Equality House community support survey

1. Equality House community support survey

Equality House has moved into a space that is 100% ours. the mission of Equality House is: To provide a safe, comfortable, and welcoming space to serve as the social, educational, resource, and networking hub for the Pensacola area LGBT Community. Operation of the Equality House is directed and carried out solely by members of the local LGBT community who share our common goals.

We seek your suggestions as Equality House grows so that we may better serve the needs and desires of our local LGBT Community.

As we are funded 100% by donations from our local LGBT community, we ask that you thoughfully consider making a monthly pledge of support.

Each month you will be sent an invoice, you may end your pledge at anytime. You do not have to be a donor or contributor the Equality House to participate in our programs, activities, or events.

THANK YOU!

1. In our new location, Equality House will be able to host many social activities and events, without restictions being aapplied by outside enties. Please rank your interest in each of these preliminary suggestions:

	Very Interested	Interested	Somewhat Interested	Unsure	Not Interested
coffee chats	*In our new location, Equality House will be able to host many social activities and events, without restictions being aapplied by outside enties. Please rank your interest in each of these preliminary suggestions: coffee chats Very Interested	coffee chats Interested	coffee chats Somewhat Interested	coffee chats Unsure	coffee chats Not Interested
pot luck dinners	pot luck dinners Very Interested	pot luck dinners Interested	pot luck dinners Somewhat Interested	pot luck dinners Unsure	pot luck dinners Not Interested
cookouts	cookouts Very Interested	cookouts Interested	cookouts Somewhat Interested	cookouts Unsure	cookouts Not Interested
themed parties	themed parties Very Interested	themed parties Interested	themed parties Somewhat Interested	themed parties Unsure	themed parties Not Interested
game nights	game nights Very Interested	game nights Interested	game nights Somewhat Interested	game nights Unsure	game nights Not Interested
movie nights	movie nights Very Interested	movie nights Interested	movie nights Somewhat Interested	movie nights Unsure	movie nights Not Interested
arts and crafts	arts and crafts Very Interested	arts and crafts Interested	arts and crafts Somewhat Interested	arts and crafts Unsure	arts and crafts Not Interested
art shows	art shows Very Interested	art shows Interested	art shows Somewhat Interested	art shows Unsure	art shows Not Interested
yard sales / swaps	yard sales / swaps Very Interested	yard sales / swaps Interested	yard sales / swaps Somewhat Interested	yard sales / swaps Unsure	yard sales / swaps Not Interested
kid friendly events	kid friendly events Very Interested	kid friendly events Interested	kid friendly events Somewhat Interested	kid friendly events Unsure	kid friendly events Not Interested
fitness / arobics	fitness / arobics Very Interested	fitness / arobics Interested	fitness / arobics Somewhat Interested	fitness / arobics Unsure	fitness / arobics Not Interested
meditation / yoga	meditation / yoga Very Interested	meditation / yoga Interested	meditation / yoga Somewhat Interested	meditation / yoga Unsure	meditation / yoga Not Interested
speed dating	speed dating Very Interested	speed dating Interested	speed dating Somewhat Interested	speed dating Unsure	speed dating Not Interested

please use this space to suggest activities and events we may have overlooked:

2. Equality House will now be better able to offer many services to our community. Please rank how important you think that it would be to include each of these preliminary suggestions:

	Very Important	Important	Somewhat Important	Unsure	Unimprortant
coming out support	*Equality House will now be better able to offer many services to our community. Please rank how important you think that it would be to include each of these preliminary suggestions: coming out support Very Important	coming out support Important	coming out support Somewhat Important	coming out support Unsure	coming out support Unimprortant
battling homophobia	battling homophobia Very Important	battling homophobia Important	battling homophobia Somewhat Important	battling homophobia Unsure	battling homophobia Unimprortant
diversity trianing	diversity trianing Very Important	diversity trianing Important	diversity trianing Somewhat Important	diversity trianing Unsure	diversity trianing Unimprortant
politican activism	politican activism Very Important	politican activism Important	politican activism Somewhat Important	politican activism Unsure	politican activism Unimprortant
LGBT history awareness	LGBT history awareness Very Important	LGBT history awareness Important	LGBT history awareness Somewhat Important	LGBT history awareness Unsure	LGBT history awareness Unimprortant
LGBT community bonding	LGBT community bonding Very Important	LGBT community bonding Important	LGBT community bonding Somewhat Important	LGBT community bonding Unsure	LGBT community bonding Unimprortant
substance abuse	substance abuse Very Important	substance abuse Important	substance abuse Somewhat Important	substance abuse Unsure	substance abuse Unimprortant
mental wellbeing	mental wellbeing Very Important	mental wellbeing Important	mental wellbeing Somewhat Important	mental wellbeing Unsure	mental wellbeing Unimprortant
phycial wellbeing	phycial wellbeing Very Important	phycial wellbeing Important	phycial wellbeing Somewhat Important	phycial wellbeing Unsure	phycial wellbeing Unimprortant
STD / HIV prevention & testing	STD / HIV prevention & testing Very Important	STD / HIV prevention & testing Important	STD / HIV prevention & testing Somewhat Important	STD / HIV prevention & testing Unsure	STD / HIV prevention & testing Unimprortant
employment / career classes	employment / career classes Very Important	employment / career classes Important	employment / career classes Somewhat Important	employment / career classes Unsure	employment / career classes Unimprortant
relationship classes	relationship classes Very Important	relationship classes Important	relationship classes Somewhat Important	relationship classes Unsure	relationship classes Unimprortant
legal assistance	legal assistance Very Important	legal assistance Important	legal assistance Somewhat Important	legal assistance Unsure	legal assistance Unimprortant
youth programs	youth programs Very Important	youth programs Important	youth programs Somewhat Important	youth programs Unsure	youth programs Unimprortant

