LGBT Self Identification Form
This form is used by individuals who identify as Lesbian, Gay, Bisexual, or Transgender (LGBT) to self-identify their sexual orientation and/or gender identity. The information collected through this form will be used to provide better services and support to the LGBT community. This form is voluntary and confidential.
2 minutes to complete
Eligibility
The LGBT self identification form can be filled by any person who identifies themselves as lesbian, gay, bisexual, and transgender.
Questions for LGBT Self Identification Form
Questions
1.
Full Name
The answer should be a text input.
2.
Age
The answer should be a single choice:
- Under 18
- 18-24 years old
- 25-34 years old
- 35-44 years old
- 45-54 years old
- Over 55
3.
Date of Birth
The answer should be a date input.
4.
Email Address
The answer should be an email input.
5.
Nationality
The answer should be a country.
6.
How do you identify yourself?
The answer should be a single choice:
- Lesbian
- Gay
- Bisexual
- Transgender
7.
Gender
The answer should be a single choice:
- Male
- Female
- Transgender male to female
- Transgender female to male
- Non Binary
8.
Preferred pronouns
The answer should be a single choice:
- He/him/his
- She/her/hers
- They/them/theirs
- Ze/hir
9.
Do you feel comfortable openly expressing your sexual orientation/gender identity?
The answer should be a single choice:
- Yes
- No
- Sometimes
10.
How proud do you feel to be a part of the LGBT community?
The answer should be a rating.
11.
Do you feel that you have a strong support system of family and/or friends when it comes to your LGBTQIA+ identity?
The answer should be a single choice:
- Yes
- No
Forms Similar to LGBT Self Identification Form
- Gender Self Identification Form
- Race Self Identification Form
- Sexual Orientation Self Identification Form
- Ethnicity Self Identification Form
Here are some FAQs and additional information
on LGBT Self Identification Form
What is the purpose of this form?
This form is used to collect data on the self-identified sexual orientations and gender identities of members of the LGBTQ community. The data collected will be used to help improve the visibility and inclusion of LGBTQ people within the community.
How will the data be used?
The data collected will be used to help improve the visibility and inclusion of LGBTQ people within the community. The data may be used for research purposes, to advocate for LGBTQ rights, or to provide support and resources to the LGBTQ community.
Who has access to the data?
Only authorized personnel will have access to the data. The data will be stored securely and will not be shared with any third party.
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