feedback form - Town of Cambridge

FEEDBACK….The Town of Cambridge provides excellentcustomer service through continuousImprovement.Your comments are needed to help us tomeet your needs in regard to Access andInclusionHave you, or any member of the localcommunity experienced difficulties in thefollowing areas:• Buildings or facilities• Getting to places• Signage—inadequate or non-existent• Information—difficulty receiving andreading information such as pamphletsetc..• Access and Inclusion needs are not beingmet by staff and local business• Community members are not included inthe consultation by a public authorityYou can send back your form by either givingit to a staff member at the following facilities:• Wembley Community Centre• Cambridge Youth Centre• Cambridge Library• The Boulevard Centre• Bold Park Aquatic Centre• Town of Cambridge AdministrationOr please send it back via the mail:PO Box 15FLOREAT WA 6014Contact DetailsTel: (08) 9347 6000Fax: (08) 9347 6060Email: mail@cambridge.wa.gov.auWeb: www.cambridge.wa.gov.auPostal AddressPo Box 15FLOREAT WA 6014Street Address1 Bold Park DriveFLOREAT WA 6014Striving for anAccessibleandInclusiveCommunity forEveryoneFEEDBACK FORMPlease have your say in how theTown of Cambridge can improve theaccess and inclusion experience foryou.

CREATING ACCESSIBLECOMMUNITIESThe Town of Cambridge Access andInclusion Plan (2009-2012) gives acommitment to provide equity that benefitseveryone. It helps identify any barriers thatmay exist and to address the issues for futureplanning.Your feedback is part of this importantprocess so that positive changes can beimplemented by Council.Ways to be involved in Accessand InclusionThere are a number of ways you can help toimprove the access and inclusion in yourlocal community. For example:• Provide feedback to the Town ofCambridge and State Governmentagencies• Participate in the consultation process• Use your skills, knowledge and experienceby helping local community groups• Write articles for the local communitypaperFEEDBACKFORMAs you are aware people with disabilities havethe same rights as others to access and usepublic services and facilities. Good accessbenefits everyone in the communityI am writing to: (Please tick relevant box)Acknowledge an access improvementthat assists people in the communityORIdentify an access barrier that limitsthe ability of people in the communityORIdentify a service/program that is limitingthe inclusion of people in the communityPLEASE DRAW A PICTURE TO ASSIST INDESCRIBING THE BARRIERThe access or inclusion improvement/barrier I have identified relates to:• Buildings and facilities• Decision making processes• Information• Staff Awareness• OtherThe location and nature of the access orinclusion improvement/barrier is:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________It is ok to contact me Yes/NoName:___________________________Address_________________________Suburb:__________________________Phone:___________________________Date:_____________