Tell me about your queerness!

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This survey is anonymous and is not linked to you in any way. I will present the aggregated results in chart form and may share selected anonymous comments for the curious on the same page this is embedded into, https://garygerbrandt.com/me/love/queer

Which pronouns do you use? Select all that apply.

If you use a neopronoun, please type into the Other field. On neopronouns: https://mypronouns.org/neopronouns

They/them

She/her

He/him

I use any and all pronouns

I prefer to avoid pronouns (go by name only)

Other:

How would you describe your gender identity? Select all that apply.

A good primer on gender identity terms: https://young.scot/get-informed/national/gender-identity-terms

Agender

Questioning

Transgender

Multigender

Genderfluid

Genderqueer

Intersex

Nonbinary

Culture-specific nonbinary

Woman

Bigender

Man

Cisgender

Other:

If you have a culture-specific nonbinary gender identity, please specify if you'd like to share.

How "out" are you with your gender identity?

I am out in all situations and interpersonal contexts

I am out in most situations and interpersonal contexts but not all

I am out in only some situations and interpersonal contexts

I am not out in any situations or interpersonal contexts

Clear selection

How would you describe your gender expression? Does your gender expression vary between professional settings and personal/social settings? Please feel free to share as much as you'd like.

How would you describe your sexual orientation? Select all that apply.

Asexual, Graysexual, Demisexual, and/or other Ace-spectrum

Questioning

Queer

Culture-specific sexuality

Lesbian

Bisexual

Gay

Pansexual

Straight

Other:

If you have a culture-specific sexuality, please specify if you'd like to share.

How "out" are you with your sexual orientation?

I am out in all situations and interpersonal contexts

I am out in most situations and interpersonal contexts but not all

I am out in only some situations and interpersonal contexts

I am not out in any situations or interpersonal contexts

Clear selection

How would you describe your approach to relationships? Select all that apply.

Aromantic

Polyamorous

Open

Nonexclusive

Monogamous

Other:

How "out" are you with your approach to relationships?

I am out in all situations and interpersonal contexts

I am out in most situations and interpersonal contexts but not all

I am out in only some situations and interpersonal contexts

I am not out in any situations or interpersonal contexts

Clear selection

Which experience-related identities do you consider important to your personal story? Select all that apply.

Survivor of violence/trauma

Immigrant/diaspora/refugee

Non-English native and/or primary language

Low-income background

First-generation postsecondary graduate

Military veteran

Activist

Religious or spiritual

Neurodiverse

Disabled

Sex worker

Drug user

Other:

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms