Back to Our Roots Survey

Back to Our Roots Survey

This survey will identify key data about the demographic makeup and needs of Black 2SLGBTQI+ communities in Canada to generate community-led insights and recommendations on potentially establishing a national Black-led and Black-focused 2SLGBTQI+ organization.
To be eligible to participate in this survey, respondents must be:
- Older than 15 years of age
- Identify as Black (African, Afro-Caribbean, African-Canadian, Afro-Latinx, Afro-Indigenous, African Nova-Scotian)
- Identify as 2SLGBTQI+
- Reside in Canada (regardless of immigration status).
Participants in this survey will remain anonymous.

TW - The themes explored in this survey will focus on anti-Black racism in many forms (including violence, exclusion, erasure, and mental health). If you need mental health support, use the resources below:

Call Talk Suicide Canada at 1-833-456-4566. Support is available 24 hours a day, 7-days a week
For residents of Quebec, call 1-866-277-3553 (24/7) or visit suicide.ca/en

Visit Talk Suicide Canada for the distress centres and crisis organizations nearest you
If you're experiencing gender-based violence, you can access a crisis line in your province or territory.

Black mental health promotion toolkit: Towards positive change to promote mental health and well-being.

This survey has 58 option-based questions and 5 written-based.
Demographics/Initial Screening
Do you identify as Black (African, Afro-Caribbean, African-Canadian, Afro-Latinx, Afro-Indigenous, African Nova-Scotian)?*

YesNo
What is your age range?*

15-17 years old18-24 years old25-34 years old35-44 years old45-54 years old55-64 years old65-74 years old75 years or older
Please select the gender you identify. (Select all that apply)*

WomanManTransgender2SpiritNon-Binary/ Gender-nonconformingCisgenderPrefer not to say
Please select your sexual orientation.(Select all that apply)*

2SpiritGayLesbianPansexualAsexualHeterosexualBisexualDemisexualQueerUnsure
Please select the province or territory you currently reside. Note: the options below are colonized names; use the other option to locate yourself outside of these definitions.*

AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon
Please indicate your place of birth (province/territory/state, country):*
Please indicate if French or English is your first language (select all that apply):*

French is my first languageEnglish is my first languageNeither French or English is my first language
What is your first language?*
Please indicate the languages you are fluent in:*

EnglishFrench
Are you a person living with a disability? (NOTE: disability is defined as an umbrella term, covering impairments, activity limitations, and participation restrictions. An impairment is a problem in body function or structure; an activity limitation is a difficulty encountered by an individual in executing a task or action; while a participation restriction is a problem experienced by an individual in involvement in life situations.)*

YesNo
Community/Connections
Please indicate your level of agreement with the following statements:

(NOTE: Anti-Black racism is the interpersonal and systemic prejudice, attitudes, beliefs, stereotyping and discrimination that is directed at people of Black-African descent and is rooted in their unique history and experience of enslavement and its legacy. Anti-Black racism is manifested in the current social, economic, and political marginalization of Black Canadians, which includes unequal opportunities, lower socio-economic status, higher unemployment, significant poverty rates, and overrepresentation in the criminal justice system. Source)

Is there a Black-serving organization within your local community that is 2SLGBTQI+ affirming?*

YesNoI do not know
Does this organization offer services in a language you are comfortable speaking?

YesNo
Would you consider this physical location and services accessible?

YesNo
Is there a 2SLGBTQI+ serving organization in your local community that affirms your Blackness?*

YesNoI do not know
Does this organization offer services in a language you are comfortable speaking?

YesNo
Would you consider this physical location and services accessible?

YesNo
If you had to choose, would you feel safer accessing community, health, and systems navigation services from a 2SLGBTQI+ organization or a Black organization?*

Black-serving organization2SLGBTQI+ organization
Do you consider yourself spiritual/religious?*

YesNo
What religion or form of spirituality do you practice?
Employment and Education
Are you entitled to work in Canada?*

YesNo
Are you currently employed?*

YesNo
Are you receiving financial assistance from the federal or provincial governments?

YesNo
Have you experienced anti-Black racism in your workplace?*

YesNoI do not know
Have you experienced homophobic or transphobic discrimination in your workplace?*

YesNoI do not know
Have you been denied employment opportunities due to sexual orientation, gender identity or gender expression?*

YesNoI do not know
Have you been denied employment opportunities due to your racial identity?*

YesNoI do not know
Have you experienced ableist discrimination in your workplace?*

YesNoI do not know
What level of education have you completed to date?*

Some High SchoolHigh SchoolCollege/CÉGEPBachelor's DegreeMaster's DegreePh.D. or higherTrade School
Have you experienced anti-Black racism in an educational institution?*

YesNoI do not know
Have you experienced homophobic or transphobic discrimination in an educational institution?*

YesNoI do not know
Have you been denied educational opportunities due to sexual orientation, gender identity or gender expression?*

YesNoI do not know
Have you been denied educational opportunities due to your racial identity?*

