Rate At Which Gay, Lesbian, And Bisexual Citizens Are Physically Assulted

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* 1. What is your gender?

Female

Male

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* 2. What race are you?

Black

White

Hispanic

Asian

Other

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* 3. What is your age?

18 to 24

25 to 34

35 to 44

45 to 54

55 to 64

65 to 74

75 or older

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* 4. How many times have you been physically assaulted because of your sexual orientation?

Never

1 time

2 times

3 times

More than 3 times

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* 5. Do you identify yourself as bisexual?

Yes

No