One2One: PALs Questionnaire for Youth
Thank you for your interest in finding a PAL! 

PALs are Possibility Adult Leaders (or mentors) who are trans, nonbinary, or gender expansive themselves. Please fill out this short questionnaire to the best of your ability so we can match you with one of our PALs. 

You can learn more about Translate Gender and our other programs at www.translategender.org. 
If you have any questions, feel free to reach out to us at info@translategender.org. 
Sign in to Google to save your progress. Learn more
PAL Flyer
What is your name? *
What is your age? *
What pronouns do you use?
How do you define your gender identity?
What town do you live in? *
What's your email?  *
Do you have access to transportation? *
What are your hobbies or interests?
What are some things that bring you joy? What are some things that challenge you?
What makes you feel supported by the people around you?
What do you look for in a role model?
Are there any parts of your identity that would be important for you to have in common with your PAL, such as race, ability, neurodivergence, or anything else? If yes, what are they?
How does it make you feel to see an older person with similar identities to you being happy and/or comfortable in life?
When feeling down, who do you go to for comfort?
Clear selection
Do you have any questions or anything else you would like us to know?
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Translate Gender. Report Abuse
Google Forms