undefined

Transgender Discrimination Survey

The Transgender Discrimination Survey was created to study the experiences of transgender people. It was open to people who identify as transgender, as well as those who do not identify as transgender but who have experienced discrimination based on their gender identity or expression.

2 minutes to complete

Eligibility

Transgender people who have faced discrimination are eligible to take the survey.

undefined

Questions for Transgender Discrimination Survey

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.

Phone Number

The answer should be a phone number.
5.

Email Address

The answer should be an email input.
6.

Home Address

The answer should be a text input.
7.

Nationality

The answer should be a country.
8.

How often have you experienced discrimination because of your transgender status?

The answer should be a single choice:
  1. Very often
  2. Often
  3. Sometimes
  4. Rarely
  5. Never
9.

How do you feel when you experience transgender discrimination?

The answer should be a single choice:
  1. Very angry
  2. Angry
  3. Annoyed
  4. Frustrated
  5. Resigned
10.

What sort of discrimination have you experienced because you are transgender?

The answer should be a multiple choice:
  1. Being treated like a second-class citizen
  2. Being verbally abused or harassed
  3. Being physically abused or attacked
  4. Being excluded from social activities
  5. Being denied access to public places
  6. Being denied employment
  7. Being denied housing
  8. Being denied healthcare
11.

Could you elaborate on the incident?

The answer should be a text input.
12.

Have you ever been the victim of a hate crime because you are transgender?

The answer should be a single choice:
  1. Yes
  2. No

Surveys Similar to Transgender Discrimination Survey

  • Anti-transgender discrimination survey form
  • Transgender inclusion survey form
  • Transgender bias survey form
  • Transgender equity survey form
  • Transgender rights survey form
  • Transgender sensitivity survey form
  • Transgender awareness survey form
  • Transgender knowledge survey form

Here are some FAQs and additional information
on
Transgender Discrimination Survey

What is the Transgender Discrimination Survey?

The Transgender Discrimination Survey (TDS) is a survey that seeks to document the experiences of discrimination faced by transgender and gender non-conforming people.

What is the purpose of the Transgender Discrimination Survey?

The survey is designed to collect data on the prevalence of transgender discrimination in the world

Is the survey confidential?

Yes, the survey is confidential. All responses will be anonymous.

Want to use this template?

Loved by people at home
and at work

undefined
“BlockSurvey is a simple, effective, and scalable tool for creating surveys for leadership and learning assessment. It's one of this year's best buying choices. Each month, it keeps improving and strives to serve its customers needs.”
Nelson Emilio
Personal Branding Strategist
undefined
“I use BlockSurvey to get feedback about all my activities and events. It is really easy to get started and create my first surveys! Then I could see how easy it was to share them. Now I am thinking to use BlockSurvey also within my creative process as an author in order to listen and engage with my audience, knowing that anonymity provides the most sincere and reliable answers.”
Georgina García-Mauriño
Author & Designer
BlockSurvey social proof
G2 Crowd
4.8 Star Rating
BlockSurvey social proof
Dapp.com
Editor's choice
BlockSurvey social proof
Capterra
4.9 Star Rating

What's next? Try out templates like
Transgender Discrimination Survey

1000+ Templates, 50+ Categories

Want to create secure online forms and surveys?

Join BlockSurvey.

SHARE