Harrassment against LGBTQ+ in WestAda
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What is your name?
What are your pronouns?
What school do you attend? *
What grade are you in?
Please describe an incident of harassment because of gender identity or sexual orientation from another peer in the WestAda district.  
Did this incident disrupt your education? *
Where did this incident occur? *
Did you report this incident?
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What happened with this report?
Are you comfortable with having your name shared with the district's super intendent?
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