Thanks for your interest in
Totally outRIGHT Toronto!
 
Please complete this short survey before we can call you to complete the intake process. All the information collected in this survey is confidential and will only be accessed by the project staff and supervisor for the use of the program.

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* 1. Your Name

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* 2. Please provide your email. It is very important! Please check your junk/trash email folders, since we will reach out to you first with your email address.

If possible please modify you your filter settings to allow our emails to get to you!  (Sample email addresses we use:  rpires@actoronto.org or dgallant@actoronto.org.)

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* 3. Your Phone Number

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* 4. Does this phone number accept texts?

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* 5. May we text, call or leave a message for you at this number?
(Is it your private line, or is it shared with others?)

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* 6. Your Date of Birth. Totally outRIGHT Toronto is for young gay/bi/queer guys who are 18-29 years of age.  If you are older than than 29,  we still want to talk to you.  Please leave us you birth date and we will get back to you about other options that may interest you.  (Please do fill out the rest of this survey as we may have some room for you in this program.)

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* 7. Is spoken English a language you are comfortable using?

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* 8. What is your highest level of education (completed or in progress)

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* 9. How did you find out about Totally outRIGHT Toronto?
(Note if you answer "actoronto.org/to"  or "the web site" please explain how you ended up on the Totally outRIGHT Toronto/ACT web site in the first place.)

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* 10. The program runs all-day (10:00 AM  to 5:00 PM) on the following four Saturdays. Please indicate if you can come to each day listed. 

  Yes Maybe No
Feb 1
Feb 8
Feb 22
Feb 29

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* 11. Transportation Needs

ACT can provide TTC tokens, GO Transit presto cards or Parking fees to participate. Please let us know what your transportation needs are - you can check more than one need on the list below:

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* 12. If you use GO transit, please let us know the name of the stop you where you will enter GO transit and the name of the stop where you will depart Go Transit so we can calculate the cost:

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* 13. Food

We cater breakfast, lunch and snacks at Totally outRIGHT Toronto and want to make you feel safe and welcome.  Do you have any food restrictions or allergies we should be aware of?

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* 14. Accessibility 

We try to make everyone feel welcome. Are there any barriers we need to address for you or accessibility we should pay attention to in order to ensure you can attend?

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* 15. Ensuring Our Commitment to Diversity

Totally outRIGHT Toronto engages in equity initiatives to ensure accessibility to all men. If you identify with a minority group, can you please leave us a comment what that group is?  We want to see if our program is reaching a diversity of men.

Thanks!  We are almost done.

We have two more questions about what sort of thing you are looking for in the program.

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