Muskegon County LGBTQ2IA+ Wellness Survey

1. Survey Purpose: Understanding LGBTQ+ Wellness in Muskegon County

We are conducting this survey to learn more about the well-being of LGBTQ+ individuals in Muskegon County. By answering the questions honestly and thoroughly, you can help us improve people's lives. The survey consists of questions divided into five sections: Consent, Demographics, Healthcare, Employment and Education, and Community Safety and Connectedness.

Thank you for your interest!

Question Title

* Consent Question:
I know that this survey is confidential, and only the survey administrators will see my response. I am aware that, when my data is processed, it will not be identifiable with me. I can skip any question and stop at any time. However, my responses will only be submitted if I complete the form.

Yes, continue with the survey

No, end the survey

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* Demographic Questions:
Do you live, work, or seek services in Muskegon County? Select all that apply

I live in Muskegon County

I work in Muskegon County

I seek services in Muskegon County

I do not live, work, or seek services in Muskegon County

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* Do you identify with Hispanic, Latin, or Spanish origin?

Yes

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* How would you describe your race? Select all that apply

American Indian, Alaska Native, or Indigenous

Asian, Native Hawaiian, or Other Pacific Islander

Middle Eastern or Northern African

Black or African American

White

Other (please specify)

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* What is the name of the place you live?

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* What is the Zip Code of the place you live?

49442

49441

49444

49445

49457

49461

49437

49415

49451

49425

49448

49440

49318

49303

49443

49463

Oceana County

Newaygo County

Kent County

Ottawa County

Other (please specify)

Question Title

* What is your annual household income?

Under $15,000

Between $15,000 and $29,999

Between $30,000 and $49,999

Between $50,000 and $74,999

Between $75,000 and $99,999

Between $100,000 and $150,000

Over $150,000

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* What is the highest level of education you have completed?

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* Have you served in the armed forces before?

Yes

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* How would you describe your gender identity?
Transgender means that someone’s feelings of their own gender are different from the sex they were assigned at birth. Cisgender means that someone’s feelings of their own gender are the same as the sex they were assigned at birth. Nonbinary means that someone’s feelings of their own gender are not necessarily exclusively a man or woman.

Cisgender Man

Cisgender Woman

Transgender Man

Transgender Woman

Two-Spirit

Intersex Person

Gender Non-Conforming

Non-binary

Genderqueer, Genderfluid

Agender

Do not identify with labels

Don't Know

Other (please specify)

Question Title

* How would you describe your romantic orientation?
Select all that apply. Use “Other” to add an option or provide details. Romantic orientation is separate from (but often related to) sexual orientation; romantic orientation refers to who you are most likely to fall in love with or share affection with.

Heteroromantic/Straight

Biromantic

Panromantic

Homoromantic/Gay/Lesbian

Aromantic/Aro spectrum (includes demiromantic and grey-romantic)

Queer

Questioning/Unsure

Other (please specify)

Question Title

* How would you describe your sexual orientation?
Select all that apply. Use “Other” to add an option or provide details. Sexual orientation is separate from (but often related to) romantic orientation; sexual attraction refers to who you are most likely to have sex and be intimate with.

Heterosexual/Straight

Bisexual

Pansexual

Gay/Lesbian/Homosexual

Queer

Asexual Ace Spectrum (includes demisexual and grey-sexual)

Questioning/Unsure

Other (please specify)

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* Do you have a disability?
Select all that apply.

Yes, blindness

Yes, long term/chronic illness

Yes, deafness/hard of hearing

Yes, physical disability (have trouble walking, climbing stairs, reaching, lifting, etc.)

Yes, mental illness

Yes, disability (otherwise not listed)

No, I do not have a disability

Other (please specify)

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* Community Safety and Connectedness:

Have you ever felt threatened or harmed because of your sexual orientation or gender identity?

Yes

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* Have you ever felt discriminated against because of your sexual orientation or gender identity?

Yes

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* Have you been threatened with, or subjected to, conversion therapy/change efforts?
Conversion Therapy (or change efforts) means trying to change someone’s sexual or romantic orientation, gender identity, or gender expression.

Threatened with conversion therapy

Subjected to conversion therapy

No (I have NOT been threatened with or subjected to conversion therapy)

Other (please specify)

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* In the last year: Have you felt or experienced microaggression, prejudice, discrimination, or other stigmatization while receiving care?
Select all that apply.

