Dialogue in the Dark My survey (before visit) ← Back to home page Join the Dialogue in the Dark movement: you too can contribute to changing Melbourne by completing our short survey before you begin your experience.Age?Under 1818-2425-3435-4445-5455-64Above 65NameRequired *EmailRequired * I give permission to use my email address for further contact from Guide Dogs Victoria Yes What gender do you identify with?MaleFemaleNo genderPrefer not to sayWhat country do you reside in?AustraliaAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweWhat is your post code?Which category best describes why you have returned?Because the experience is so different and excitingPart of a tour groupSomething to do at DocklandsTo learn more about people who are blindTo experience it with my friend or familyDo you know anyone who has blindness or low vision?YesNoWho do you know with blindness or low vision? Family Friend Colleague Neighbour Please indicate how much you agree/ disagree with the following statements.If a person who is blind does not ask for help, it is probably because they are too shy to ask for helpTotally DisagreeSomewhat DisagreeNot SureSomewhat AgreeTotally AgreeI feel sorry for people who are blindTotally DisagreeSomewhat DisagreeNot SureSomewhat AgreeTotally AgreeMelbourne is a city that caters well for people who are blindTotally DisagreeSomewhat DisagreeNot SureSomewhat AgreeTotally AgreeWhich category best describes why you are attending Dialogue in the Dark?To experience something new and differentPart of a tour groupSomething to do at DocklandsTo learn about people who are blindMy friend or family brought me alongParticipant information statement You are asked to participate in this research because of your visit to Dialogue in the Dark, Melbourne. This survey is being undertaken on behalf of a client, Guide Dogs Victoria. Your response will be highly valued and will form a significant part of the study. Participant information statementThe purpose of this project is to update research to better understand visitors’ perceptions of people who are blind and the Dialogue in the Dark experience. Participation in the survey is completely voluntary. In order to participate you must be aged 18 years or older. You have the opportunity to withdraw from participating in the project by not responding. Consent will be obtained by you clicking the “I agree” button below and then completing the survey. There are no disadvantages, penalties or adverse consequences for not participating or for withdrawing prematurely from the research. In addition, there are no risks, discomforts or harm, which may result from participation in the project. There are no correct answers and your answers will remain completely anonymous, so please respond as openly as possible. Some personal information like gender and age will be collected but only in broad categories and will not be used to identify anyone. The data collected will be treated with strict confidentiality and only the client and my research team will have access to the data provided. The results of the statistical analysis will be presented in a final report to GDV. Information provided by you will be stored on a password protected computer, for the duration of the study. The raw data will be strictly controlled by the university confidentiality guidelines. Thank you for participating in the survey. If you have any questions regarding this please feel free to contact me at the address given above. If you have any complaints or concerns about your participation in the study that the researcher has not been able to answer to your satisfaction, you may contact the Senior Human Ethics Officer, Ethics and Integrity, Research Office, La Trobe University, Victoria, 3086 (P: 03 9479 1443, E: firstname.lastname@example.org). Ref Number E17-053.I agree with my personal data being used as above I agree with my personal data being used as above Submit Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms. The concept of "Dialogue in the Dark" and its related trademarks are the intellectual property of Dialogue Social Enterprise GmbH.