This free survey is powered by
  1. Surveys
  2. 2013
  3. October
  4. L
  5. LGBT TV Pilot Candidate Survey
0%
Exit Survey
 
 
Coyt Communications is seeking adults (18 or older) to participate in two projects about gay, lesbian, bisexual and transgender adults.

If you are interested in possibly being featured in a television pilot and/or a book, please complete the following brief survey.

By submitting the survey to Coyt Communications, you certify that your answers are true and that you are willing to be contacted for a possible telephone and/or in-person interview.

Thank you. You may receive a follow up phone call or email to schedule a phone or in-person interview.
 
 
 
 
* Your first name.
   
 
 
 
* Your age.
 
18-24
 
25-34
 
35-44
 
45-54
 
55-64
 
65-74
 
75 or older
 
 
 
* At what Email Address would you prefer to be contacted?
   
 
 
 
* At what phone number may we contact you?
   
 
 
 
* Which of the following best describes your relationship status?
 
Married
 
Civil Union
 
Living together (not married or civil union)
 
Divorced (heterosexual marriage)
 
Divorced (same-sex marriage or civil union)
 
Widow/Widower
 
Single
 
Other
 
 
 
 
* What is your profession or job title? (Example: Retail clerk, VP marketing, attorney, painter, etc.)
   
 
 
 
* How would you categorize your sexuality?
 
Lesbian
 
Gay
 
Bisexual
 
Transgender
 
Transsexual
 
Other
 
 
 
 
* What has been the most challenging, frustrating, or heartbreaking aspect of being a gay, lesbian, transgender or bisexual person living in the United States?
   
 
 
 
* How old were you when you began openly living as a gay, lesbian, bisexual or transgender person?
   
 
COYT COMMUNICATIONS. Atlanta, GA.