Yes, microaggression (for example, “you look good for a (trans) woman”; “You’re not like the rest of the queers”)

Yes, prejudice (someone’s attitude negatively changing upon learning your identity)

Yes, discrimination (being denied services solely because of your identity)

Yes, other stigmatization (please elaborate below in Other)

No, I have not

Other (please specify)

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* As an LGBTQ+ person, do you feel accepted and supported in your home?

Yes

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* Employment and Education Questions

Are you currently employed?

Yes

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* Has your sexual orientation or gender identity ever been a barrier to finding a job?

Yes

Question Title

* If you answered yes to the previous question, how was your sexual orientation or gender identity a barrier to finding a job?

Discrimination

Fear of Discrimination

Safety

Not knowing which companies are affirming

Other (please specify)

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* As an LGBTQ+ person, do you feel accepted and supported at work?

Yes

Somewhat

You may elaborate below in writing if you would like:

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* Leaders at my organization come from diverse backgrounds that resemble the people who work there.

True

False

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* Over the last 2 weeks, how often have you been
bothered by any of the following problems?

	Not at all	Several Days	More than half the days	Nearly every day
Little interest or pleasure in doing things	Little interest or pleasure in doing things Not at all	Little interest or pleasure in doing things Several Days	Little interest or pleasure in doing things More than half the days	Little interest or pleasure in doing things Nearly every day
Feeling down, depressed, or hopeless	Feeling down, depressed, or hopeless Not at all	Feeling down, depressed, or hopeless Several Days	Feeling down, depressed, or hopeless More than half the days	Feeling down, depressed, or hopeless Nearly every day
Trouble falling or staying asleep, or sleeping too much	Trouble falling or staying asleep, or sleeping too much Not at all	Trouble falling or staying asleep, or sleeping too much Several Days	Trouble falling or staying asleep, or sleeping too much More than half the days	Trouble falling or staying asleep, or sleeping too much Nearly every day
Feeling tired or having little energy	Feeling tired or having little energy Not at all	Feeling tired or having little energy Several Days	Feeling tired or having little energy More than half the days	Feeling tired or having little energy Nearly every day
Poor appetite or overeating	Poor appetite or overeating Not at all	Poor appetite or overeating Several Days	Poor appetite or overeating More than half the days	Poor appetite or overeating Nearly every day
Feeling bad about yourself – or that you are a failure or have let yourself or your family down	Feeling bad about yourself – or that you are a failure or have let yourself or your family down Not at all	Feeling bad about yourself – or that you are a failure or have let yourself or your family down Several Days	Feeling bad about yourself – or that you are a failure or have let yourself or your family down More than half the days	Feeling bad about yourself – or that you are a failure or have let yourself or your family down Nearly every day
Trouble concentrating on things, such as reading the newspaper or watching television	Trouble concentrating on things, such as reading the newspaper or watching television Not at all	Trouble concentrating on things, such as reading the newspaper or watching television Several Days	Trouble concentrating on things, such as reading the newspaper or watching television More than half the days	Trouble concentrating on things, such as reading the newspaper or watching television Nearly every day
Moving or speaking so slowly that other people could have noticed? Or the opposite – being so fidgety or restless that you have been moving around a lot more than usual	Moving or speaking so slowly that other people could have noticed? Or the opposite – being so fidgety or restless that you have been moving around a lot more than usual Not at all	Moving or speaking so slowly that other people could have noticed? Or the opposite – being so fidgety or restless that you have been moving around a lot more than usual Several Days	Moving or speaking so slowly that other people could have noticed? Or the opposite – being so fidgety or restless that you have been moving around a lot more than usual More than half the days	Moving or speaking so slowly that other people could have noticed? Or the opposite – being so fidgety or restless that you have been moving around a lot more than usual Nearly every day
Thoughts that you would be better off dead or of hurting yourself in some way	Thoughts that you would be better off dead or of hurting yourself in some way Not at all	Thoughts that you would be better off dead or of hurting yourself in some way Several Days	Thoughts that you would be better off dead or of hurting yourself in some way More than half the days	Thoughts that you would be better off dead or of hurting yourself in some way Nearly every day

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* If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?

