Name (Optional) First Last Email (Optional) Are you currently employed? Yes No Are you looking for a job? Yes No If you are looking for a job, are you considering a career change? Yes No How long have you been looking for a job? Less than a month 1-3 months 3-6 months More than 6 months How many jobs have you applied to? Less than 5 6-15 16-50 More than 50 How long have you been working at your current job? Less than one year 2-3 years More than 3 years How LGBT-affirming and inclusive have your previous employers been? 1 Worst 2 3 4 5 Best How important is it to you that your next employer is LGBT-inclusive and affirming? 1 Not important 2 3 4 5 Very important
