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LBT+ Women's Sexual & Reproductive Health Survey

Survey Information (Please read before beginning the survey)

Content warning: This survey contains questions about sensitive topics such as sexual violence, substance misuse, abortion, miscarriage and queerphobia. You are able to skip any sections or questions that you would prefer not to answer. At the end of the survey you will be signposted to services that can support you if you feel like you need to talk to somebody.

Why are we conducting this survey?

We are conducting this survey to create a report that provides an accurate reflection of LBT women’s sexual and reproductive health in England. Women (particularly queer women) are often neglected in conversations about health and wellbeing, particularly when it comes to taboo topics such as sex. We want to change that.

Alongside the report, we will also be using the results of this survey to provide a series of free events for LBT+ women and healthcare professionals who work with them in March 2023, as part of LBT Women’s Health Week. If you leave your email address at the end of the survey we will contact you when we publish the calendar of events later this year.

Who can contribute to this survey?

To complete this survey you must fit the following criteria:

  • Age 16+
  • Currently living in England
  • An LBT+ woman, or somebody who relates to this identity in some way*

*This survey is open to LBT+ women (lesbians, bi women, trans women, ace women, pan women, etc.) and anybody who in some way relates to this identity. For example, you may be non-binary but identify as a demigirl, or femme, or in some other way relate to the concept of womanhood. Basically, if you feel like this survey is for you, it is.

How long will this take, and what do I get out of it?

This survey will take approximately 20 minutes and will consist of multiple choice questions, with opportunities to elaborate in free text boxes (but this is not required!). If there are any questions that you would prefer not to answer, you can leave them blank and move onto the next question.

To thank you for your contribution, you can opt to enter your email address at the end and be entered into a prize draw to win a £250 Love2shop voucher. You also get to know that you’ve contributed to really important research that is helping to improve the health and wellbeing of LBT women.

We would also love the opportunity to talk to you more in depth, at a small virtual focus group of 10 LBT+ women, lasting an hour and a half (for which you will be compensated for your time with a £20 Love2shop voucher). If you would like to be considered for this focus group please indicate this in the final question of the survey and leave your email address.

This survey is 100% anonymous, unless you decide to leave your email address for the prize draw. But even then your email address will only be seen by one person (the project manager for this work) and kept strictly confidential.

Survey will close at 23:59 on 31/12/22.

1. Please confirm the following (please tick all of the below boxes or your contribution will not be counted) *This question is required.
Demographic Monitoring

