Gender
Please note we only provide support to people seven (7) years and older

Do you have: (Please circle) 

A Complex Care Plan?
A Behavioural Support Plan?
Your own transportation to the day centre?
If not – Do you have transport funding?

Do you currently, or have you ever: (Please circle)

Suffered from anxiety?
Had difficulty being in a group environment?
Been at risk of falling?
Had mobility issues?
Utilised assistive technology or mobility aids?