Bi Stories Project
First Name
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Last Name
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Email
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City
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What is your age?
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What gender pronouns do you use?
Examples: she/her, they/them, he/him
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How do you identify yourself?
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If you identify as a person of color, which cultures/ethnicities do you identify yourself as?
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I also see myself as a...
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TELL US MORE ABOUT YOUR RELATIONSHIP WITH BI+ PEOPLE
(Bi+ includes bi, pan, fluid, queer and other non-monosexual identities.) Please check all that apply.
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THE DISCRIMINATION YOU AND/OR YOUR LOVED ONE FACED WAS...
(Bi+ includes bi, pan, fluid, queer and other non-monosexual identities.) Please check all that apply.
SHARE YOUR STORY OF DISCRIMINATION
PLEASE BE AS DETAILED AS POSSIBLE. The text field will add lines automatically as you type.
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Would you ever be willing to talk with the media about your experiences?
NOTE: We will contact you before any contact is made with the media
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