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

IAM Questionnaire - COTT

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

Email *

Please indicate the academic programme you are enrolled for and your year group: *

What is your biological 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 am familiar with language and terminology used to describe sexual orientation, gender identity and expression, and sex characteristics	Strongly DisagreeI am familiar with language and terminology used to describe sexual orientation, gender identity and expression, and sex characteristics Strongly Disagree	DisagreeI am familiar with language and terminology used to describe sexual orientation, gender identity and expression, and sex characteristics Disagree	NeutralI am familiar with language and terminology used to describe sexual orientation, gender identity and expression, and sex characteristics Neutral	AgreeI am familiar with language and terminology used to describe sexual orientation, gender identity and expression, and sex characteristics Agree	Strongly AgreeI am familiar with language and terminology used to describe sexual orientation, gender identity and expression, and sex characteristics Strongly Agree
I have a clear understanding of the value of dialogue on human sexuality, gender and faith	Strongly DisagreeI have a clear understanding of the value of dialogue on human sexuality, gender and faith Strongly Disagree	DisagreeI have a clear understanding of the value of dialogue on human sexuality, gender and faith Disagree	NeutralI have a clear understanding of the value of dialogue on human sexuality, gender and faith Neutral	AgreeI have a clear understanding of the value of dialogue on human sexuality, gender and faith Agree	Strongly AgreeI have a clear understanding of the value of dialogue on human sexuality, gender and faith Strongly Agree
I can reflect on my own narrative concerning gender, sexuality and spiritual formation	Strongly DisagreeI can reflect on my own narrative concerning gender, sexuality and spiritual formation Strongly Disagree	DisagreeI can reflect on my own narrative concerning gender, sexuality and spiritual formation Disagree	NeutralI can reflect on my own narrative concerning gender, sexuality and spiritual formation Neutral	AgreeI can reflect on my own narrative concerning gender, sexuality and spiritual formation Agree	Strongly AgreeI can reflect on my own narrative concerning gender, sexuality and spiritual formation 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 am familiar with how to use the Bible to facilitate dialogue on LGBTIQ+ issues	Strongly DisagreeI am familiar with how to use the Bible to facilitate dialogue on LGBTIQ+ issues Strongly Disagree	DisagreeI am familiar with how to use the Bible to facilitate dialogue on LGBTIQ+ issues Disagree	NeutralI am familiar with how to use the Bible to facilitate dialogue on LGBTIQ+ issues Neutral	AgreeI am familiar with how to use the Bible to facilitate dialogue on LGBTIQ+ issues Agree	Strongly AgreeI am familiar with how to use the Bible to facilitate dialogue on LGBTIQ+ issues Strongly Agree
I understand the current challenges and opportunities for engaging gender and sexuality in my church/ACSA	Strongly DisagreeI understand the current challenges and opportunities for engaging gender and sexuality in my church/ACSA Strongly Disagree	DisagreeI understand the current challenges and opportunities for engaging gender and sexuality in my church/ACSA Disagree	NeutralI understand the current challenges and opportunities for engaging gender and sexuality in my church/ACSA Neutral	AgreeI understand the current challenges and opportunities for engaging gender and sexuality in my church/ACSA Agree	Strongly AgreeI understand the current challenges and opportunities for engaging gender and sexuality in my church/ACSA 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?