INTERVIEW FORM

Time Started: ________________ Time Ended: ________________

I. SOCIO DEMOGRAPHIC PROFILE OF THE RESPONDENT

Fill in the following needed information:

1. Name (Optional):
2. Sex: Lesbian
Gay
Bisexual (M)
Bisexual (F)
Transgender (M)
Transgender (F)
3. Age:
4. Address:
5. Civil Status:
6. Educational Attainment

7. Religion:
8. Occupation:
9. Income:
II. EFFECTS OF DISCRIMINATION

1. Have you come out? If yes, when and how? If no, why?
2. Have you been in a same sex relationship?
3. Have you encountered a homophobe? If yes, what happened?
4. Have someone told you to act like the sex you are born with? If yes, what did you do?
5. Have someone lectured you about religion and homosexuality?
6. What types of discrimination have you encountered or experienced?
7. How did you cope?
8. Have you had any suicidal thoughts or isolated yourself because of discrimination?
9. Have you reported it (discrimination) to someone in the authority?
10. What will you do to stop being discriminated in the future?