ART Feedback Form

    About you

  • Q.1

    Did you work with ART to get assistance for yourself, or were you seeking assistance on behalf of someone you know?

    *
    Me
    Someone I know
    On behalf of a client

    Other (please specify)

    (Max Character Limit : 500)
  • Q.2

    If you were seeking assistance on behalf of someone else, did you make the request:

    *
    As an individual
    On behalf of an organisation
  • Q.3

    What is your location?

    *
    City/Town Postcode
  • Q.4

    How did you learn about ART?

    Government agency
    Disability Service Provider
    Allied Health Care Provider
    Advocacy Group
    Mental Health Service
    QDN
    NDIA Partner in the Community
    Social Media
    Other (please specify)
  • About working with ART

    Please say how strongly you agree or disagree with the following statements.

  • Q.5

    The ART case manager was willing to assist with the application.

    Strongly agree
    Agree
    Neither Agree or Disagree
    Disagree
    Strongly disagree
  • Q.6

    The ART case manager was at all times courteous and professional.

    Strongly agree
    Agree
    Neither Agree nor Disagree
    Disagree
    Strongly disagree
  • Q.7

    The ART case manager was responsive to any questions and concerns.

    Strongly agree
    Agree
    Neither Agree or Disagree
    Disagree
    Strongly disagree
  • Q.8

    The ART case manager explained how ART works and processes very clearly.

    Strongly agree
    Agree
    Neither Agree or Disagree
    Disagree
    Strongly disagree
  • Q.9

    I was satisfied with the overall service provided.

    Strongly agree
    Agree
    Neither Agree or Disagree
    Disagree
    Strongly disagree
  • Q.10

    I was satisfied with the outcome of the NDIS application.

    Strongly agree
    Agree
    Neither Agree or Disagree
    Disagree
    Strongly disagree
  • Additional Feedback

  • Q.11

    Would you recommend ART to others?

    *
    Yes
    No
    Unsure
  • Q.12

    What could have ART done better?


    Character Limit : 2000
  • Q.13

    Is there anything else you would like to share about your experience with ART?


    Character Limit : 2000
  • Q.14

    ART is looking for good news stories to share with other people with disability and their families to encourage them to seek ART support. Would you be happy to share your story, and be contacted by ART to discuss further?

    *
    Yes
    No
  • Q.15

    If yes, please provide your name and email address or phone number

    Details
    Name:  
    Email:  
    Phone: