DOCUMENT 1
FOI 23/24-0979
CONFIDENTIAL AND NOT FOR FURTHER DISTRIBUTION
National Disability Insurance Scheme
Outcomes Framework
Short Form Questionnaires
Participants from 0 to before starting school
1
Page 1 of 58
FOI 23/24-0979
CONFIDENTIAL AND NOT FOR FURTHER DISTRIBUTION
Participants from 0 to before starting school
Introduction
Thank you for participating in our survey. The purpose of these questions is to find out
how NDIS participants and their families and carers are going in dif erent areas of their
lives. The questions are an important part of pre-planning, and wil help us to develop a
plan that provides the right supports. Because we ask the questions again at plan
review, we wil also be able to see what progress has been made, and whether any
adjustments to plans are needed. Information from the questions wil also be important
for tracking the progress of the NDIS, and wil help to improve the Scheme.
Participant information
1. Please enter the child’s NDIS ID number
Free text (check for valid number of characters?)
2. Who does the child currently live with?
☐ With parents
☐ With other family members
☐ With people not related to participant (e.g. foster
carers)
☐ Other, please specify:
3. What type of housing does the child
☐ Private home: owned by family/carers
currently live in?
☐ Private home: rented from private landlord
☐ Private home: rented from public authority
☐ Other, please specify:
☐ $0-$9,999
☐ $10,000-$19,999
☐ $20,000-$29,999
4. What is the annual income of the child’s
☐ $30,000-$39,999
household, before tax and other
☐ $40,000-$59,999
deductions? (Don't include the income of
☐ $60,000-$79,999
people the participant only shares
☐ $80,000-$99,999
accommodation with, e.g. in a group home) ☐ $100,000-$149,999
☐ $150,000-$199,999
☐ $200,000+
☐ Not disclosed
5. Is compensation being sought, or has
compensation previously been sought, in
☐ Yes
relation to the child's disability?
☐ No
Please answer the following questions about the participant
2
Page 2 of 58
FOI 23/24-0979
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Domain 1: Daily living
Question Question
Answer options
number
1
Do you have any concerns about your child’s
development in the following areas?
• Gross motor skil s (e.g. crawling, standing, walking, ☐ Yes ☐ No
catching a ball)
• Fine motor skil s (e.g. drawing, stacking blocks,
☐ Yes ☐ No
pincer grasp)
• Self-care (e.g. washing or eating)
☐ Yes ☐ No
• Eating/ Feeding (e.g. chewing, swallowing,
☐ Yes ☐ No
transitioning to table foods)
• Social interaction (e.g. playing with peers,
☐ Yes ☐ No
interacting with others, separating from parents,
behaviours such as biting, hit ing, frequent
tantrums)
• Language/Communication (e.g. following
☐ Yes ☐ No
directions, speaking, expressing themselves,
participating in conversations)
• Cognitive development (e.g. understanding
☐ Yes ☐ No
concepts, problem solving)
• Sensory processing (e.g. concentration, responses ☐ Yes ☐ No
to changes in routine or certain textures, dislikes
bath or grooming activities)
Please specify any other areas of concern:
Free text
2
My child uses specialist services (e.g. speech
☐ Yes (go to 3)
pathology, occupational therapy) that assist their
☐ No (go to 5)
learning and development
3
These services help my child gain the skil s she/he
☐ Yes
needs to participate in everyday life (e.g. go to
☐ No
preschool)
4
These services support me to assist my child
☐ Yes
☐ No
5
Has the NDIS improved your child’s development?
☐ It’s my first plan
☐ Yes
☐ No
6
Has the NDIS improved your child’s access to
☐ It’s my first plan
specialist services?
☐ Yes
☐ No
3
Page 3 of 58
FOI 23/24-0979
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Domain 2: Choice and Control
Question Question
Answer options
number
1
My child is able to tell me what
☐ Yes, without assistance
he/she wants
☐ Yes, with assistance
☐ No
2
Has the NDIS helped increase
☐ It’s my first plan
your child’s ability to
☐ Yes
communicate what they want?
☐ No
Domain 3: Relationships
Question Question
Answer options
number
1
My child gets along with his/her
☐ Yes
brother(s)/sister(s)
☐ No
☐ No brothers or sisters
2
My child can make friends with people ☐ Yes
outside the family
☐ With some people
☐ No
3
My child joins me when I complete
☐ Often
tasks at home
☐ Sometimes
☐ Never
4
My child joins me when I complete
☐ Often
tasks outside the home (e.g. shopping, ☐ Sometimes
sport)
☐ Never
5
My child fits in with the everyday life of ☐ Yes
the family
☐ No
6
Has the NDIS improved how your
☐ It’s my first plan
child fits into family life?
☐ Yes
☐ No
4
Page 4 of 58
FOI 23/24-0979
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Domain 4: Social, community and civic participation
Question Question
Answer options
number
1
Do you use any form of childcare?
☐ Yes (go to 2)
☐ No (go to 3)
2
Please specify which of the following types of childcare you use, and
whether you use them when you and/or your partner are at work, or when
you are not at work (you may select both situations, or leave blank if you do
not use that form of childcare)
Use while
Use while we’re
we’re at work
not at work
• The child's brother or sister
☐
☐
• Another relative who lives with you (paid
☐
☐
or unpaid)
• Another relative who doesn't live with
☐
☐
you (paid or unpaid)
• A friend or neighbour (caring for the child
☐
☐
either at your home or in their home;
paid or unpaid)
• A nanny or babysitter who is paid to
☐
☐
come to your home
• A nanny or babysitter who is paid to care
☐
☐
for your child in their home
• Family day care, long day care, any
☐
☐
other care at a Child Care Centre
• The child goes to your (or your partner's)
☐
☐
work
3
My child has friends that he/she enjoys
☐ Yes (go to 4)
playing with
☐ No (go to 5)
4
These friends are at
(choose all that apply) ☐ Preschool
☐ Playgroup
☐ Social or family gatherings
(e.g. children of friends or
extended family)
☐ Other community activities
☐ Other (please specify):
5
My child participates in age appropriate
☐ A few times a week
community, cultural or religious activities
☐ About once a week
☐ Once every two weeks
☐ About once a month
☐ Less than once a month
☐ Never (go to 7)
6
At these activities, I think my child is
Choose one option
5
Page 5 of 58
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Question Question
Answer options
number
☐ Welcomed
☐ Actively included
☐ Mostly an observer
☐ Tolerated
☐ Made to feel unwelcome
☐ Is present but not really a part
of the group
7
I would like my child to be more involved in ☐ Yes (go to 8)
community activities
☐ No (go to 9)
8
The barriers to my child being involved in
☐ My child's disability (e.g.
