Help Me Help You
You are filling out a brief survey to learn more about the challenges and desires of the LGBTQ+ adult community.  The first part is demographic information. The second part is challenges and desires.
None of the information will be used for direct marketing to you, or sold to anyone. All information is kept private and only used to better serve the LGBTQ+ community. Please elaborate when you can. Lori would like to reach out 
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Email *
All About You
The demographic information.
Where do you live? *
What is your age? *
What's your First Name? (Or name you go by) *
What is your Last Name ?
What are your pronouns? *
Required
Are you on the LGBTQ+ Spectrum? *
What is your sexual orientation? *
Select all that apply.
Required
Please share your Gender Identity. Select all that align with you.  *
While I couldn't fit all 72 genders, you can add what is missing to the other box. Here's an extensive list: https://www.medicalnewstoday.com/articles/types-of-gender-identity 
Required
Please share your relationship orientation. *
Select all that apply, and add to the other section if anything needs clarification or is missing.
Required
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