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''WEBINAR: LGBTQ+'' by Pride Clinic Bumrungrad
Registration form to attend the LGBTQ+ Webinar on
June 15th
.
URL link to join the Webinar Online will be shared via email before the event.
All information shared will be kept confidential and used solely for the purpose of organizing the webinar.
* Indicates required question
Email
*
Record my email address with my response
Name:
*
Your answer
Phone number:
Your answer
Nationality:
*
Your answer
Country of Residence:
*
Thailand
Other:
Sex assigned at birth:
*
Male
Female
Intersex
Gender identity:
*
Man
Woman
Transwoman
Transman
Non-binary
Genderqueer
Do not wish to answer
Other:
Sexual orientation:
*
Straight
Gay
Lesbian
Bisexual
Asexual
Do not wish to answer
Other:
How well you understand the concept of LGBTQ+?
*
Beginner
Intermediate
Advanced
If you are a part of an LGBTQ+ organization/group, please share with us the name:
Your answer
Any specific topic that you would like to know about?
Your answer
Send me a copy of my responses.
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