community activities are
(choose all that
ability to communicate)
apply)
☐ Other children are not
welcoming
☐ Other families are not
welcoming
☐ I am too busy
☐ Transport
☐ Cost
☐ Other (please specify):
9
Has the NDIS improved how your child
☐ It’s my first plan
fits into community life?
☐ Yes
☐ No
Thank you for completing the participant questions. Please tell us who
completed the questionnaire. You may also provide a comment if you
wish.
Who responded to the
☐ The participant’s mother
questions?
☐ The participant’s father
☐ Other, please specify:
Any comments?
6
Page 6 of 58
DOCUMENT 2
FOI 23/24-0979
CONFIDENTIAL AND NOT FOR FURTHER DISTRIBUTION
National Disability Insurance Scheme
Outcomes Framework
Short Form Questionnaires
Participant from starting school to age 14
1
Page 7 of 58
FOI 23/24-0979
CONFIDENTIAL AND NOT FOR FURTHER DISTRIBUTION
Participants from starting school to age 14
Introduction
Thank you for participating in our survey. The purpose of these questions is to find out
how NDIS participants and their families and carers are going in dif erent areas of their
lives. The questions are an important part of pre-planning, and wil help us to develop a
plan that provides the right supports. Because we ask the questions again at plan
review, we wil also be able to see what progress has been made, and whether any
adjustments to plans are needed. Information from the questions wil also be important
for tracking the progress of the NDIS, and wil help to improve the Scheme.
Participant information
1. Please enter the child’s NDIS ID number
Free text (check for valid number of characters?)
2. Who does the child currently live with?
☐ With parents
☐ With other family members
☐ With people not related to participant (e.g. foster
carers)
☐ Other, please specify:
3. What type of housing does the child
☐ Private home: owned by family/carers
currently live in?
☐ Private home: rented from private landlord
☐ Private home: rented from public authority
☐ Other, please specify:
4. Does the child currently have a job?
☐ Yes
(including a part time job outside school
☐ No (go to 8)
hours)
5. Please describe the type of work (e.g.
serving in a restaurant, newspaper round,
Free text
office administration, babysitting)
☐ 0 hours
6. What is the usual number of hours
☐ More than 0 but less than 8 hours
worked per week?
☐ 8 hours to less than 15 hours
☐ 15 or more hours
☐ $0
☐ $0-$49 per week
7. What is the usual weekly income (before ☐ $50-$99 per week
tax and other deductions)?
☐ $100 or more per week
☐ Not disclosed
☐ $0-$9,999
8. What is the annual income of the child’s
☐ $10,000-$19,999
household, before tax and other
☐ $20,000-$29,999
deductions? (Don't include the income of
☐ $30,000-$39,999
people the participant only shares
☐ $40,000-$59,999
accommodation with, e.g. in a group home) ☐ $60,000-$79,999
☐ $80,000-$99,999
2
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☐ $100,000-$149,999
☐ $150,000-$199,999
☐ $200,000+
☐ Not disclosed
9. Is compensation being sought, or has
compensation previously been sought, in
☐ Yes
relation to the child's disability?
☐ No
Please answer the following questions about the participant
3
Page 9 of 58
FOI 23/24-0979
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Domain 1: Daily living
Question Statement/Question
Response options
Number
1
My child is developing functional,
☐ Not very well
learning and coping skil s that are ☐ Pretty well
appropriate to his/her ability and
☐ Very well
circumstances
2
Most of the time my child manages ☐ Not very well
his/her emotions
☐ Pretty well
☐ Very well
3
Most of the time my child is able to ☐ Not very well
do tasks at home, at school and in ☐ Pretty well
the community that a child of the
☐ Very well
same age would be expected to
be able to do
4
My child is becoming more
☐ Yes
independent
☐ No
5
My child spends time away from
☐ Yes
us (his parents) other than at
☐ No (go to 7)
school
6
When our child spends time away from us, he/she spends time with (please
answer Yes or No for each option):
Yes
No
Extended family
☐
☐
Family friends
☐
☐
Child’s friends
☐
☐
In group activities with local peers
☐
☐
In activities with other children with
☐
☐
disability
In a respite house
☐
☐
Other (please specify):
7
My child spends time with friends
☐ Frequently
without an adult present
☐ Occasionally
☐ On one occasion
☐ Never
8
My child has a genuine say in
☐ Yes, most decisions
decisions about him/her
☐ Some decisions
☐ No
9
Has the NDIS helped your child to ☐ It’s my first plan
become more independent?
