Your Information Question Title * 1. Contact Information Full Name * Your preferred email address * Your preferred phone Number Question Title * 2. Are you a Together Member Yes No Question Title * 3. Member ID (If known) Question Title * 4. Employer Name Question Title * 5. Workplace Question Title * 6. Are you a member of the LGBTIQ+ and/or gender diverse communities? Yes No Question Title * 7. If you feel comfortable, do you identify as Lesbian Gay Bisexual Trans Intersex Queer Other (please specify) Question Title * 8. What are your pronouns? Select any/all that you use She/her He/him They/them Other Question Title * 9. What is your title/prefix? Miss Ms Mrs Mr Mx Question Title * 10. Are you a union activist or delegate interested in being in the Together Pride Network? Yes No No, but I am interested in staying in the loop No, but I am interested in becoming a delegate or activist in my workplace Question Title * 11. Are you involved in a Pride Committee in your workplace? If so, what is the name of the committee? No Yes, please write the name of the committee in the comment field if applicable. Question Title * 12. Have you experienced or witnessed discrimination against LGBTQ+ and gender diverse workers in your workplace? Yes, all the time Yes, some of the time Yes, rarely No, not at all If you clicked one of the Yes options, and are comfortable to, please share an example below. Question Title * 13. What LGBTIQ+ issues are important to you? Lack of visibility Stopping discrimination, harassment/bullying, homophobia and transphobia in the workplace Creating network and support for LGBTIQ+ Positive organisation workplace policies Complaints processes against discrimination Other (please specify) Question Title * 14. If you have success stories or examples of good practices or policies in community or in your workplace, please share an example below. Next