Fife Men Project

 About you

1. Please tell us the first part of your postcode? e.g.KY12. (This will only give us the broad geographical area in which you live.)


2.  How would you describe your gender identity? Female; Male; Transgender; or Other ( Please specify)


3. How would you describe your sexual orientation?  Bisexual; Gay; Lesbian; Heterosexual or Other ( please specify)


4 Which age range do you fit into? Below 16; 16-20; 21-26; 27-49; 50-64; 65+


5. Please tell us how you would describe your ethnic origin? (For example, Asian, Black Scottish, White British, etc)


6. Please tell us about your employment status e.g. full-time employed; part-time unemployed, unemployed/unwaged; attending school, college or university; retired; full-time carer; other ( please specify)


7. If you attend college or university, please tell us which one.


8. Please tell us if you are a Fife NHS or Fife Council employee or other (please specify)


9. What level of income do you have? Please indicate in the box below

A Nil - £12,000 B 12,001 - £14,999 C £15,000 - £17,999 D £18,000 - £22,999 E £23,000 - £25,999 F Over £26,000


10. Do you have any visible or invisible disabilities? Yes /No

If yes, please give a brief description


11. Please tell us how you would describe your current relationship status by entering in the box beneath the options below that apply to you.

A Civil Partnered B Co-habiting C Partnered  
D Single E Married F Divorced G Separated


12. Please tell us how you socialise or meet new people.

Enter the letters in the box beneath

A LGBT exclusive bars & clubs B General bars & clubs C Sport clubs & groups D LGBT specific sport clubs & groups E Theatre / Cinema / Restaurants F LGBT community groups G General community groups H LGBT social groups
I Other social groups J General online communities K LGBT online communities L Prefer to stay at home M Social gatherings at home or visiting friends N Outdoor groups O Visit family P Other (please specify):

 


13. Are you out / open about your sexual orientation to:

Family  All, Most, Some, None, Not applicable

Friends  All, Most, Some, None, Not applicable

Work colleagues  All, Most, Some, None, Not applicable

Employer  All, Most, Some, None, Not applicable


14  Are you out/open about your sexual orientation to service providers

GP/Doctor   Yes, No, Not Applicable

Employer   Yes, No, Not Applicable

Social care   Yes, No, Not Applicable

Bank /building society    Yes, No, Not Applicable

Teacher/lecturer    Yes, No, Not Applicable

Other ( please specify)


15. Please tell us in the box below (a) where you found out about this questionnaire

and (b) how you found out.


Community

16. Do you feel part of the wider Fife Community?  Yes/No/Not Sure


17. Do you feel part of the Fife LGBT community ?  Yes/No/Not Sure/ Don’t know if there is one


18. Please expand on your answer to question 17 in the box below.


19. Have you ever undertaken voluntary work? Yes /No


20. Are you interested in becoming a volunteer?  Yes/ No


Health and Well-Being

21. Do you smoke? Yes /No


22. If yes, how many cigarettes do you smoke per day (on average)?


23. Do you drink alcohol? Yes /No


24. If you answered yes to 23 , please answer the questions below.

On a typical occasion, how many alcoholic drinks do you consume, 1, 2, 3, 4 5, 5+


25. Why do you drink?

A To get drunk B To socialise C Peer pressure D Gain confidence E Tackle stress F To relax
G Other


One unit of alcohol is described as half a pint of beer, pager and cider, a small 125ml glass of wine and one 25ml measure of pub spirit. There are 2 units of alcohol in an alcopop.

26. If the above information is accepted, how many units of alcohol would you say you consume in an average week?

 


27. Do you use non-prescription drugs as part of your social or home life? Yes/ No/ Sometimes


28. If yes or sometimes, which one(s)? Please indicate in the box beneath.


29. Do you take part in any physical activity on a regular basis?

A Home based activity (e.g. DIY, Housework, Garden activity

B Walking

C Sports and Exercise

D Activity at work

E Other


30. In general, how would you describe the level of effort you use for physical activity? Low, Moderate, High


31. How often would you say you are physically active in a typical week?


32. How many minutes would you say you spend in total, on each occasion you are active?


Our Services

33. Have you ever used the Fife Men Project? Yes/No. If no, go to question 37


34. How often have you used the project? Once, Occasionally ( 2 to 3 times a year), Most days, Weekly, Monthly, Quarterly


35. What do you use the project for? Please add to the box beneath all that apply.

A. Social group B. Community group C Community event D Health service E Counselling
F Information / support G Volunteering H Training I Condoms J Remote reporting


36. Based on your experience of using the project, how would you rate it?

Location   Poor, Satisfactory, Good, Very Good, Excellent

Access   Poor, Satisfactory, Good, Very Good, Excellent

Services offered   Poor, Satisfactory, Good, Very Good, Excellent

Environment and Atmosphere   Poor, Satisfactory, Good, Very Good, Excellent

Overall  Poor, Satisfactory, Good, Very Good, Excellent


37. If you have not tried the project, why is this?


38. What services would the Fife Men Project need to offer for you to use it, or to use it more often?


39. What LGBT specific services do you think YOU would use if provided in Fife.


Your needs

 

40. Briefly, what do you feel are the main issues or concerns you face as an LGB or T person?


41. Would anything you can think of help address these issues /concerns?


42.Have you ever in your life experienced poor mental health ?Yes /No


43. If you answered yes to question 42, please answer the following questions

From the options below, please indicate in the box beneath how you feel your mental health was affected.

A Anxiety

B Attempted Suicide

C Depression

D Eating Disorder

E Self Harm

F Stress

G Other (please state):

 


44. Please tell us of any services you accessed for support.


45. Have you ever experienced any of the following from someone who assumed you were LGB or T

Physical abuse   Yes/No

Verbal abuse  Yes/no

Sexual abuse  Yes/No

Domestic abuse  Yes/No

Emotional /psychological abuse  Yes/No


46. If this took pace in the last 4 years, did you report the incident to anyone? Yes/no


47. If you have reported the incident(s) who did you report it/them to?


48. If you did not report any incidents, please explain why in the box below.


Access to Health Services

49. Are you comfortable disclosing your sexual orientation when accessing health services? Yes /No /Only to GP/Depends


50. In the past four years have you ever experienced specific problems (e.g. discrimination, negative attitudes) from health or social care  services because of your sexual orientation or gender identity? Yes/No


51. If your answer to question 50 was Yes, which service did you have a difficulty with?

A. NHS service

B GP

C Local Health Practice

D Community Health Project

E Mental Health Service

F Sexual Health Service

G Family Planning Service

H Private Health Service

I Council Health Service

J LGBT Specific Health Service

K Other (please specify

 


52. Would you be more likely to use a health service if it was LGBT specific or LGBT friendly? Yes/No


53. In the past four years have you ever experienced specific problems (i.e. discrimination, negative attitudes) from any other services which you feel is because of your sexual orientation or gender identity? Yes/No


54. If your answer to question 53 was yes, please briefly describe which service(s) and the particular difficulties?


55. Have these experiences affected your decision to continue/discontinue use of them? Yes/No


56.Please describe why this is.


THANK YOU FOR TAKING PART IN THIS QUESTIONNAIRE.

YOUR VIEWS ARE IMPORTANT TO US AND WE WILL FEEDBACK ON THE RESULTS WITHIN A REpORT TO BE PUBLISHED IN LATE SUMMER 2008.

Alan Cowan

Consultant

AWH