☐ Yes
☐ No
4
Page 10 of 58
FOI 23/24-0979
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Domain 2: Lifelong learning
Question Statement/Question
Response options
Number
1
My child attends school
☐ Yes (go to 2)
☐ No (go to 8)
2
My child's current (or most recently
☐ Kindergarten or equivalent
completed) school year is:
☐ Year 1
☐ Year 2
☐ Year 3
☐ Year 4
☐ Year 5
☐ Year 6
☐ Year 7
☐ Year 8
☐ Year 9
☐ Year 10
☐ Year 11 or above
3
My child is enrolled in
☐ A mainstream class
☐ A support class
☐ A special school
☐ A school/class for gifted/talented children
☐ Home schooling
4
I think that my child is learning at
☐ Almost always
school
☐ Usually
☐ Sometimes
☐ Not usually
☐ Almost never
5
I think that my child is happy at
☐ Almost always
school
☐ Usually
☐ Sometimes
☐ Not usually
☐ Almost never
6
Has your child been involved in the following co-curricular activities at school?
Yes
No
In school plays/ concerts
☐
☐
In school clubs
☐
☐
In sporting teams
☐
☐
As a prefect
☐
☐
As a member of the student
☐
☐
representative council
As a buddy or mentor to other
☐
☐
students
Other (please specify):
5
Page 11 of 58
FOI 23/24-0979
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Question Statement/Question
Response options
Number
7
Has your child ever been
☐ Yes
suspended from school?
☐ No
8
Has the NDIS improved your child’s ☐ It’s my first plan
access to education?
☐ Yes
☐ No
Domain 3: Relationships
Question Statement/Question
Response options
Number
1
My child gets along well with
☐ Yes
his/her brother(s)/sister(s)
☐ No
☐ No brothers or sisters
2
My child can make friends with
☐ Yes
people outside the family
☐ With some people
☐ No
3
There is enough time each week ☐ Yes
for all members of my family to
☐ No
get their needs met
4
My child fits well into the
☐ Often
everyday life of the family
☐ Sometimes
☐ Never
5
When you need to go out, which
Choose all options you use
of the following options do you
☐ Siblings
use to look after your child?
☐ Extended family
☐ Friends
☐ He/she is able to stay alone
☐ Privately recruited babysitter
☐ NDIS individualised support
☐ Respite centre
☐ We never go out without our child
6
Are you happy with that
☐ Yes
arrangement?
☐ No
7
My child has friends that he/she
☐ Yes (go to 8)
enjoys spending time with
☐ No (go to 9)
8
The friends are
Choose all that apply
☐ At school
☐ Outside school
☐ Online
9
Has the NDIS improved your
☐ It’s my first plan
child’s relationships with family
☐ Yes
and friends?
☐ No
6
Page 12 of 58
FOI 23/24-0979
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Domain 4: Social, community and civic participation
Question Statement/Question
Response options
Number
1
During school holidays I
Choose all that apply:
use the following holiday
☐ Parents provide care
care
☐ Mainstream school holiday program
☐ School holiday program for children with disability
☐ NDIS funded support
☐ Grandparents
☐ Other family
☐ Friends
☐ Able to stay by themselves
☐ Other (please specify):
2
My child is happy with this ☐ Most of the time
choice/ these choices
☐ Some of the time
☐ Rarely
☐ Never
3
After school and on the
Choose all that apply
weekend my child
☐ Gets together with friends
☐ Is involved in mainstream sport, clubs, or other
group activities
☐ Is involved in sport, clubs, or other group activities
with children with disability
☐ None of the above (go to 5)
4
In these activities, I feel my ☐ Welcomed
child is
☐ Actively included
☐ Mostly an observer
☐ Tolerated
☐ Made to feel unwelcome
☐ Present but is not really part of the group
5
I would like my child to
☐ Yes (go to 6)
have more opportunity to
☐ No (go to 7)
be involved in activities
with other children
6
The barriers to my child
Choose all that apply
being more involved with
☐ My child’s disability (e.g. ability to communicate)
other children are:
☐ Other children are not welcoming
☐ Other families are not welcoming
☐ I am too busy
☐ Transport
☐ Cost
☐ Other (please specify):
7
Page 13 of 58
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Question Statement/Question
Response options
Number
7
Has the NDIS improved
☐ It’s my first plan
your child’s social and
☐ Yes
recreational life?
☐ No
Thank you for completing the participant questions. Please tell us who
completed the questionnaire. You may also provide a comment if you
wish.
Who responded to the
☐ The participant on their own
questions?
☐ The participant with assistance from another person (e.g.
family member, friend)
☐ The participant’s mother
☐ The participant’s father
☐ Other, please specify:
Any comments?
8
Page 14 of 58
DOCUMENT 3
FOI 23/24-0979
CONFIDENTIAL AND NOT FOR FURTHER DISTRIBUTION
National Disability Insurance Scheme
Outcomes Framework
Short Form Questionnaires
Participant aged 15 to 24
1
Page 15 of 58
FOI 23/24-0979
CONFIDENTIAL AND NOT FOR FURTHER DISTRIBUTION
Participants aged 15 to 24
Introduction
Thank you for participating in our survey. The purpose of these questions is to find out
how NDIS participants and their families and carers are going in dif erent areas of their
lives. The questions are an important part of pre-planning, and wil help us to develop a
plan that provides the right supports. Because we ask the questions again at plan
review, we wil also be able to see what progress has been made, and whether any
adjustments to plans are needed. Information from the questions wil also be important
for tracking the progress of the NDIS, and wil help to improve the Scheme.
Participant information
1. Please enter your NDIS ID number
Free text (check for valid number of characters?)
2. What level of school have you completed? ☐ None
☐ Year 7 or below
☐ Year 8
☐ Year 9
☐ Year 10
☐ Year 11
☐ Year 12 or above
3. What is the highest level of post-school
☐ None
qualification you have completed?
☐ TAFE Certificate I-IV
☐ Diploma or Advanced Diploma
☐ Graduate Certificate or Graduate Diploma
☐ Bachelor degree
☐ Postgraduate degree (e.g. Masters, PhD)
☐ Other (please specify):
4. Who do you currently live with?
☐ Alone
☐ Parents
☐ Spouse/partner
☐ Spouse/partner and child(ren)
☐ Child(ren)
☐ Other family members
☐ People not related to me
☐ Other, please specify:
5. What are your current housing
☐ Private home: owned by self/family
arrangements?
