12N Adult Survey

LGBTQ Youth In Our Lives. Please submit by Wed., March 7th, 5pm.

We'd like to know how you are connected, if at all, to LGBTQ youth because we are creating a learning video on cultural sensitivity for the LGBTQ youth community.

The City and County of San Francisco’s Department of Public Health, The San Francisco Youth Commission and Human Rights Commission (HRC) is proud to announce a collaboration with BAYCAT production company. We need YOU and appreciate your participation in filling out this survey to gain insight on where and how to improve City services.

If you identify as a parent, service provider, or ally of the LGBTQ youth community, and have any additional comments beyond this survey, or wish to be involved with the production of this project, please contact: 12nadult@baycat.org.

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Question Title

* 1. Which category below includes your age?

21 or younger

21-29

30-39

40-49

50-59

60 or older

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* 2. What is your connection to an LGBTQ youth? Please select all that apply.

Parent/Guardian

Service Provider

Extended Family Member

Ally

Former LGBTQ Youth

Not Connected

Other (please specify)

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* 3. How do you support LGBTQ youth in your work or life?

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* 4. What challenges have you seen LGBTQ youth face that other youth seeking city services may not encounter? (eg. health care, DMV, social worker, etc.)

Question Title

* 1. Which category below includes your age?

Question Title

* 2. What is your connection to an LGBTQ youth? Please select all that apply.

Question Title

* 3. How do you support LGBTQ youth in your work or life?

Question Title

* 4. What challenges have you seen LGBTQ youth face that other youth seeking city services may not encounter? (eg. health care, DMV, social worker, etc.)

Question Title

* 5. What do you perceive to be different for an LGBTQ youth seeking services today, from when you were a youth?