Items:

These questions are about experiences related to who you are. This includes both how you describe yourself and how others might describe you. For example, your skin color, ancestry, nationality, religion, gender, sexuality, age, weight, disability or mental health issue, and income.

1. Because of who you are, has a health care provider ever refused you care?
2. Because of who you are, have you ever been fired or dismissed from a job, or been turned down for a job that you interviewed for?
3. Because of who you are, have you ever been evicted or denied housing?
4. Because of who you are, have you ever been unreasonably stopped and questioned, searched, or arrested by police or security?
5. Because of who you are, have you ever been unreasonably expelled or suspended from school?
6. Because of who you are, have you ever been unable to open a bank account, cash a cheque, or get a loan?
7. Because of who you are, have you ever had to move to another neighborhood, town, city, state, province, or country?
8. Because of who you are, have you ever lost a close relationship (e.g. with a family member, friend, or partner)?

Response Options:
Never – 0
Once – 1
More than once – 2

9. Because of who you are, have you ever been repeatedly harassed at work or school, where you live, or when accessing services?

Response Options:
No – 0
Yes - in one place – 1
Yes - in more than one place – 2

10. Because of who you are, have you ever been threatened with a physical or sexual attack?
11. Because of who you are, have you ever been physically attacked (e.g. spit on, had objects thrown at you, hit, punched, pushed, or grabbed, beaten)?
12. Because of who you are, have you ever been made to engage in sexual activity, been touched in a sexual way, that you didn’t want?
13. Because of who you are, have you ever had someone take, damage, or vandalize your property?

Response Options:
Never – 0
Once – 1
More than once – 2