Name *

First Name

Last Name

Is the beach or waterway patrolled? *

Yes

No

Does the beach or waterway have any of the following features? *

Select all that apply

Accessible car park

Accessible footpath from car park

Accessible bathrooms

'Changing Places' bathrooms

Accessible shaded area

Beach matting

Beach wheelchair

Other beach access equipment

Accessible Surf Life Saving Club

Accessible amenties along foreshore (e.g. cafe, restaurant)

Accessibility from the beach to public transport

If this beach or waterway has accessible or 'Changing Places' toilets, how many accessible toilets are there? *

1

2

3 or more

None

Does the beach, waterway or club have a working hoist available? *

Yes

No

Is there signage to help direct people with disability around the beach or waterway? *

Yes

No

Some, but more is needed

In your opinion, would a wheelchair user be able to safely attend this beach or waterway on their own? *

Yes

No

Do you have current photos of the beach or waterway's accessibility features? *

Yes

No - but we can take some

Would you like information or training on how to improve your beach or waterway's accessibility? *

Yes - both information and training

Yes - more information please

Yes - training please

No