Feedback survey | Vision Australia. Blindness and low vision services

Thank you for joining our Vision Australia program. Your feedback is important to us.

Please complete the short survey below and let us know about your experience of the program, to help us improve our service.

1. Which program did you attend?

Apps to get 'out and about' more easily and independently

How to be safe in a digital world

Women's health and wellness

2. I found the information presented valuable

Strongly agree

Agree

Disagree

Strongly disagree

Why?

3. Would you attend another Vision Australia online program?

Yes

No

4. What other information would you be interested in for future programs?

5. Please select a rating:

Questions	Not likely at all - 0	1	2	3	4	5	6	7	8	9	Extremely likely - 10
How likely are you to recommend this program?	Not likely at all - 0	1	2	3	4	5	6	7	8	9	Extremely likely - 10

6. Would you like to be contacted about making an individual appointment? Please let us know which service/s you are interested in, as well as your contact details:

Access Technology Specialist

Occupational Therapist

Orientation and Mobility Specialist

Orthoptist

Other…

First name

Last name

Mobile

Email

7. Do you have any additional comments?

Services