Form cover
Page 1 of 1

LGBTQ+ NATIONAL DIALOGUE SURVEY

(As part of the National Dialogue on the Rights and Inclusion of LGBTQ+ Persons in South Africa)

This survey aims to capture lived experiences and honest perspectives from LGBTQ+ persons and allies across South Africa. Your input helps shape policies and strengthen inclusion efforts.
Let’s build a bold, inclusive and unforgettable experience – together.

🌈 Proudly African. Authentically You. 🌈


POPIA Data Protection Notice

By submitting this form, you acknowledge and consent to the collection and processing of your personal information for the sole purpose of data capturing to assist the National Dialogue LGBTQ+.

Johannesburg Pride NPC, on behalf of data collection for the National Dialogue, is committed to protecting your privacy in accordance with the Protection of Personal Information Act (POPIA).

Your information will not be shared with any third party and will only be accessed by the Johannesburg Pride organising team for purposes directly related to your submission. The data collected will be used solely to amplify and advance the voices of LGBTQ+ persons participating in this survey for reporting and advocacy purposes.

You may request access to, correction of, or deletion of your data by contacting us at [email protected]
Untitled checkboxes field

Personal Details

(You may remain anonymous. Name, ID, and Contact Number are optional.)

Full Name/s and Surname (Optional):

ID / Passport Number (Optional):

Mobile Contact Number (Optional):

Email Address (Optional):

Age:

Province / City / Town:

Employment Status:

Employment Status:

Education Level:

Education Level:

SOGIE (Sexual Orientation, Gender Identity & Expression)

How do you describe your gender identity?

How do you describe your gender identity?

How do you describe your sexual identity?

How do you describe your sexual identity?

Do you feel accepted in your community/home as an LGBTQ+ person?

Do you feel accepted in your community/home as an LGBTQ+ person?

Have you experienced discrimination or exclusion because of your identity?

Have you experienced discrimination or exclusion because of your identity?

Do you feel supported by the government or local services?

Do you feel supported by the government or local services?

Do you feel that LGBTQ+ non-profit organisations and community groups have made a real impact in your life or community?

Do you feel that LGBTQ+ non-profit organisations and community groups have made a real impact in your life or community?

Please explain your answer above briefly.


Community Voice

What changes are most needed to improve the lives of LGBTQ+ people in your community?

What message would you like to share with the government or leaders about LGBTQ+ equality and/or issues in South Africa?


Acknowledgement

This survey is conducted as part of the National Dialogue on LGBTQ+ Inclusion, in alignment with the directive from the Office of the President and the Presidential Office for the Promotion of Inclusion and Integration of All (POIPIA).

We thank all participants for sharing their voices and experiences to strengthen equality and visibility across South Africa.

Consent

By completing this survey, you consent to your responses being used anonymously for policy research, advocacy, and national reporting purposes.