Coming Out Survey

Thank you for taking the time to complete our survey. The survey will run until November 30. We will post final survey results and analysis in December. All survey responses will be kept confidential.

 

When finished with the survey, you will be taken to the Home page.


First name
Last name
Street Address
City
Zip Code *
County in PA *
If you would like to us to email the survey results, please leave email here.
Email
Age Range *
Sexual Identity *
For sexual identity, if you selected other, please describe here.
Gender Identity *
For gender identity, if you selected other, please describe here.
Race (Please select all that apply to you) *
White/Caucasian
African-American (Black, brown, etc.)
Latinx
Asian-American
Native American
Other
For race, if you selected other, please describe here.
1. Other than yourself, have you come out to anyone? (Mark as many as needed.) *
Parents/Stepparents/Guardians
Grandparent(s)
Brother(s)/Sister(s)
Aunts and/or Uncles
Other family members
Close friends
Acquaintances
Co-workers
Boss/Supervisor
I’m not out yet
2. If you are not out, do you feel comfortable coming out to an adult you trust? *
Yes, I am comfortable coming out to an adult I trust.
No, I want to, but not at this time.
No, I don’t want to come out right now.
I am already out.
For questions 3 – 5, tell us how much you agree with the statement.
3. From what I know, my family is accepting of the LGBTQ community. *
Strongly Agree
Agree
Unsure
Disagree
Strongly disagree
4. My coming out process was easier than I expected. *
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I am not out yet.
5. I would like help or support coming out. *
Strongly Agree
Agree
Disagree
Strongly Disagree
I am already out.
For questions 6 – 8, please answer each question based on where you are out.
6. I am out at school. *
Yes, I am out to my teachers and classmates.
I am out to some people, but not everyone.
No, I am not out at all at school.
I no longer attend school.
7. I am out to my religious or faith community. *
Yes, I am out to my faith community.
No, I am not out to my faith community.
No, I do not belong to a faith community.
8. I am out at my place of employment. *
Yes, I am out at my place of employment.
Yes, I am out to my boss or HR, but not my co-workers.
Yes, I am out to at least one co-workers, but not my boss.
No, I am not out at work.
This question does not pertain to me.
If you are already out and would like to share your story with us, please leave a comment below. Otherwise, please leave blank.
This is my coming out story.