Need Assessment Questionnaire

The African Gay Youth Foundation

The African Gay Youth Foundation Need Assessment Questionnaire The African Gay Youth Foundation would be delighted to her from you. To enable us to determine and address needs, or "gaps" between current conditions and desired conditions of African LGBT migrants, we are conducting a Needs Assessment regarding our project " Promoting Community Dialogue and Partnership: Facilitating Inter-community understanding and acceptance through Community Dialogue"

We would appreciate it if you could fill out the form below.

Name

Email:

What are the issues facing you as a migrant LGBT person of African origin living in the Netherlands?

What can the African Gay youth Foundation do to improve/fix some of these things?

How old are you?

The African Gay Youth Foundation

g 15 -19 Years b c d e f

g 20 -24 Years b c d e f

b 25 -35 Years c d e f g

b Over 35 Years c d e f g

In which cultural background were you raised? b Dutch c d e f g

b African c d e f g

b Other c d e f g

What is your sexual orientation? g Homosexual b c d e f b Bisexual c d e f g

g Heterosexual b c d e f b Other / Rather not say c d e f g

Have you told other people about your sexual orientation? b No c d e f g

b Yes, Friends c d e f g

g Yes, Family and friends b c d e f

b Yes, Family c d e f g g Yes. someone else b c d e f

Do you receive support? (e.g. Do you have someone to talk to?) b Yes c d e f g

b No c d e f g