☐ Private home: rented from private landlord
☐ Private home: rented from public authority
☐ Large residential (20+ people)
☐ Small residential (<20 people)
☐ Hostel
☐ Aboriginal or Torres Strait Islander community
residence
☐ Supported accommodation
☐ Boarding house/private hotel
2
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☐ Short-term crisis
☐ Temporary shelter (homeless)
☐ Nursing home/aged care facility
☐ Other, please specify:
☐ Do not participate (not working and not looking for
work) (go to 9)
☐ Job seeking (on your own or with an
employment service) (go to 9)
☐ Employment in the open employment market
with full award wages
☐ Employment in the open employment market at
6. What type of employment activities do you less than minimum wage, i.e. Supported Wage
currently attend/participate in?
System
☐ Employment with an Australian Disability
Enterprise
☐ Pre-vocational training
☐ Australian Apprenticeship
☐ Work experience
☐ Self-employed
☐ Other (please specify)
7. What is the industry of employment?
Free text
☐ 0 hours
☐ More than 0 but less than 8 hours
8. What is the typical number of hours you
☐ 8 hours to less than 15 hours
work per week (range)?
☐ 15 hours to less than 30 hours
☐ 30 or more hours
☐ $0-$9,999
☐ $10,000-$19,999
☐ $20,000-$29,999
☐ $30,000-$39,999
9. What is your annual income, before tax
☐ $40,000-$59,999
and other deductions? Include all sources,
☐ $60,000-$79,999
such as wages, investments and Government ☐ $80,000-$99,999
pensions and benefits.
☐ $100,000-$149,999
☐ $150,000-$199,999
☐ $200,000+
☐ Not disclosed
☐ $0-$9,999
☐ $10,000-$19,999
10. What is the annual income of your
☐ $20,000-$29,999
household, before tax and other deductions? ☐ $30,000-$39,999
Include income from all sources, such as
☐ $40,000-$59,999
wages, investments and Government
☐ $60,000-$79,999
pensions and benefits. (Don't include the
☐ $80,000-$99,999
income of people you only share
☐ $100,000-$149,999
accommodation with, e.g. in a group home)
☐ $150,000-$199,999
☐ $200,000+
☐ Not disclosed
3
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11. What educational activities are you
☐ Not studying (go to 13)
currently participating in?
☐ Secondary (high) school – mainstream class
☐ Secondary (high) school - special class in
mainstream school
☐ Special school
☐ Pre-apprenticeship vocational training
☐ Australian Apprenticeship
☐ TAFE college or other post-secondary training
college
☐ University course
☐ Other (please specify):
12. Are you currently studying full time or part ☐ Full time
time?
☐ Part time
13. Are you seeking or have you previously
sought compensation related to your
☐ Yes
injury/disability?
☐ No
Please answer the following questions about the participant
4
Page 18 of 58
FOI 23/24-0979
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Domain 1: Choice and Control
Question Question
Answer options
number
1
Do you have more
a) Yes
independence/control over
b) No, because of factors related to my
your life than you did 2 years disability (e.g. degenerative condition)
ago?
c) No, because of factors unrelated to my
disability
2
Are you happy with the level
a) Yes
of independence/control you
b) No
have now?
3
Do you make more decisions a) Yes and it's about right
in your life than you did 2
b) Yes and I would like to make more
years ago?
c) No it’s the same
d) No I make fewer decisions
4
What involvement do/did you
a) I made the decisions
have in planning for your life
b) I had some input into the decisions
after your school years?
c) Someone else made the decisions
d) I haven’t started planning yet
5
Do you choose who supports a) Yes I choose
you?
b) Sometimes I have a say
c) No, someone else chooses
6
Do you choose what you do
a) Yes I choose
each day?
b) Sometimes I have a say
c) No, someone else chooses
7
Who makes most decisions in a) I do
your life?
b) My family
c) My friends
d) My service providers
e) Others (please specify):
8
Do you feel able to advocate
a) Yes
(stand up) for yourself? That
b) No
is, do you feel able to speak
up if you have issues or
problems with accessing
supports?
9
Have you ever participated in a) Yes
a self-advocacy group
b) No, I had the opportunity but chose not to
meeting, conference, or
participate
event?
c) No, I have not had the opportunity to
participate
10
Do you want more choice and a) Yes
control in your life?
b) No
11
Has the NDIS helped you have a) It’s my first plan
more choices and more control b) Yes
over your life?
c) No
5
Page 19 of 58
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Domain 2: Daily living activities
Question Question
Answer options
number
1
Do you need support to do
a) Yes
domestic tasks (e.g. shopping,
b) No (go to 5)
cooking, cleaning, meal
preparation)?
2
Do you get support for domestic
a) Yes
tasks?
b) No (go to 5)
3
Does the support you receive meet
a) Yes
your needs?
b) No
4
Does the support you currently
a) Yes
receive enable you to perform the
b) No
tasks yourself as much as
possible?
5
Do you need support with personal a) Yes
care (e.g. washing yourself,
b) No (go to 9)
dressing)?
6
Do you get support with personal
a) Yes
care (e.g. washing yourself,
b) No (go to 9)
dressing)?
7
Does the support you receive meet
a) Yes
your needs?
b) No
8
Does the support you currently
a) Yes
receive enable allow you to care
b) No
for yourself as much as possible?
9
Do you need support for travel &
a) Yes
transport?
b) No (go to 13)
10
Do you get support for travel &
a) Yes
transport?
b) No (go to 13)
11
Does the support you receive meet
a) Yes
your needs?
b) No
12
Does the support you currently
a) Yes
receive allow you to travel by
b) No
yourself as much as possible?
