Sexual Orientation and Gender Identity
Sexual Orientation and Gender Identity
Was SOGI (Sexual Orientation and Gender Identity) data collected?	Yes  No
What [is/was] the date of the collection?	01 Jan 2000
What sex were you assigned at birth on your original birth certificate? (Check one):	Choose Female Male Intersex Not Reported
Were you born with a variation in your physical sex characteristics? (this is sometimes called being intersex or having a difference in sex development)?	Choose Yes No Unknown Not Reported
What is your gender identity at this time? (Check all that apply):	Choose Cisgender Woman/Girl Cisgender Man/Boy Transgender Woman/Girl Transgender Man/Boy Gender Queer Gender Fluid Non-Binary Unknown Not Reported
Which of the following represents how you think of your sexual orientation at this time? (Check all that apply):	Choose Lesbian Gay Straight or Heterosexual Bisexual Queer Pansexual Asexual Aromantic Unknown Not Reported

* Mandatory field