IAM Questionnaire - IAM Ministries | Inclusive & Affirming Ministries (IAM)

IAM Questionnaire

Please complete this form before our time together. It will help us to prepare, and offers you an opportunity to tell us more about your needs.

Name

First

Last

This is optional

What is your sex assigned at birth? *

What gender best describes your identity? *

What is your sexual orientation? *

Please rate your level of agreement with the following statements: *

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
I have a clear understanding of the value of dialogue	Strongly DisagreeI have a clear understanding of the value of dialogue Strongly Disagree	DisagreeI have a clear understanding of the value of dialogue Disagree	NeutralI have a clear understanding of the value of dialogue Neutral	AgreeI have a clear understanding of the value of dialogue Agree	Strongly AgreeI have a clear understanding of the value of dialogue Strongly Agree
I grasp the complexity of issues related to gender and sexuality	Strongly DisagreeI grasp the complexity of issues related to gender and sexuality Strongly Disagree	DisagreeI grasp the complexity of issues related to gender and sexuality Disagree	NeutralI grasp the complexity of issues related to gender and sexuality Neutral	AgreeI grasp the complexity of issues related to gender and sexuality Agree	Strongly AgreeI grasp the complexity of issues related to gender and sexuality Strongly Agree
I can reflect on situations of oppression/marginalisation and dehumanisation in an intersectional manner	Strongly DisagreeI can reflect on situations of oppression/marginalisation and dehumanisation in an intersectional manner Strongly Disagree	DisagreeI can reflect on situations of oppression/marginalisation and dehumanisation in an intersectional manner Disagree	NeutralI can reflect on situations of oppression/marginalisation and dehumanisation in an intersectional manner Neutral	AgreeI can reflect on situations of oppression/marginalisation and dehumanisation in an intersectional manner Agree	Strongly AgreeI can reflect on situations of oppression/marginalisation and dehumanisation in an intersectional manner Strongly Agree
I can reflect on my own narrative concerning sexuality and spiritual formation	Strongly DisagreeI can reflect on my own narrative concerning sexuality and spiritual formation Strongly Disagree	DisagreeI can reflect on my own narrative concerning sexuality and spiritual formation Disagree	NeutralI can reflect on my own narrative concerning sexuality and spiritual formation Neutral	AgreeI can reflect on my own narrative concerning sexuality and spiritual formation Agree	Strongly AgreeI can reflect on my own narrative concerning sexuality and spiritual formation Strongly Agree
I understand the issues within the ACSA regarding gender and sexuality	Strongly DisagreeI understand the issues within the ACSA regarding gender and sexuality Strongly Disagree	DisagreeI understand the issues within the ACSA regarding gender and sexuality Disagree	NeutralI understand the issues within the ACSA regarding gender and sexuality Neutral	AgreeI understand the issues within the ACSA regarding gender and sexuality Agree	Strongly AgreeI understand the issues within the ACSA regarding gender and sexuality Strongly Agree
I am familiar with how to use the Bible to facilitate dialogue	Strongly DisagreeI am familiar with how to use the Bible to facilitate dialogue Strongly Disagree	DisagreeI am familiar with how to use the Bible to facilitate dialogue Disagree	NeutralI am familiar with how to use the Bible to facilitate dialogue Neutral	AgreeI am familiar with how to use the Bible to facilitate dialogue Agree	Strongly AgreeI am familiar with how to use the Bible to facilitate dialogue Strongly Agree

What do you hope to learn in this dialogue? *

Is there anything that you would like the facilitators to know that would enable you to get the most from this dialogue?