Discrimination Survey

Protection of all citizens of Tennessee from discrimination based on sexual orientation and gender identity is basic to the mission of the Tennessee Equality Project (TEP). Promotion of a non-discrimination ordinance in the City of Memphis and in Metro Nashville is one of our top policy priorities.

To strengthen the case for a non-discrimination ordinance in these municipalities and at the State level, TEP is collecting information about real instances of unfair treatment or discrimination in employment, housing, education, public accommodations, and services.

Please consider completing this report if you have experienced discrimination as a current or former city employee, current or former employee of a city contractor, or as consumer of city-funded services. TEP is committed to protecting your privacy [view privacy policy].

1. If you are gay, lesbian, bisexual, or transgender, are you able to be open about your sexual orientation or gender identity on the job or when seeking services from city offices or agencies?
   Yes  No  Not sure
2. I was treated unfairly or discriminated against based on (check all that apply, whether real or perceived):

	sexual orientation		sex		religion
	gender identity or expression		age		creed
	national origin		race		ancestry
	marital status		color
	physical characteristic		disability

3. Area of discrimination:
   Employment  Housing  Education  Public Accommodations  Services
4. Where did unfair treatment or discrimination occur: (include name & address of city office, agency, or organization, if known)?
   
5. Describe in your own words how you were treated unfairly or discriminated against. Also include who treated you unfairly, if known. Examples include losing a job or promotion, forced to quit a job, hostile atmosphere, sexual harassment, verbal abuse, physical abuse, rental application refused.
   
6. How was the incident resolved?
   
7. For the above classes of discrimination you checked, did the office or agency where you experienced unfair treatment or discrimination have an official policy protecting these classes?  Yes  No  Don’t Know
8. May we contact you for more information?:  Yes  No