Needs Assessment Questionnaire
The LGBTQ+ Center Lake County is an open and affirming environment for people of all sexual orientations and gender identities. We provide support, education, resources, and advocacy to achieve a stronger and healthier world for LGBTQIA+ people and allies.

Your answers to this survey will provide necessary feedback about services, events and activities you’d be interested in, and will help to shape the Center’s role in the community.
***All personal information collected will remain confidential***
Age *
City, ZIP *
Sex Assigned at Birth *
Gender (choose all that apply) *
Sexual Orientation (choose all that apply) *
Race *
Do you identify as Hispanic or Latinx? *
Before today, had you heard of the LGBTQ+ Center of Lake County? *
Would you visit the LGBTQ+ Center Lake County? *
How many miles would you be willing to travel to visit a Center? *
How important do you think it is to have an LGBTQ+ Center serving Lake County? *
What services would you want to see offered at the Center? *
What do you think are the 3 most important services that should be offered at the Center? *
Are you interested in meeting other local LGBTQ+ people? *
What are your main interests? *
What online/virtual services would you like to see offered? *
What concerns do you have about living in Lake County as an LGBTQ+ person? *
How satisfied are you with the existing resources for the LGBTQ+ community in Lake County? *
Would you be interested in receiving information about volunteer opportunities? *
Would you like to be on our contact list? (if yes, list email address) *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy