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Appendix Three: Survey Templates

Survey Round One:

QUARANTINING QUESTIONNAIRE
March 2008

Community Check box Town Camp Check box Male Check box

Outstation Check box Urban Check box Female Check box

Did you use Centrepay before (Tangentyere)? Yes Check box No Check box

Do you have any problems only getting half your money? Yes Check box No Check box

If yes, what kind of problems?

Do you like using store cards? Yes Check box No Check box

If no, why not?

Do you like going to Centrelink all the time for your monies? Yes Check box No Check box

Do you like the Intervention changes? Yes Check box No Check box

If no, why not?

Have the changes caused any problems between you and your family? Yes Check box No Check box

If yes, what sort of problems?

Survey Round Two:

Part B – qualitative questions

Do you like using store cards? Yes / No
Why?

Do you have problems having only half your money in cash? Yes / No
If yes, what kind of problems?

Have you had any problems with Centrelink when trying to get your store cards or cash? Yes/No
What kind of problems?

Do you like going to Centrelink all the time for your money? Yes / No
Why?

Have the changes helped or caused any problems between you and your family? Yes / No
If yes, what sort of problems? How?

Other : What's good about the intervention, and why? What's bad about the intervention, and why?

Part A – ask these questions first

Where: town camp / community / outstation / urban / other _________________

Gender: Male / Female

Age: __________

Number of children in your care: __________

Did you ever use Centrepay, the optional income management, to pay bills?: Yes / No

If so, have you had any problems transitioning from Centrepay to compulsory Income Management?

If you have children in your care, are they part of the Centrelink Nutrition Program at school? Yes/No

If so, did you know this was voluntary? Yes/No

Part C – check these boxes based on the answers given in Part B

Check box humbug / standover for vouchers / groceries

Check box the trouble of transporting a week's worth of shopping by foot or bus

Check box availability of funds for chucking in, budgeting or planning for bulk payments

Check box availability of funds for supporting children in school

Check box difficulties for elderly / disabled

Check box racism

Check box paternalism / mission days

Check box indiscriminate application of IM

Check box humiliation / shame

Check box Other.....

Part D – Fill these in last, if other answers suggest there are difficulties.

Communication Difficulties: Yes / No

Check ‘yes’ if the respondent is having trouble finding English words to discuss these questions

Difficulty understanding: Yes / No

Ask the respondent : I think you might be having trouble understanding everything about how Centrelink manages your money. Could that be right?

There is a way to make an official complaint. The Community Legal Service might be able to help you make a formal complaint to the Commonwealth ombudsman. It can even be anonymous:

Would you like to make a complaint to the ombudsman?: Yes / No

If yes, would you like it to be anonymous Yes / No

If no, what is your name and contact details:

Would you like us to visit your community to talk to people about the Intervention? Yes/No

If yes, contact name and details:
(will not be recorded with survey results)

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Appendix Two: Quantitative data from surveys