Serious Legal Problems: LGBTQ2+ People in Western Canada - Eligibility Screener

Introduction: Thank you for your interest in participating in this research project entitled “A Qualitative Look at Serious Legal Problems: LGBTQ2+ People in Western Canada.” The questions asked in this survey will help to determine whether you are eligible to participate in this study. We are seeking a diverse group of participants in terms of sexual and gender identities, race/ethnicity, and the nature of legal problems experienced, which is why it is important to ask these questions.

At the end of the survey, you will be asked to provide a name, phone number, and email address so that we can contact you for follow-up. Your contact information will be kept confidential and will not be shared with the Department of Justice or outside of our research team. If you have any questions about this research project, please contact CBRC’s Research Manager, Ben Klassen at ben.klassen@cbrc.net.

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* 1. How old are you?

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* 2. Where do you currently reside?

British Columbia

Alberta

Saskatchewan

Manitoba

Ontario

Quebec

Newfoundland & Labrador

New Brunswick

Nova Scotia

Prince Edward Island

Yukon

Northwest Territories

Nunavut

Outside of Canada

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* 3. How do you typically describe your sexual identity? (check all that apply)

Lesbian

Gay

Bisexual

Queer

Straight

Pansexual

Asexual

I prefer to use another term (please specify)

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* 4. How do you typically describe your gender identity?

Man

Woman

Non-binary

I prefer to use another term (please specify)

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* 5. Do you have trans lived experience? (i.e., your gender identity/lived gender is different from your sex assigned at birth)

Yes

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* 6. What is your gender expression/presentation?

Mostly feminine

Mostly androgynous

Mostly masculine

Fluidity between expressions

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* 7. How do you describe your race/ethnicity? (Check all that apply)

African

Arab, West Asian (e.g. Iranian, Afghan)

Black

Caribbean

East Asian (e.g. Chinese, Japanese, Korean)

Indigenous

Latin American, Hispanic

South Asian (e.g. East Indian, Pakistani, Sri Lankan)

Southeast Asian (e.g. Filipino, Vietnamese, Thai)

White

I prefer not to answer

Other (please specify)

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* 8. If you are Indigenous, are you Two-Spirit?

I am Indigenous and Two-Spirit

I am Indigenous but not Two-Spirit

I am not Indigenous

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* 9. How would you describe your money situation in the past 12 months?

Comfortable, with extra

Enough, but no extra

Have to cut back

Cannot make ends meet

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* 10. In the past three years, did you have a serious legal dispute or problem in relation to... (Check all that apply)

A large purchase or service where you did not get what you paid for and the seller did not fix the problem (e.g., a home, renovations, vehicles).

Your employer or your job, excluding personal injuries (e.g., not receiving pay for vacation, overtime, severance, maternity, sick leave, or employment insurance benefits, unfair dismissal or disciplinary procedures, or a health and safety issue).

A personal injury or serious health issue that occurred at work, in a commercial establishment, in a traffic accident or any other public place.

Your neighbourhood such as vandalism, property damage, threats or excessive noise.

Your house, your rent, your mortgage, or rent owed to you (e.g. foreclosure, collecting rent, eviction).

Money you owe (debt) or collecting money owed to you, excluding rent and housing issues (e.g. declaring bankruptcy, collection agency issues or credit issues).

Obtaining social or housing assistance, old age security or guaranteed income supplement or other government assistance or with the amount received (excluding disability assistance)

Obtaining disability assistance or with the amount received (e.g. disability pension income, private insurance companies, workers compensation, benefits for disabled children).

Immigration, refugee status or sponsoring a family member’s application to immigrate to Canada.

Contact with the police or other part of the criminal justice system involving being stopped, accused, charged, detained, arrested, or with pardons

Contact with the police or other part of the criminal justice system as a victim or a witness of a crime

A break-down of your family or relationship such as a divorce or separation, excluding child custody problems (e.g. spousal support or division of property)

Child custody or other problem involving parental responsibilities (e.g. child protection or welfare services).

A will, or taking care of financial or health issues for a person who was unable to look after themselves.

Poor or incorrect medical treatment (e.g. harmed while being treated by a medical professional).

Civil court proceedings or a letter threatening legal action over a civil matter (e.g. breach of contract, landlord tenant issues, or suing for money for damages or obtaining recovery from injuries).

Being harassed (e.g. at school, university or work, in a public place or in a commercial establishment). Harassment is any improper conduct by an individual that is directed at and offensive to another individual and that the individual knew or should reasonably have known would cause offence or harm.

Being discriminated against (e.g. at school, university or work, in a public place or in a commercial establishment). Discrimination means treating someone differently or unfairly because of a personal characteristic or distinction, which, whether intentional or not, has an effect that imposes disadvantages not imposed on others or that withholds or limits access that is given to others.

Your use or possession of criminalized drugs or narcotics

Disclosure of your HIV status (i.e., criminalization of HIV non-disclosure)

Involvement in sex work

I did not experience a serious problem

Any other issue (please specify)

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* 11. If you answered yes to any of the above legal disputes or problems, did your legal problem include interactions with the justice system (eg. police officer, a lawyer, a court, etc.)? Check all that apply.

Yes, a police officer

Yes, a lawyer

Yes, a court

Other (please specify)

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* 12. If you answered yes to any of the above legal problems, please provide us with a very brief (2-4 sentences) description of the legal problems you faced. We are asking this because we want to ensure that we capture a wide range of legal problems in the project. During an interview we would ask for more detail of your experience.

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* 13. If you are interested in participating in the project, please provide your name, phone number and email address so that we can follow-up with you. This information will be kept confidential and will not be shared outside of our research team.

Name (can be a pseudonym)

Phone number

Email address