Demographics

This survey is designed to gather information on the needs of the LGBTQ community and improve our services. We will use the collected data ONLY to address needs felt by the community and all responses are entirely anonymous. Thank you for helping us!

Question Title

* 1. How do you identify your sexuality?

Question Title

* 2. How do you identify your gender?

Question Title

* 3. What is your age?

Question Title

* 4. How would you identify your race?

Question Title

* 5. Are you currently a student?

Question Title

* 6. What is your county of residence?

Question Title

* 7. What is your highest level completed of education?

Question Title

* 8. Are you currently employed? (If student, select "Student")

Question Title

* 9. Are you currently experiencing homelessness?

Question Title

* 10. Are you currently using temporary public assistance for basic living needs, including but not limited to Supplemental Nutrition Assistance Program (SNAP), Home Energy Assistance Program (HEAP), Emergency Aid for Families (EAF), Emergency Aid to Adults (EAA), Medicaid, etc?

T