Skip to content
Home
Services
About us
Careers
News
Contact Us
Home
Services
About us
Careers
News
Contact Us
Page 1
Created with Sketch.
DONATE
BECOME A CARER
1300 554 260
Home
Services
About us
Careers
News
Contact Us
Home
Services
About us
Careers
News
Contact Us
Page 1
Created with Sketch.
DONATE
BECOME A CARER
1300 554 260
Home
Services
About us
Careers
News
Contact Us
Home
Services
About us
Careers
News
Contact Us
DONATE
BECOME A CARER
phone icon white
Created with Sketch.
1300 554 260
SYSS Client
Open survey
First Name
Last Name
Age:
Survey Time Point:
–None–
1
2
3
Date of Entry Into Program:
I feel safe now:
–None–
Strongly disagree
Disagree
Neither agree or disagree
Agree
Strongly Agree
In the last month, I felt safe most of the time:
–None–
Strongly disagree
Disagree
Neither agree or disagree
Agree
Strongly Agree
In the last month, I feel supported in my current environment:
–None–
Strongly disagree
Disagree
Neither agree or disagree
Agree
Strongly Agree
I am contributing to my own case plan:
–None–
Strongly Disagree
Disagree
Neither agree or Disagree
Agree
Strongly Agree
I am working towards the goals in my case plan:
–None–
Strongly disagree
Disagree
Neither agree or disagree
Agree
Strongly Agree
I am aware of the services in the community available to me:
–None–
Strongly Disagree
Disagree
Neither agree or Disagree
Agree
Strongly Agree
I know how to access what I need from the community, e.g. Centrelink, education:
–None–
Strongly disagree
Disagree
Neither agree or disagree
Agree
Strongly Agree
I feel I belong in my community:
–None–
Strongly disagree
Disagree
Neither agree or disagree
Agree
Strongly Agree
I am making active steps towards living independently:
–None–
Strongly disagree
Disagree
Neither agree or disagree
Agree
Strongly Agree
I know what to do to find housing:
–None–
Strongly disagree
Disagree
Neither agree or disagree
Agree
Strongly Agree
I feel good physically:
–None–
Strongly disagree
Disagree
Neither agree or disagree
Agree
Strongly Agree
I feel good mentally:
–None–
Strongly disagree
Disagree
Neither agree or disagree
Agree
Strongly Agree
I feel good emotionally:
–None–
Strongly disagree
Disagree
Neither agree or disagree
Agree
Strongly Agree
I am making positive steps towards my life:
–None–
Strongly disagree
Disagree
Neither agree or disagree
Agree
Strongly Agree
I feel optimistic about the future:
–None–
Strongly disagree
Disagree
Neither agree or disagree
Agree
Strongly Agree
Is there anything else you like to add?:
Leave a Reply
You must be
logged in
to post a comment.
Skip to content
Open toolbar
Accessibility Tools
Accessibility Tools
Increase Text
Increase Text
Decrease Text
Decrease Text
Grayscale
Grayscale
High Contrast
High Contrast
Negative Contrast
Negative Contrast
Light Background
Light Background
Links Underline
Links Underline
Readable Font
Readable Font
Reset
Reset