Queerspace Midsumma Survey

4.About You

This is a short series of questions to find out about you and the services that you access or would like to see in your area. Information you provide to us is confidential. queerspace will be using this information to design its programs.

Please ensure to click the 'OK' buttons as you answer each question.

*1.Do you consent to the use of:(Required.)

Yes

Non-identifying data

Yes

Comments

Yes

*2.What is your postcode or suburb where you are living?(Required.)

*3.Are you currently experiencing or at risk of experiencing homelessness?(Required.)

Yes

*4.Are you currently experiencing financial hardship? (Finding it difficult to pay your bills, loans and debts.)(Required.)

Yes

*5.How do you describe your sexuality? (You may tick more than one.)(Required.)

Lesbian

Bisexual

Gay

Queer

Pansexual

Same sex attracted

Asexual

Prefer not to say

Are there other terms you would prefer to describe yourself?

6.How would you describe your gender? (You may tick more than one.)

Cis woman

Cis man

Transman

Transwoman

Non-binary person

Brotherboy

Sistergirl

Genderqueer

Agender

Prefer not to say

Are there other terms you prefer to use? (please specify)

7.Are you intersex?

Yes

Prefer not to say

8.What age group are you?

11 and under

12 - 17

18 - 24

25 - 29

30 - 34

35 - 39

40 - 49

50 - 59

60 - 69

70 - 79

80 +

*9.How would you describe your relationship status?(Required.)

Too young to be in a relationship

Single

I have casual partners

In a monogamous relationship

In a non-monogamous or open relationship

In a poly relationship (more than one regular partner)

Prefer not to say

Other (please specify)

*10.If you are a parenting, how many children are you parenting aged 18 or younger?(Required.)

One

Two

Three

Four

No children (N/A)

Other (please specify)

Current Progress,

0 of 19 answered

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