please use this space to suggest services that we may have overlooked:

3. Our new location will have the flexibility to offer, (for a very nominal charge to offset cleaning and utilities costs), a small meeting room for reservation while the center is open to the public; or use of the entire center for your private function. If you are part of a group or organization that might want to utilize this option, please provide us your group name, description, and size, as well as that day and time needed:

Our new location will have the flexibility to offer, (for a very nominal charge to offset cleaning and utilities costs), a small meeting room for reservation while the center is open to the public; or use of the entire center for your private function. If you are part of a group or organization that might want to utilize this option, please provide us your group name, description, and size, as well as that day and time needed:

4. I have skills/talents that I will contribute in the area(s) of:

I have skills/talents that I will contribute in the area(s) of: serving as a center host

general cleaning

light maintenance

decorating

yard beatification

office / clerical

fund raising

promotion

Other (please specify)

5. I will volunteer to help staff the Equality House:

I will volunteer to help staff the Equality House: 2 hours per week

2 hours per month

4 hours per month

6 hours per week

6 hours per month

8 hours per week

8 hours per month

Please specify which day and times are best for you.

6. In order to take advantage of this great opportunity to make Equality House guided and operated by the local LGBT community a reality, I pledge to make a monthly contribution (IF YOU WOULD RATHER MAKE A 1 TIME "HOUSE WARMING" GIFT YOU MAY INDICATE SO ON THE NEXT QUESTION)of:

In order to take advantage of this great opportunity to make Equality House guided and operated by the local LGBT community a reality, I pledge to make a monthly contribution (IF YOU WOULD RATHER MAKE A 1 TIME "HOUSE WARMING" GIFT YOU MAY INDICATE SO ON THE NEXT QUESTION)of: $10 per month

$25 per month

$50 per month

$75 per month

$100 per month

$150 per month

$175 per month

$200 per month

unable to make a mothly pledge, but will make a 1 time "house warming" gift, as indicated in the next question

Other (please specify)

7. In order to take advantage of this great opportunity to make Equality House guided and operated by the local LGBT community a reality, I would like to make a one time "house warming" gift of:

In order to take advantage of this great opportunity to make Equality House guided and operated by the local LGBT community a reality, I would like to make a one time "house warming" gift of:

8. I have the following furniture (WE ARE MOST IN NEED OF A TV, ELECTIRIC STOVE, BOOKSHELVES, AND DISPLAY CASE), decorative items, or supplies that I will donate to the Equality House:

I have the following furniture (WE ARE MOST IN NEED OF A TV, ELECTIRIC STOVE, BOOKSHELVES, AND DISPLAY CASE), decorative items, or supplies that I will donate to the Equality House:

*
9. Thank you for your pledge of support. Please use this space to add any additional comments or suggestions you would like to share:
ALSO PLEASE INDICATE WITH A YES OR NO IF YOU ARE CURRENTLY RECEIVING OUR MONTHLY RAINBOW BLADES NEWSLETTER.

Thank you for your pledge of support. Please use this space to add any additional comments or suggestions you would like to share: ALSO PLEASE INDICATE WITH A YES OR NO IF YOU ARE CURRENTLY RECEIVING OUR MONTHLY RAINBOW BLADES NEWSLETTER.

*
10. Please provide your contact information:

Please provide your contact information: Name:
Address:
Address 2:
City/Town:
State:
ZIP:
Country:
Email Address:
Phone Number:

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