Thank you for participating in Mazzoni Center and WOAR: Philadelphia Center Against Sexual Violence’s anonymous survey! It should take about 10 minutes. This survey will be used to inform how these agencies train professionals and community members who serve and/or support LGBTQ+ survivors of sexual violence in addition to allowing an opportunity for feedback for Mazzoni Center and WOAR: Philadelphia Center Against Sexual Violence. We appreciate your time!

This project was supported by 2017-UD-AX-0011 awarded by the Office on Violence Against Women, U.S. Department of Justice. The opinions, findings, conclusions, and recommendations expressed in this document are those of the author and do not necessarily reflect the views of the U.S. Department of Justice, Office on Violence Against Women.​ Find more information about this program here.

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* 1. Do you identify as queer/trans/intersex/LGBTQ+?

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* 2. What is your sexuality?

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* 3. What is your gender identity?

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* 4. Do you identify as intersex? 

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* 5. Do you identify as someone who has experienced sexual violence?

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* 6. What support or options would you be interested in pursuing after sexual violence?  (Check all that apply)
Question 6 will be used to help us train providers on the needs of LGBTQ+ survivors of sexual violence.

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* 7. If your support network and/or community were able to offer you resources after experiencing sexual violence, what would appeal to you?  (Check all that apply).
Questions 7 and 8 will be used to educate community members on what supports or resources LGBTQ+ survivors would like to explore after sexual violence.

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* 8. If you were to have a community-based process to address harm after sexual violence, what would you hope it would achieve?
Questions 7 and 8 will be used to educate community members on what supports or resources LGBTQ+ survivors would like to explore after sexual violence.

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* 9. Have you ever accessed programming, support, or services aimed at people who have experienced sexual violence in Philadelphia?

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* 10. If yes, what was the programming, support, or service(s) you accessed?

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* 11. Did you feel satisfied or supported by that programming, support, or service(s)?

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* 12. Do you have any feedback for Mazzoni Center or WOAR: Philadelphia Center Against Sexual Violence regarding supporting and/or serving LGBTQ+ survivors of sexual violence?
This question will provide an opportunity for  LGBTQ+ survivors to provide feedback about ways in which Mazzoni Center and/or WOAR can better support the health and wellbeing of LGBTQ+ survivors.

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* 13. Please share any additional thoughts or suggestions below:

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