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First Name
Last Name
Therapist Discipline
Occupational Therapist
Physiotherapist
Speech Therapist
Behaviour Support
Dietitian
Podiatrist
Psychologist
Social Worker
Counsellor
Support Coordinator
Remedial Massage Therapist
Osteopath
Exercise Physiologist
Art Therapist
Music Therapist
State
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
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1. How long have you been a clinician?
0-2 years
3-5 years
5-10 years
10+ years
2. How much experience do you have in NDIS?
0 - 2 years
3 - 5 years
5 - 10 years
10+ years
3. How many days a week do you currently work?
2
3
4
5
4. How many billable hours do you currently need to meet? (if applicable)
11 - 15
16 - 20
21 - 25
26 - 30
30+
5. If you could only pick one, which is the most important motivating factor to start your Independent Practice?
More Flexibility
Support My Family
Increased Pay
Decrease Working Hours
More Control
6. Do you already have an ABN?
Yes
No
7. How long have you been thinking about Independent Practice?
First time
0 - 6 months
6 - 12 months
1 - 3 years
3 + years
8. Ideally, how soon would you like to commence supported independent practice?
4 - 6 weeks
8 - 12 weeks
12+ weeks
9. What is the number 1 thing that has held you back?
Email
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Phone
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