13
Do you need support to
a) Yes
communicate with other people?
b) No (go to 17)
14
Do you get support for
a) Yes
communicating with others?
b) No (go to 17)
15
Does the support you receive meet
a) Yes
your needs?
b) No
16
Does the support you currently
a) Yes
receive enable you to
b) No
communicate as independently as
possible?
17
Do you need support for getting
a) Yes
6
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Question Question
Answer options
number out of the house?
b) No (go to 21)
18
Do you get support for getting out
a) Yes
of the house?
b) No (go to 21)
19
Does the support you receive meet
a) Yes
your needs?
b) No
20
Does the support you currently
a) Yes
receive enable you to get out of
b) No
the house with as little assistance
as possible ?
21
Do you need support with dealing
a) Yes
with your finances/money?
b) No (go to 25)
22
Do you get support with dealing
a) Yes
with your finances/money?
b) No (go to 25)
23
Does the support you receive meet
a) Yes
your needs?
b) No
24
Does the support you currently
a) Yes
receive enable you to manage
b) No
finances/money by yourself where
possible?
25
Do you need support with reading
a) Yes
and/or writing?
b) No (go to 29)
26
Do you get support with reading
a) Yes
and/or writing?
b) No (go to 29)
27
Does the support you receive meet
a) Yes
your needs?
b) No
28
Does the support you currently
a) Yes
receive enable you to read and/or
b) No
write by yourself where possible?
29
Do you need support with using
a) Yes
technology?
b) No (go to 33)
30
Do you get support with using
a) Yes
technology?
b) No (go to 33)
31
Does the support you receive meet
a) Yes
your needs?
b) No
32
Does the support you currently
a) Yes
receive enable you to use
b) No
technology by yourself where
possible?
33
Have you ever undertaken training a) Yes
to do more of these daily activities b) No
by yourself?
34
Has the NDIS helped you with
a) It’s my first plan
daily living activities?
b) Yes
c) No
7
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Domain 3: Relationships
Question Question
Answer options
number
1
Do you have someone outside your
a) Yes, paid staff
home to call when you need help?
b) Yes, family
(choose all that apply)
c) Yes, friends
d) No
2
Are you happy with how often you
a) Yes
see your family?
b) No, I would like to see them more
c) No, I would like to see them less
3
Do you provide care for others?
a) Yes
b) No (go to 5)
4
Do you need help to continue caring
a) Yes, and I receive enough
for someone else?
assistance
b) Yes but I don’t receive enough
assistance
c) Yes, but I don’t receive any
assistance
d) No
5
Do you have friends other than family
Can choose both a) & b):
or paid staff?
a) Yes, people with disability
b) Yes, people without disability
c) No
6
Are you happy with how often you
a) Yes
see friends?
b) No, I would like to see them more
c) No, I would like to see them less
7
Has the NDIS helped you to meet
a) It’s my first plan
more people?
b) Yes
c) No
8
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Domain 4: Home
Question Question
Answer options
number
1
Thinking about where you
a) Yes
currently live in relation to
b) No, I want to choose my home
your disability support
c) No, because of factors related to my support
needs:
needs (e.g. access, equipment, support)
Are you happy with the
d) No, for another reason (please specify):
home you live in?
If a) go to 2
If b), c) or d), go to 3
2
Wil you want to live here
a) Yes
in 5 years’ time?
b) No, I want to choose my home
c) No, because of factors related to my support
needs (e.g. access, equipment, support)
d) No, for another reason (please specify)
If a) go to 4
If b), c) or d), go to 3
3
What stops you from living a) Lack of support
in a home that you would
b) Lack of affordable housing
choose?
c) Lack of choice
d) Other (please specify):
4
How safe or unsafe do you a) Very safe
feel in your home?
b) Safe
c) Neither safe nor unsafe
d) Unsafe
e) Very unsafe
5
Has your involvement with a) It’s my first plan
the NDIS helped you to
b) Yes
choose a home that’s right c) No
for you?
9
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Domain 5: Health and wellbeing
Question Question
Answer options
number
1
Overall, do you think that your
a) Excellent
health is excellent, very good,
b) Very good
good, fair or poor?
c) Good
d) Fair
e) Poor
2
Do you have a doctor that you
a) Yes
see on a regular basis?
b) No
3
Have you had difficulty in getting a) Yes, because of the attitudes and/or
health services?
expertise of health professionals
b) Yes, because of access issues
c) Yes, because I don’t have support
d) Yes, because I don’t have transport
d) Yes, because I can’t afford it
e) No
4
How many times have you been a) 0
to the hospital in the last 12
b) 1
months?
c) 2
d) 3-5
e) 6+
6
Do you feel safe getting out and a) Yes
about in your community?
b) No
7
Has your involvement with the
a) It’s my first plan
NDIS improved your health and
b) Yes
wellbeing?
c) No
10
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Domain 6: Lifelong learning
Question Question
Answer options
number
1
Have you completed secondary
a) Yes
school?
b) No
2
At school, are you/were you:
a) In the regular class
b) In a support class
c) In a special school
d) Home schooled
3
At school, are you/were you actively included in the following co-curricular
activities?
Yes
No
In school plays and concerts
☐
☐
In school clubs
☐
☐
In sporting teams
☐
☐
As a prefect
☐
☐
As a member of the Student
☐
☐
Representative Council
As a buddy or mentor to other
☐
☐
students
Please specify any other activities
you were involved in:
If answer to Q1 was b), go to 10, otherwise go to 4
4
Do you get opportunities to learn
a) Yes
new things?
b) No but I would like to learn new things
c) No and that’s OK
5
Do you currently participate in
a) Yes
education, training or skil
b) No (go to 9)
development?
