Are you a business that wants to be added to the LGBTQ+ Friendly Business List?

Thank you for your interest. If you are a provider looking to be added to a queer-knowledgeable provider list, please fill out this form instead.

Your Name (required)

Your Email (required)

Business Name (required)

Business Address (required)

Contact information you would like shared on the site Website, social media, phone, email, address, etc.(required)

Business Attributes Select all that apply. (required)

LGBTQ+ owned

BIPOC owned

RI/MA Small business

None of the above

Business Category (required)

Home Services

Family & Pet Care

Beauty & Holistic Wellness

Restaurant

Store

Other

If you selected other, please describe

Reason for interest

Which of the following does your practice have? (required)

All forms ask for chosen name and pronouns

All team members are regularly trained about LGBTQ+ inclusivity

Team members have lived experience that informs their work with the LGBTQ+ population

In person office space has gender neutral bathrooms

Other (please specify)

If you selected "other," please specify:

Lastly, please share any other information about you or your practice you feel is relevant, and why you should be added to our referral list. (required)

Submit

Δ