FOI 24/25-1267 | DOCUMENT 1

Family Questions for child participants

aged 0-15

In this first section, I will ask you some background questions.

Family member/carer information

Question	Answer
1. Please enter the participant’s NDIS ID number	Free text (check for valid number of characters?)
2. What is your relationship to the participant?	🠌 Mother 🠌 Father 🠌 Grandmother 🠌 Grandfather 🠌 Sister 🠌 Brother 🠌 Other family member 🠌 Carer 🠌 Other (please specify):
3. Are you currently working in a paid job?	🠌 Yes 🠌 No
4. Is it permanent or casual?	🠌 Permanent 🠌 Casual
5a. What is the industry of employment?	a) Accommodation and Food Services b) Administrative and Support Services c) Agriculture, Forestry and Fishing d) Arts and Recreation Services e) Construction f) Education and Training g) Electricity, Gas, Water and Waste Services h) Financial and Insurance Services i) Health Care and Social Assistance j) Information Media and Telecommunications k) Manufacturing l) Mining m) Professional, Scientific and Technical Services n) Public Administration and Safety o) Rental, Hiring and Real Estate Services p) Retail Trade q) Transport, Postal and Warehousing r) Wholesale Trade s) Other services (please specify)
5b. What is your job or role title?	Text field

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Question	Answer
6. What are the typical hours per week worked (range)?	🠌 0 hours 🠌 More than 0 but less than 8 hours 🠌 8 hours to less than 15 hours 🠌 15 hours to less than 30 hours 🠌 30 or more hours
7. What is your annual income, before tax and other deductions? Include all sources (e.g. wages, investments and Government pensions and benefits)	🠌 $0-$9,999 🠌 $10,000-$19,999 🠌 $20,000-$29,999 🠌 $30,000-$39,999 🠌 $40,000-$59,999 🠌 $60,000-$79,999 🠌 $80,000-$99,999 🠌 $100,000-$149,999 🠌 $150,000-$199,999 🠌 $200,000+ 🠌 Not disclosed
8. What is the annual income of your household, before tax and other deductions? Include all sources (e.g. wages, investments and Government pensions and benefits)	🠌 $0-$9,999 🠌 $10,000-$19,999 🠌 $20,000-$29,999 🠌 $30,000-$39,999 🠌 $40,000-$59,999 🠌 $60,000-$79,999 🠌 $80,000-$99,999 🠌 $100,000-$149,999 🠌 $150,000-$199,999 🠌 $200,000+ 🠌 Not disclosed
9. Please specify whether you currently receive any government benefits. Please select Yes or No for each option.
Carer payment	Yes/ No
Carer allowance	Yes/ No
Other (please specify):	Free text
10. Are you currently studying?	🠌 Yes, full time 🠌 Yes, part time 🠌 No

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Thank you for that. I would now like to cover some questions and statements about your confidence in advocating for the participant.

Domain 1: Families know their rights and advocate effectively for their child with disability

#	Statement/question	Response options
1	I am able to identify the needs of my child and family	🠌 Yes 🠌 I have some difficulty 🠌 I have a great deal of difficulty
2	I am able to access available services and supports to meet the needs of my child and family	🠌 Yes 🠌 I have some difficulty 🠌 I have a great deal of difficulty
3	I am able to advocate (stand up) for my child: I am able to speak up if we have issues or problems with accessing supports	🠌 Yes 🠌 I have some difficulty 🠌 I have a great deal of difficulty
4	What barrier to access and/or advocacy have you experienced? (choose all that apply)	🠌 None 🠌 Limited access to information and resources 🠌 Lack of knowledge or understanding about my rights/the rights of my child 🠌 Time constraints (i.e. not enough time to look into or pursue) 🠌 Lack of support 🠌 Fear of potential consequences 🠌 Other
5	Has the NDIS improved your capacity to advocate (stand up) for your child?	🠌 Yes, a lot 🠌 Yes, a bit 🠌 No, not at all 🠌 N/A (did not need help in this area)

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The next few questions/statements focus on your relationships and support networks.

