As a valued supporter of Northcott Disability Services, we would greatly appreciate your time in completing our survey.
Northcott Disability Services was established as The NSW Society for Crippled Children in 1929 by the Rotary Club of Sydney in response to the growing number of children left with the effects of illnesses such as polio and tuberculosis. Today, Northcott provides support and services to more than 6000 individuals and families across NSW and the ACT. Northcott provides over 70 services across a broad range of disabilities including physical, intellectual, sensory, acquired and degenerative disabilities, as well as challenging behaviours.
Northcott's purpose is to build an inclusive society. This is achieved by assisting people with disabilities to develop their skills, achieve their goals - including their potential for independence and ability to participate in their communities.
PLEASE NOTE: Your answers to the following questions are important for us in achieving our purpose of building an inclusive society. We appreciate your feedback on our services and on your future communication needs and preferences from Northcott. In addition, your responses will help us to identify and reach out to potential new supporters so that we can continue to provide support and services to more people with a disability and their families in NSW and the ACT.
Thank you
If you have any questions about completing this survey please contact Northcott Fundraising on (02) 9890 0100
Please be assured this is a confidential survey and you can choose to remain anonymous. Any information given in this survey, to include contact details will not be given to any third parties.
Section 1 – Understanding of Disability
1In your opinion, what is the most important disability issue facing Australia at the moment.
Please rate from 1 to 5 in order of priority, with 1 being the highest priority.
2Please rate the following areas of our services
Rate our services from 1 to 5 in order of priority, with 1 being the highest priority in your opinion.
3How did you learn about the work Northcott does (previously known as The NSW Society for Crippled Children)?
4How did you first come into contact with Northcott?
5In your opinion is Northcott well known to the public?
6What do you think of our name ‘Northcott Disability Services’ and our logo?
7In a few words how would you best describe Northcott?
Section 2 – Your Support
1We would like to confirm when you started to support Northcott
2Do you support other charities and/or support groups?
3If yes, which charity/ies and/or support groups do you support?
You have the ability to enter multiple names with in the "Please specify" area
4How do you support other charities?
5Which method do you use to donate to charities?
6How often do you support other charities?
7Have you ever attended a Northcott fundraising event?
8If yes, which event/s have you attended?
9If attending a charity event what time would you prefer?
10What type of charity event/s would you be interested in attending?
11Do you or an organisation that you are involved with organise community events?
12If yes, would you like to receive information on how your events can include a Northcott fundraising component?
Click here to email Northcott if you intend to remain anonymous, otherwise please leave your contact details at the end of the survey so we can contact you.
13Do you work for a company or are you a member of a community organisation that supports charities in any of the following ways?
14Would you be interested in finding out more about partnership opportunities with Northcott?
Click here to email Northcott if you intend to remain anonymous, otherwise please leave your contact details at the end of the survey so we can contact you.
15It is important for us to know how people support us through their wills. Have you written Northcott into your will?
Bequests left to Northcott by supporters in their wills are of enormous benefit. They ensure long-term commitment to our services and help to secure a future where we can build an inclusive society.
Click here to email Northcott if you intend to remain anonymous, otherwise please leave your contact details at the end of the survey so we can contact you.
Section 3 – About You
To help in our promotions and communications, it really helps if we know a little bit more about you.
1Do you read any of the following magazines/journals?
You have the ability to enter multiple titles with in the "Please specify" area
2Do you read any of Northcott’s publications - ‘Northcott News’ or ‘Torque Magazine’?
3What do you think of Northcott’s publications?
4Have you visited Northcott’s website?
5If yes, how often do you visit Northcott’s web site?
6Have you heard of Snugglepot and Cuddlepie stories?
May Gibbs, Australia’s supreme storyteller of Snugglepot and Cuddlepie stories, left a living legacy to children with disabilities in the form of royalties from the copyright of her work. These were to be shared equally between Northcott (then known as the NSW Society for Crippled Children) and another charity.
7What is your current employment status?
9Please select your gender
10Are you a member of a club or association?
Section 4 – General Comments
1Do you have any questions, suggestions or comments? We would love to know what you think about what we do.
2Would you be happy for us to share your personal experience with disability to supporters and members of the public in any of our future communications? If you would like to share your story please indicate below.
Note: Any stories shared by you will not be published prior to your approval.
Click here to email Northcott if you intend to remain anonymous, otherwise please leave your contact details at the end of the survey so we can contact you.
Section 5 – Your Details
1Please indicate the type of communications you would like to receive from Northcott in the future:
Click here to email Northcott if you intend to remain anonymous, otherwise please leave your contact details at the end of the survey so we can contact you.
2Please indicate below if you would be happy for us to contact you via email in the future.
We are considering online as a method to communicate to supporters through our newsletters and general communication.
Click here to email Northcott if you intend to remain anonymous, otherwise please leave your contact details at the end of the survey so we can contact you.
3If yes, please specify which ones you would prefer to receive by email.
Thank you so much for completing our survey
Your support is deeply appreciated. Information provided on this survey is vital towards helping us achieve our vision of building an inclusive society for people with a disability.
Note: If you wish to remain anonymous, do not fill out your detail below.
You may wish to remain anonymous. However, if you have requested for further information or require a Northcott representative to contact you, we will need your contact details. Also to ensure our database details are up to date it would be greatly appreciated if you did complete the below form.
Alternatively you may submit the survey without your details and email either your request for contact/ information or your details for our database update to: fund@northcott.com.au.
