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This form will take 4-5mins to complete. There are 7 sections (25 questions). Some questions are marked optional.


Section 1 - About You

1. Which best decribes you ?
2. Who were you using Circletalk for ?

Section 2 - Repeating Information & Systems

3. How often do you have to repeat the same information to different providers or services?
4. How often does this feel tiring or overwhelming?
5. Do services often feel more focused on paperwork, risk or funding than on the person?
6. Do you feel most systems you use reflect who the person is, not just what they need support with?

Section 3 - Everyday life

7. How well do supports focus on everyday life (this week or next week), not just long-term plans or reports?
8. How important is it that changing interests, strengths and goals (things to do) can be easily updated?

Section 4 - Using Circletalk

9. How easy was Circletalk to use?
10. Which parts did you use the most? (select all that apply)
13. Do you like the "other" sections where you can write or voice to text in your own words? The formatting will be enhanced eg dot points. Is there another format you would like to see?

Section 5 - Strengths & Control

14. Circletalk focuses on strengths, interests and what helps in everyday life. How do you feel about this approach?
15. How comfortable do you feel being able to add or remove supporters as things change?
16. Do you prefer replacing information as things change, rather than keeping outdated information?
17. Circletalk focuses on everyday life and does not replace therapy goals or medical reports. Does this positioning make sense to you?

Section 6: Features & Outcomes

18. How useful is the PDF snapshot option?
19. Has Circletalk reduced the need to repeat information to different people?
20. Do you feel the Circletalk structure helps represent the person better than traditional paperwork or systems?
21. How likely are you to return to the Circletalk app during major life transitions?
22. How do you feel about Circletalk not sending notifications?

Section 7 - Broader use & reflection

23. Would you like to see Circletalk used in Aged Care settings from home environments to memory facilities? (eg Alzheimers - including early onset or other types of dementia)

FINALLY - If you would like us to share wider results, please provide your email below (optional). We will only send results (not ads).

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Circletalk™       ACN 640 201 994   ABN 226 402 019 94 

Provider No. 431755547

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