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TOMQ X ACT X MAGGIE'S NEEDS ASSESSMENT
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30
Questions
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English (Canada)
French (Canada)
1
Which city do you primarily work in?
Ottawa
Montreal
Toronto
Quebec
Other
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2
Do you enjoy the work you do in the sex industry?
Yes
No
Unsure
Prefer not to answer
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3
What about your work do you like the most?
The freedom of expression
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4
What about your work do you dislike the most?
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5
Have you received an Mpox (Monkeypox) vaccine (Imvamune®)?
Yes
No
Unsure
Prefer not to answer
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6
Have you received a 2nd (and final) Mpox (Monkeypox) vaccine (Imvamune®)?
Yes
No
Unsure
Prefer not to answer
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7
Have you ever been diagnosed with Mpox (Monkeypox)?
Yes
No
Unsure
Prefer not to answer
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8
Have you received two doses (or three if you are moderately to severely immunocompromised)of the COVID-19 vaccine (example: Pfizer, Moderna, Johnson & Johnson, and/or Novavax)?
Yes
No
Unsure
Prefer not to answer
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9
Have you received a COVID-19 booster shot(s)?
Yes
No
Unsure
Prefer not to answer
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10
Have you been diagnosed with COVID-19?
Yes
No
Unsure
Prefer not to answer
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11
Has a concern of contracting COVID-19 and/or Mpox impacted your work?
Yes
No
Unsure
Prefer not to answer
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12
If yes, can you share in more detail how your concern of contracting COVID-19 and/or Mpoxhas impacted your work?
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13
Over the past two years I’ve dealt with the following challenges and/or feelings (check all thatapply):
Depression
Shame
Anxiety
Gender Dysphoria
Eating Disorders
Body image
Relationship Problems
Suicidal Thoughts
Grief and Loss
Coming Out as 2SLGBTQIA+
Being Outed as 2SLGBTQIA+
Coming Out as a Sex Worker
Being Outed as a Sex Worker
Tested positive for HIV
A new health diagnoses (example ADHD, BPD, ect.)
None of the above
Other
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14
If you selected "Other" please specify.
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15
Overall, how would you say your mental health has been over the past two years?
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16
Do you think COVID-19 and/or Mpox have impacted your mental health over the last two years?
Yes
No
Unsure
Prefer not to answer
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17
Where Do You Access Harm Reduction tools, resources and services? (check all that apply):
TOMQ.ca
Needle Drop Box(es)
ACT (Toronto)
Maggie’s (Toronto)
Black CAP (Toronto)
Butterfly (Toronto)
Ontario Aboriginal HIV/AIDS Strategy (OAHAS) (Toronto)
The Works Needle Exchange Program (Toronto)
The 519 (Toronto)
MAX Ottawa (Ottawa)
Sexual Health Clinic / Gay ZONE (179 Clarence St.) (Ottawa)
Miels-Quebec (Quebec City)
REZO (Montreal)
I don’t utilize Harm Reduction services
Other
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18
If "Other" Where do you access services?
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19
Do you know where to get naloxone in your city?
Yes
No
Unsure
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20
Have you ever had to administer naloxone to reverse an overdose?
Yes
No
Prefer not to answer
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21
What sort of programming for sex workers would you find useful? Check all that apply.
Tax Clinic
A Naloxone Administration Course
Food program
Housing support
Drop-in program
Self defense class
Job skills / employment support
Trans-related healthcare
Child bearing reproductive health
Case Management support
Mental health support
Parenting program
Other
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22
If "Other", please specify.
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23
Do you feel community based organizations are currently meeting needs of folks who do sex work?
Yes
No
Unsure
Prefer not to answer
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24
If you answered ‘no’, ‘unsure’, or ‘prefer not to answer’ would you be willing to give more details as to why you think community based organizations are not currently sufficiently meeting the needs of local sex workers?
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25
Do you feel community based organizations are currently meeting the needs of folx who use substances (ie. PnP, party and play, chemsex)?
Yes
No
Unsure
Prefer not to say
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26
If you answered ‘no’, ‘unsure’, or ‘prefer not to answer’ would you be willing to give more details as to why you think community based organizations are not currently meeting the needs of folx who use substances?
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27
Do you identify as Trans or Intersex (transman, transwoman, 2 Spirit, GNCNB)
Yes
No
Prefer not to answer
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28
How Interested are you in learning more about reproductive health as a trans person?
Not at all
I would like to learn more
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29
Please send me resources
enter your email below
example@example.com
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30
Are you currently using contraceptives during penetrative intercourse with someone who couldbecome pregnant? (ie. IUDs, birth control pills, implants, condoms, a contraceptive injection)
Yes
No
Unsure
Prefer not toanswer
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