Note about demographic monitoring: The reason we collect the below information is so that we can use it to compare data between different groups of people to get a more accurate insight into intersectional identities. It also helps us to see which groups of people we are failing to reach with our research so that we can improve accessibility in the future.
3. Which of the following options best describes how you think of yourself? *This question is required.
4. Is your gender identity the same as the gender you were given at birth? *This question is required.
5. Would you describe yourself as intersex? *This question is required.
6. What is your age? (You must be aged 16 or over to take part in this survey) *This question is required.
7. Which of the following identities do you associate yourself with? (Please select all that apply) *This question is required.
  • * This question is required.
8. Which of the following best describes how you think of yourself? *This question is required.
9. What is your religion or belief, even if you are not currently practising? *This question is required.
10. Do you consider yourself to be a disabled person? (This may also include long-term physical and mental health conditions) *This question is required.
11. Do you consider yourself to be neurodivergent? *This question is required.
12. What is your employment status? (Please tick all options that apply) *This question is required.
13. What is your relationship status? (Please select all that apply) *This question is required.
14. Are you a parent/guardian or currently pregnant? (Please tick all that apply) *This question is required.
15. Are you living with HIV? *This question is required.
16. Are you a carer? (Someone who is looking after a family member, partner or friend who needs help because of illness, frailty or disability and not being paid for this) *This question is required.
Relationships & Sex Education
17. Did you receive any form of relationships & sex education in school, even if this was very limited?
18. Were minority sexual orientations (LGB+ identities) mentioned as part of the lesson(s)?
19. Were trans identities mentioned as part of the lesson(s)?
20. Which of the following topics do you remember being educated about in school? (Please select all that apply)
21. In primary school, were you separated by sex (into boys & girls) for your relationships & sex education?
22. In secondary school, were you separated by sex (into boys & girls) for your relationships & sex education?
23. Did you learn about anatomy that did not match your own? (e.g. if you were assigned male at birth, did you learn about periods?)
24. How would you rate the quality of the relationships & sex education you received at school?
25. How relevant to you and your identity did your relationships and sex education feel?
Access to Sexual & Reproductive Services
27. Have you accessed care in the past 12 months for your sexual or reproductive health? (Please select all that apply)
28. If so, did you feel able to disclose your sexual orientation and/or trans status to your healthcare professional?
29. When accessing sexual or reproductive healthcare in the past 12 months, do you feel that you were discriminated against at any point? (Please select all that apply)
30. When accessing sexual or reproductive healthcare in the past 12 months, do you feel that you were asked inappropriate questions due to your LGBTQIA+ identity at any point?
31. When accessing sexual or reproductive healthcare in the past 12 months, did you ever feel like your healthcare worker didn’t fully understand your LGBTQIA+ identity?
STIs, HIV & Sexual Health
33. Have you been tested for Sexually Transmitted Infections (STIs) in the past 12 months?
34. Do you have a diagnosis of HIV?
35. If you have a HIV diagnosis, are you currently taking medication for this?
36. Have you been diagnosed with any of the following STIs or medical conditions in the past 12 months? (Please select all that apply)
37. If you were diagnosed with an STI in the past 12 months, did you take medication to treat this? (e.g. pills, injections, creams, etc.)
38. If you were diagnosed with any of the above STIs or medical conditions in the past 12 months, who did you inform? (Please select all that apply)
39. Have you taken PrEP (pre-exposure prophylaxis) at any point in the past 12 months?
40. Have you taken PEP (post-exposure prophylaxis) at any point in the past 12 months?
41. If you have a cervix and are over the age of 25, have you had a routine cervical screening (smear test) in the past 3 years?
42. If you have breasts and are over the age of 50, have you had a routine mammogram (breast screening) in the past 3 years?
43. If you have a prostate, have you had a prostate examination in the past 12 months?
Contraception
45. At any point in the past 12 months, have you had unprotected sex (including unprotected oral or anal sex)?
46. Which methods of contraception have you used in the past 12 months? (Please select all that apply)
47. Thinking over the past 12 months, did you normally source your contraception, or was this usually something your partner(s) sourced?
48. If you have taken hormonal contraception at any point in the past 12 months, have you experienced any of the following side effects? (Please select all that apply)
49. Thinking over the past 12 months, did you usually pay for your contraception?
50. In the past 12 months have you ever found it difficult to access contraception for any reason? (Please select all that apply)
51. In general, do you prefer hormonal contraception (e.g. the pill, the implant, etc.) or non-hormonal contraception (e.g. condoms, the IUD, etc.)?
Fertility & Reproductive Health

Content Warning: Miscarriage, abortion. If you would prefer to skip this section please go to question 65.
53. Have you been tested for pregnancy in the past 12 months? (Please select all that apply)
54. Have you been made to take a pregnancy test in order to access healthcare in the past 12 months? (e.g. medication, scans/x-rays, etc.)
55. If you have been made to take a pregnancy test in order to access healthcare, and there was no risk of pregnancy (either due to your anatomy, lack of sexual activity, or the nature of the sex you were having — for example, two people with vulvas), did you inform the healthcare worker of this?
56. Have you experienced pregnancy in the past 12 months?
57. Have you had an abortion in the past 12 months?
58. Have you had a miscarriage in the past 12 months?
59. Have you given birth in the past 12 months?
60. If you have given birth in the past 12 months, where did you give birth?
61. If you have experienced pregnancy in the past 12 months, how easy have you found it to access pregnancy-related care?
62. Have you (or a partner) attempted IUI (intrauterine insemination) in the past 12 months?
63. Have you (or a partner) attempted IVF (in vitro fertilisation) in the past 12 months?
Menstrual Health

(If you were not born with a uterus, skip to question 85)
65. If you were born with a uterus, do you currently have periods?
66. What period products have you used in the past 12 months? (Please select all that apply)
67. Thinking over the past 12 months, did you usually pay for your period products?
68. In the past 12 months have you ever found it difficult to access period products for any reason? (Please select all that apply)
69. Are you in a relationship with somebody that also has periods?
70. What level of pain or discomfort is the most common while you are menstruating?
71. Do you regularly experience such heavy menstrual bleeding that it impacts your day-to-day life (e.g. not being able to leave the house, go to work, etc.)?
72. Which of the following side effects do you usually experience during menstruation? (Please select all that apply)
73. Have you seen a medical professional in the past 12 months due to menstrual pain or other side effects?
74. How long do your periods last on average?
75. Do you usually refrain from sexual activity while menstruating?
76. Have you ever been diagnosed with any of the following? (Please select all that apply)
Menopause

