National Disability Insurance Scheme Outcomes Framework Short Form Questionnaires Family Questions for participants aged 15 to 24 v2.0 | FOI document library

FOI 24/25-1267 DOCUMENT 2

National Disability Insurance Scheme

Outcomes Framework

Short Form Questionnaires

Family Questions for participants aged 15 to 24

v2.0

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FOI 24/25-1267

Family Questions for participants aged 15 to 24

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
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

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Question	Answer
	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 family member with disability

#	Statement/question	Response options
1	I am able to identify the needs of my family member with disability and my family and know how to access available services and supports to meet those needs	a) Yes b) I have some difficulty c) I have a great deal of difficulty
2	I am able to advocate (stand up) for my family member: I am able to speak up if we have issues or problems with accessing supports	a) Yes b) I have some difficulty c) I have a great deal of difficulty
3	Has the NDIS helped you to know your rights and advocate effectively?	Yes, a lot Yes, a bit No, not at all N/A (did not need help in this area)

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

Domain 2: Families have the support they need to care

#	Question/statement	Response options
1	I have friends and family that I see as often as I like	a) Yes b) No
2	I have people who I can ask for practical help as often as I need	a) Yes b) No
3	I have people who I can ask to support my family member with disability as often as I need	a) Yes b) No
4	I have people who I can ask for emotional support as often as I need	a) Yes b) No
5	I get the services and supports I need to care for my family member with disability	a) Yes b) I would like more support c) I would like different support d) 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)

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Let’s now consider your experiences with getting access to services, programs and activities. I will now read out three statements relating to your engagement with services and supports.

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

#	Statement/question	Response options
1	I feel that the services my family member with disability and my family use listen to me	a) Yes b) Not very much c) Not at all
2	I feel in control in selecting services and supports that meet the needs of my family member with disability and my family	a) Yes b) I have some difficulty c) I have a great deal of difficulty
3	The services my family member with disability and my family receive meet our needs	a) Yes b) No
4	Has the NDIS helped you to access 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)

The next few items are about promoting independence. There are three statements for you to consider.

Domain 4: Families help their young person become independent

#	Statement/question	Response options
1	I know what my family can do to enable my family member with disability to become as independent as possible	a) Yes b) I have some difficulty c) I have a great deal of difficulty
2	I enable/support my family member with disability to make more decisions in his/her life	a) Yes b) I have some difficulty c) I have a great deal of difficulty
3	I enable/support my family member with disability to interact and develop strong relationships with non-family members	a) Yes b) I have some difficulty c) I have a great deal of difficulty
4	Has the NDIS helped you to help your family member with disability to be more independent?	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	a) Excellent b) Very good c) Good d) Fair e) Poor
2	Family who provide informal care to my family member with disability are able to work as much as they want	a) Yes b) No, they would like to work more
3	The barriers to working more are (Choose one or more options):	a) Situation of family member with disability b) Availability of jobs c) Available jobs do not have sufficient flexibility (e.g. of hours) d) Other (please specify)
4	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)

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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