A-Maze-ing Ways to be Connected for Carers and Supporters

Carer / Supporter Survey
A-MAZE-ing Ways to be Connected

Get connected. Stay safe. Be a-maze-ing in emergencies and disasters
We are creating a digital mentoring program to help people with intellectual disability build confidence using technology.
This includes learning how to:
- use phones, tablets or computers
- access health services online
- stay safe and connected during emergencies
This survey is for carers, support workers, or family members who support someone with an intellectual disability.

Your answers will help us understand what support people need and how we can design the best learning program.
- The survey takes about 5–10 minutes to complete.
- There are no right or wrong answers.
- You can skip any questions you don’t want to answer.
At the end, you can choose to leave your contact details if you’d like to stay connected or find out more.
About you
What is your role?*

Family carerSupport workerOther
Who do you support? (choose all that apply)*

Someone with intellectual disabilitiesSomeone with complex health needsSomeone who lives aloneSomeone with little or no access to digital toolsOther
Is the person you are support receiving:*

NDIS support from an AgencyNDIS support from family/friendsNo formal NDIS supportNot sureOther
Digital Confidence and Barriers
How confident is the person you support using digital tools?*

Very confidentSomewhat confidentNot confidentDoes not use them
Does the person you support use digital tools for: (choose all that apply)*

Health (telehealth, My Health Record, e-scripts)Emergencies (disaster dashboards, alerts)Communication (email, messaging, apps)None of theseOther
What are the biggest barriers to using technology for the person you support? (choose all that apply)*

No access to devicesNo access to internetConfidence or fear of technologyCognitive barriersLack of supportOther
Readiness and Learning Preferences
How would the person you support best learn new digital skills? (choose all that apply)*

One-on-one mentoringSmall group sessionsVideo tutorialsPrinted picture-based instructionsHands-on interactive activitiesOther
What would make digital training more successful or easier for the person you support?
What are your individual learning needs?
Is there anything else you would like us to know?
Further information
If you would like to find out more about our digital mentoring program or be contacted about future workshops and support please fill in your details below.

You don’t have to share your details if you don’t want to.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
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

Digital Confidence and Barriers

Readiness and Learning Preferences

Further information