LGBTQIA+ Support Group Participant Survey

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Please share your feedback as openly and honestly as possible so that we can make sure to build the best curriculum possible for the specific needs and desires of our community members that we aim to support through Amplify Facilitator Training Project. There are only 12 required responses, and will take less than two minutes. The rest are optional questions. We will NOT share your feedback or information with anyone outside of the AFT team. Your privacy is our utmost priority. Thank you!

Email *

What is your age? *

Under 18

18-23

24-29

30-35

36-40

41-45

46-50

51-56

57-60

61-66

67-70

71-75

76+

Have you ever attended a local support group in CO? *

Yes

How many times have you attended support groups? *

1 time

2-5 times

5-10 times

10-15

So many I can't count

Never

Other:

Required

Do you feel that facilitators are skilled? *

Not at all skilled

Yes, very skilled

Rate your overall experience of attending support groups. *

Negative

Postive

What did/ do you like about attending support groups?

What was/ is challenging about attending support groups?

How did/ do you feel about support groups overall?

Have you ever had a negative experience that made you question if you'd like to return to your group? If so, please share what happened.

What is your favorite part about support groups?

What things can we as facilitators improve upon to make support groups a more positive experience for you?

Have you ever felt unsafe in support group? *

Yes (Physically)

No ( Physically)

Have you ever felt unsafe in support group? *

Yes (Emotionally)

No (Emotionally)

Do you feel you have ever been discriminated against in support groups? *

Yes

If yes to the above, please share about your experience.

How do you Identify? *

Binary Transgender

Non Binary Transgender

Agender

Gender queer

Gender fluid

Cis Male

Cis Female

Two Spirit

Other

I prefer not to share

Other:

Required

We are collecting this data to help us to better understand the experiences of groups of people who experience racial oppression. *

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian

Pacific Islander

Australian Aborigine and Papuan

White

I prefer not to share

Other:

Required

What community do you align with? *

Lesbian

Gay

Bisexual

Queer

Pansexual

Straight

Asexual

I prefer not to share

Required

Would you like to be on our email list to be informed of updates, events, and training opportunities for volunteer support group facilitators?

Yes

Clear selection

Send me a copy of my responses.

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