Use your voice to advocate for resources and support fund development
Hello! Our interest list has reached capacity for the second launch of SJSWC and Quadrangle NL's 2SLGBTQIA+ Short-Term Community Counselling Program. We hope you'll keep an eye on our posts and website for announcements about our next launch in the coming months.

In the meantime, are you interested in using your voice to support our cause?

We’re gathering completely optional, non-identifying information from interested folks who want to use their voice to help us improve our service offerings and advocate for resources. In the not-for-profit world, gathering demographic information from folks in our communities can help us show government and funders how necessary mental health initiatives like this are in our province.

The following questions are completely voluntary. Choosing to provide or not provide this information will not impact your involvement in counselling. Your responses will not be linked to your name or identifying information, even if you decide to share your name here. If you feel comfortable and wish to identify the need for support for folks within your community, we invite you to respond to any of the questions below, as you see fit.

You have our sincere thanks,

Quadrangle NL and the St. John's Status of Women Council
Sign in to Google to save your progress. Learn more
Would you like to add your initials or name?
Not required. When advocating for funding, submissions without names or initials are just as meaningful.
Are you queer, questioning, or identify with the 2SLGBTQIA+ community?
Clear selection
If yes, how do you identify? 
Select all that apply.
Do you self-identify with any of the following groups?
Black, Indigenous, People of Colour, New Canadian
If yes, or if you do not see yourself represented above, would you like to tell us more?
What is your first language?
Select all that apply.
What is your age?
Do you identify with any of the following?
Select all that apply.
Is there anything else you'd like to share about your identity?
If you wish to identify the need for support for folks within your community, we invite you to tell us more.
Where are you located within Newfoundland and Labrador? 
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of St. John's Women's Centre. Report Abuse
Google Forms