The International LGBT Atlas Survey

Question Title

2. You are (select all that apply): (Required.)

Male

Trans male

Female

Trans female

Other (intersex, agender, third sex, etc.)

Question Title

3. You identify as (select all that apply): (Required.)

Heterosexual/straight

Homosexual/gay/lesbian

Bisexual

Other (please specify)

Question Title

4. Ethnicity (select all that apply)

White

Hispanic, Latino, or Spanish

Black or African American

Asian or Asian Indian

American Indian or Alaska Native

Middle Eastern or North African

Native Hawaiian or Other Pacific Islander

Race or ethnicity not listed above (please specify)

Question Title

5. Country (Required.)

Other (please specify)

Question Title

6. I live in a(n) ____ area: (Required.)

Rural

Suburban

Urban

Question Title

7. Do you feel less safe in your community due to your sexual orientation and/or gender identity? (Required.)

Never

Sometimes

I always feel unsafe

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

8. Do you know other LGBT people in your community? (Required.)

None

A few

Many

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

9. I have to hide who I am (Required.)

Never

Sometimes

All the time

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

10. Have you or someone you know (in your country) had any of the following instances occur due to your/their sexual orientation and/or gender identity? (Required.)

	Yes	No
Arrested	Arrested Yes	Arrested No
Verbally assaulted	Verbally assaulted Yes	Verbally assaulted No
Physically assaulted (non-sexual)	Physically assaulted (non-sexual) Yes	Physically assaulted (non-sexual) No
Sexually assaulted	Sexually assaulted Yes	Sexually assaulted No
Murdered	Murdered Yes	Murdered No

Question Title

11. Do you feel that your sexual orientation and/or gender identity has hindered your ability to succeed in the workforce relative to your cis, straight peers?

Never

Sometimes

Always

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

12. How rooted is it in the culture of your community to be accepting of LGBT people? "The culture in my community is..." (Required.)

Not accepting

Moderately accepting

Very accepting

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

13. Do you feel accepted by your family members? (Required.)

Not at all

Moderately

Very

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

14. How often do you feel that the religious beliefs of individuals in your community suppress your ability to be yourself? (Required.)

Never

Sometimes

Always

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

15. I would move to a more accepting country if I could (Required.)

Yes

Question Title

16. People like me are represented in the media positively (Required.)

Never

Sometimes

Always

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

17. How strongly would you rate the level of LGBT pride/presence in your community? (Required.)

None

Some

Strong

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

18. Do you feel that your gender identity and/or sexual orientation has negatively impacted your access to appropriate health care?

Not at all

Moderately

Extremely

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

19. Has your sexual orientation and/or gender identity negatively impacted your mental health? (Required.)

Not at all

Moderately

Extremely

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

20. Has your sexual orientation and/or gender identity negatively impacted your overall quality of life in the past 2 years? (Required.)

Not at all

Moderately

Extremely

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

21. How positively do you feel about the future of the LGBT community in your country? (Required.)

Not at all

Moderately

Very positively

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

22. Does your sexual orientation and/or gender identity ever cause you to feel uncomfortable in your community? (Required.)

Never

Sometimes

Frequently

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

23. Do you feel that your sexual orientation and/or gender identity has negatively impacted your financial stability? (Required.)

Not at all

Moderately

Extremely

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

24. Do you have any comments you would like to add regarding your answers to the questions above?

Question Title

25. I would like to complete an additional survey evaluating a country I used to live in.

Yes

The International LGBT Atlas

Question Title

* 1. Age (Required.)

Question Title

* 2. You are (select all that apply): (Required.)

Question Title

* 3. You identify as (select all that apply): (Required.)

Question Title

* 4. Ethnicity (select all that apply)

Question Title

* 5. Country (Required.)

Question Title

* 6. I live in a(n) ____ area: (Required.)

Question Title

* 7. Do you feel less safe in your community due to your sexual orientation and/or gender identity? (Required.)

Question Title

* 8. Do you know other LGBT people in your community? (Required.)

Question Title

* 9. I have to hide who I am (Required.)

Question Title

* 10. Have you or someone you know (in your country) had any of the following instances occur due to your/their sexual orientation and/or gender identity? (Required.)

Question Title

* 11. Do you feel that your sexual orientation and/or gender identity has hindered your ability to succeed in the workforce relative to your cis, straight peers?

Question Title

* 12. How rooted is it in the culture of your community to be accepting of LGBT people? "The culture in my community is..." (Required.)

Question Title

* 13. Do you feel accepted by your family members? (Required.)

Question Title

* 14. How often do you feel that the religious beliefs of individuals in your community suppress your ability to be yourself? (Required.)

Question Title

* 15. I would move to a more accepting country if I could (Required.)

Question Title

* 16. People like me are represented in the media positively (Required.)

Question Title

* 17. How strongly would you rate the level of LGBT pride/presence in your community? (Required.)

Question Title

* 18. Do you feel that your gender identity and/or sexual orientation has negatively impacted your access to appropriate health care?

Question Title

* 19. Has your sexual orientation and/or gender identity negatively impacted your mental health? (Required.)

Question Title

* 20. Has your sexual orientation and/or gender identity negatively impacted your overall quality of life in the past 2 years? (Required.)

Question Title

* 21. How positively do you feel about the future of the LGBT community in your country? (Required.)

Question Title

* 22. Does your sexual orientation and/or gender identity ever cause you to feel uncomfortable in your community? (Required.)

Question Title

* 23. Do you feel that your sexual orientation and/or gender identity has negatively impacted your financial stability? (Required.)

Question Title

* 24. Do you have any comments you would like to add regarding your answers to the questions above?

Question Title

* 25. I would like to complete an additional survey evaluating a country I used to live in.

1. Age (Required.)

2. You are (select all that apply): (Required.)

3. You identify as (select all that apply): (Required.)

4. Ethnicity (select all that apply)

5. Country (Required.)

6. I live in a(n) ____ area: (Required.)

7. Do you feel less safe in your community due to your sexual orientation and/or gender identity? (Required.)

8. Do you know other LGBT people in your community? (Required.)

9. I have to hide who I am (Required.)

10. Have you or someone you know (in your country) had any of the following instances occur due to your/their sexual orientation and/or gender identity? (Required.)

11. Do you feel that your sexual orientation and/or gender identity has hindered your ability to succeed in the workforce relative to your cis, straight peers?

12. How rooted is it in the culture of your community to be accepting of LGBT people? "The culture in my community is..." (Required.)

13. Do you feel accepted by your family members? (Required.)

14. How often do you feel that the religious beliefs of individuals in your community suppress your ability to be yourself? (Required.)

15. I would move to a more accepting country if I could (Required.)

16. People like me are represented in the media positively (Required.)

17. How strongly would you rate the level of LGBT pride/presence in your community? (Required.)

18. Do you feel that your gender identity and/or sexual orientation has negatively impacted your access to appropriate health care?

19. Has your sexual orientation and/or gender identity negatively impacted your mental health? (Required.)

20. Has your sexual orientation and/or gender identity negatively impacted your overall quality of life in the past 2 years? (Required.)

21. How positively do you feel about the future of the LGBT community in your country? (Required.)

22. Does your sexual orientation and/or gender identity ever cause you to feel uncomfortable in your community? (Required.)

23. Do you feel that your sexual orientation and/or gender identity has negatively impacted your financial stability? (Required.)

24. Do you have any comments you would like to add regarding your answers to the questions above?

25. I would like to complete an additional survey evaluating a country I used to live in.