—Please choose an option—Aboriginal and/or Torres Strait IslanderCulturally and linguistically diverseOther
[conditional cultural-background-other cultural-background equals "Other"]
[radio* cultural-practices use_label_element "No" "Yes"]
[conditional cultural-practices-yes cultural-practices equals "Yes"]
—Please choose an option—NoYes
[conditional worker-preferences-yes worker-preferences equals "Yes"]
[radio* need-schedule use_label_element "No" "Yes"]
MondayTuesdayWednesdayThursdayFridaySaturdaySunday —Please choose an option—Every weekOne-offEvery 2 weeksEvery monthOther
[conditional need-schedule-yes need-schedule equals "Yes"]
—Please choose an option—WalkingWalking with aidWheelchairHoist transfers Speech in sentencesSpeech in single wordsVocalisationsFacial expressionsBody languageGesturesKey Word SignCommunication aidsOther
[conditional communication-other communication-modes equals "Other"]
[conditional sensory-needs-yes sensory-needs equals "Yes"]
[conditional behaviour-issues-yes behaviour-issues equals "Yes"]
[conditional behaviour-service-yes behaviour-service equals "Yes"]
[conditional behaviour-plan-yes behaviour-plan equals "Yes"]
[conditional aggression-history-yes aggression-history equals "Yes"]
[conditional court-orders-yes court-orders equals "Yes"]
—Please choose an option—NonePetsHoardingAlcohol / drug useFirearmsOther
[conditional staff-safety-other staff-safety equals "Other"]
—Please choose an option—AlliedFamily MemberFor MyselfFriendGeneral Practitioner/Medical SpecialistLegal RepresentativeNDIS Planner/LACNDIS Support CoordinatorOther
—Please choose an option—A Doctor or Therapist or Service ProviderEnable Life WebsiteFacebookGoogle searchAn NDIS LACService ProviderA Friend or Family MemberSupport CoordinatorWord of MouthOther
[conditional referrer-info referrer-role not_equals "For Myself"]
[acceptance* terms] I consent to My Support Services collecting and dealing with my personal information in accordance with its Privacy Policy.
Accessibility Tools