(If you were not born with a uterus, skip to question 85)
78. Have you gone through the menopause?
79. Have you ever experienced early or premature menopause (menopause before the age of 40)?
80. If you have gone through (or are currently going through) the menopause, which of the following side effects have you experienced as a result? (Please select all that apply)
81. If you are currently experiencing the menopause or the perimenopause, have you seen a medical professional in the past 12 months to discuss this?
82. If you are currently experiencing the menopause or the perimenopause, have you taken any of the following treatments in the past 12 months? (Please select all that apply)
83. Are you, or have you ever been, in a relationship where you and your partner experienced the menopause at the same time?
Relationships & Sexual Partners
85. Have you been sexually active with another person in the past 12 months?
86. If yes, how many sexual partners have you had in the past 12 months?
87. Are you currently in a monogamous relationship (a relationship with one person only)?
88. If you are currently in a monogamous relationship, is this with somebody of the same gender as yourself?
89. Are you currently in a polyamorous relationship (a relationship with multiple partners) or seeing multiple people?
90. If you are currently in a polyamorous relationship or seeing multiple people, are all of your partners the same gender as yourself?
91. In the past 12 months, what ways have you met new people for sexual or romantic relationships? (Please select all that apply)
92. If you currently have a partner, or partners, are your friends and family aware of them?
Pleasure & Sexual Fulfilment
94. How would you rate your satisfaction with your sex life (or lack of) currently?
95. Thinking over the past 12 months, when engaging in sexual activity with another person, how often did you orgasm?
96. Thinking over the past 12 months, when masturbating or engaging in solo sex alone, how often did you orgasm?
97. Thinking over the past 12 months, what was the main way you achieved orgasm?
98. Thinking over the past 12 months, how important has sex been in your relationship(s) on a scale of 0-5?
Sexual Violence

Content Warning: Sexual harassment, sexual abuse, sexual assault, rape. If you would prefer to skip this section please go to question 109.
100. Have you felt at risk of harm or violation while engaging in a sexual encounter in the past 12 months?
101. Have you experienced sexual harassment in the past 12 months?
102. Have you experienced sexual abuse in the past 12 months?
103. Have you experienced sexual assault in the past 12 months?
104. Have you experienced rape in the past 12 months?
105. If you have experienced sexual violence in the past 12 months, who was the perpetrator (or perpetrators)? (Please select all that apply)
106. If you have experienced sexual violence in the past 12 months, was the perpatrator (or perpetrators) somebody of the same gender as yourself?
107. If you have experienced sexual violence in the past 12 months, did you seek support? (Please select all that apply)
Substance Use in Sex

Content Warning: Drugs, alcohol. If you would prefer to skip this section please go to question 113.
109. Thinking over the past 12 months, how often did you consume alcohol before engaging in sexual activity with somebody else?
110. Thinking over the past 12 months, how often did you use drugs before engaging in sexual activity with somebody else?
111. If you regularly use alcohol or drugs before engaging in sexual activity with another person, what is the reason for this? (Please select all that apply)
Focus Groups & Prize Draw
113. Would you like to be considered for a virtual focus group of 10 LBT+ women to elaborate on the topics in this survey (for which you will be compensated with a £20 Love2shop voucher)?
114. Would you like to be entered in a prize draw with the potential of winning a £250 Love2shop voucher?
115. If you answered yes to either (or both) of the above questions, please leave your contact information here:
Thank you so much for completing the survey — you are helping us to do really important work to advance LBT women’s health and wellbeing.
Support Services

We recognise that this survey covered some sensitive topics. If you have been affected by any of the topics in this survey, please reach out to one of the LGBTQIA+ services below to talk:

CliniQ
CliniQ offer a holistic sexual health, mental health and wellbeing service for all trans people, partners and friends.

Email: admin@cliniq.org.uk

Gendered Intelligence
Gendered Intelligence is a registered charity that exists to increase understandings of gender diversity and improve trans people's quality of life.

Tel: 0330 355 9678
Email: supportline@genderedintelligence.co.uk

Galop
Galop is the UK’s LGBT+ anti-abuse charity. They work with and for LGBT+ victims and survivors of interpersonal abuse and violence.

Tel: 0800 999 5428
Email: help@galop.org.uk

Live Through This
Live Through This is a cancer support and advocacy charity for the LGBTIQ+ community.

Email: contact@livethroughthis.co.uk

LGBT Foundation
LGBT Foundation exists to support the needs of the diverse range of people who identify as lesbian, gay, bisexual and trans.

Tel: 0345 3 30 30 30
Email: info@lgbt.foundation

MindOut
MindOut is a mental health service run by and for lesbians, gay, bisexual, trans, and queer people.

Tel: 01273 234839
Email: info@mindout.org.uk