Disability Access and Inclusion Plan (DAIP) feedback form

1. Have you experienced any barriers to access that the department has not identified in the DAIP?

2. Is there an initiative you would like to compliment the department on?

Why do you think it is a good initiative?

3.Do you have any other comments or suggestions on how the department can improve access to its services, information or facilities?

4.To help us analyse your comments, please tick which category best describes your interest in our Disability Access and Inclusion Plan:

Client with disability

Carer

Disability service provider

Departmental staff

Departmental contractor/agent

Other (please specify):

Other (Please Specify)

Name

Address line 1

Address line 2

State

Postcode

Email