STEP 1: SEX
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What sex were you assigned at birth, on your original birth certificate? (check one)
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Female
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Male
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STEP 2: GENDER IDENTITY
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How do you describe yourself? (check one)
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Female
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Male
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Transgender
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Do not identify as female, male, or transgender
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Assigned sex*
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Male
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Female
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(maternal-reported male sex on original birth certificate)
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(maternal-reported female sex on original birth certificate)
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Current gender identity
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Male
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Cisgender male ± (male birth sex, male gender identity)
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Cross-sex male identity (female birth sex, male gender identity)
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Female
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Cross-sex female identity (male birth sex, female gender identity)
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Cisgender female (female birth sex, female gender identity)
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Transgender
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Transgender identity (male birth sex, transgender identity)
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Transgender identity (female birth sex, transgender identity)
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Do not identify as male, female, or transgender
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Do not identify (male birth sex, some other diverse gender identity)
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Do not identify (female birth sex, some other diverse gender identity)
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