UPlift Black - Community Needs Assessment
UPlift Black is a Black-led non-profit agency in Simcoe County, Ontario working to UPlift the wellbeing of Black people locally and educate nationally about anti-Black racism and gender-based discrimination in Canada. Our work is culturally based, anchored in 2SLGBTQIA+ inclusivity, and in solidarity with Indigenous peoples to achieve the ultimate goal of true equity through a concious and UPlifted community.

One of our offerings is personal and professional development workshops and sessions. We want to ensure that we provide desired, timely, and relevant training geared to our community's needs. We want to hear from you. Please take a few minutes to complete this short survey and share your thoughts. Thank-you!
Sign in to Google to save your progress. Learn more
What is your age? *
Please list your gender. *
What is/are your ethnic or cultural origin(s)? Specify as many ethnic or cultural origin(s) as applicable. *
(For example, Anishinaabe, Canadian, Chinese, Colombian, Cree, Dutch, East Indian, English, Filipino, French, German, Guyanese, Haudenosaunee, Inuk/Inuit, Iranian, Irish, Italian, Jamaican, Jewish, Korean, Lebanese, Mi’kmaq, Metis, Ojibway, Pakistani, Polish, Portuguese, Scottish, Somali, Sri Lankan, Ukrainian, etc.)
In our society, people are often described by their race or racial background. Which category/categories best describe you? Select all that apply.
What language(s) do you speak at home?
How long have you lived in Simcoe County?
Clear selection
Do you have social and/or community connections in Simcoe County that you can turn to for support (e.g. family, friend, spiritual affiliation, etc.)?
Clear selection
Have you faced any challenges in accessing or receiving adequate supports or services in the community? If so, please describe.
If you have accessed or received support and services in the community, how would you describe your experience(s)?
If you could participate in free professional development and educational sessions through UPlift Black what topic(s) would interest you most? Select all that apply.
Have you ever attended any professional development sessions in the past? Please feel free to describe.
What day(s) during the week are you most available to participate in professional development or educational sessions? Select all that apply.
Please explain your availability further. What time of the day are you most available for training (e.g. morning, afternoon, evening)?
Additional comments: Please share anything else you would like us to know.
Would you be interested in any other supports offered by UPlift Black?
How did you hear about UPlift Black?
Clear selection
If you would like to leave your contact information, please provide a phone number and/or email below.
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
Google Forms