| Item | Yes | No | N/A |
|---|---|---|---|
| Entrance has step-free access | |||
| Hallways and doors are wide enough for wheelchairs | |||
| Accessible bathroom facilities | |||
| Accessible kitchen facilities |
| Item | Yes | No | N/A |
|---|---|---|---|
| Vehicle suitable for family needs | |||
| Accessible public transport options available | |||
| Transport for medical/emergency needs |
| Item | Yes | No | N/A |
|---|---|---|---|
| Reliable phone/internet access | |||
| Access to assistive communication devices | |||
| Information available in preferred language |
| Item | Yes | No | N/A |
|---|---|---|---|
| Local health services are accessible | |||
| Continuity of care and follow-up services | |||
| Accessibility for individuals with disabilities |
| Item | Yes | No | N/A |
|---|---|---|---|
| Access to schools and educational resources | |||
| Accessibility for extracurricular activities | |||
| Connection with local support/community services |