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* 1. How do you identify?

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* 2. What were you assigned at birth?

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* 3. How do you refer to your genitals (Tick all that apply. If none of the suggestions below fit, add your own in 'other').

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* 4. Have you had any genital surgery?

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* 5. How long have you been on hormones for?

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* 6. Anything you want to add?

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