YesNoI do not know
Have you experienced ableist discrimination in an educational institution?*

YesNoI do not know
Health Care
Do you currently have a primary healthcare practitioner (e.g. a family doctor)?*

YesNo
Considering your past experiences with healthcare professionals, how would you describe their understanding of your sexual orientation, gender identity or gender expression?*

Healthcare professionals are not knowledgeable at allHealthcare professionals are not very knowledgeableHealthcare professionals are moderately knowledgeableHealthcare professionals are very knowledgeable
Considering your past experiences with healthcare professionals, how would you describe their understanding of your health needs concerning your racial identity?*

Healthcare professionals are not knowledgeable at allHealthcare professionals are not very knowledgeableHealthcare professionals are moderately knowledgeableHealthcare professionals are very knowledgeable
Considering your past experiences with healthcare professionals, how would you describe their understanding of your health needs concerning your disability?

Healthcare professionals are not knowledgeable at allHealthcare professionals are not very knowledgeableHealthcare professionals are moderately knowledgeableHealthcare professionals are very knowledgeable
Where do you find relevant sexual or gender-affirming healthcare information or advice?*

Online/Social MediaFriends/PeersHealthcare practitionerBlack Organization2SLGBTQI+ Organization
Is the health information and advice relevant to your current health needs?*

YesNo
Have you ever received mental health care from a mental health practitioner? (E.g.: Psychologists, Counsellors, Therapists, Psychotherapists, Clinical Social Workers, Psychiatrists, Certified Peer Support Workers, Indigenous Elders and Traditional Healers).*

YesNo
How would you rate their understanding of your sexual orientation, gender identity or gender expression?

Mental health practitioners are not knowledgeable at allMental health practitioners are not very knowledgeableMental health practitioners are moderately knowledgeableMental health practitioners are very knowledgeable
Considering your past experiences with healthcare professionals, how would you rate their understanding of your health needs concerning your racial identity?

Mental health practitioners are not knowledgeable at allMental health practitioners are not very knowledgeableMental health practitioners are moderately knowledgeableMental health practitioners are very knowledgeable
Are you currently seeking mental health care?

YesNo
What challenges have you faced accessing mental health care? (Select all that apply)*

I cannot find affordable or free servicesI cannot find a mental health practitioner who understands my lived experience as a Queer, Trans or 2Spirit individualI cannot find accessible servicesI cannot find a mental health practitioner who understands my lived experience as a Black individualI have experienced anti-Black racism while accessing servicesI have not faced challenges accessing mental health careI cannot find a mental health practitioner who speaks in the language I am most comfortable speaking
Housing
What is your current housing status:*

Housed - rentingHoused - living with family/friendsHoused - ownedUnhoused - couch surfing/shelterUnhoused - homeless
Do you currently live in an urban, rural, remote or suburb community?*

UrbanRural/RemoteSuburb
Has your sexual orientation, gender expression, or gender identity impacted your ability to access or maintain stable housing?*

YesNoI do not know
Has anti-Black racism impacted your ability to access or maintain stable housing?*

YesNoI do not know
Has ableism impacted your ability to access or maintain stable housing?*

YesNoI do not know
Safety
A hate crime is a criminal or noncriminal offence committed against a person or property that is based solely upon the victim's race, religion, nationality, ethnic origin, sexual orientation, gender or disability (cite)

A hate incident is a NON CRIMINAL ACT that may affect the sense of security of a person or an identifiable group of people and given the context, is perceived as such by reason of race, national or ethical origin, language, color, religion, sex, age, sexual orientation, gender identity and gender expression, or an inability, among others. (cite)

Based on the definition of a hate crime/incident answer the following questions:
Have you experienced a hate crime/incident based on your sexual orientation, gender identity or gender expression?*

YesNoI don't know
Have you experienced a hate crime/incident based on your racial identity?*

YesNoI don't know
Have you experienced a hate crime/incident based on disability?*

YesNoI don't know
Have you experienced a racist hate crime/incident from someone who identifies as 2SLGBTQI+?*

YesNoI don't know
Have you experienced a homophobic or transphobic hate crime/incident from a racialized person?*

YesNoI don't know
Considering the violence you’ve experienced based on your gender identity, gender expression or sexual orientation, please select the types you have experienced (select all that apply).*

Verbal abuseOnline harassmentPsychological violencePhysical violenceSexual violenceProperty damageI have not experienced violence
Considering the violence you’ve experienced based on your racial identity, please select the types you have experienced (select all that apply).*

Verbal abuseOnline harassmentPsychological violencePhysical violenceSexual violenceProperty damageI have not experienced violence
Considering the violence you’ve experienced based on disability, please select the types you have experienced (select all that apply).

Verbal abuseOnline harassmentPsychological violencePhysical violenceSexual violenceProperty damageI have not experienced violence
Please verify that you are human*

Back to Our Roots Survey

Demographics/Initial Screening

Community/Connections

Employment and Education

Health Care

Housing

Safety