Chilltown Pride Needs Assessment  

At present, there is no one place in Hudson County where members of the Lesbian, Gay, Bisexual, Transgender and Intersex community can gather to socialize and/or take advantage of services designed specifically to address their needs.  This survey is an early step toward the establishment of such a community center, the mission of which will be to effectively involve and serve the needs of the LGBTI community in Hudson County. By participating in this survey and sharing your honest perceptions and experiences, you are helping identify the strengths and needs of our community. The results of this survey will help us plan and establish a center that serves you. Please encourage your friends to complete a survey as well.  Please complete only one survey.

The survey will take you approximately 2 minutes to complete. You will have an opportunity at the end of the survey to provide comments and suggestions.

The survey begins with a series of questions about you.  This information will help us learn more about who makes up the LGBTI community of Hudson County.  Remember, the survey is anonymous.  All information will remain confidential.  We do not need to know your name.


1. How old are you?










2. What is your home zip code?


















3. How do you identify your race? (You may select more than one.)









4. How do you describe your sexual orientation?  (Please select only one.)






5. How do you identify your gender?





6. Do you identify as a transgendered person?



7. What is your individual annual income?






8. What is the highest level of education you have completed?







Now, please help us think about the kind of LGBTI center our community needs. 
9. Please indicate your agreement with the following statements.
Strongly Agree Agree Neutral Disagree Strongly Disagree
It is important for me to have a non-bar LGBTI space for meeting and socializing.
I would attend events and participate in activities at an LGBTI center.
I would volunteer my time to support the center.
I would contribute money to the center.

10a. Below is a list of topics describing programs, activities or events that an LGBTI community center might offer.  For each one, please indicate your level of interest.
Very Interested Interested Not Interested
Coming out
Sexuality
Counseling and support groups
12-step programs
Health and wellness programs
Couples' issues
Family issues (including parenting)
Caring for elderly parents
Activities for seniors
Employment and career development
Financial and legal matters
Spirituality
Education
Fitness, sports and recreation
Social events (dances, parties)
Films
Social space/lounge
Youth programming
Visitor information center
Resource library
Internet access
Office and/or meeting space for community groups

10b. Please identify any other programs, events, or activities you rhink Hudson County's LGBTI Community Center should offer.

11. Please add any other comments or suggestions regarding the development of an LGBTI community center in Hudson County.


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