What is your age?
[ ] 18 or under
[ ] 19-25
[ X ] 26-35
[ ] 36-45
[ ] 46-55
[ ] 56 or older
What is your gender?
[ X ] Male
[ ] Female
[ ] Non-binary
[ ] Prefer not to disclose
How do you identify your sexual orientation?
[ ] Heterosexual
[ ] Homosexual
[ X ] Bisexual
[ ] Pansexual
[ ] Asexual
[ ] Queer
[ ] Other (please specify): ____
How comfortable are you discussing your sexual orientation with others?
[ ] Very uncomfortable
[ X ] Somewhat uncomfortable
[ ] Neutral
[ ] Somewhat comfortable
[ ] Very comfortable
Have you come out to anyone about your sexual orientation?
[ X ] Yes
[ ] No
If yes, who have you come out to? (select all that apply)
[ ] Family
[ X ] Friends
[ ] Coworkers
[ ] Other (please specify): ____
How supportive have the reactions been from those you have come out to?
[ ] Very unsupportive
[ ] Somewhat unsupportive
[ ] Neutral
[ ] Somewhat supportive
[ X ] Very supportive
Have you faced any discrimination or negative experiences due to your sexual orientation?
[ ] Yes
[ X ] No
If yes, please briefly describe the situation(s) and how it made you feel.
On a scale of 1-10, how accepted do you feel in society as a homosexual individual?
[ ] 1 (Not accepted at all)
[ ] 2
[ ] 3
[ ] 4
[ ] 5 (Neutral)
[ ] 6
[ ] 7
[ X ] 8
[ ] 9
[ ] 10 (Completely accepted)
Do you feel like there is enough representation of the LGBTQ+ community in media and pop culture?
[ ] Yes
[ X ] No