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Quarterly Review

Please complete end of each quarter - March, June, September & December.
Chat to your Beyond Disability Friend if you want some help.

Name:
User ID:

General Comments this quarter :


What was the most useful thing this program has done for you this quarter:


How has Internet Access changed your life:


How often do you use the Internet & when:


Which is/are your favourite site/s & why:


Name other sites / comments you feel should be added to RPDS webpage :


Any other suggestions


Do you know of someone else who could benefit from the Beyond Disability Program?

YesNo

Name:Phone No.:Suburb: