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Survey

MONTANA COMMUNITY ASSESSMENT SURVEY

FDH & Associates and QueerCore is attempting to get a comprehensive understanding of our community and the experience of young gay/bisexual men who live in Montana.

We would like to know about the different groups available for young gay/bisexual men in your community, how to reach them, and what activities might appeal to them. Also, what community resources and organizations might be useful to young gay/bisexual men in Montana and can these resources assist QueerCore?

If you are between the ages of 18 - 29 or you work with gay/bisexual youth, please complete the Community Assessment Survey below and help us make healthier communities available to young gay/bisexual men in Montana!


Tell us about yourself

1. How old are you?
Under 18
18 - 20
21 - 25
26 - 29
Over 29



3. What city do you live in?


5. Are you currently a student?
Yes, full-time
Yes, part-time
No



7. What is your HIV Status?
HIV-negative
HIV-positive
Prefer not to answer
Never been tested for HIV or never got results

9. How safe do you feel in your community?
Very safe
Somewhat safe
Somewhat unsafe
Very Unsafe

2. Ethnic Identity?
Caucasian
Native American/Indian
African American
Hispanic/Latino
Asian/Pacific Islander
Other

4. What is the highest level you completed in school?
Less than high school degree
High school degree or equivalency
Some college, but no college degree
College degree (e.g., BA, BS)
Technical or vocational school
Some graduate school, but no degree
Graduate degree (e.g., Phd, MD, JD, MA)

6. Which of the following best describes you?
Gay
Bisexual
Straight
Other

8. What is your relationship status?
Single
Monogamously coupled
Coupled but open

What issues are important to young gay/bisexual men in Montana?

1. What is life like in Montana for young gay/bisexual men?

2. What gay or gay friendly groups are available in your community? If any, which ones are you a member of?

3. Where do young gay/bisexual men like to hang out in your community?

4. QueerCore has many different objectives and goals, but one of them is to unite the young gay men of Montana through fun, relaxed activities. What are some activities or events you would like to see, as a member of the gay community in Montana?

Please answer the below questions regarding risk

1. Do you smoke cigarettes? Yes No

2. If yes, at what age did you start smoking?

3. Have you thought about quitting smoking? Yes No

4. If yes, what measures have you tried?

5. What, if any, are the reasons why you smoke?

6. Do you feel you have experienced problems in any of these areas in the last year?
Depression Self Esteem Alcohol/Drugs Smoking Isolation

Other (please specify):

7. In the last year, have you used any of the following drugs to party of for stress?
Alcohol Tobacco Meth Cocaine Marijuana Oxycotton/Prescriptions

Other (please specify):

8. In the past year, how often have you had unprotected anal sex after drinking and/or using drugs?
Where 5 = Always and 1 = Never
5 4 3 2 1

9. Before having sex with a new partner(s), how often do you talk about safer sex?
Where 5 = Always and 1 = Never
5 4 3 2 1

10. If you do not use condoms for anal sex, what are some of the reasons?
Regular sex partner Both HIV Negative PnP He did not want to use them
No condoms were handy I just don't like them

Other (please specify):

11. Do you feel you’re at risk for HIV? Yes No

12. Have you been diagnosed with a sexually transmitted infection (STD/STI) in the past year? Yes No
If yes, which one?

Syphilis Chlamydia Gonorrhea Herpes Genital Warts

Other (please specify):

Would you like to learn more about activities we offer young gay/bisexual men in Montana? Please provide us your email address below! We will send you important information about retreats and M-Groups facilitated by QueerCore.

  

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