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Whaikaha Ministry of Disabled People View our
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Appendix Three: Online Survey Questions

    1. How old are you?

      ☐ 0-18  ☐ 18-24  ☐ 25-34 ☐ 35-44 ☐ 45-54 ☐ 55-64 ☐ 65+

    2. What is your ethnicity?

      ☐ Samoan☐ Tongan ☐ Cook Island ☐ Fijian ☐ Kiribati ☐ Niuean ☐ Tokelauan ☐ Tuvaluan ☐ Māori  ☐ Rotuman  ☐ Other (please specify

    3. What is your gender?

      ☐ Prefer not to say ☐ Female ☐ Male ☐ Another gender (Please specify below)

    4. What type of services do you access?

      ☐ Disability services ☐ Health services ☐ MSD ☐ ACC ☐ Informal Supports   ☐ Other (please specify below)

    5. What are some things that make you feel good and confident as a Pacific Disabled person / Pacific Person with a Disability?
    6. What are your goals for the future?
    7. How can communities and organisations better support you in achieving your goals?
    8. What are some of the difficulties you experience in accessing disability, health or social services?
    9. How can disability & health services be improved to support you and your family’s wellbeing?
    10. What other support would improve your quality of life?
    11. How can disability support and services for Pacific disabled people / Pacific people with disabilities be more welcoming to include pacific cultural values and traditions?
    12. How can disability support and services for Pacific disabled people incorporate cultural values while also reducing bias?
    13. How can support services better address the unique needs and concerns of MVPFAFF+[1], rainbow, or takatāpui within the Pacific disabled community in Aotearoa New Zealand?
    14. What difficulties do you face while participating in daily activities / community and how would you change them?

      ☐ Transport   ☐ Public spaces ☐ Healthcare   ☐Education                               

      ☐ Employment ☐ Housing ☐ Sports ☐ Social events ☐ Public spaces

      ☐ Other (Please specify below)

    15. How can we grow Pacific disabled leadership within communities?
    16. Do you feel that your voice and needs are well represented in decisions made by local and national decision-makers and why?
    17. If you are a Carer, what do you want to share about supporting (the client/participant) and help to make your work manageable.
    18. If you are a Carer: What is your relationship to the person you care for? (e.g. Mother, brother, paid carer for the client etc.)
    19. Do you have a back-up for the person(s) you look after if you weren’t able?
    20. Is there anything else you would like to share about your experience?
    21. What is your email or contact number?
    22. What type of disability(ies), impairment(s), or health condition(s) or injury(ies) do you have?
    23. What region, town, or city do you live in?

[1] Pasifika families have long included Mahu, Vakasalewalewa, Palopa, Fa’afafine, Akava’ine, Fakaleiti or Leiti, Fakafifine. The term MVPFAFF+ was coined by Phylesha Brown-Acton, to centre and bring forward discussions that include Pasifika Rainbow peoples and the terms they identify with. The “+” symbol acknowledges that there are other Pacific Island cultures who also have terms that describe gender identities, gender expressions and sexualities.