A-Maze-ing Ways to be Connected Survey for Service Providers in Health, Emergency and Disaster Response

Survey for Service Providers who work in Health, Emergency and Disaster Response
A-MAZE-ing Ways to be Connected

Get connected. Stay safe. Be a-maze-ing in emergencies and disasters
We’re creating a community-based digital mentoring program to support people with intellectual disability to build confidence using technology for health and emergency preparedness.

This survey is for service providers who work in emergency and disaster response. We want to understand what you believe people with disability should know or do to stay safe during a disaster or emergency. Your feedback will shape the content and priorities of our learning program.

The survey will take less than 10 minutes.
About you
What type of organisation do you work for?*

PoliceFire and RescueState Emergency ServiceHospital / Health ServiceLocal CouncilEvacuation CentreCommunity OrganisationDisability Service ProviderOther
What is your role or job title? *
Where are you based?*
Town / Suburb
Your experience
Have you supported people with disability during a real emergency or disaster event?*

YesNoNot directly, but my service hasOther
Do you think most people with intellectual disability in your area are adequately prepared for an emergency?*

YesNoUnsure
If you answered no to the previous question, what are the biggest gaps you see?
Key knowledge and skills
What are the top 3 things you believe people with intellectual disability should know before a disaster or emergency happens?
List top 3
What are the most important actions you want people with disability to take during an emergency?
What challenges have you observed (or would expect) people with disability to face during emergency situations? (choose all that apply)*

Trouble understanding emergency instructionsFear, panic, or confusionLack of access to transportDifficulty using phones or devicesNot registered for alerts or early warningsNo evacuation planOther
Digital Tools and Preparedness
Which of the following digital tools should people with disability be supported to use during an emergency? (choose all that apply)*

Local disaster dashboardEmergency alerts (text, apps, etc.)My Health Record / eScriptsTelehealth for emergency health needsGoogle Maps or other navigation toolsEmergency contact info saved on deviceOther
How important do you think it is for people with disability to learn digital skills to help them prepare for and stay safe during emergencies?

Very Important - Should be a high priority in community preparednessImportant - Useful but not the most urgent prioritySomewhat Important - Could help in certain situationsNot Important - Unlikely to make a differenceUnsureOther
Program Input
What types of emergency messages or instructions need to be made more accessible? (choose all that apply)*

Evacuation OrdersWeather AlertsShelter and Evacuation Centre InformationHealth and Medical InstructionsOther
How could your organisation help share or support this digital mentoring program?(choose all that apply)*

Display flyers or postersRefer clientsProvide staff for a workshop or sessionHelp test content for accessibilityUnsure /Not applicableOther
Do you / your organisation include people with disability and/or their supporters in disaster and emergency planning?
No / Yes - if yes in what ways are they included?
Stay Connected
If you’d like to stay informed or get involved with the program, leave your contact details below:
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
I’m interested in:

Contributing Content or ExpertiseHosting or Supporting a WorkshopStaying Updated OnlyOther
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

Your experience

Key knowledge and skills

Digital Tools and Preparedness

Program Input

Stay Connected