6
Where do you do this?
a) Disability education facility
b) TAFE
c) Community college or school
d) University
e) Other (please specify):
7
Are you in a class for students
a) Yes
with disability?
b) No
8
Is it what you want?
a) Yes
b) No
9
In the last 12 months, is there any a) Yes, I lacked support
course or training that you wanted b) Yes, course requirements prevented
to do but couldn’t?
me from participating
c) Yes, travel prevented me from getting
there
d) Yes, the cost of courses prevented me
from participating
e) Yes, there was no suitable course
11
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f) Yes, other (please specify)
g) No
10
Has your involvement with the
a) It’s my first plan
NDIS helped you to learn things
b) Yes
you want to learn or to take
c) No
courses you want to take?
Domain 7: Work
Question Question
Answer options
number
1
Are you currently working in a) Yes
an unpaid job
b) No
2
Are you currently working in a) Yes (go to 3)
a paid job?
b) No, but I would like one (go to 5)
c) No and I don’t want one (go to 6)
3
What type of employment is a) Open employment market with full award
it?
wages
b) Open employment market at less than
minimum wage, i.e. Supported Wage System
c) Australian Disability Enterprise
d) Australian Apprenticeship
e) Self-employed
f) Other (please specify)
4
Do you get the support you
a) Yes
need to do your job?
b) No
Go to 6
5
Are you being assisted to
a) Yes
get a job?
b) No
6
Has your involvement with
a) It’s my first plan
the NDIS helped you find a
b) Yes
job that’s right for you?
c) No
12
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Domain 8: Social, community and civic participation
Question Question
Answer options
number
1
Do you spend your free
a) Yes
time doing activities that
b) No
interest you?
2
In the last 12 months, is
a) Yes,
there anything that you
b) No
wanted to do but couldn’t?
3
Are you currently a
a) Yes
volunteer?
b) No, but I would like to
c) No, it doesn’t interest me
4
Have you been actively
a) Yes, a general community group
involved in a community,
b) Yes, a group for people with a disability
cultural or religious group
c) No, but I would like to be
in the last 12 months?
d) No and I don’t want to be
5
Do you know people in
a) Yes
your community?
b) No
6
How often do you feel you a) All of the time
are able to have a say with b) Most of the time
the services that provide
c) Some of the time
support for you?
d) A little of the time
e) None of the time
7
Has the NDIS helped you
a) It’s my first plan
be more involved?
b) Yes
c) No
Thank you for completing the participant questions. Please tell us who
completed the questionnaire. You may also provide a comment if you
wish.
1. Are you a participant in the
☐ I am the participant (go to 3)
NDIS or are you taking this
☐ I am taking the survey on someone else’s behalf
questionnaire on someone else’s
behalf?
2. What is your relationship to
☐ Mother
the participant?
☐ Father
☐ Spouse/partner
☐ Other family member
☐ Carer
☐ Friend
☐ Other (please specify):
3. Any comments?
13
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National Disability Insurance Scheme
Outcomes Framework
Short Form Questionnaires
Participant aged 25 and over
1
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Participants aged 25 and over
Introduction
Thank you for participating in our survey. The purpose of these questions is to find out
how NDIS participants and their families and carers are going in dif erent areas of their
lives. The questions are an important part of pre-planning, and wil help us to develop a
plan that provides the right supports. Because we ask the questions again at plan
review, we wil also be able to see what progress has been made, and whether any
adjustments to plans are needed. Information from the questions wil also be important
for tracking the progress of the NDIS, and wil help to improve the Scheme.
Participant information
1. Please enter your NDIS ID number
Free text (check for valid number of characters?)
2. What level of school have you completed? ☐ None
☐ Year 7 or below
☐ Year 8
☐ Year 9
☐ Year 10
☐ Year 11
☐ Year 12 or above
3. What is the highest level of post-school
☐ None
qualification you have completed?
☐ TAFE Certificate I-IV
☐ Diploma or Advanced Diploma
☐ Graduate Certificate or Graduate Diploma
☐ Bachelor degree
☐ Postgraduate degree (e.g. Masters, PhD)
☐ Other (please specify):
4. Who do you currently live with?
☐ Alone
☐ Parents
☐ Spouse/partner
☐ Spouse/partner and child(ren)
☐ Child(ren)
☐ Other family members
☐ People not related to me
☐ Other, please specify:
5. What are your current housing
☐ Private home: owned by self/family
arrangements?
☐ Private home: rented from private landlord
☐ Private home: rented from public authority
☐ Large residential (20+ people)
☐ Small residential (<20 people)
☐ Hostel
☐ Aboriginal or Torres Strait Islander community
residence
☐ Supported accommodation
☐ Boarding house/private hotel
2
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☐ Short-term crisis
☐ Temporary shelter (homeless)
☐ Nursing home/aged care facility
☐ Other, please specify:
☐ Do not participate (not working and not looking for
work) (go to 9)
☐ Job seeking (on your own or with an
employment service) (go to 9)
☐ Employment in the open employment market
with full award wages
☐ Employment in the open employment market at
6. What type of employment activities do you less than minimum wage, i.e. Supported Wage
currently attend/participate in?
System
☐ Employment with an Australian Disability
Enterprise
☐ Pre-vocational training
☐ Australian Apprenticeship
☐ Work experience
☐ Self-employed
☐ Other (please specify)
7. What is the industry of employment?
Free text
☐ 0 hours
☐ More than 0 but less than 8 hours
8. What is the typical number of hours you
☐ 8 hours to less than 15 hours
work per week (range)?
☐ 15 hours to less than 30 hours
☐ 30 or more hours
☐ $0-$9,999
☐ $10,000-$19,999
☐ $20,000-$29,999
☐ $30,000-$39,999
9. What is your annual income, before tax
☐ $40,000-$59,999
and other deductions? Include all sources,
☐ $60,000-$79,999
such as wages, investments and Government ☐ $80,000-$99,999
pensions and benefits.
