Living Authentically: Coming Out Stories

Come Out, Come Out, Wherever You Are!!!

For many, coming out is an part of living authentically. Tell us your story!

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* 1. Name:

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* 2. Pronouns (He, Him, His / She, Her, Hers)

She, Her, Hers

He, Him, His

They, Them, Theirs

Ze, Zir, Zirs

Hir, Hir, Hirs

Ey, Em, Eirs

Another pronoun:

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* 3. Phone Number:

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* 4. Email:

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* 5. What is your age?

18-24

25-34

35-44

45-54

55-64

65+

Decline to state

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* 6. What is your sex assigned at birth?

Female

Male

Intersex

Decline to state

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* 7. What is your gender?

Female (Cisgender, assigned female at birth)

Male (Cisgender, assigned male at birth)

Female (Transgender, assigned male at birth)

Male (Transgender, assigned female at birth)

Nonbinary/Genderqueer

Decline to state

Self-identify

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* 8. What is your sexual orientation?

Asexual

Bisexual

Gay

Heterosexual or straight

Lesbian

Pansexual

Queer

Decline to state

Self-identify

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* 9. Which race/ethnicity best describes you? (Please choose only one.)

American Indian or Alaskan Native

Asian / Pacific Islander

Black or African American

Hispanic

White / Caucasian

Multiple ethnicity / Other (please specify)

Living Authentically: Coming Out Stories

Come Out, Come Out, Wherever You Are!!!

Question Title

* 1. Name:

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* 2. Pronouns (He, Him, His / She, Her, Hers)

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* 3. Phone Number:

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* 4. Email:

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* 5. What is your age?

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* 6. What is your sex assigned at birth?

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* 7. What is your gender?

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* 8. What is your sexual orientation?

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* 9. Which race/ethnicity best describes you? (Please choose only one.)

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* 10. What do you want to share about your coming out experience?