Demographics


    IMPORTANT NOTE: Please do not use the "Back", "Forward" or "Refresh" buttons in your browser while taking the survey. Doing so will cause the server to lose track of your session and subsequent responses will be incorrectly recorded. If your browser should lock or your system crash while you are taking the survey, you will need to start over from the beginning. Thank you.

  1. What is your age?

  2. What is your gender?

  3. How would you describe your sexual orientation?

  4. What is your ethnic background?

  5. What country do you live in?

  6. If you live in the U.S. or Canada, what state or province do you live in?

  7. If you live in the U.S. or Canada, what is your zip code (postal code)?

  8. With whom do you live?
    By myself
    With at least one of my biological parents
    With my adoptive family
    With a foster family
    With a friend's family
    In school housing with roommates
    In military barracks
    With a significant other
    With others (friends, roommates, group housing) not at school
    I am homeless
    Other

  9. What is your primary occupation?
    Elementary/middle school student
    High school student
    College/university student
    Military
    Managerial/professional
    Other employed
    Unemployed

  10. What is the highest level of education you have completed?
    Elementary/middle school
    Some high school
    High school degree or equivalency
    Some college
    College/university degree
    Advanced degree
    Other

  11. Are you currently enrolled in school?
    Yes No

  12. Right at this moment, where are you completing this survey?
    At school, in a public place
    At school, in my room
    At home
    At a friend's house
    At work
    In a public library
    On a military base
    Other

  13. Have you played any team sports in school?
    Yes No

  14. Have you ever been in Scouting?
    Yes, I am currently in Boy Scouts
    Yes, I am currently in Girl Scouts
    Yes, I used to be in Boy Scouts
    Yes, I used to be in Girl Scouts
    No

  15. Have you ever been a member of the armed services (military)?
    Yes, and I am currently on active duty
    Yes, and I am in ROTC
    Yes, and I am currently on reserve status
    Yes, and I was honorably discharged
    Yes, and I was dishonorably discharged
    No

  16. How many OLDER brothers do you have, who are biologically related to you by your MOTHER?
    1 2 3 or more None

  17. How many OLDER sisters do you have, who are biologically related to you by your MOTHER?
    1 2 3 or more None

  18. Are any members of your biological family queer? These questions do not apply to an adoptive or foster family, but only to those with whom you are GENETICALLY related. (Check all that apply)
     I have at least one brother who is gay
    I have at least one sister who is lesbian
    My mother is a lesbian
    My father is gay
    I have at least one cousin of any gender who is queer
    My mother has at least one queer brother or sister
    My father has at least one queer brother or sister
    I am adopted or live with a foster family and am unaware of my biological family

  19. The original Internet Survey of Queer and Questioning Youth was conducted in 1997. Did you participate in that survey?
    Yes No I don't remember

Before submitting this page, please ensure that you have answered all of the questions as appropriate. Depending on your browser, if you miss some questions and are instructed to complete them, the page may clear itself when you return.

Please note that it typically takes between five to ten seconds to process the responses on a page you have submitted, and display the next page, depending on the server load. If you find yourself waiting much longer than that, then please submit the page again.

Check here if you would like a progress bar displayed at the bottom of the page.




© Copyright 2000 OutProud. OutProud™ is a trademark of OutProud.