☐ $100,000-$149,999
☐ $150,000-$199,999
☐ $200,000+
☐ Not disclosed
☐ $0-$9,999
☐ $10,000-$19,999
10. What is the annual income of your
☐ $20,000-$29,999
household, before tax and other deductions? ☐ $30,000-$39,999
Include income from all sources, such as
☐ $40,000-$59,999
wages, investments and Government
☐ $60,000-$79,999
pensions and benefits. (Don't include the
☐ $80,000-$99,999
income of people you only share
☐ $100,000-$149,999
accommodation with, e.g. in a group home)
☐ $150,000-$199,999
☐ $200,000+
☐ Not disclosed
3
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11. What educational activities are you
☐ Not studying (go to 13)
currently participating in?
☐ Secondary (high) school – mainstream class
☐ Secondary (high) school - special class in
mainstream school
☐ Special school
☐ Pre-apprenticeship vocational training
☐ Australian Apprenticeship
☐ TAFE college or other post-secondary training
college
☐ University course
☐ Other (please specify):
12. Are you currently studying full time or part ☐ Full time
time?
☐ Part time
13. Are you seeking or have you previously
sought compensation related to your
☐ Yes
injury/disability?
☐ No
Please answer the following questions about the participant
4
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Domain 1: Choice and Control
Question Question
Answer options
number
1
Do you choose who supports a) Yes I choose
you?
b) Sometimes I have a say
c) No, someone else chooses
2
Do you choose what you do
a) Yes I choose
each day?
b) Sometimes I have a say
c) No, someone else chooses
3
Who makes most decisions in a) I do
your life?
b) My family
c) My friends
d) My service providers
e) Others (please specify):
4
Do you feel able to advocate
a) Yes
(stand up) for yourself? That
b) No
is, do you feel able to speak
up if you have issues or
problems with accessing
supports?
5
Have you ever participated in a) Yes
a self-advocacy group
b) No, I had the opportunity but chose not to
meeting, conference, or
participate
event?
c) No, I have not had the opportunity to
participate
6
Do you want more choice and a) Yes
control in your life?
b) No
7
Has the NDIS helped you have a) It’s my first plan
more choices and more control b) Yes
over your life?
c) No
5
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Domain 2: Daily living activities
Question Question
Answer options
number
1
Do you need support to do
a) Yes
domestic tasks (e.g. shopping,
b) No (go to 5)
cooking, cleaning, meal
preparation)?
2
Do you get support for domestic
a) Yes
tasks?
b) No (go to 5)
3
Does the support you receive meet
a) Yes
your needs?
b) No
4
Does the support you currently
a) Yes
receive enable you to perform the
b) No
tasks yourself as much as
possible?
5
Do you need support with personal a) Yes
care (e.g. washing yourself,
b) No (go to 9)
dressing)?
6
Do you get support with personal
a) Yes
care (e.g. washing yourself,
b) No (go to 9)
dressing)?
7
Does the support you receive meet
a) Yes
your needs?
b) No
8
Does the support you currently
a) Yes
receive enable allow you to care
b) No
for yourself as much as possible?
9
Do you need support for travel &
a) Yes
transport?
b) No (go to 13)
10
Do you get support for travel &
a) Yes
transport?
b) No (go to 13)
11
Does the support you receive meet
a) Yes
your needs?
b) No
12
Does the support you currently
a) Yes
receive allow you to travel by
b) No
yourself as much as possible?
13
Do you need support to
a) Yes
communicate with other people?
b) No (go to 17)
14
Do you get support for
a) Yes
communicating with others?
b) No (go to 17)
15
Does the support you receive meet
a) Yes
your needs?
b) No
16
Does the support you currently
a) Yes
receive enable you to
b) No
communicate as independently as
possible?
17
Do you need support for getting
a) Yes
6
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Question Question
Answer options
number out of the house?
b) No (go to 21)
18
Do you get support for getting out
a) Yes
of the house?
b) No (go to 21)
19
Does the support you receive meet
a) Yes
your needs?
b) No
20
Does the support you currently
a) Yes
receive enable you to get out of
b) No
the house with as little assistance
as possible ?
21
Do you need support with dealing
a) Yes
with your finances/money?
b) No (go to 25)
22
Do you get support with dealing
a) Yes
with your finances/money?
b) No (go to 25)
23
Does the support you receive meet
a) Yes
your needs?
b) No
24
Does the support you currently
a) Yes
receive enable you to manage
b) No
finances/money by yourself where
possible?
25
Do you need support with reading
a) Yes
and/or writing?
b) No (go to 29)
26
Do you get support with reading
a) Yes
and/or writing?
b) No (go to 29)
27
Does the support you receive meet
a) Yes
your needs?
b) No
28
Does the support you currently
a) Yes
receive enable you to read and/or
b) No
write by yourself where possible?
29
Do you need support with using
a) Yes
technology?
b) No (go to 33)
30
Do you get support with using
a) Yes
technology?
b) No (go to 33)
31
Does the support you receive meet
a) Yes
your needs?
b) No
32
Does the support you currently
a) Yes
receive enable you to use
b) No
technology by yourself where
possible?
33
Have you ever undertaken training a) Yes
to do more of these daily activities b) No
by yourself?
