FOI 20/21-0799
DOCUMENT 1
INDEPENDENT ASSESSMENT
PARTICIPANT SURVEY
This survey asks questions about your recent experience with the free independent
assessment organised by the National Disability Insurance Agency (NDIA). The survey will
take you about 10 to 15 minutes to fill in.
By filling in this survey you will be helping the NDIA to make the independent assessment
process better for people in the future.
You don't have to do the survey if you don’t want to. If you choose to do the survey, your
feedback is private and confidential.
You don’t have to give us your name if you don’t want to. If you do give us your name, we
wont tell anyone what you said.
Your decision to do the survey or not won’t affect any of the support or funding you
receive.
If you have any questions or comments about the survey you can email the NDIA at:
xxxxxxxx@xxxx.xxx.xx and give this number: 20020 REB.
Information about how we handle your responses can be found in the NDIS Privacy
Policy.
By answering the question below, you agree that you understand this information, you are
over 18 years old and you are willing to continue to the survey.
Are you ready to enter the survey?*
o Yes
o No, I need more information - GO TO PIF
o No, I might do it later – GO TO END
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Q1. Who are you?
I am the participant
I am the spouse or partner of the
participant
I am the mother or father of the participant
I am the brother or sister of the participant
I am a child of the participant
I am another family member of the
participant
I am a friend
I am a support worker
I am someone else
IF THE PERSON COMPLETING THE SURVEY IS NOT THE PARTICIPANT ASK Q2 AND SHOW
TEXT BOX
Q2. Are you the nominee or guardian of the participant?
No
Yes - I am the nominee
Yes - I am the guardian
If you are supporting an NDIS participant, you may want to talk to them about their
experience before answering the survey on their behalf.
Q3. Who employed the assessor that did your independent assessment?
APM Australia
HealthStrong
Plena Healthcare
BushKids
Wanslea
Northcott
ECANT
Not sure
Q4. When you were invited to have an independent assessment, do you think you got all
the information and help you needed from the NDIA to decide what to do?
Yes
No
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Q5. What other information or help would you have liked from the NDIA?
<OPEN TEXT>
Q6. How did you have your independent assessment?
At a face to face meeting
□
Online/videoconference (through a smart phone or
□
computer)
By telephone (voice only)
□
Q7. Where were you when you had the independent assessment?
At home
□
At work
□
At school
□
At the assessor’s office
□
Somewhere else
□
Q8. Did you have a choice about where you had the assessment?
Yes
No
Q9. How many times did you meet with the assessor to do the independent assessment?
One time
Two times
Three times
Four times or more
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BOOKING YOUR APPOINTMENT
Q10. Did the person booking your independent assessment do the following?
Yes No
a. Make sure the assessment was on a date and time that was good for you
b. Explain you could have someone with you if you wished
c. Explain that one of the assessments might need to be done by someone who
knows you well
d. Tell you how long the assessment will take
e. Give you enough information to know what to expect from the assessment
f. Give you enough time to get ready for the assessment (for example, to get
someone to support you, make any child care, school or work plans you
needed)
g. Fully answer any questions you had about the assessment
Q11. What other information would you have liked when booking your independent
assessment?
<OPEN TEXT>
ABOUT THE ASSESSOR
Q12. What was your experience of the independent assessor in the following
areas?
Yes No
a. The assessor seemed prepared for your meeting
b. The assessor seemed to know a lot about your disability
c. The assessor understood how your disability affects your life
d. The assessor was sensitive to your values and beliefs
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Q13. During your assessment, did the independent assessor do the following? Yes No
a. Arrive on time for your meeting
b. Tell you clearly what would happen during the assessment
c. Treat you with respect
d. Listen to what you had to say
e. Ask if you needed a break
f. Answer any questions you had
g. Talk to you (even if someone else was present)
h. Give you the chance to talk about all the areas where you needed support or
help
Q14. Was there anything you wanted to talk about with the independent assessor that was
not covered in the assessment?
<OPEN TEXT>
THE INDEPENDENT ASSESSMENT
Q15. These questions ask how you felt about the independent assessment
Yes No
a. Were you comfortable with the questions the assessor asked?
b. Were the questions easy to answer?
c. Did the assessment cover all of the areas important to you where you need
help or support?
d. Were you ok with the activities the assessor asked you to do?
e. Were the questions culturally appropriate?
f. Do you think your independent assessment gave an accurate picture of your
skills and ability?
