Get to know our LGBTQ+ elders
There is a gap and a lack of data collected on the specific needs and concerns of LGBTQ+ elders.
Total Together is performing quantitative studies (LGBTQ+ Elders Needs Assessment) and qualitative studies e.g. interviews with the elders and focus groups.
We need to get a clear understanding on their needs and any unique challenges they face or have faced.

The responses used here are for data research purposes and no names or private contact details are collected in the process. Please be rest assured this will  not trace back to you, your spouse or your family.

This form will take approximately 5 minutes to complete

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What are your pronouns?
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What's your age group
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Where are you located? *
Have you been stigmatized/ discriminated elsewhere because of your identity? *
Where did this happen *
How often do you experience discrimination to date? *
At what age did discover your sexuality? *
Have you ever visited a healthcare facility open as LGBTQ+? If yes, what was the reaction of the people you told? *
How did you feel after that experience? *
Do you think you can go back again to the facility? *
When did you last get HIV testing *
Are you on; *
Do you have access to lubricants and condoms? *
Do you have any existing fears for anyone finding out your sexuality? *
Have you ever been blackmailed by anyone with a threat to expose your sexuality? *
Do you have any health insurance? *
If "No" why? *
If you answered YES, do they know your sexuality? *
Do you have funeral policy *
If you answered "No" why are you not covered? *
Do you suffer from Non communicable diseases? *
If yes, Which one? *
What is the service like? *
If no, why have you not sort for cover? *
How do you prefer to access healthcare services? *
How do prefer to access healthcare information? *
If "Peer mobilizer" what age do you prefer to attend to you?
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Do you have a spouse or partner? *
If yes, are they living with you? *
If no, why are you alone, any experiences you wish to share?
Are you employed now? *
How do you manage day to day needs? *
Do you have a support-base in the event of you falling sick? *
Education level reached *
What services do you wish to receive from LGBTQ+ organization like Total Together? www.totaltogether.org *
Anything else you wish to share e.g. life story or experiences not indicated in this form, please type below (optional)
Email (Optional)
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