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Your Voice Matters

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Community Needs Survey 2024

First name*

Last name

Email*

Birthday

Year

Month

Day

Yes, please subscribe me to the UPlift Black newsletter.

What are your preferred pronouns?

he/him

she/her

they/them

Other

Intersectionality is important. Please check ALL the boxes you identify with.

I identify as part of the 2SLGBTQIA+ community

I identify as part of the BIPOC community

I am an artist or creative

I am a youth

I am an entrepreneur

I live in Simcoe County

I work in Simcoe County

I am a newcomer to Canada

What are inclusive services? Services offered in ways that make you feel seen, heard and valuable. Inclusive services are culturally relevant.

I have access to...

Inclusive Services close to where I live

Inclusive Services close to where I work

What are accessible services? Services offered without barriers in ways that anyone, regardless of needs or skill level, could engage with them

I have access to...

Accessible services close to where I live

Accessible services close to where I work

Tell us about your experience with inclusive and accessible services in your community

Daily Food Security

I get enough to eat

I have access to nutritious food

I have dietary restrictions

Tell us what you need

Barriers to Transportation

I drive my own car

I drive but I don't have access to a car

I take the bus

I walk

Other

Culturally Aware Mental Health Support

I have access

I don't have access

I don't need access

Connections to peers with shared cultural identities and lived experiences

I have plenty!

I have some but not enough of these connections

I don't have these connections because I don't know where to make them

I don't have these connections because I don't need them

I have access to mentors and role models who I can relate to, from similar backgrounds to my own

I have access

I don't have access

I don't need access

I have access to safe spaces to share personal stories and get emotional support

I have access

I don't have access

I don't need access

I have access to identity specific resources and service providers

I have access

I don't have access

I don't need access

I have access to community activities (social & recreational) tailored to my cultural perspective and relevant interests

I have access

I don't have access

I don't need access

Is there anything else you'd like to share with UPlift Black?

We care about what you care about. Please check the boxes related to the things that matter to you.

I am interested in anti-oppression education and workshops.

I am interested in mentorship information and opportunities.

I am interested in job development information and opportunities

I am interested in volunteer opportunities

UPlift Black

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Barrie, ON L4M1A4

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