Gender Transition Support Survey
Share your experiences and needs regarding gender transition support. Your responses are confidential and will help improve support services.
What is your age?
*
What are your pronouns?
*
Please Select
He/Him
She/Her
They/Them
Other (please specify)
How do you currently describe your gender identity?
*
Please Select
Transgender man
Transgender woman
Non-binary
Genderqueer
Prefer to self-describe
Prefer not to say
What stage are you at in your gender transition journey?
*
Considering transition
In the process of transitioning
Transitioned
Prefer not to say
Which types of support have you accessed or are interested in? (Select all that apply)
*
Medical support (hormone therapy, surgeries, etc.)
Mental health/counseling
Peer/community support groups
Legal support (name/gender marker changes, etc.)
Social support (family, friends)
Other (please specify)
How satisfied are you with the support you have received in the following areas?
*
Rows
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
Medical support
1
2
3
4
5
Mental health/counseling
6
7
8
9
10
Peer/community support
11
12
13
14
15
Legal support
16
17
18
19
20
Social support
21
22
23
24
25
Please rate the following statements about your experience accessing gender transition support.
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
It was easy to find information about support services.
26
27
28
29
30
I felt welcomed and respected by support providers.
31
32
33
34
35
I experienced barriers due to cost or insurance.
36
37
38
39
40
I experienced barriers due to discrimination or stigma.
41
42
43
44
45
Support services met my needs.
46
47
48
49
50
What barriers have you encountered in accessing gender transition support? (Select all that apply)
*
Cost or lack of insurance
Lack of information
Discrimination or stigma
Geographic distance or lack of local services
Long wait times
Other (please specify)
What additional support or resources would be most helpful to you?
Is there anything else you would like to share about your experience or suggestions for improving gender transition support?
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