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:
(Required.)
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2.
Pronouns (He, Him, His / She, Her, Hers)
(Required.)
She, Her, Hers
He, Him, His
They, Them, Theirs
Ze, Zir, Zirs
Hir, Hir, Hirs
Ey, Em, Eirs
Another pronoun:
3.
Phone Number:
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4.
Email:
(Required.)
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5.
What is your age?
(Required.)
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?
(Required.)
Female
Male
Intersex
Decline to state
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7.
What is your gender?
(Required.)
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
*
8.
What is your sexual orientation?
(Required.)
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.)
(Required.)
American Indian or Alaskan Native
Asian / Pacific Islander
Black or African American
Hispanic
White / Caucasian
Multiple ethnicity / Other (please specify)
10.
What do you want to share about your coming out experience?
