2019 LGBTQ Community Needs Survey

Demographics

This survey is designed to gather information on the needs of the LGBTQ community and improve our services. We will use the collected data ONLY to address needs felt by the community and all responses are entirely anonymous. Thank you for helping us!

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* 1. How do you identify your sexuality?

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* 2. How do you identify your gender?

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* 3. What is your age?

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* 4. How would you identify your race?

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* 5. Are you currently a student?

Yes

N/A

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* 6. What is your county of residence?

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* 7. What is your highest level completed of education?

Middle School

High School

GED/Trade School Degree

Associates Degree

Bachelor's Degree

Master's Degree

Doctorate

Medical Degree

Other

N/A

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* 8. Are you currently employed? (If student, select "Student")

Yes

Student

N/A

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* 9. Are you currently experiencing homelessness?

Yes

I'm not sure

N/A

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* 10. Are you currently using temporary public assistance for basic living needs, including but not limited to Supplemental Nutrition Assistance Program (SNAP), Home Energy Assistance Program (HEAP), Emergency Aid for Families (EAF), Emergency Aid to Adults (EAA), Medicaid, etc?

Yes

I'm not sure

N/A