2017AQ | | | This section is meant to give us a sense of your general mental health by asking about specific diagnoses, conditions, symptoms, and behaviors. Many of these questions are standard questions routinely asked in national health surveys. Your honest answers will help us as we study LGBTQ health in The PRIDE Study in order to improve the health and well-being of our communities. Your answers will be kept confidential. Please do your best to answer every question, but you may skip questions that feel too uncomfortable to answer. This section should take about 10-15 minutes to complete. | No Answers |
2017AQ | | | Has a mental health professional or physician EVER told you that you have depression? | Yes (1) No (0) I dont know (88) |
2017AQ | | DEP | At what age were you first told by a mental health professional or physician that you had depression? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have Bipolar Disorder? | Yes (1) No (0) I dont know (88) |
2017AQ | | BPD | At what age were you first told by a mental health professional or physician that you had Bipolar Disorder? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have an anxiety disorder (any)? | Yes (1) No (0) I dont know (88) |
2017AQ | | ANX | At what age were you first told by a mental health professional or physician that you had an anxiety disorder? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have Generalized Anxiety Disorder? | Yes (1) No (0) I dont know (88) |
2017AQ | | GAD | At what age were you first told by a mental health professional or physician that you had Generalized Anxiety Disorder? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have Post-Traumatic Stress Disorder (PTSD)? | Yes (1) No (0) I dont know (88) |
2017AQ | | PTSD | At what age were you first told by a mental health professional or physician that you had PTSD? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have Agoraphobia or Panic Disorder? | Yes (1) No (0) I dont know (88) |
2017AQ | | PANIC | At what age were you first told by a mental health professional or physician that you had Agoraphobia or Panic Disorder? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have Social Phobia or Social Anxiety Disorder? | Yes (1) No (0) I dont know (88) |
2017AQ | | SOCPHOB | At what age were you first told by a mental health professional or physician that you had Social Phobia or Social Anxiety Disorder? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have Schizophrenia or a psychotic disorder? | Yes (1) No (0) I dont know (88) |
2017AQ | | PSYCHOTIC | At what age were you first told by a mental health professional or physician that you had Schizophrenia or a psychotic disorder? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have Obsessive Compulsive Disorder (OCD)? | Yes (1) No (0) I dont know (88) |
2017AQ | | OCD | At what age were you first told by a mental health professional or physician that you had OCD? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have Chronic Tic Disorder or Tourette Syndrome? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have Trichotillomania (hair pulling disorder)? | Yes (1) No (0) I dont know (88) |
2017AQ | | TRICHO | At what age were you first told by a mental health professional or physician that you had Trichotillomania (hair pulling disorder)? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have chronic skin picking or Excoriation Disorder? | Yes (1) No (0) I dont know (88) |
2017AQ | | SKINPICK | At what age were you first told by a mental health professional or physician that you had chronic skin picking or Excoriation Disorder? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have Body Dysmorphic Disorder (BDD)? | Yes (1) No (0) I dont know (88) |
2017AQ | | BDD | At what age were you first told by a mental health professional or physician that you had BDD? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD)? | Yes (1) No (0) I dont know (88) |
2017AQ | | ADD | At what age were you first told by a mental health professional or physician that you had ADD or ADHD? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have a personality disorder such as Borderline Personality Disorder or Narcissistic Personality Disorder? | Yes (1) No (0) I dont know (88) |
2017AQ | | PERSONALITY | At what age were you first told by a mental health professional or physician that you had a personality disorder? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have alcoholism or Alcohol Use Disorder? | Yes (1) No (0) I dont know (88) |
2017AQ | | AUD | At what age were you first told by a mental health professional or physician that you had alcoholism or Alcohol Use Disorder? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have a drug or Substance Use Disorder (other than nicotine or alcohol)? | Yes (1) No (0) I dont know (88) |
2017AQ | | SUD | At what age were you first told by a mental health professional or physician that you had a drug or Substance Use Disorder? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have an eating disorder such as Anorexia or Bulimia? | Yes (1) No (0) I dont know (88) |
