let's have the conversation

The information you share is confidential.  End of Life Planning Canada is gathering this information to improve support for LGBTQ people to plan for end of life.  The results of the survey will be compiled and shared publicly via our website elplanning.ca   
Thank you for your participation!

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* 1. I am

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* 2. I identify as

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* 3. I live in the GTA

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* 4. The first 3 digits of my postal code are

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* 5. I attended the speaker series

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* 6. If yes, I attended the session on

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* 7. I receive healthcare services in an LGBTQ identified setting

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* 8. My experience with healthcare would be best described as 

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* 9. I worry about

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* 10. I am facing a health crisis currently

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* 11. I have extended healthcare benifits

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* 12. I have intergenerational support

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* 13. I do not know what would happen to me if I could not care for myself

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* 14. I worry that being affectionate with my partner might affect my care

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* 15. I worry that my partner or chosen family will not be included in my care

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* 16. My biggest fear about end of life is

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* 17. Are there any other things you would like to share about your end-of-life concerns/experiences?

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