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How old are you? *
How much education have you had? *
If you are younger than 35 years, how much education did your mother have?
Clear selection
Whereabouts in the hierarchy of your organization does your job fall? *
If you don't have a job, whereabouts in the hierarchy of his organization did your father's job fall?
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Select the option that best describes your skin colour *
White
Black
Are you Indigenous? *
If you answered yes to the previous question, where do you live? If you answered no, proceed to the next question
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How many languages do you speak? *
Do you have any disabilities? *
If you answered yes to the previous question, to what degree do they restrict your life? If you answered no, proceed to the next question
Clear selection
What country do you live in? *
Is that the country you were born in? *
If no, how old were you when you arrived in the new country?
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Did you have religious education when you were a child? *
If yes, how old were you when you stopped having a religion?
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Select the option which best describes how you see yourself biologically *
Female
Male
Select the option which best describes how you see yourself culturally *
Feminine
Masculine
Have you ever been formally diagnosed as intersex, gender dysphoric or anything similar? *
If yes, what age were you when the diagnosis was made?
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Select the option which best describes your sexual preference *
Gay
Straight
Have you ever been formally diagnosed with a mental illness? *
If you answered yes to the previous question, how many different illnesses have you been diagnosed with? If you answered no, proceed to the next question.
Have you ever been verbally assaulted? *
If you answered yes to the previous question, how many times have you been verbally assaulted?
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What rough percentage of these verbal assaults came through each of these forms of communication? *
0
10
20
30
40
50
60
70
80
90
100
Face to face
Phone
Letters
Emails
Social Media
Have you ever been physically or sexually assaulted? *
If you answered yes to the previous question, how many times? If you answered no, proceed to the next question
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