Not difficult at all

Somewhat difficult

Very difficult

Extremely Difficult

Not difficult at all

Somewhat difficult

Very difficult

Extremely Difficult

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* Has recent anti-LGBTQ+ legislation made you feel more worried, stressed and/or sad?

Yes, a lot

Sometimes

No, not at all

Question Title

* In the past year, have you attempted to and successfully received access to healthcare?
This could include things such as regular checkups, mental health appointments such as therapy or psychiatry, physicals, lab work, screenings, medical tests, etc.

Yes- I attempted to and successfully received healthcare

No- I did not attempt to receive healthcare

No- I attempted, but did not receive healthcare

Other (please specify)

Question Title

* If you answered “No- I attempted, but did not receive healthcare” to question 21, please choose all the reasons that apply:

Fear of discrimination from front desk staff

Fear of discrimination from a healthcare provider

Gender Dysphoria/Fear of misgendering, deadnaming, and general transphobia

Lack of transportation

Unable to get time off work

I did not want to have to get permission from my parents/caregivers

Lack of insurance/unable to afford copay

Lack of confidence in provider

N/A

Other (please specify)

Question Title

* Do you have health insurance?

Yes, through my or someone else's employer

Yes, through my parents

Yes, through Medicaid

Yes, through Medicare

Yes, I pay for it myself

Yes, through the military

No, I do not have Insurance

Other (please specify)

Question Title

* Where would you prefer to seek healthcare?

Traditionial/mainstream (like Trinity Health, Corewell Medical Group)

LGBTQ+ focused facility or provider (like Corktown Health Center in Detroit)

Either (no preference)

Other (please specify)

Question Title

* In your experience, do healthcare professionals know alot and understand your specific needs as an LGBTQ+ individual?

Yes

Question Title

* Have you told your provider or nurse about your.....
Choose all that apply

Gender Identity

Sexual Orientation

Sexual Partner History

HIV Status

Question Title

* Have you told your therapist/psychologist about your.........
Choose all that apply

Gender Identity

Sexual Orientation

Sexual Partner History

HIV Status

Question Title

* Have you told other healthcare workers about your.......
Choose all that apply

Gender Identity

Sexual Orientation

Sexual Partner History

HIV Status

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* Have you ever talked with a provider or healthcare professional about getting tested for HIV (human immunodeficiency virus)

Yes

I'm not sure

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* Have you been tested for HIV in the last 12 months?

Yes

I'm not sure

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* What (if any) obstacles or challenges have you seen the LGBTQ+ community face in getting the best healthcare in Muskegon?

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* If you could change one thing about healthcare in Muskegon, what would it be?
This could be about specialists, primary care, emergency care, insurance, or anything else related to your healthcare experience.

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* What healthcare services do you utilize OR what healthcare services would you utilize if given the opportunity to?
Check all that apply

Chronic illness management (HIV/AIDS, ALS, MS)

Health education

Sexual health education

Transportation

Counseling, psychiatry, and other mental health services

Emergency services

Hospitalization (surgery, including gender-affirmation, overnight stays)

Lab services (blood work, X-ray, MRI)

Vision and dental care

Pre- and postnatal care

Prescription drugs (like hormone replacement therapy, controlled substance, or otherwise)

Preventative care (PCP/primary care, outpatient, and ambulatory)

Rehabilitative services and devices

Care for the aging/Long term care/Home care

Other (please specify)

Question Title

* Is there anything else you would like to share regarding healthcare in Muskegon?
This is an opportunity to share any specific experiences (good or bad), as well as any suggestions, thoughts, or concerns, etc.

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Muskegon County LGBTQ2IA+ Wellness Survey

1. Survey Purpose: Understanding LGBTQ+ Wellness in Muskegon County

Question Title

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* Demographic Questions: Do you live, work, or seek services in Muskegon County? Select all that apply

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* Do you identify with Hispanic, Latin, or Spanish origin?

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* How would you describe your race? Select all that apply

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* What is the name of the place you live?

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* What is the Zip Code of the place you live?

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* What is your annual household income?

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* What is the highest level of education you have completed?

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* Have you served in the armed forces before?

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* How would you describe your sexual orientation?Select all that apply. Use “Other” to add an option or provide details. Sexual orientation is separate from (but often related to) romantic orientation; sexual attraction refers to who you are most likely to have sex and be intimate with.

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* Do you have a disability?Select all that apply.

