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* 1. Please enter the following information (this is the only information that will be included in the book. Your name and identity will be kept anonymous).

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* 2. Please enter your email address (optional but preferred in case I need to contact you to expand your piece. I'll also email you when the book is published).

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* 3. What is the sex assigned to you by a doctor at birth?

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* 4. Which of the following terms most accurately describes your gender identity (the gender you identify as)?

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* 5. Choose the point on the spectrum that most accurately describes your sexual orientation (who you are attracted to).

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* 6. Do you have any sexual desires or fetishes that you feel embarrassed about, or that might be considered taboo by society? Please describe here in as much detail as you feel comfortable sharing.

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* 7. Have you ever had an experience where you felt discriminated against for your gender or sexuality? Please describe here in as much detail as you feel comfortable sharing.

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* 8. Have you ever felt uncomfortable or insecure in your gender? Have you wondered what it would be like to exist as another gender? Please describe in as much detail as you feel comfortable sharing.

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* 9. What are your overall views on gender identity, sexuality, and sexual desire? Do you feel individuals should be free to express themselves and identify as they wish? Do you feel there should be any limit to one's expression?

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* 10. Anything else you would like to share on this topic?

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