**Remember to emphasize confidentiality, and state that you ask these questions to all your patients**
Incorporate these questions into:
Past Medical History
appropriate times in the routine clinical encounter
Talking about Confidentiality
For the medial records/charts, I usually write down significant relationships in a patient’s life. Do you feel comfortable with having me writing down: that you’re gay/lesbian/etc.? or that you’re in a relationship/having sex with someone of the same gender?
If not, how would you prefer I worded it? Would you rather I use some types of symbols?
Discussions on Sexuality (for your adolescent or adult patients)
Have you ever dated or gone out with someone?
Have you ever had sex with another person? If yes, have your partners been males, females, or both?
Some of the teens I work with have feelings of attraction to members of the same sex. This is perfectly OK but can worry some teens a lot. So I’m wondering, do you ever have these kinds of feelings or worries?
Have you ever been attracted to any men or any women?
Do you have any questions about sex or sexuality?
Have you ever experienced any homophobic incidents in health care? Are you happy with the services you had from your previous providers who know (or do not know) about your sexuality?
Significant Relationships and/or Family
Avoid: “Are you married?“
Avoid: “Do you have a husband or boyfriend?“ for your female patients, or “Do you have a wife/girlfriend?“ for your male patients.
Don’t assume heterosexuality
Do you have a significant other or life partner? Is your partner a man or a woman?
Whom do you include in your (chosen) family? Tell me about the supporters in your life?
What is your current relationship status? e.g. single (dating, live-in/cohabiting), married, domestic partnership/civil union, separated/divorced, widowed, etc.?
How long have you and your partner been together?
Any future relationship plans with your partner? Marriage/Commitment? Parenting?
Inclusion of Same-sex Partner
Is your partner waiting for you outside? Would you like your partner to come join you and support your child’s health care/decision-making?
Would you like to include your partner in discussion about your treatment?
Is there anyone you would like to bring with you to your next appointment?
Have you included your partner in your will / power of attorney / medical directive? In your hospital visitation privileges?
Living Arrangement / Family Constellation
Who do you live with at home? Do you live alone? Or do you live with spouse or partner, live with roommates, live with parents or other family members, etc.?
For your adult patients:
Do you or your partner(s) have any children?
Do any children live in your household?
If so, are they your children, are they your spouse or partner’s children? If children from previous relationship, do you have shared custody with ex-spouse or partner?
Do you like to start a family? Would you like to have children? Are there any questions you have or information you would like with respect to starting a family?
For your younger patients:
Tell me about your family.
How many parents do you have? Tell me about your parents.
How do other people feel about your two mothers or two fathers? How do other people feel about your parent(s) being gay/lesbian/transgender? What do you think about that?
Sexual Orientation & Gender Identity
Many people identify themselves with certain groups. In terms of your sexual identity or orientation, do you see yourself as: Gay, lesbian, bisexual, and/or queer? Straight or heterosexual ? Not sure? Don’t know? Other?
Do you have any concerns related to your gender identity or your sex of assignment?
Do you identify as male, female, or transgendered? (If transgender: male-to-female, female-to-male, or other)?
Do you use or have use hormones (e.g. testosterone, estrogen, etc.)?
Do you need information about hormone therapy?