Domain 2: Families feel supported

#	Statement/question	Response options
1	I have friends and family that I see as often as I like	🠌 Yes 🠌 No
2	I have people who I can ask for practical help as often as I need	🠌 Yes 🠌 No
3	I have people who I can ask for childcare as often as I need	🠌 Yes 🠌 No
4	I have people who I can talk to for emotional support as often as I need	🠌 Yes 🠌 No
5	I get the services and supports I need to care for my child with disability	🠌 Yes 🠌 I would like more support 🠌 I would like different support 🠌 I would like support at different times
6	Has the NDIS improved the level of support for your family?	🠌 Yes, a lot 🠌 Yes, a bit 🠌 No, not at all 🠌 N/A (did not need help in this area)

Let’s now consider your experiences with getting access to services, programs and activities. I will now read out two statements relating to your involvement in the development and implementation of the participant’s NDIS plan.

Domain 3: Families are able to gain access to desired services, programs, and activities in their community

#	Statement/question	Response options
1	I am satisfied with the amount of say I had in the development of my child’s NDIS plan	🠌 Yes 🠌 Somewhat 🠌 No 🠌 We are beginning our first plan
2	I am satisfied with the amount of say I had in the implementation of my child’s NDIS plan	🠌 Yes 🠌 Somewhat 🠌 No 🠌 We are beginning our first plan
3	Has the NDIS improved your access to services, programs and activities in the community?	🠌 Yes, a lot 🠌 Yes, a bit 🠌 No, not at all 🠌 N/A (did not need help in this area)

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The next few questions are about your ability to support the participants’ development and learning.

Domain 4: Families help their children develop and learn

#	Statement/question	Response options
1	I know what specialist services are needed to promote my child’s learning and development	🠌 Yes 🠌 To some degree 🠌 No
2	I know what my family can do to support my child’s learning and development	🠌 Yes 🠌 To some degree 🠌 No
3	I get enough support to feel confident in parenting my child	🠌 Yes 🠌 To some degree 🠌 No
4	How confident do you feel in supporting your child’s development?	🠌 Very confident 🠌 Somewhat confident 🠌 Not very confident 🠌 Not at all confident
5	Has the NDIS improved your ability/capacity to help your child develop and learn?	🠌 Yes, a lot 🠌 Yes, a bit 🠌 No, not at all 🠌 N/A (did not need help in this area)

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Finally, we want to know a bit about your health and wellbeing. There are both statements and questions.

Domain 5 Families enjoy health and wellbeing

#	Statement/question	Response options
1	In general, my health is	🠌 Excellent 🠌 Very good 🠌 Good 🠌 Fair 🠌 Poor
2	I/(my partner and I) am/are able to work as much as I/we want	🠌 Yes 🠌 No, I would like to work more 🠌 No, my partner would like to work more 🠌 No, both my partner and I would like to work more
3	What are the barriers to working more? (Choose all that apply)	🠌 Situation of child with disability 🠌 Availability of jobs 🠌 Available jobs do not have sufficient flexibility (e.g. of hours) 🠌 Other (please specify):
4	I/(my partner and I) am/are able to engage in social interactions and community life as much as I/we want	🠌 Yes 🠌 No, I would like to engage more in social interactions and community life 🠌 No, my partner would like to engage more in social interactions and community life 🠌 No, both my partner and I would like to engage more in social interactions and community life
5	What are the barriers to engaging more in social interactions and community life? (Choose all that apply)	🠌 Situation of child with disability 🠌 Limited social networks 🠌 Time constraints 🠌 Cost 🠌 Other (please specify):
6	Has the NDIS improved your health and wellbeing?	🠌 Yes, a lot 🠌 Yes, a bit 🠌 No, not at all 🠌 N/A (did not need help in this area)

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Thank you for answering these questions. If you have any further comments, I can record them now.

Question	Answer
Any comments?	Text field

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