Disability Access and Inclusion Plan (DAIP) feedback form

The Department of Agriculture and Food, Western Australia (DAFWA) is interested in your feedback and comments regarding its Disability Access and Inclusion Plan (DAIP). Your feedback is welcome at any time and will be treated with the strictest confidence.

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

Difficulty: Difficulty:

2. Is there an initiative you would like to compliment DAFWA on? Initiative:

Why do you think it is a good initiative?

3.Do you have any other comments or suggestions on how DAFWA 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):

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

If you would like to be included in future consultations, please provide your name and contact details

Name:

Address:

Email:

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Disability Access and Inclusion Plan (DAIP) feedback form

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Disability Access and Inclusion Plan (DAIP) feedback form

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