Needs Assessment Survey for LGBTSTGNC POC Members of the Audre Lorde Project

Thank you so much for taking the time to fill out this survey!

The purpose of the survey is to help the Audre Lorde Project develop two new programs; the new membership program and the new community support program.

By filling out the survey, you will let us know:
•the most prominent issues you are dealing with in your life.
•what kinds of support you need deal with these issues.
•what types of programming you want to see come out of ALP.
•your skills and interests.

Your input is the driving force behind the programming of ALP. We can’t do it without you!

Thank you again for helping us find the best ways to support all LGBTSTGNC People of Color.

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1. What are the top two issues that you are struggling with?

What are the top two issues that you are struggling with? Housing

Health Care

Immigration Status

Employment

Violence from family or people you know

Stranger Violence

Education

Other

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2. Does your gender and/or sexual orientation impact these issues?

Does your gender and/or sexual orientation impact these issues? Yes

I don't know

If Yes, how?

3. Please write an example of how you have dealt with specific issues.

Please write an example of how you have dealt with specific issues.

4. Have you received support from government agencies?

Have you received support from government agencies? If yes, how did they succeed in supporting you?
If yes, did you encounter any barriers in seeking out support?
If no, why have you not accessed these agencies?

5. Have you received support from community organizations?

Have you received support from community organizations? If yes, how did they succeed in supporting you?
If yes, did you encounter any barriers in seeking out support?
If no, why have you not accessed these organizations?

6. Outside of government agencies and community organizations, what steps do you take on a regular basis to support yourself with these issues?

Outside of government agencies and community organizations, what steps do you take on a regular basis to support yourself with these issues?

7. How could The Audre Lorde Project best support you with the issues you are struggling with?

How could The Audre Lorde Project best support you with the issues you are struggling with?

8. What specific types of community support programming would you like to see at ALP?

What specific types of community support programming would you like to see at ALP? Know Your Rights

Interpreter training

Navigating the System

Conflict Mediation

Other

9. What specific types of educational/organizing programming would you like to see at The Audre Lorde Project?

What specific types of educational/organizing programming would you like to see at The Audre Lorde Project? Organizing 101

Facilitation and Consensus

Creating Safe Spaces

Other

10. In what ways would you like to see The Audre Lorde Project incorporate cultural work/the arts into our programming?

In what ways would you like to see The Audre Lorde Project incorporate cultural work/the arts into our programming? Writing

Drawing/painting (Fine Arts)

Photography

Oral histories

Dance, Spoken word, Acting (Performing Arts)

Other

11. What kind of cultural events would you like to see happen at The Audre Lorde Project?

What kind of cultural events would you like to see happen at The Audre Lorde Project? Panels

Open mics

Art show

Musical concerts

Potluck

Other

12. What kind of support would you like The Audre Lorde Project to give to HIV/AIDS affected communities?

What kind of support would you like The Audre Lorde Project to give to HIV/AIDS affected communities? Support groups

Political education/history on AIDS activism

Health specialist assistance

HIV/AIDS organizing group

Other

13. List the languages that you speak and indicate your level of proficiency

List the languages that you speak and indicate your level of proficiency Language 1
Language 2
Language 3
Language 4

14. What is your occupation?

What is your occupation?

15. Briefly describe your previous paid and unpaid work experience.

Briefly describe your previous paid and unpaid work experience.

16. What, if any, experience have you had with community organizing?

What, if any, experience have you had with community organizing?

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17. Demographics

Demographics Country of Birth:
Place of Residence:
Age:
Gender Identity (For example: Female, Trans Man, etc):
Sexual Orientation (For example: Lesbian, Bisexual, etc.):
Race/Ethnicity:
If Multiracial, please specify:

18. Please identify membership in any of the following:

Please identify membership in any of the following: ALP working group, committee or board

LGBTSTGNC People of Color Group

People of Color community organizing group

LGBTSTGNC group

AIDS Service Organization

Needs Assessment Survey for LGBTSTGNC POC Members of the Audre Lorde Project
Exit this survey

1. Default Section

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1. What are the top two issues that you are struggling with?

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2. Does your gender and/or sexual orientation impact these issues?

3. Please write an example of how you have dealt with specific issues.

4. Have you received support from government agencies?

5. Have you received support from community organizations?

6. Outside of government agencies and community organizations, what steps do you take on a regular basis to support yourself with these issues?

7. How could The Audre Lorde Project best support you with the issues you are struggling with?

8. What specific types of community support programming would you like to see at ALP?

9. What specific types of educational/organizing programming would you like to see at The Audre Lorde Project?

10. In what ways would you like to see The Audre Lorde Project incorporate cultural work/the arts into our programming?

11. What kind of cultural events would you like to see happen at The Audre Lorde Project?

12. What kind of support would you like The Audre Lorde Project to give to HIV/AIDS affected communities?

13. List the languages that you speak and indicate your level of proficiency

14. What is your occupation?

15. Briefly describe your previous paid and unpaid work experience.

16. What, if any, experience have you had with community organizing?

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17. Demographics

18. Please identify membership in any of the following:

Needs Assessment Survey for LGBTSTGNC POC Members of the Audre Lorde ProjectExit this survey

1. Default Section

*1. What are the top two issues that you are struggling with?

*2. Does your gender and/or sexual orientation impact these issues?

3. Please write an example of how you have dealt with specific issues.

4. Have you received support from government agencies?

5. Have you received support from community organizations?

6. Outside of government agencies and community organizations, what steps do you take on a regular basis to support yourself with these issues?

7. How could The Audre Lorde Project best support you with the issues you are struggling with?

8. What specific types of community support programming would you like to see at ALP?

9. What specific types of educational/organizing programming would you like to see at The Audre Lorde Project?

10. In what ways would you like to see The Audre Lorde Project incorporate cultural work/the arts into our programming?

11. What kind of cultural events would you like to see happen at The Audre Lorde Project?

12. What kind of support would you like The Audre Lorde Project to give to HIV/AIDS affected communities?

13. List the languages that you speak and indicate your level of proficiency

14. What is your occupation?

15. Briefly describe your previous paid and unpaid work experience.

16. What, if any, experience have you had with community organizing?

*17. Demographics

18. Please identify membership in any of the following:

Needs Assessment Survey for LGBTSTGNC POC Members of the Audre Lorde Project
Exit this survey

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1. What are the top two issues that you are struggling with?

*
2. Does your gender and/or sexual orientation impact these issues?

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17. Demographics