This survey is being conducted to determine the needs of the lesbian, gay, bisexual and transgender (LGBT) people in Western Tidewater, including the cities of Suffolk and Franklin, and the counties of Isle of Wight, Southampton County and other surrounding communities. As we work to build this new community center, we want to specifically identify what services are needed and should be made a priority.

We encourage those that identify as LGBT or straight to complete the survey. The LGBT center would welcome anyone, regardless of sexual orientation or gender identity and would be a safe-space for anyone who walks through its doors. 

Participation in this survey is completely voluntary and you can stop your participation at any time. You may follow our progress on Facebook by visiting: Facebook.com/suffolklgbt

You may also make any donations to: https://www.gofundme.com/f/lgbt-center-for-suffolk-va-and-western-tidewater

Thank you for your participation, your responses are appreciated!


Question Title

* 1. What sex were you assigned at birth?

Question Title

* 2. What is your current gender identity?

Question Title

* 3. Do you consider yourself to be:

Question Title

* 4. Throughout your life, have you been attracted to?

Question Title

* 5. Throughout your life, have you had sexual contact with?

Question Title

* 6. What is your ZIP code at your home address?

Question Title

* 7. How old are you?

Question Title

* 8. What is your race/ethnicity?

Question Title

* 9. Which of the following best describes your current relationship status?

Question Title

* 10. Which of the following categories best describes your employment status?

Question Title

* 11. What is the highest degree or level of school you have completed? If currently enrolled, mark the previous grade or highest degree received.

Question Title

* 12. What is your total household income?

Question Title

* 13. Do you rent or own where you live?

Question Title

* 14. Are you receiving any housing subsidy? Examples of subsidies include Section 8, LINC, FEPS, public housing and subsidized housing developments in which you pay a percentage (such as 30%) of your income for rent.

Question Title

* 15. Are you currently homeless?

Question Title

* 16. If you are currently homeless, what is the length of your current homelessness?

Question Title

* 17. How many times have you experienced homelessness in your lifetime?

Question Title

* 18. If you have been in a shelter, have you ever experienced physical, verbal, or sexual assault/harassment by residents or shelter staff because of your actual or perceived sexual orientation, gender identity, or gender expression?

Question Title

* 19. For each of the following, please indicate whether or not it has happened to you, because of your actual or perceived sexual orientation, gender identity, or gender expression?

Question Title

* 20. Overall, how much social acceptance of LGBTQ people do you think there is in your part of town?

Question Title

* 21. Have you told your close friends about your sexual orientation and/or gender identity?

Question Title

* 22. Have you told your family about your sexual orientation and/or gender identity?

Question Title

* 23. In general, how would you rate your overall health?

Question Title

* 24. HIV Status?

Question Title

* 25. Do you have health insurance?

Question Title

* 26. If you have health insurance, where do you get your health insurance?

Question Title

* 27. Where do you go to receive medical care?

Question Title

* 28. Is your medical provider located in the part of town where you live?

Question Title

* 29. Are there any issues that prevent you from accessing care?

Question Title

* 30. Have you ever experienced any of the following while attempting or receiving medical care?

Question Title

* 31. Is your medical provider aware of your sexual orientation?

Question Title

* 32. Is your medical provider knowledgeable about LGBTQ concerns and terminology?

Question Title

* 33. Have you heard about PrEP?

Question Title

* 34. If you have have heard about PrEP, do you know how to access it?

Question Title

* 35. Have you heard about PEP?

Question Title

* 36. If you have heard about PEP, do you know how to access it?

Question Title

* 37. Do you know of LGBTQ-specific nights at any venues in your area (restaurants, churches, bars, etc.)?

Question Title

* 38. Do you know of any LGBTQ Social Groups in your area?

Question Title

* 39. Do you have any LGBTQ-identified spaces in your part of town to meet other members of the community or socialize?

Question Title

* 40. What would you like to have access to in your community? (This could be anything, clinics, night clubs, places of worship, etc.)

Question Title

* 41. How much do you think Western Tidewater would benefit from a lesbian, gay, bisexual and transgender (LGBT) center?

Question Title

* 42. How likely are you to utilize our center focused on LGBT concerns, issues or problems?

Question Title

* 43. Where would you like the Suffolk LGBT Center of Hampton Roads to be situated to meet your needs and convenience?

Question Title

* 44. How far would you be willing to travel to access the community center's resources?

Question Title

* 45. During what hours would you like to access the community center's services?

Question Title

* 46. What types of services would you like this center to offer or provide?

Question Title

* 47. What problems do you see as most pressing for the LGBT community in Western Tidewater?

Question Title

* 48. Do you currently frequent or access resources from the LGBT Life Center? If yes, what services?

T