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Polyphonic

Day One Survey

As part of delivering this program through a government grant, we are required to ask a few short questions. Please complete the form below.


Let us know if you need any assistance completing this form.

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If this is the participant, enter your name again.


Participant Information

Are you an NDIS Participant?
Yes
No
Are you a Carer?
Yes
No
Main reason for participating in this program?
Improve mental health and wellbeing
Engage in community events
Education and skills training

  1. Community Participation


  1. Mental Health


  1. Skills


  1. Independence


  1. Experience


  1. Support


  1. Confidence

Anything Else?

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