LGBT Foundation Demographic Form
This form is a place to provide anonymous demographic data for groups and events attended with LGBT Foundation. This data is used to report on activities to our funders, which in turn helps to keep all of our services free at the point of access, as well as internal reporting to ensure we are meeting the needs of all our communities. We greatly appreciate your contributions.
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Date LGBT Foundation group or Event took place *
MM
/
DD
/
YYYY
What is your current age?
What is the first part of your postcode or the town/city you live in? (i.e. M3 or Salford)
Which of the following best describes how you think of yourself?
Clear selection
In Another Way - Please provide details here
Which of the following best describes how you think of yourself?
Clear selection
Other - Please provide details here
Is your gender identity the same as the gender you were given at birth?
Clear selection
Would you describe yourself as intersex?
Clear selection
Do you consider yourself disabled?
Clear selection
What is your religion or belief?
Clear selection
Religion or Belief - Other
Which of the following best describes how you think of yourself?
Clear selection
Any other ethnic group - please provide details here
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