Poly PoC Oakland Member Survey
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1
. Please tell us how you identify your:
Please tell us how you identify your:
Race/Ethnicity
Gender
Preferred Gender(s) of partners
2
. Which of these terms do you use to describe yourself or your relationships? (Please check all that apply.)
Which of these terms do you use to describe yourself or your relationships? (Please check all that apply.)
Polyamorous
Open
Non-monogamous
Consensually Non-monogamous
Radically Honest
Poly-Curious
Poly-Intimate
Poly-Fidelity
None of the above
Is there a word or phrase that speaks to you more than these terms?
3
. Which, if any, of the following texts have you read?
Which, if any, of the following texts have you read?
The Ethical Slut: A Practical Guide to Polyamory, Open Relationships & Other Adventures
Opening Up: A Guide to Creating and Sustaining Open Relationships
Sex at Dawn: How We Mate, Why We Stray, and What It Means for Modern Relationships
The Myth of Monogamy: Fidelity and Infidelity in Animals and People
Open: Love, Sex and Life in an Open Marriage
The Art and Etiquette of Polyamory: A Hands-on Guide to Open Sexual Relationships
None of the Above
If you have not read any of these texts, will you tell us why?
4
. Are you open about being consensually non-monogamous to your: (Please check all that apply.)
Are you open about being consensually non-monogamous to your: (Please check all that apply.)
Parents
Children
Siblings
Co-workers
Friends
Does not apply to me
Does being open to family and friends about being consensually non-monogamous matter to you? Please tell us why or why not?
5
. What are you hoping to gain from participating in this group? (Please check all that apply.)
What are you hoping to gain from participating in this group? (Please check all that apply.)
Examples of successful relationships
Potential long term intimate partners
Support for existing relationships
Mentors
Play partners
Moral support
None of the Above
Please tell us what motivated you to join the Poly PoC group?
6
. In addition to the Poly PoC Oakland group, are you a member of any other groups or organizations based on being consensually non-monogamous?
In addition to the Poly PoC Oakland group, are you a member of any other groups or organizations based on being consensually non-monogamous?
No
Yes
If yes, please specify (Optional)
7
. What has been your experience with:
Very Positive
Somewhat Positive
Neutral
Somewhat Negative
Very Negative
Feeling safe and supported in the larger Poly Community as a PoC?
*
What has been your experience with: Feeling safe and supported in the larger Poly Community as a PoC? Very Positive
Feeling safe and supported in the larger Poly Community as a PoC? Somewhat Positive
Feeling safe and supported in the larger Poly Community as a PoC? Neutral
Feeling safe and supported in the larger Poly Community as a PoC? Somewhat Negative
Feeling safe and supported in the larger Poly Community as a PoC? Very Negative
Would you care to describe an experience?
Feeling safe and supported in the larger PoC Community as a Polyamorous person?
Feeling safe and supported in the larger PoC Community as a Polyamorous person? Very Positive
Feeling safe and supported in the larger PoC Community as a Polyamorous person? Somewhat Positive
Feeling safe and supported in the larger PoC Community as a Polyamorous person? Neutral
Feeling safe and supported in the larger PoC Community as a Polyamorous person? Somewhat Negative
Feeling safe and supported in the larger PoC Community as a Polyamorous person? Very Negative
Would you care to describe an experience?
8
. Has joining Poly PoC Oakland changed your feelings of safety and support as a Poly PoC?
Very Positive
Somewhat Positive
No Change
Somewhat Negative
Very Negative
*
Has joining Poly PoC Oakland changed your feelings of safety and support as a Poly PoC? Very Positive
Somewhat Positive
No Change
Somewhat Negative
Very Negative
9
. Thank you very much for taking the time to complete this survey. Is there anything you would care to add?
Thank you very much for taking the time to complete this survey. Is there anything you would care to add?
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