is the best way for you to learn?*

One-on-one helpSmall groupWatching videosReading picturesHands on activitiesOther: ____________________
Is there anything else you would like us to know?
Stay Connected (optinal)

Would you like us to contact you about workshops or help using your device? If yes, please write your details here:
Your name:

First NameLast Name
Phone Number:
Please enter a valid phone number.
Email (if you have one):
example@example.com
I want to:

Learn more about the digital mentoring programJoin a group workshopHave one-on-one helpStay updatedNot sure yet
Wide Bay Kids is collecting this information as part of our Connected in Crisis project. For further information email admin@widebaykids.com.au
This project is supported by the Resilient CARE program, a Country to Coast Queensland and Australian Business Volunteers partnership, with received funding from the Australian Government.
Should be Empty:

A-MAZE-ing Ways to be Connected

About you

What You Do on Your Device?

How Do You Like to Learn?

Stay Connected (optinal)