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* Gender assigned at birth
   
 
 
 
* Gender assigned at birth
   
 
 
 
What is your age?
   
 
 
 
Where do you currently live?
   
 
 
 
How do you define yourself gender-wise?
   
 
 
 
Please comment on your experience being discriminated against because of your nonconforming gender identities
   
 
 
 
Comments/Suggestions on your work:
   
 
 
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How satisfied are you with the following:
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Our Service
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Overall
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How satisfied are you with the following:
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied
Website
Customer Service
Overall