Boorn Family NDIS Annual Survey

Formally Learning Pod Group

This annual survey is being undertaken to obtain valuable feedback about the services we provide to you & if there is anything else we can support you with.

Our new name and new website BOORN.Family has now arrived!!

All your forms are now accessible there like, Complaints, Feedback, Consent form, Welcome Pack and everything you many needs if you are unable to locate what you need reach out to us Grow@BOORN.Family

Name (Optional)

What kind of services or supports do you receive from BOORN, if not noted above?

Do you know what your rights and responsibilities are (right to an advocate, right to privacy, right to complain)? *

YesNo

Rights and Responsibilities Comment

Have you ever made a complaint with BOORN? *

YesNo

Comment

If you have never made a complaint, do you know how to? *

YesNo

I have a choice over the services I receive and the activities I would like to do. *

Do you feel BOORN knows your Goals and actively communicating and working towards these goals? *

Yes No

Does your Child enjoy and feel safe attending BOORN? *

Strongly DisagreeDisagreeNeither agree nor DisagreeAgreeStrongly agree.Also, when the times our child is not wanting or struggling to attend BOORN are there to support us in everyway.

Does your Child have to say about attending BOORN? *

What suggestions for improvement would you have for BOORN? *

What do you value the most of what BOORN offers? *

What is your overall comment regarding BOORN? *

Additional Comments

Comments regarding additional support.

Out of 1 - 10 - How satisfied are you with BOORN and their Service, Communication, Team and working towards your goals? *

Do you have anyone you can recommend to BOORN? *

Yes - Send me an enrolment form ASAP.No - We want to keep you all to ourselves - But please send me information to share, we know someone who needs help. No - I would not recommend your services. Unsure

Signature (Optional) *

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Date

Full Name

Childs name