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Appendix A: Participant Demographics Survey
Thank you for your interest in participating in this research. To aid the researcher with the
participant selection process, please respond to these questions.
You name (first, middle, last) __________________________________________
Your phone number __________________________________________________
Your email address ___________________________________________________
Please answer the following questions:
1. What sex were you assigned at birth?
•
Male
•
Female
•
Intersex
2. Do you identify as transgender?
•
Yes
•
No
3. Which term do you use to describe your gender identity?
•
Woman or female
•
Man or male
•
Trans woman
•
Trans man
•
Genderqueer
•
Agender
•
Genderfluid
•
Intersex
•
Non-binary
•
My identity is not listed here (please write in)
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4. What term best describes your sexual orientation?
•
Straight/ Heterosexual
•
Bisexual
•
Gay
•
Lesbian
•
Pansexual
•
Queer
•
Questioning
•
My identity is not listed here (please write in)
5. Are you a native speaker of English?
•
Yes
•
No
6. If no, what is your native language?
•
(please write in)
7. Are you disabled (differently abled)?
•
Yes
•
No
8. Are you a first-generation college student?
•
Yes
•
No
9. What is your race?
•
(please write in)
10. What is your ethnicity?
•
(please write in)
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