Dallas LGBTQ Housing Survey
First Community UCC for Faith in TX Just Housing campaign
We are conducting research for a Just Housing campaign with Faith in Texas. We want to better understand how people are discriminated against for gender identity/expression and sexuality. Thank you for taking the time to answer our survey.
Have you experienced discrimination in housing due to your sexuality or gender identity? *
What is your zip code? *
Your answer
If yes or maybe, what kind of discrimination did you experience? Check all that apply
What do you believe was the reason for the above discrimination?
What policies and laws would you like to see in place, particularly in Dallas and Texas, in order to ensure that you and others don't experience this kind of discrimination anymore?
These next questions are for demographic purposes and are not required, but they will be helpful in our research. Please answer them if you feel comfortable
What is your living situation? Do you live alone, with a partner or spouse, with family, or something else?
What was your household income (you and your partner/spouse/family) when you experienced discrimination?l
Do you receive housing assistance, and if so, what kind?
How would you describe your sexuality?
How would you describe your gender?
How would you describe your race?
Is there any other demographic or other information you would like to share with us that you think would be helpful for our research?
Your answer
Thank you so much for taking the time to share your experience with us. If you would like to get involved in our Just Housing campaign and/or be added to our church email list, please share your information with us
Name
Your answer
Email
Your answer
Phone
Your answer
May we add you to the following?
Thanks again, and Happy Pride Month!
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This form was created inside of First Community Church.