LGBTQ Curriculum Inclusion in YOUR school

THANK YOU SO MUCH FOR YOUR PARTICIPATION! Your input will help us make YOUR school more LGBTQ inclusive. Plus, you may qualify to participate in another study, where you will be eligible for a gift.

Instructions for Survey: For multiple choice questions, please check any or all boxes that apply. If you want to add detail to your answers, use the text boxes to write more. If you are hand-writing your answers, you do not have to stay inside the text box. Use as much space as you need but remember to write legibly!

Invite your friends to take this survey online at http://www.surveymonkey.com/s/LGBTQCurriculum. You can also mail your answers to Hilary Burdge at GSA Network, 1550 Bryant St. Ste. 800, San Francisco, CA 94103. If you have any questions or concerns, please email hilary@gsanetwork.org or call 415.552.4229.

Question Title

* 1. Were you asked to participate in a focus group?

Yes, and I participated

Yes, but I did not participate

Question Title

* 2. What grade are you in?

9th Grade

10th Grade

11th Grade

12th Grade

Other (please specify)

Question Title

* 3. What is your sexual orientation? (Check all that apply)

Bisexual

Questioning

Queer

Straight/Heterosexual

Gay/Lesbian

Other (please specify)

Question Title

* 4. What is your gender? (Check all that apply)

Female

Male

Transgender

Questioning

Other (please specify)

Question Title

* 5. How do you describe yourself? (Check all that apply)

American Indian or Alaskan Native

Native Hawaiian or Pacific Islander

Asian

Black/African American (Non-Hispanic)

Hispanic or Latino/Latina

White/Caucasian (Non-Hispanic)

Other (please specify)

Question Title

* 6. In your HIGH SCHOOL, have you ever learned about LGBTQ people, discussed LGBTQ history or current events or received information about sexual orientation or gender identity?

Yes

I don't know

Question Title

* 7. If you answered YES to question #5, in what class or context did you learn about LGBTQ people, events, or history at school? (Check all that apply)

Health

Foreign Language

After school sports

Social Studies

Hallways or Lunch

Math

Science

Economics

Government

History

English

Art

Library

After school/Community club

What did you learn? Please describe. (If hand-writing your answers, you can write outside the text box, but remember to write legibly!)

Question Title

* 8. In general, if you learned about LGBTQ issues in high school, how supportive was it of LGBTQ people/issues?

Very supportive

Somewhat supportive

Not supportive

Hostile

I did not learn about this

How did this affect you or other people in your school? (If hand-writing your answers, you can write outside the text box, but remember to write legibly!)

Question Title

* 9. If you would you like to participate in a research project to help us learn more about how schools teach about LGBTQ history, people and current events, please answer the questions below. YOU WILL REMAIN ANONYMOUS! If you are chosen to participate, you will be given a gift for your time. If hand-writing your answers, PLEASE WRITE LEGIBLY!

Name:

School:

City, State, Zip:

Email Address:

Phone Number:

Thank you!