Community Asian LGBTQ+ Senior Health Equity Project - Community Consultation Registration
Hello and thank you for your interest in being part of our community consultation. Please take a few minutes to fill out the short survey below, your input will guide how you can participate and help shape this project together. If you have any questions regarding the survey or the project, please don't hesitate to contact Alex Ma (he/him) at hinchung.ma@torontomu.ca

We are planning 5 community consultation sessions with the following groups: 
-men
-women
-trans community members
-people living with HIV
-mixed group

The sessions will be conducted in English (with language support if needed) and each session is 90 minutes long. $30.00 CAD of honorarium will be provided for attendees. 

This project is a joint initiative of the Bridging Divides Program at Toronto Metropolitan University and several partner institutions.
Sign in to Google to save your progress. Learn more
Email *
Your preferred name *
Your contact phone number:
Your gender and pronoun *
Your ethnicity (e.g. Chinese/Taiwanese/Vietnamese/Filipino/Thai, etc.) *
Your age *
What is your sexual orientation? *
Were you born in Canada? If not, how many years have you been living in Canada? *
Are you able to attend an in-person consultation session in downtown Toronto? *
Are you able to attend an online zoom video consultation session? (with camera on) *
Please indicate your availability for community consultation. (please check all that apply) *
Required
Do you need any interpretation support for attending a session in English? if yes, please choose 'other' and indicate your spoken language *
For validation of your participation, please provide the name and contact (phone/email) of the person who referred you to this consultation. *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Toronto Metropolitan University.

Does this form look suspicious? Report