Complete this quick survey for your chance to win a $500 Visa gift card

This 5-minute survey aims to gather feedback from the LGBTIQA+ community to ensure that Sexual Health Victoria provides the highest standard of safe and inclusive care.


Your responses will be confidential and secure, accessible only to Sexual Health Victoria.

Providing your name and contact details is optional and will only be used to contact prize winners or those interested in joining an advisory board for LGBTIQA+ individuals.


You must be 18 years or older to be eligible for the prize. Your information will not be used for discriminatory purposes.
See Terms and Conditions for the prize draw.


Thank you.

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* 1. Do you identify as being part of the LGBTIQA+ community?

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* 2. Please tell us your age

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* 3. What sex were you presumed at birth? Tick all the apply.

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* 4. How would you best describe your gender? Tick all that apply.

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* 5. How would you best describe your experience of gender?

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* 6. What term do you feel best describes your sexuality?

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* 7. How much relevant and inclusive sexual health information is available to LGBTIQA+ people in Australia?

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* 8. Do you think that LGBTIQA+ people have adequate access to safe and inclusive sexual health care in Victoria?

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* 9. Have you ever felt discriminated against by a healthcare provider based on your sexual or gender identity?

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* 10. I avoid accessing healthcare due to fears of possible discrimination.

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* 11. Have you heard of the Rainbow Tick?

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* 12. Rainbow Tick means an organisation is accredited as being LGBTIQA+ culturally safe.
How would the Rainbow Tick influence your choice of health care provider?

Not influenced at all Some what influenced Extremely influenced - It is essential
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i We adjusted the number you entered based on the slider’s scale.

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* 13. When choosing a healthcare provider, how important are these features to you?

  Extremely important Very important Somewhat important Not so important Not important al all
Signage identifying the provider as an ally (e.g. rainbow flags)
The service has a policy available on LGBTIQA+ inclusion.
All-gender toilets are available on site.
I can self-identify my sex and gender.
They ask and check what pronouns I use.
Option to use my preferred name (even if different from my legal name)
All staff have received specific LGBTIQA+ inclusive practice training.
Offer gender affirming care services.
Offer telehealth services.
Recommendation from friend or family

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* 14. Is there anything you would like to share with us about your experiences of accessing healthcare providers?

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* 15. Would you be interested in joining Sexual Health Victoria's Community Advisory Group, which meets several times a year to discuss ways to improve services for LGBTIQA+ communities?

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* 16. Would you like to enter the prize draw to win a $500 visa gift card for completing this survey?

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* 17. Please confirm you have read the full terms and conditions for the prize draw entry at the start of this survey:

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* 18. Please provide your contact details so if you win the prize or want to be contacted about our advisory group.

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