Houston Equality Survey
Help us find out about discrimination that's taking place and where you think the fight for LGBT equality in Houston should go.
Houston Equality Survey
First Name *
Last Name *
Email Address *
Preferred Phone Number *
How do you identify? *
Required
What are your preferred gender pronouns? *
Have you ever faced discrimination in Houston?
If you answered yes, can you please explain what happened and when?
Would you be interested in sharing your story?
Clear selection
If citizens were to pursue a new nondiscrimination law in Houston, when do you think the introduction of such a law should happen?
Clear selection
Beyond LGBT rights (and acknowledging that all social justice struggles intersect) which of these other movements are you interested in?
Can you name a local Houston-area LGBT activist that you think is doing important work in the community?
What LGBT groups (if any) are you involved with?
Would you be interested in being a spokesperson for LGBT rights?
Clear selection
Would you be interested in learning skills to work on a campaign?
Clear selection
Have you experienced symptoms of PTSD (post-traumatic stress disorder) after the repeal of the Houston Equal Rights Ordinance?
Clear selection
If you answered yes to the last question, would you like information about resources available to help you with your PTSD?
Clear selection
If you had to pick 3 things that the Houston LGBT community could start doing today to prepare for the next nondiscrimination effort what would they be?
Submit
Never submit passwords through Google Forms.
This form was created inside of transformhouston.org. Report Abuse