LGBTQ Acceptance and Needs Survey

The Franklin County Coalition for Progress (FCCP), a non profit the that focuses on social justice and equality issues, and the Franklin County Equality Center (a program of FCCP), would like your input about LGBTQ issues in Franklin County. Please take a few minutes and fill out this survey.

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* 1. How old are you?

under 18

18-34

35-51

52-71

72+

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* 2. What sex were you assigned at birth?

Male

Female

Prefer not to answer

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* 3. What is your gender identity?

Cisgender: strictly identifying with the sex you were assigned at birth

Transgender: identifying with a gender that does not correspond to the sex you were assigned at birth

Bigender: identifying equally as both genders

Genderqueer: identifying outside of, or beyond, the binary of female and male

Gender fluid: identifying as male, female, and/or outside the binary at different times

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* 4. What is your sexual orientation?

Strictly heterosexual: experience sexual or romantic attraction to the opposite sex

Bisexual: experiencing sexual or romantic attraction to more than one gender

Asexual: not experiencing sexual or romantic attraction

Strictly gay/lesbian: experiencing sexual or romantic attraction to the same gender

Pansexual: experiencing sexual or romantic attraction to people of all gender identities

Unsure questioning

Queer: experiencing sexual or romantic attraction in a way that does not fit into the previously mentioned, dominant norms

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* 5. What is your comfort level in the following situations?

	Very comfortable	Somewhat comfortable	Somewhat uncomfortable	Very uncomfortable
Having LGBTQ members at my place of worship	Having LGBTQ members at my place of worship Very comfortable	Having LGBTQ members at my place of worship Somewhat comfortable	Having LGBTQ members at my place of worship Somewhat uncomfortable	Having LGBTQ members at my place of worship Very uncomfortable
Seeing an LGBTQ co-workers wedding picture	Seeing an LGBTQ co-workers wedding picture Very comfortable	Seeing an LGBTQ co-workers wedding picture Somewhat comfortable	Seeing an LGBTQ co-workers wedding picture Somewhat uncomfortable	Seeing an LGBTQ co-workers wedding picture Very uncomfortable
Learning a family member is LGBTQ	Learning a family member is LGBTQ Very comfortable	Learning a family member is LGBTQ Somewhat comfortable	Learning a family member is LGBTQ Somewhat uncomfortable	Learning a family member is LGBTQ Very uncomfortable
Learning my child's teacher is LGBTQ	Learning my child's teacher is LGBTQ Very comfortable	Learning my child's teacher is LGBTQ Somewhat comfortable	Learning my child's teacher is LGBTQ Somewhat uncomfortable	Learning my child's teacher is LGBTQ Very uncomfortable
Learning my doctor is LGBTQ	Learning my doctor is LGBTQ Very comfortable	Learning my doctor is LGBTQ Somewhat comfortable	Learning my doctor is LGBTQ Somewhat uncomfortable	Learning my doctor is LGBTQ Very uncomfortable
Seeing a same sex couple holding hands	Seeing a same sex couple holding hands Very comfortable	Seeing a same sex couple holding hands Somewhat comfortable	Seeing a same sex couple holding hands Somewhat uncomfortable	Seeing a same sex couple holding hands Very uncomfortable
Learning my child had a lesson on LGBTQ history	Learning my child had a lesson on LGBTQ history Very comfortable	Learning my child had a lesson on LGBTQ history Somewhat comfortable	Learning my child had a lesson on LGBTQ history Somewhat uncomfortable	Learning my child had a lesson on LGBTQ history Very uncomfortable

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* 6. Do you know someone who is (check all that apply)?

Gay or lesbian

Bisexual

Transgender

Queer

Asexual

Pansexual

Gender fluid

Bigender

Genderqueer

Agender

Unsure of/questioning gender

Other (please specify)

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* 7. Do you believe there are enough support services for the LGBTQ community in Franklin County?

Yes

I do not know

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* 8. In general, do you believe that Franklin County is welcoming and accepting of the LGBTQ community?

Yes

I do not know

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* 9. Do you know someone who is LGBTQ who has been discriminated against or treated unfairly?

Yes

I do not know

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* 10. What services or support do you feel are needed in Franklin County for the LGBTQ community? (check all that apply)

Equal protection under state and local laws

Equal protection in the workplace

Support or social activities for LGBTQ Community

Support or social activities for LGBTQ Seniors

Support or social activities for LGBTQ Youth

Events that educate and inform the community about LGBTQ issues

I do not know

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* 11. What is your zip code?

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* 12. What is your race/ethnicity?

American Indian or Alaska Native

Asian

Black or African American

White/Caucasian

Hispanic or Latino

Non Hispanic

Other (please specify)

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* 13. What is the highest level of education you have completed?

Did not complete High School

High School/GED

Some College

Bachelor's Degree

Master's Degree

Advanced Graduate work or Ph.D.

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* 14. What is your approximate average household income?

$0-$24,999

$25,000-$49,999

$50,000-$74,999

$75,000-$99,999

$100,000-$124,999

$125,000-$149,999

$150,000-$174,999

$175,000-$199,999

$200,000 and up

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* 15. Have you heard of the Franklin County Equality Center?

Yes

If Yes, how did you hear about it?

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* 16. If you would like to learn about volunteer opportunities with the Franklin County Equality Center please provide your name and contact information.

Name

Email Address

Phone Number