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* 1. Are you familiar with the National Gay and Lesbian Task Force or its work?

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* 2. Which issues facing LGBT people and families are the most important to you? (Please select up to 5)

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* 3. Why do you think these issues are the most important?

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* 4. Which activities did you participate in during 2012? (Please mark all that apply)

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* 5. What aspect of the LGBT movement excites you the most? (Please select only one)

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* 6. Have you read any of the below reports published by the National Gay and Lesbian Task Force? (Select all that apply)

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* 7. How do you believe the Task Force’s effectiveness compares to other LGBT rights organizations?

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* 8. Do you follow the Task Force’s work online? If so, how? (Please check all that apply)

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* 9. Have you been to the Task Force’s annual conference, The National Conference on LGBT Equality: Creating Change? If so, how many have you attended?

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* 10. What is your gender identity? (Please mark all that apply)

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* 11. What is your sexual orientation? (Please mark all that apply)

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* 12. What is your race? (Please mark all that apply)

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* 13. Are you active in an organized faith community today? If so, which faith community?

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* 14. What is your first and last name?

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* 15. What is your birth year?

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* 16. What is your zip code?

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* 17. Please provide us your email address if you would like to receive email updates on the Task Force’s work in the LGBT movement.

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* 18. Tell us more about your personal story and how it influences what you see as the priorities for the LGBT community.

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