Please take a moment to answer these few short questions so that TransGender Michigan can improve the services we provide. We value your input and thank you in advance for helping us constantly improve our work.
Preferred name:
Name for mailing (if different):
Street Address:
City: State: Zip:
Phone:
Email address:
1. The following explains my level of understanding about the services provided by TransGender Michigan:
A. I am very aware of the work of TransGender Michigan
B. I am somewhat of the work of TransGender Michigan
C. I am not aware of the work of TransGender Michigan
2. How satisfied are you about the services provided by TransGender Michigan?
A. I am very satisfied
B. I am somewhat satisfied
C. I am not satisfied
D. Not applicable - I'm not aware of the work of TransGender Michigan
3. How can TransGender Michigan improve the services we provide?
4. What programs would you like to see TransGender Michigan sponsor?
5. How many programs sponsored by TransGender Michigan have you attended?
A. 1-2
B. 3-5
C. 6+
D. I've never attended a program sponsored by TransGender Michigan
6. If you've never attended a program sponsored by TransGender Michigan, why?
7. The following statement describes my feelings about transgender organizations:
A. I am greatly supportive of the work of transgender organizations
B. I am somewhat supportive of the work of transgender organizations
C. I am not supportive of the work of transgender organizations
8. The following statement describes my awareness of transgender issues:
A. I consider myself extremely aware of transgender issues
B. I am somewhat aware of transgender issues
C. I am not very aware of transgender issues
9. The following statement describes my charitable giving habits:
A. I give frequently to charitable organizations
B. I give occasionally to charitable organizations
C. I never give to charitable organizations
10. How many charitable organizations you give to, on average, each year:
A. none
B. 1-2
C. 3-4
D. 5+
11. How many of those charitable organizations are dedicated to lesbian, gay, bisexual, and transgender (LGBT) issues?
A. All B. Most C. Some D. None
12. Do you have any additional comments?
