LGBT+ FAMILY RELATED MENTAL HEALTH ASSESSMENT

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This test will help our psychologist determine how we can help.

Email *

1. Is your family aware of your sexuality? *

Yes

2. Are you comfortable discussing topics around your sexuality with members of your family? *

Yes

3. Can you come out to your family about your sexuality? *

Yes

4. Are you worried about what members of your family would do if they found out about your Sexuality? *

Yes

5. Can you comfortably choose your sexuality over your family? *

Yes

6. Have you ever been abused physically by any member of your family because of your sexuality? *

Yes

7. Has your family ever subjected you to conversion therapy? *

Yes

8. Have you ever been sexually harassed or abused by any member of your immediate or extended family? *

Yes

9. Have you ever been blackmailed by any member of your family because of your sexuality? *

Yes

Would you like our psychologist to contact you after this test for further evaluation and free mental health services? We provide FREE counselling services to members of the community with emotional, sexual, behavioural or any psychological issues, through either on one or group therapy sessions. *

Yes

If you answered yes above, please provide a phone number we can reach you on.

Thank you for taking the test.

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