Open Minds' Under 18s gender identity research form 
Thank you for filling in this form - Open Minds is a counselling service in Doncaster who often support children, young people and adults who are trans or gender non-conforming. 

We are trying to find out what under 18s in Doncaster would like to see in terms of support around their developing gender identity and gender expression. 

This does not mean we will be able to meet the needs that are expressed in this form, but we will certainly try and talk to the right people both in Doncaster and beyond who can help. 

The feedback you give will be collated and kept anonymous, but there is an option at the end of the form to include your contact details if you would like to be kept informed about what we are doing and as much as we can we will keep you inform about what else is happening in and around Doncaster to support children and young people with their gender identity and gender expression. You can withdraw permission for this at any time. 

We are particularly interested in the ways in which gender non-conforming young people may need different support, and want to find out as much as we can in order to work out what support young people: 

1) need / want 
2) would be willing or able to access 
3) would struggle to access, for example if their parents don't know their true gender identity 

Please tick as many of the boxes under each question that apply to you. All of the questions are so we can get a better idea of the differences in kids who are reaching out for support. 

Sign in to Google to save your progress. Learn more
A brief word about terminology 
We understand that some of the words in this form might be confusing, and some of the questions might even be upsetting. 

Please don't feel that you have to respond to all of the questions, and please only answer those you feel able to. 

We have used the term TRANS to refer to people who identify differently to the gender they were identified at birth. 

We have used the term CIS to refer to people who identify the same as the gender they were identified at birth. 

We have used the term GENDER NON-CONFORMING to refer to people who express their gender differently to what might be considered 'mainstream' gender expression. 

How old are you? 
What is your ethnicity? 
Please tell us your gender identity. 
Please tell us what pronouns you prefer 
Please tell us the gender you were assigned at birth - this is so we can get a better idea of the differences in kids who are reaching out for support 
Please tell us if the gender you identify with now is different to your birth gender 
Clear selection
Please tell us who you are out to in your personal life, if anyone 
If you are Cis Male please tell us about your gender expression. This means how you express yourself in terms of clothing, hair style, make up and so on. 
If you are Cis female please tell us about your gender expression. This means how you express yourself in terms of clothing, hair style, make up and so on. 
If you were Assigned Male At Birth but are not Cis, please tell us about your gender expression. This means how you express yourself in terms of clothing, hair style, make up and so on. 
If you were Assigned Female At Birth but are not Cis, please tell us about your gender expression. This means how you express yourself in terms of clothing, hair style, make up and so on. 
Please tell us if you feel able to live as your true self. 
Please tell us any reasons you might not feel able to express your gender identity fully.  
Please tell us what support you access around your gender identity/expression. 
Please tell us what difficulties you have had with your mental health 
Please tell us what difficulties you have had in how people treat you about your gender 
What support should there be for young people in Doncaster for their gender identity and expression? 
Please tell us anything else about difficulties you have encountered in being fully yourself with your gender identity or expression. 
Please tell us what has helped you when dealing with these difficulties. 
Please tell us anything else that you would like to see in terms of support in Doncaster 
Please tell us what would stop you attending or accessing support. 
What have you learnt in school around gender/ gender identity and sexuality? and how do you feel this could be improved? 
Other sources of support 
We know there is a lack of support for children who are gender non-conforming, but have done our best to find sources of support and include them here: 

LGBTQEnquiries@doncaster.gov.uk - LGBT Youth Hub Doncaster 













https://www.depend.org.uk/frameset.html 

Support for mental health for children in general: 







Open Minds Counselling Services www.counsellingdoncaster.com 
If you would like to be kept informed about the results from this survey please include your email below 
Please remember you are important to the world - you deserve to be here, and one day you will find the places and people that you belong with and who appreciate you for who you truly are.  
Please always reach out for support if you feel suicidal or want to hurt yourself - phone for free 24/7 - Get Support | Childline 0800 1111 or the Samaritans on 116123 
If you are in danger please always reach out for support - you can free phone the police on 999 any time of day or night 
For help with your mental health if you are in crisis you can also always free phone the NHS on 01302 566999 any time of day and night 
Thank you so much for completing this form. 
We will put the results on our website www.counsellingdoncaster.com in a few months once we have had time to collect lots of responses. 
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Open Minds Counselling Services Ltd.. Report Abuse
Google Forms