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* 1. What is your Gender Identity?

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* 2. What is your age group?

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* 3. How would you describe your Sexual Orientation?

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* 4. Please indicate to which of the following you would describe yourself as belonging:

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* 5. Is your gender identity different to the sex you were assumed to be at birth?

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* 6. Do you identify yourself as disabled or having a long term impairment?

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