34
Has the NDIS helped you with
a) It’s my first plan
daily living activities?
b) Yes
c) No
7
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Domain 3: Relationships
Question Question
Answer options
number
1
Do you have someone outside your
a) Yes, paid staff
home to call when you need help?
b) Yes, family
(choose all that apply)
c) Yes, friends
d) No
2
Are you happy with how often you
a) Yes
see your family?
b) No, I would like to see them more
c) No, I would like to see them less
3
Do you provide care for others?
a) Yes
b) No (go to 5)
4
Do you need help to continue caring
a) Yes, and I receive enough
for someone else?
assistance
b) Yes but I don’t receive enough
assistance
c) Yes, but I don’t receive any
assistance
d) No
5
Do you have friends other than family
Can choose both a) & b):
or paid staff?
a) Yes, people with disability
b) Yes, people without disability
c) No
6
Are you happy with how often you
a) Yes
see friends?
b) No, I would like to see them more
c) No, I would like to see them less
7
Has the NDIS helped you to meet
a) It’s my first plan
more people?
b) Yes
c) No
8
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Domain 4: Home
Question Question
Answer options
number
1
Thinking about where you
a) Yes
currently live in relation to
b) No, I want to choose my home
your disability support
c) No, because of factors related to my support
needs:
needs (e.g. access, equipment, support)
Are you happy with the
d) No, for another reason (please specify):
home you live in?
If a) go to 2
If b), c) or d), go to 3
2
Wil you want to live here
a) Yes
in 5 years’ time?
b) No, I want to choose my home
c) No, because of factors related to my support
needs (e.g. access, equipment, support)
d) No, for another reason (please specify)
If a) go to 4
If b), c) or d), go to 3
3
What stops you from living a) Lack of support
in a home that you would
b) Lack of affordable housing
choose?
c) Lack of choice
d) Other (please specify):
4
How safe or unsafe do you a) Very safe
feel in your home?
b) Safe
c) Neither safe nor unsafe
d) Unsafe
e) Very unsafe
5
Has your involvement with a) It’s my first plan
the NDIS helped you to
b) Yes
choose a home that’s right c) No
for you?
9
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Domain 5: Health and wellbeing
Question Question
Answer options
number
1
Overall, do you think that your
a) Excellent
health is excellent, very good,
b) Very good
good, fair or poor?
c) Good
d) Fair
e) Poor
2
Do you have a doctor that you
a) Yes
see on a regular basis?
b) No
3
Have you had difficulty in getting a) Yes, because of the attitudes and/or
health services?
expertise of health professionals
b) Yes, because of access issues
c) Yes, because I don’t have support
d) Yes, because I don’t have transport
d) Yes, because I can’t afford it
e) No
4
How many times have you been a) 0
to the hospital in the last 12
b) 1
months?
c) 2
d) 3-5
e) 6+
6
Do you feel safe getting out and a) Yes
about in your community?
b) No
7
Has your involvement with the
a) It’s my first plan
NDIS improved your health and
b) Yes
wellbeing?
c) No
10
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Domain 6: Lifelong learning
Question Question
Answer options
number
1
Do you get opportunities to learn
a) Yes
new things?
b) No but I would like to learn new things
c) No and that’s OK
2
Do you currently participate in
a) Yes
education, training or skil
b) No (go to 6)
development?
3
Where do you do this?
a) Disability education facility
b) TAFE
c) Community college or school
d) University
e) Other (please specify):
4
Are you in a class for students
a) Yes
with disability?
b) No
5
Is it what you want?
a) Yes
b) No
6
In the last 12 months, is there any a) Yes, I lacked support
course or training that you wanted b) Yes, course requirements prevented
to do but couldn’t?
me from participating
c) Yes, travel prevented me from getting
there
d) Yes, the cost of courses prevented me
from participating
e) Yes, there was no suitable course
f) Yes, other (please specify)
g) No
7
Has your involvement with the
a) It’s my first plan
NDIS helped you to learn things
b) Yes
you want to learn or to take
c) No
courses you want to take?
Domain 7: Work
Question Question
Answer options
number
1
Are you currently working in a) Yes
an unpaid job
b) No
2
Are you currently working in a) Yes (go to 3)
a paid job?
b) No, but I would like one (go to 5)
c) No and I don’t want one (go to 6)
3
What type of employment is a) Open employment market with full award
it?
wages
b) Open employment market at less than
minimum wage, i.e. Supported Wage System
11
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Question Question
Answer options
number
c) Australian Disability Enterprise
d) Australian Apprenticeship
e) Self-employed
f) Other (please specify)
4
Do you get the support you
a) Yes
need to do your job?
b) No
Go to 6
5
Are you being assisted to
a) Yes
get a job?
b) No
6
Has your involvement with
a) It’s my first plan
the NDIS helped you find a
b) Yes
job that’s right for you?
c) No
Domain 8: Social, community and civic participation
Question Question
Answer options
number
1
Do you spend your free
a) Yes
time doing activities that
b) No
interest you?
2
In the last 12 months, is
a) Yes,
there anything that you
b) No
wanted to do but couldn’t?
3
Are you currently a
a) Yes
volunteer?
b) No, but I would like to
c) No, it doesn’t interest me
4
Have you been actively
a) Yes, a general community group
involved in a community,
b) Yes, a group for people with a disability
cultural or religious group
c) No, but I would like to be
in the last 12 months?
d) No and I don’t want to be
5
Do you know people in
a) Yes
your community?
b) No
6
How often do you feel you a) All of the time
are able to have a say with b) Most of the time
the services that provide
c) Some of the time
support for you?
d) A little of the time
e) None of the time
7
Has the NDIS helped you
a) It’s my first plan
be more involved?
b) Yes
c) No
12
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FOI 23/24-0979
CONFIDENTIAL AND NOT FOR FURTHER DISTRIBUTION
Thank you for completing the participant questions. Please tell us who
completed the questionnaire. You may also provide a comment if you
wish.
1. Are you a participant in the
☐ I am the participant (go to 3)
NDIS or are you taking this
☐ I am taking the survey on someone else’s behalf
questionnaire on someone else’s
behalf?
2. What is your relationship to
☐ Mother
the participant?
☐ Father
☐ Spouse/partner
☐ Other family member
☐ Carer
☐ Friend
☐ Other (please specify):
3. Any comments?
13
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