Intersex Rights Questionnaire
Your answers help us support intersex rights.
Personal Information
Basic demographic information to help us understand our community better.
Age Group
*
Select your age group
Highest Education Level
*
Select education level
County of Birth
*
Select county of birth
County of Residence
*
Select county of residence
Occupation Status
*
Select occupation status
Marital Status
*
Select marital status
Sex Information
Information about sex assigned at birth and current gender identity.
Sex recorded at birth
*
Male
Female
Intersex
Self-recognized sex
*
Male
Female
Intersex
Diagnosed with intersex variation?
*
Yes
No
Had surgery or treatment for intersex variation?
*
Yes
No
Discrimination Experience
Have you experienced stigma or discrimination in any of these areas? Check all that apply.
Family
School
Religious Institutions
Workplace
Social Life
Public Spaces
Contact
Your contact information is optional but helps us follow up if needed.
Name
Phone Number
Submit
