Client Service Survey — Frey Health Group

Welcome

Thank you for taking the time to complete this. Your honest answers help us provide the best possible support for you and your family.

First, who is this about?

I'm filling this out about myself On behalf of someone else (a client, my child, or a person I support)

What age group best describes the person?

Child (0–12)Adolescent (13–17)Adult (18+)

Your details

Your full name

Email

Phone (optional)

Current supports

Which allied health supports are currently in place? (tick all that apply)

How is your NDIS plan managed?

Support workers

Do you currently have support workers?

YesNo

Is the support helpful?

YesSometimesNot really

Speech & communication

Everyday skills & independence

Movement & mobility

Behaviour & emotional regulation

Emotional wellbeing & relationships

Assessment & mental health

Nutrition & eating

Assistive technology & home

Do you currently use any assistive technology (e.g. communication devices, smart-home tech, mobility aids)?

YesNo

Communication device (e.g. speech-generating device or tablet app) Smart-home technology (voice control, automated lighting or doorbells) Mobility aid (walker, wheelchair or scooter) Daily living aids (shower chair, dressing aids, adaptive cutlery) Hearing or vision aids Medication management aid (dosette box or reminders) Bed, chair or pressure-care equipment None of the above Other

Last step

Is there anything else you'd like us to know?

I consent to Frey Health Group / Constellation Therapies contacting me about my answers, and to this information being shared with my treating therapist or support team.

By submitting you agree to our privacy policy. Your information is stored securely and never shared with third parties.