We are conducting a survey about our Transgender Program and would like your feedback. Your honest answers will help us improve the programs. All responses are kept confidential. Thank you for your participation.

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* 1. What Transgender Program services or events did you participate in and how many times have you participated in each of these activities?

  1-5 times 6-10 11-15 16-20 21-25 26 or more N/A
Santa Cruz Queer Youth Meet-up (Saturday at 1 pm)
Watsonville Queer Youth Meet-up (Friday 3:30 pm)
Young Adult Trans Support Group (Thursday 7 pm)
Gender Expansive Group (Saturday 4 pm)
Trans Support Group (1st/3rd Tuesday at 7:30 pm)
Gender Queer Support Group (2nd/4th Tuesday at 7:30 pm)
TransMasculine Peer Support Group (2nd/4th Monday at 6 pm)
Trans Alcoholics Anonymous (Mondays at 8 pm)
Community Events
Meet one on one with Transgender Program Coordinator (Case Management)

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* 2. How long have you participated in the Transgender Program?

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* 3. On a scale of 1-10 ( 1=not at all, 10=absolutely), how satisfied are you with the Transgender Program at the Diversity Center?

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* 4. Please rate your level of agreement on the following statements from Strongly Disagree to Strongly Agree

  Strongly Disagree Disagree Somewhat Disagree Neither Agree nor Disagree Somewhat Agree Agree Strongly Agree
I have experienced more self-confidence after participating in the Transgender Program.
I feel more comfortable coming out and expressing who I am after participating in the Trans Program.
I feel a greater sense of physical safety in my life after participating in the Trans Program.
More of my social needs have been met after participating in the Trans Program.
I feel a greater sense of belonging in the LGBTQ+ community after participating in the Trans Program.
I feel a greater sense of emotional well-being in my life overall.
I feel a greater sense of mental health and well-being in my life overall.

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* 5. What is your favorite aspect of the Diversity Center's Transgender Program?

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* 6. What other needs do you have that you would like help with?

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* 7. How would you change the program?

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* 8. Is there anything else you would like to say about the Diversity Center's Transgender Program?

We ask you for some information because the Diversity Center wants to ensure we are meeting the needs of the entire community -- all results are kept confidential!

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* 9. How old are you?

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* 10. In what county do you currently live?

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* 11. How do you describe your gender identity?

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* 12. How do you describe your sexual orientation?

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* 13. What is your race/ethnic identity

Thank you for filling out this survey!

If you have questions/concerns please feel free to contact Rebecca Zalona, email: rebecca.zalona@sjsu.edu


We plan to conduct one-on-one interviews in order to meet your needs more effectively, better understand your experience, and to ensure the Transgender Program is the best it can be. All interviews will be kept completely confidential.

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* 14. If you are willing to participate in an interview, please leave your contact information below:

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