WE LIVE 2025-2026 Mental Health Survey

  • LIVE 2025-2026 Mental Health Survey

    LGBTQ+, Inclusivity, Visibility, and Empowerment

  • Thank you for your interest in our LGBTQ+ Mental Health Survey. Your responses will help us better understand the mental health needs of our community. This survey is completely voluntary and confidential. It will take about 10 minutes to complete. We greatly appreciate your time. 

  • Date*
     - -

  • Identity and Orientation Questions

    Please note these answers are collected solely for grant reporting purposes. Your answers are entirely confidential and will not be shared in connection with your identity. This is a safe space.
  • Ethnicity (Select All That Apply)*
  • Do you identify as Transgender or Gender Non-Conforming?*
  • Do you identify as part of the LGBTQ+ Community?*

  • Mental Health Questions

  • I have been concerned with my mental health within the past year.*
  • I am comfortable discussing mental health issues with family, friends, or healthcare providers.*
  • I have experienced mental health challenges (such as depression, anxiety, etc.) related to my LGBTQ+ identity.*
  • I have felt unsafe expressing my gender identity or sexual orientation in public.*
  • I have access to mental health professionals trained in LGBTQ+ issues within a reasonable distance.*
  • I have access to gender affirming mental health professionals within a reasonable distance.*
  • Have you ever avoided seeking mental health care due to fear of discrimination?*
  • Have you experienced anxiety in healthcare settings due to your LGBTQ+ status?*
  • Have you ever experienced school or workplace discrimination due to your identity?*
  • Have you struggled with substance abuse as a coping mechanism?*
  • Have you experienced housing insecurity due to your LGBTQ+ status?*

  • Contact Information

    (Optional)

    Providing your contact information is entirely optional. If you choose to share it, we may use it to send you resources or invite you to future evetnts. 

  • Would you like to provide contact information?
  • If yes, which method(s) of contact do you prefer? (Select all that apply).

  • Consent and Confidentiality

    By submitting this form, you agree that we may use your responses to improve our programing. All information will be kept strictly confidential and will only be accessed by authorized program staff. If you've provided contact information, you agree that we may contact you about resources or future events. You can opt out at any time. 

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