Q16. How long did the assessment take (across all sessions)?
____ hours ____minutes
Q17. How did you feel about the length of the assessment?
It was too long
It was about right
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It was too short
Q18. Is there anything else you would like to tell us about the assessment?
<OPEN TEXT>
YOUR ASSESSMENT REPORT
Q19. Have you received the results from your independent assessment?
No
Yes
Not sure
IF NO OR NOT SURE, SKIP TO Q24
Q20. How would you rate your independent
Poor Fair
Good
Very Excellent
assessment report in the following areas?
good
a. Accurately reflecting what you told your
assessor during your meeting
b. Accurately reflecting your functional capacity
Q21. How did you feel about the amount of information in your report?
There was too much information
It was about right
There was not enough
information
Q22. Is there anything that you think is missing from your independent assessment report?
No
Yes <please specify>
Q23. What changes or additions do you think would improve independent assessment
reports for participants in the future?
<OPEN TEXT>
SATISFACTION WITH THE INDEPENDENT ASSESSMENT
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Q24. How would you rate your experience of the
independent assessment in the following
Poor Fair
Good
Very Excellent
areas?
good
a. The process of booking the assessment
b. The way the assessment was done (including
the assessments used, time taken, etc)
c. The professionalism of the assessor
d. The independent assessment overall
Q25. What were the worst things about having an independent assessment?
<OPEN TEXT>
Q26. What were the best things about having an independent assessment?
<OPEN TEXT>
Q27. Would you recommend independent assessments to other participants?
Yes
No
Q28. Why do you say that?
<OPEN TEXT>
ABOUT YOU
It would help us to understand your experiences better if you would answer some questions about
yourself. (If you are completing this survey for the participant, please fill out the participant’s
details). Remember, this information will be treated as confidential.
Q29. What is the participant’s gender?
Male
Female
Other
Prefer not to answer
Q30. How old is the participant?
__ __
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Q31. What is your postcode?
__ __ __ __
Q32. What is the main language you speak at home?
English
Other <please specify>
Prefer not to answer
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Q33. Are you of Aboriginal and/or Torres Strait Islander descent?
No
Aboriginal
Torres Strait Islander
Aboriginal and Torres Strait
Islander
Q34. What do you feel is your primary disability at the moment? (select one)
o Acquired brain injury
o Autism
o Cerebral palsy
o Developmental delay
o Down syndrome
o Global developmental delay
o Hearing impairment or deaf
o Intellectual disability
o Multiple sclerosis
o Psychosocial disability
o Spinal cord injury
o Stroke
o Visual impairment
o Other neurological
o Other physical
o Other sensory/speech
o Other
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Q35. What other disabilities do you have? (select all that apply)
□ None
□ Acquired brain injury
□ Autism
□ Cerebral palsy
□ Developmental delay
□ Down syndrome
□ Global developmental delay
□ Hearing impairment or deaf
□ Intellectual disability
□ Multiple sclerosis
□ Psychosocial disability
□ Spinal cord injury
□ Stroke
□ Visual impairment
□ Other neurological
□ Other physical
□ Other sensory/speech
□ Other
MORE INFORMATION
You can choose to provide your feedback anonymously if you wish. However, it would help us to
understand your experience if we could access some information from your NDIS records about
you and your plan.
Q36. If we need to, can we use your data on our files? We will not use your name in our
reporting or show your personal records to anyone.
Yes
No
IF YES AT Q32 ASK Q33 ELSE SKIP TO Q34.
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Q37. Please type in your full name and NDIS participant identification number (if you know
it).
Participant’s name:
NDIS ID (OPTIONAL):
Q38. We will also be conducting interviews with some participants (or their representatives) so that
we can understand their experience with independent assessments in more depth. The
interviews will be on the phone or online and take about 15 minutes.
If we need to, can we talk with you more about your experience with the independent
assessment?
Yes
No
IF YES AT Q34 GO TO Q35 ELSE SKIP TO END
Q39. What is your preferred name?
_____________________________
Q40. How would you prefer we contact you if we need to?
o I would prefer an online or video cal. My email address is _______________
o I would prefer a telephone call. My phone number is _______________
o I would prefer a different way of being contacted. My preferred way is
____________________________________________________
END
Thank you for your time. Your responses will help the NDIA improve independent assessments for
everyone.
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