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
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?
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

Stay Connected