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Trans(forming) Membership Survey
This is a Trans(forming) survey to update member contact information and get input from our members about next steps.
Email address *
Would you like to receive our newsletter? *
Preferred Name *
Your answer
Pronouns (ex. he/him, she/her, they/them) *
Your answer
Phone Number *
Your answer
Preferred Communication *
Age *
Your answer
Age Range *
Gender Identity (Check all that apply) *
Required
Sexual Orientation *
Required
Relationship Status *
Race & Ethnicity (Check all that apply) *
Required
Immigration Status *
Required
Are you currently a...(check all that apply) *
Required
Where do you work or attend school? (Type N/A if this question does not apply) *
Your answer
If in school, what is your major/concentration? (ex. barber school, english, sociology, etc.)
Your answer
If employed, what industry do you work in (ex. healthcare, business, etc.)?
Your answer
Do you have access to the hormones you need? *
How many Trans(forming) meetings did you attend in 2018? *
Your answer
What keeps you from attending Trans(forming) meetings more often? (Your honesty will help us improve) *
Your answer
Where do you live? (City, State) *
Your answer
What modes of transportation do you use? Check all that apply *
Required
What do you use to get around the most? *
Dietary Restrictions? *
Required
Are you a member of Trans(forming) [In order to be a member you must attend minimum of 4 meetings in a 12 month period, paid $15 in dues for youth, $30 for adults, can be split to $15 every 6 months(Cashapp: $Trans(forming). Link for payment: https://cash.me/$Transforming] *
How can Trans(forming) best support you? *
Your answer
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