Survey for Health Care Professionals

Wyoming Equality has adapted this survey in accordance with GLMA's affirmations for health care providers (see GLMA's Terms of Use: For the purposes of this survey, healthcare providers also include mental health professionals. Wyoming Equality will review this survey. This survey is confidential. Wyoming Equality will not share these results with clients. However, if you would like to have your business to be added to Wyoming Equality's website as an LGBTQ friendly business, please state that information on the box below.
Name *

Please complete the form below

Select whether you strongly disagree, disagree, are neutral, agree, or strongly agree to the following statements.
I welcome lesbian, gay, bisexual and transgender individuals and families into my practive and offer all health services to patients on an equal basis, regardless of sexual orientation, gender identity, marital status, and other non-medically relevant factors.
I believe that lesbian, gay, bisexual and transgender identities are within the spectrum of normal human experience and are not in themselves pathological, "unnatural," or sinful. I therefore do not promote or support attempts to change patients' sexual orientation or gender identity
I respect the visitation and healthcare decision-making rights of lesbian, gay, bisexual and transgender patients/clients, their unmarried partners, their non-biological children, and any others they may define as family for the purposes of visitation and healthcare decision-making
I commit to taking steps to make my practice fully inclusive of lesbian, gay, bisexual and transgender persons as reflected in written forms, policies and procedures, appropriate training for all clinical and administrative staff, and standardized assessments.
I commit to taking steps to learn about the unique health concerns of lesbian, gay, bisexual and transgender individuals and families so that I can provide the highest quality care to them.
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Do you have any final thoughts you would like to share with Wyoming Equality?