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LGBTQ+ Congress Demographics
LGBTQ+ Congress Demographics
Demographic Information
Please answer the questions below. We are collecting information to ensure equitable representation across communities and for grant reporting purposes. This information is anonymous and not attributed to any individual.
Age range
(Required)
Under 20
20-29
30-39
40-49
50-59
60+
I prefer not to answer
Race/Ethnicity (select all that apply)
(Required)
Biracial, Multiracial or Multiethnic
Arab American, Middle Eastern, or North African
Asian American, East Asian, South Asian, or Southeast Asian
Black, African American, African, or African descent
Latina/o/e/x, Chicana/o/x, or Hispanic American
Native American, Alaska Native, First Nation, or Indigenous
Native Hawaiian or Pacific Islander
White, Caucasian, or of European Descent
Not listed here (please write in below)
I prefer not to answer
If you selected "Not listed here:"
(Required)
Do you identify as transgender?
(Required)
Yes
No
I prefer not to answer
What best describes your gender?
(Required)
Agender
Genderqueer or Gender Nonconforming
Man
Nonbinary
Two-Spirit
Woman
Not listed here (please write in below)
I prefer not to answer
If you selected "Not listed here:"
(Required)
Sexual Orientation (select all that apply)
(Required)
Asexual
Bisexual or Pansexual
Gay
Lesbian
Queer
Straight or Heterosexual
Not listed here (please write in below)
I prefer not to answer
If you selected "Not listed here:"
(Required)
Lived Experiences and Identities
Do you identify as a person of lived experience with HIV?
(Required)
Yes
No
I prefer not to answer
Do any of the following apply to you? (select all that apply)
(Required)
Have a disability
Immigrant and/or Refugee
Previously jailed, incarcerated or detained
Veteran
None apply
I prefer not to answer
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