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* Community Safety and Connectedness:Have you ever felt threatened or harmed because of your sexual orientation or gender identity?

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* Have you ever felt discriminated against because of your sexual orientation or gender identity?

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* Have you been threatened with, or subjected to, conversion therapy/change efforts?Conversion Therapy (or change efforts) means trying to change someone’s sexual or romantic orientation, gender identity, or gender expression.

Question Title

* In the last year: Have you felt or experienced microaggression, prejudice, discrimination, or other stigmatization while receiving care?Select all that apply.

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* As an LGBTQ+ person, do you feel accepted and supported in your home?

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* Employment and Education QuestionsAre you currently employed?

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* Has your sexual orientation or gender identity ever been a barrier to finding a job?

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* If you answered yes to the previous question, how was your sexual orientation or gender identity a barrier to finding a job?

Question Title

* As an LGBTQ+ person, do you feel accepted and supported at work?

Question Title

* Leaders at my organization come from diverse backgrounds that resemble the people who work there.

Question Title

* Over the last 2 weeks, how often have you been bothered by any of the following problems?

Question Title

* If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?

Question Title

* Has recent anti-LGBTQ+ legislation made you feel more worried, stressed and/or sad?

Question Title

* In the past year, have you attempted to and successfully received access to healthcare?This could include things such as regular checkups, mental health appointments such as therapy or psychiatry, physicals, lab work, screenings, medical tests, etc.

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* If you answered “No- I attempted, but did not receive healthcare” to question 21, please choose all the reasons that apply:

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* Do you have health insurance?

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* Where would you prefer to seek healthcare?

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* In your experience, do healthcare professionals know alot and understand your specific needs as an LGBTQ+ individual?

Question Title

* Have you told your provider or nurse about your.....Choose all that apply

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* Have you told your therapist/psychologist about your.........Choose all that apply

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* Have you told other healthcare workers about your.......Choose all that apply

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* Have you ever talked with a provider or healthcare professional about getting tested for HIV (human immunodeficiency virus)

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* Have you been tested for HIV in the last 12 months?

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* What (if any) obstacles or challenges have you seen the LGBTQ+ community face in getting the best healthcare in Muskegon?

Question Title

* If you could change one thing about healthcare in Muskegon, what would it be? This could be about specialists, primary care, emergency care, insurance, or anything else related to your healthcare experience.

Question Title

* What healthcare services do you utilize OR what healthcare services would you utilize if given the opportunity to?Check all that apply

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* Is there anything else you would like to share regarding healthcare in Muskegon?This is an opportunity to share any specific experiences (good or bad), as well as any suggestions, thoughts, or concerns, etc.

* Demographic Questions:
Do you live, work, or seek services in Muskegon County? Select all that apply

* How would you describe your sexual orientation?
Select all that apply. Use “Other” to add an option or provide details. Sexual orientation is separate from (but often related to) romantic orientation; sexual attraction refers to who you are most likely to have sex and be intimate with.

* Do you have a disability?
Select all that apply.

* Community Safety and Connectedness:

Have you ever felt threatened or harmed because of your sexual orientation or gender identity?

* Have you been threatened with, or subjected to, conversion therapy/change efforts?
Conversion Therapy (or change efforts) means trying to change someone’s sexual or romantic orientation, gender identity, or gender expression.

* In the last year: Have you felt or experienced microaggression, prejudice, discrimination, or other stigmatization while receiving care?
Select all that apply.

* Employment and Education Questions

Are you currently employed?

* Over the last 2 weeks, how often have you been
bothered by any of the following problems?

* In the past year, have you attempted to and successfully received access to healthcare?
This could include things such as regular checkups, mental health appointments such as therapy or psychiatry, physicals, lab work, screenings, medical tests, etc.

* Have you told your provider or nurse about your.....
Choose all that apply

* Have you told your therapist/psychologist about your.........
Choose all that apply

* Have you told other healthcare workers about your.......
Choose all that apply

* If you could change one thing about healthcare in Muskegon, what would it be?
This could be about specialists, primary care, emergency care, insurance, or anything else related to your healthcare experience.

* What healthcare services do you utilize OR what healthcare services would you utilize if given the opportunity to?
Check all that apply

* Is there anything else you would like to share regarding healthcare in Muskegon?
This is an opportunity to share any specific experiences (good or bad), as well as any suggestions, thoughts, or concerns, etc.