Inequalities faced by the older LGBT+ Community
Arcus Forum has identified that there may be inequalities faced by the older LGBT+ Community within health and social care, and we would like to gather some further information on this.  To assist with this, we would be very grateful if you could spare us a few moments of your time to complete the following questions.  Responses are totally confidential and will only be used to help improve the lives of LGBT+ people.

Some of our questions will say 'you' - If you are filling this out on behalf of someone else please answer as them
Sign in to Google to save your progress. Learn more
Are you filling this in for yourself or someone else? *
If you are filling this in for someone else - What is your relationship with this person? e.g. Family member/Carer/Partner/Friend/(N/A) *
What is the first half of your Post Code *
Do you identify as LGBT+? *
What age range best describes you? *
Have you or someone you care about been affected by any of the following? *
Required
If you answered yes to any of the above please let us know more about this here *
Are you worried about any of the following happening to you or someone you care about? *
Required
If you checked any of the options above can you tell us more about this here? *
THANK YOU!
Thank you for taking the time to fill out this survey!
If you would like to discuss anything from this survey please email us at contact.arcuslgbt.com
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy