ILC Wheelchair Basketball Club: Member Survey

Welcome to your local Wheelchair Basketball Club. We hope you make new friends, learn new skills and most of all have fun!

Your Club has received funding from the Dept of Social Services (DSS) to help get it established. As a member of Wheelchair Sports NSW/ACT this means you can enjoy the benefits of a free service while funding is available, with no cost to you for court hire, sports wheelchair hire and player insurance, to name just a few benefits.

As part of the funding conditions, our the DSS wants us to check in with members every six months or so to see how participating in this Wheelchair Basketball program is making a difference to your life - both in a sports context and your life in general.

Please take the time to answer the following questions. Importantly, your personal information (eg name) will be kept confidential - no identifiable data will be reported.

Thanks in advance for your participation.

Name

What is your year of birth?*

This is for statistical purposes

Select your gender identity*

What is your postcode?*

This helps us estimate how far you need to travel to participate at this club

I am a:*

I am eligible for the NDIS:*

Which Wheelchair Basketball Club do you attend?*

How often do you participate at this Club?*

I have been part of this Wheelchair Basketball Club for:*

How often do you participate in community activities, including this Wheelchair Basketball Club?*

This can be sporting activities, or other activities in the community

Have you developed any skills as a result of participating in Wheelchair Basketball?*

These can be sport-related skills OR personal skills learned at the Club that transfer to your everyday life (eg develop self-confidence, how to transfer between your sports chair and day chair)