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Project: Future of Equity
By completing this survey, you are voluntarily providing data for the Future of Equity project.
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What is your gender Identity?
*
Male
Female
Transgender Male
Transgender Female
Gender Non-conforming
Importance: Understanding how patients identify themselves can help medical professionals build a rapport and treat patients effectively.
What was the gender you were assigned at birth?
*
Male
Female
Importance: Knowing your assigned gender helps doctors and nurses to treat conditions based on a person's biological parts.
What gender pronouns do you use? (Select all that apply)
*
He/Him/His
She/Her/Hers
They/Them/Theirs
Ze/Zir/Zirs
Importance: Using the proper pronouns when talking with a patient builds trust in medical professionals.
What is your sexual orientation?
*
Heterosexual (Straight)
Gay or Lesbian
Bisexual
Other
Importance: Asking questions about sexual orientation can help medical professionals identify members of the LGBTQ+ community.
In the past year, who have you had sex with?
*
Men only
Woman only
Both men and woman
I have not had sex
Importance: Knowing who a patient has had sex with can help the medical professional look out for certain conditions such as pregnancy or STI's.
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