1.

Which Gender Identity best describes you at the present time?   

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Gender identity refers to your personal internal and individual experience of gender. It is your personal sense of being a woman, man, both, neither or anywhere along the gender spectrum. One’s gender identity may be the same as or different from their birth-assigned sex.  

 

(select all that apply)

• Gender Fluida person that moves along the spectrum from man to woman
• Intersexa term that describes a person whose primary sexual characteristics at birth do not meet the medical criteria of the male or female sex
• Man / Cisgender Mana man whose gender identity corresponds with their sex assigned at birth
• Nonbinary / Gender Nonconforminga person that does not subscribe to the binary definition of man or woman when considering gender
• Trans Mana person that was assigned a female gender identity at birth and transitioned to be a man later in life
• Trans Womana person that was assigned a male gender identity at birth and transitioned to be a woman later in life
• Two-Spirita term used within some Indigenous communities, encompassing cultural, spiritual, sexual and gender identity
• Woman / Cisgender Womana woman whose gender identity corresponds with their sex assigned at birth
• Prefer to Self-Describe Please enter an 'other' value for this selection.
• Prefer Not to Answer

2.

Which of the following Sexual Orientations best describe you?   

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Sexual orientation refers to the people you are physically attracted to in reference to your own sex and/or gender identity. 

(select all that apply)

  

• Asexualnot attracted to others regardless of gender/sexual identity
• Bisexualattracted to both men and women
• Gayattracted to men as a man
• Heterosexual (Straight)attracted to people of the opposite sex
• Lesbianattracted to women as a woman
• Pansexualattracted to people without their sex being a determinant of attraction
• Queeran umbrella term used by people that are not heterosexual but choose not to define their sexual orientation with more specifically defined terms
• Two-Spirita term used within some Indigenous communities, encompassing cultural, spiritual, sexual and gender identity
• Unsure or questioningwho is uncertain of their own gender identity or sexual orientation
• Prefer to Self-Describe Please enter an 'other' value for this selection.
• None of the above
• Prefer Not to Answer

3.

Which of the following Racial or Ethnic Groups do you identify with?   

Hover/Click to Learn More Racial Identity
Race is a social construct often attributed to the colour of a person’s skin. Perception of someone’s race can shift depending on the social context in which they live. 

  

(select all that apply)

• Arab or West Asian (e.g., Armenian, Egyptian, Iranian, Lebanese, Moroccan)
• American Indian or Alaskan Native (USA only)
• Black (e.g., African, Haitian, Jamaican, Somali, Caribbean)
• Chinese
• Filipino
• Indigenous (First Nations, Métis, Inuit) (CAN only)
• Indigenous, American Indian or Alaskan Native (CAN & USA)
• Japanese
• Korean
• Latin American (e.g., Mexico, Colombia, El Salvador, Peru)
• Native Hawaiian and Other Pacific Islander (USA only)
• South Asian (e.g., Afghanistan, Pakistan, India, Nepal, Bhutan, Bangladesh, Maldives, Sri Lanka)
• Southeast Asian (e.g., Cambodian, Laotian, Thai, Vietnamese)
• White (ex: Caucasian, European, not racialized)
• Prefer to Self-Describe Please enter an 'other' value for this selection.
• Multi-Ethnic Background
• Prefer Not to Answer

4.

Which of the following Disabilities, Disorders or Impairments apply to you?  

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Any visible or non-visable impairment, including a physical, mental, intellectual, cognitive, learning, communication or sensory impairment - or a functional limitation - whether permanent, temporary, or episodic in nature, or evident or not, that, in interaction with a barrier, hinders a person's full and equal participation in society. 

  

(select all that apply)

• Visual Impairment
• Hearing Impairment
• Speaking Impairment
• Mobility Impairment
• Neurodivergent (e.g., ADHD, Autism, OCD, Dyslexia)
• Developmental Disability (e.g., Down Syndrome, Turner Syndrome)
• Mental Health Conditions (e.g., Depression, Anxiety, PTSD)
• Prefer to Self-Describe Please enter an 'other' value for this selection.
• None of the Above
• Prefer Not to Answer

5.

Are you the Primary Caregiver for any adults or children?

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A primary caregiver is someone who's faced with the duty of taking care of a friend or loved one who is not able to or is no longer able to care for themselves. Primary caregivers may be caring for children, a senior, a spouse with a terminal illness, or any friend or family member who requires assistance with daily activities.

 

• Yes - Child/Children
• Yes - Adult/Elder
• Yes - Person(s) with a Disability
• Prefer to Self-Describe Please enter an 'other' value for this selection.
• None of the Above
• Prefer Not to Answer

6.
Which of the following Military Affiliations apply to you?

(select all that apply)

• Active Member (Military or Reserves)
• Active Member Spouse/Partner (Military or Reserves)
• Veteran
• Veteran Spouse/Partner
• Prefer to Self-Describe Please enter an 'other' value for this selection.
• None of the Above
• Prefer Not to Answer