Women's Needs Assessment Survey
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1. Default Section
Thank you for taking The LGBT Center of Raleigh's Women's Needs Assessment Survey. Your input will significantly impact our ability to provide programming for women in the Triangle and beyond. We look forward to your responses!
1
. What is your age?
What is your age?
15-20
21-30
31-40
41-50
51+
2
. Where do you reside?
Where do you reside?
Raleigh
Durham
Chapel Hill
Carrboro
Apex
Cary
Morrisville
Other (please specify)
3
. What social events could the Center provide that are the most relevant to you?
What social events could the Center provide that are the most relevant to you?
Coffee Shop Events
Girls Night Out Parties
Family-Oriented Events
Outdoors Activities
Book Club
Movie Nights
Meet-Up Groups
Other (please specify)
4
. What other events do you currently attend and enjoy through other organizations?
What other events do you currently attend and enjoy through other organizations?
5
. Have you visited The LGBT Center of Raleigh?
Have you visited The LGBT Center of Raleigh?
Yes
No
How did you first hear about the Center? What is the most important role an LGBT Center can serve?
6
. What kind of communication do you rely on?
What kind of communication do you rely on?
E-Mail
Facebook
Twitter
Triangle Grrrls
Triangle Families Listserv
Other (please specify)
7
. Would you like to help organize a women's event with The LGBT Center of Raleigh?
Would you like to help organize a women's event with The LGBT Center of Raleigh?
Yes
No
If yes, what type of event would you like to be involved in? Where would you like this event to take place?
8
. Would you like to be added to The LGBT Center of Raleigh's mailing list?
Would you like to be added to The LGBT Center of Raleigh's mailing list?
I am already subscribed to the mailing list
Yes
No
9
. In order to be entered into the raffle to win an $80 Melting Pot gift card or an LGBT Center T-Shirt, please provide your contact information. If you would prefer, you can choose to remain anonymous.
Thank you for completing our survey. As we are planning more women's events, please be sure to visit the LGBT Center during the Raleigh First Friday Gallery Walk (6-9pm). This is a great opportunity to meet new people in our community and support emerging and established LGBT artists.
In order to be entered into the raffle to win an $80 Melting Pot gift card or an LGBT Center T-Shirt, please provide your contact information. If you would prefer, you can choose to remain anonymous. Thank you for completing our survey. As we are planning more women's events, please be sure to visit the LGBT Center during the Raleigh First Friday Gallery Walk (6-9pm). This is a great opportunity to meet new people in our community and support emerging and established LGBT artists.
Name:
Address:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Email Address:
Phone Number:
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