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Department of Education Gonzaga National High School: Republic of The Philippines

The document appears to be a survey collecting information from members of the LGBTQ community in the Philippines. It asks respondents for background details and their experiences regarding sexual orientation, intimacy, relationships, and challenges faced. The survey contains questions about age of realizing orientation, using LGBTQ language, forming relationships, and problems encountered both before and after revealing their sexual orientation. It aims to understand the experiences and perspectives of the LGBTQ community.

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Yobert Sumajit Molina
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70 views3 pages

Department of Education Gonzaga National High School: Republic of The Philippines

The document appears to be a survey collecting information from members of the LGBTQ community in the Philippines. It asks respondents for background details and their experiences regarding sexual orientation, intimacy, relationships, and challenges faced. The survey contains questions about age of realizing orientation, using LGBTQ language, forming relationships, and problems encountered both before and after revealing their sexual orientation. It aims to understand the experiences and perspectives of the LGBTQ community.

Uploaded by

Yobert Sumajit Molina
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
GONZAGA NATIONAL HIGH SCHOOL
Smart, Gonzaga, Cagayan

Part I- Background of the Respondents

Name (Optional) ____________________________________________

Age: __ Gender at Birth: ____________________

Occupation: __________________ Religion: ________________

Your Current Sexual Orientation/Preference: Please put (  ) checkmark.

___Gay ___Lesbian ___Bisexual ___Transgender ___Queer

Educational Level: Please put ( ) checkmark.

___Primary Undergraduate ___Primary Graduate

___Secondary Undergraduate ___Secondary Graduate

___Vocation/Diploma Undergraduate ___Vocational/Diploma Graduate

___College Undergraduate ___College Graduate

___Master Degree (Undergraduate/On going) ___Master Graduate

___Doctorate Degree (Undergraduate/On going) ___Doctorate Graduate

___: Your age when you knew that you have different sexual orientation.

___: Your age when you finally revealed your sexual orientation.

(If not yet put “X” mark which will signify you are discreet)

Part II- LGBTQ Language


Please put () check mark if you agree and (X) mark if you disagree to the following benefits
and uses of LGBTQ Language.

___ It describes the self-expression towards one’s interests

___It portrays self-acceptance in the LGBTQ group.

___It shows belongingness in the LGBTQ group.

HUMANITIES AND SOCIAL SCIENCES


Republic of the Philippines
Department of Education
GONZAGA NATIONAL HIGH SCHOOL
Smart, Gonzaga, Cagayan

___Used to communicate with other member in LGBTQ group.

___Used to communicate with other non-member in LGBTQ group.

(Please list down if there is any benefits and uses of LGBTQ Language )
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

Form of Language
Please write down how you form different language or slang in LGBTQ community.
______________________________________________________________________________
______________________________________________________________________________

Part III. Intimacy and Engagement

Please write you answer honestly.

___ Your age when you had your first relationship with same gender (if any).

___ Your age when you had your first relationship with opposite gender (if any).

___ How many relationships you had with same gender (if any).

___ How many relationships you had with opposite gender (if any).

___ How long did your first relationship lasted with the same gender (if any).

___ How long did your first relationship lasted with opposite gender (if any).

Please put () check mark on how you find a possible partner.

___ Through Social media (FB, Twitter, etc).

___ Through extracurriculars in school/community.

___ Through friends in school /community.

___ Through business clients.

___ Through Family.

___ Others (please specify) ____________________________________________________

HUMANITIES AND SOCIAL SCIENCES


Republic of the Philippines
Department of Education
GONZAGA NATIONAL HIGH SCHOOL
Smart, Gonzaga, Cagayan

Please put () check mark on ways to maintain your relationship to your partner.

___ Understanding sexual needs.

___ Maintain secrecy in relationship.

___ Allows him/her to interact with another member of LGBTQ community.

___ Support his/her own interest.

___ Both family acceptance.

Part IV. Problems in LGBTQ Community

Please Enumerate your response if any on the below questions.

1. Problems or challenges before you revealed your sexual orientations.

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

2. Problems or challenges after you revealed your sexual orientations.

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

HUMANITIES AND SOCIAL SCIENCES

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