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LGBT Inclusive Intake Forms

An LGBT inclusive intake form is a form that is designed to be inclusive of all members of the LGBT community. This type of form will typically include questions about an individual's sexual orientation and gender identity, as well as their preferred pronouns.

2 minutes to complete

Eligibility

Persons who identify as LGBT, queer, and/or allies are encouraged to fill out the LGBT Inclusive Intake.

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Questions for LGBT Inclusive Intake Forms

Questions

1.

Full Name

The answer should be a text input.
2.

Age

The answer should be a single choice:
  1. Under 18
  2. 18-24 years old
  3. 25-34 years old
  4. 35-44 years old
  5. 45-54 years old
  6. Over 55
3.

Date of Birth

The answer should be a date input.
4.

Email Address

The answer should be an email input.
5.

Home Address

The answer should be a text input.
6.

Nationality

The answer should be a country.
7.

How do you identify yourself?

The answer should be a single choice:
  1. Lesbian
  2. Gay
  3. Bisexual
  4. Transgender
8.

Gender

The answer should be a single choice:
  1. Male
  2. Female
  3. Transgender male to female
  4. Transgender female to male
  5. Non Binary
9.

Preferred pronouns

The answer should be a single choice:
  1. He/him/his
  2. She/her/hers
  3. They/them/theirs
  4. Ze/hir
10.

What makes you feel most proud to be a part of the LGBTQIA+ community?

The answer should be a text input.

Forms Similar to LGBT Inclusive Intake Forms

  • -LGBTQIA+ Inclusive Intake Forms
  • Inclusive Intake Forms for LGBTQIA+ Communities
  • Inclusive Intake Forms for Sexual and Gender Minorities
  • Inclusive Intake Forms for LGBTQIA+ Individuals and Families
  • LGBTQIA+ Sensitive Intake Forms

Here are some FAQs and additional information
on
LGBT Inclusive Intake Forms

Is the survey confidential?

Yes, the survey is completely confidential. Your responses will be anonymized and only used for research purposes.

What are inclusive intake forms?

Inclusive intake forms are forms that are inclusive of all members of the LGBTQIA+ community. This means that the forms do not make any assumptions about the gender or sexual orientation of the person filling them out, and that they provide options for all gender identities and sexual orientations.

Why are inclusive intake forms important?

Inclusive intake forms are important because they help to create an inclusive environment for all members of the LGBTQIA+ community. By providing forms that are inclusive of all members of the community, it shows that the organization is committed to creating an inclusive environment.

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