Jon (cuteolyboi) wrote in femmefag,
Jon
cuteolyboi
femmefag

Sorry X-Posted

Hey
Anyone out there want to help me out by filling out this survey for my Psychology class?
E-mail me the results CuteOlyBoi@hotmail.com
e-mail me the answer to each question with question numBer ie. 1),1-,I,a)
THANK YOU TO ANYONE WHO FILLS THIS OUT FOR ME!!!



Please answer questions honestly possible. Identities are confidential
---------------------------------------------------------------------------------------
1) State or Province (US/Canada) _______________ or Country _______________
2) Age: _____
3) Gender Identity: (Circle one)
Male, Female,
Transgender (Male to Female or Female to Male),
Intersexed, Other _____________
4) Sexual Orientation: (Circle one)
Homosexual, Heterosexual, Bisexual, Questioning, Other _______
---------------------------------------------------------------------------------------1-How comfortable are you with your Gender Identity? (Circle one)
Uncomfortable 1 2 3 4 5 Comfortable

2-How "out" are you with your Gender Identity? [Who knows about your G.I.?] (Circle one)
Totally
Not at work/school
To some people
Not out at all yet
To all but family
Prefer not to say

3-How accepted do you feel in regards to your Gender Identity? (Circle one)
Not accepted 1 2 3 4 5 Accepted
---------------------------------------------------------------------------------------
I. How comfortable are you with your Sexual Orientation? (Circle one)
Uncomfortable 1 2 3 4 5 Comfortable

II. How "out" are you with your Sexual Orientation? [Who knows about your S.O.?] (Circle one)
Totally
Not at work/school
To some people
Not out at all yet
To all but family
Prefer not to say

III. How accepted do you feel in regards to your Sexual Orientation? (Circle one)
Not accepted 1 2 3 4 5 Accepted
---------------------------------------------------------------------------------------
a) Have you ever had suicidal thoughts? (Circle one)
Yes No
b) If yes to question a, did you have a plan to commit suicide? (Circle one)
Yes No
c) If yes to question b, did you ever attempt to commit suicide? (Circle one)
Yes No
d) If yes to question c, at what age was your first attempt?
__________
e) If yes to question c, how many times have you attempted to commit suicide? (Circle one)
1 2 3 4 5 6 7 8 9 10+


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