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सर्वानुकूल स्वस्थ केंद्र मुहीम: परिचयात्मक पाठ्यक्रम Gender Friendly Healthcare Facility Initiative: Introductory Course Pre-Course Questionnaire
Pre-webinar Questionnaire
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सर्वानुकूल स्वस्थ केंद्र मुहीम * Gender Friendly Healthcare Facility Initiative
इ - मेल / E-Mail
*
Your answer
मोबाइल नंबर * Mobile Number
Your answer
जन्म निर्धारित लिंग * Sex Assigned at birth
*
मादा / Female
नर / Male
बताना नहीं चाहते / Prefer not to say
स्वानुमोदित पहचान * Gender
*
Your answer
मेरा अधिमानित सर्वनाम है * My "Preferred Gender Pronoun" / "Personal Gender Pronoun" is
*
मेरा / He/His
मेरी / She/Her
हम / They/Their
मैंने निर्णय नहीं लिया / I have not decided
मुझे यह समझ नहीं आया / I don't understand this
आप कैसे भी सम्भोधित करलें / I am "Okay" with whatever you decide to address me as
अन्य / other
कृपया विभाग, विशेषज्ञता एवं रुचि के क्षेत्र का उल्लेख करें। * Please mention the Department and area of expertise/Interest.
*
Your answer
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