Transgender Survey Form
What sex were you assigned at birth on your original birth certificate?
*
Male
Female
I don't want to give an answer.
How do you identify yourself?
*
Man
Woman
Non-binary
Prefer to self-describe below:
Please describe your answer.
What is your sexual orientation?
*
Asexual
Bisexual
Gay
Heterosexual or straight
Lesbian
Pansexual
Queer
Non of the above (I will specify below):
Please specify your answer.
Do you consider yourself to be transgender?
*
Yes
No
Anything you want to add? (Any views, feedbacks etc.)
Submit
Should be Empty: