Rainbow Local Government Candidate Survey & Pledge
Rainbow Local Government is a campaign coordinated by the Victorian Pride Lobby. The Lobby is a community based advocacy group that works towards equality, social justice and advancing human rights for lesbian, gay, queer, bisexual and same-sex attracted Victorians. We work constructively, cooperatively and respectfully with transgender, intersex, asexual and other organisations that support our organisation’s mission and vision.
Sign in to Google to save your progress. Learn more
Email *
Demographic Information
Why are we collecting this data?

We are collecting this data to track candidates’ pledges and to identify candidates that are LGBTIQA+. This data may be published on our website and social media. If you do not wish for this data to be published, please select ‘prefer not to answer’ or simply do not answer. If you have any questions or concerns, please contact us at info@vicpridelobby.org.

Your email address above may be published to the website, so please use an email address you are happy to have public. If you do not have an email address you are happy to have published, please complete the survey and then let us know via email.
What is your full name? *
What council are you standing in? *
What council ward (if any) are you standing in?
What is your sexuality?
Your answer to this question (if not "Heterosexual" or "Prefer not to answer") will be used to add a sexuality flag border to your profile on rainbowvotes.com.au.
Clear selection
What is your gender?
If you answer "Other" to this question, we will add a corresponding gender identity flag border to your profile on rainbowvotes.com.au.
Clear selection
Are you transgender?
If you answer "Yes" to this question, we will add a trans flag border to your profile on rainbowvotes.com.au.
Clear selection
Were you born with a variation of sex characteristics (this is sometimes called intersex)?
If you answer "Yes" to this question, we will add an intersex flag border to your profile on rainbowvotes.com.au.
Clear selection
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Victorian Pride Lobby. Report Abuse
Google Forms