2017AQ | | EATINGDO | At what age were you first told by a mental health professional or physician that you had an eating disorder? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have Autism Spectrum Disorder or Asperger's Syndrome? | Yes (1) No (0) I dont know (88) |
2017AQ | | ASD | At what age were you first told by a mental health professional or physician that you have Autism Spectrum Disorder or Asperger's Syndrome? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have Insomnia or another sleep disorder? | Yes (1) No (0) I dont know (88) |
2017AQ | | SLEEPDO | At what age were you first told by a mental health professional or physician that you had insomnia or another sleep disorder? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have Hypochondriasis or Illness Anxiety Disorder? | Yes (1) No (0) I dont know (88) |
2017AQ | | HYPOCHOND | At what age were you first told by a mental health professional or physician that you had Hypochondriasis or Illness Anxiety Disorder? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Problems You May Have Had | No Answers |
2017AQ | | | Have you EVER thought that you had a problem with anxiety? | I have never had this problem (0) Yes, but not now (1) Yes, and I think I still have this problem (2) |
2017AQ | | | Have you EVER thought that you had depression? | I have never had this problem (0) Yes, but not now (1) Yes, and I think I still have this problem (2) |
2017AQ | | | Have you EVER thought that you had an eating disorder or a problem with eating? | I have never had this problem (0) Yes, but not now (1) Yes, and I think I still have this problem (2) |
2017AQ | | | Have you EVER thought that you had a problem with alcohol use? | I have never had this problem (0) Yes, but not now (1) Yes, and I think I still have this problem (2) |
2017AQ | | | Have you EVER thought that you had a problem with drug or substance use (other than alcohol)? | I have never had this problem (0) Yes, but not now (1) Yes, and I think I still have this problem (2) |
2017AQ | | | Have you EVER thought that you had a problem with pulling out your hair? | I have never had this problem (0) Yes, but not now (1) Yes, and I think I still have this problem (2) |
2017AQ | | | Have you EVER thought that you had a problem with picking at your skin to the point it caused damage? | I have never had this problem (0) Yes, but not now (1) Yes, and I think I still have this problem (2) |
2017AQ | | | Which of the following best describes your use of medications for stress or mental health problems? | I have never taken medication for these reasons (0) I used to take medication for at least one of these reasons (1) I currently take medication for at least one of these reasons (2) |
2017AQ | | | Which of the following best describes your use of medications for substance use problems? | I have never taken medication for this reason (0) I used to take medication for this reason (1) I currently take medication for this reason (2) |
2017AQ | | | Which of the following best describes your use of psychotherapy/counseling for stress or mental health problems? | I have never been in psychotherapy/counseling for these reasons (0) I used to be in psychotherapy/counseling for at least one of these reasons (1) I am currently in psychotherapy/counseling for at least one of these reasons (2) |
2017AQ | | | Which of the following best describes your use of psychotherapy/counseling for substance use problems? | I have never been in psychotherapy/counseling for this reason (0) I used to be in psychotherapy/counseling for this reason (1) I am currently in psychotherapy/counseling for this reason (2) |
2017AQ | | | Your Health | No Answers |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Little interest or pleasure in doing things | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Feeling down, depressed, or hopeless | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Trouble falling or staying asleep | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Feeling tired or having little energy | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Poor appetite or overeating | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Feeling bad about yourself - or that you are a failure or have let yourself or your family down | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Trouble concentrating on things, such as reading the newspaper or watching television | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Moving or speaking so slowly that other people could have noticed - or being so fidgety or restless that you have been moving around a lot more than usual | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Thoughts that you would be better off dead or of hurting yourself in some way | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | PHQ9 | We at The PRIDE Study value the health and mental health of sexual and gender minority people like you. Suicide has taken too many of us. We sincerely urge you to get help, as we know that things can get better with help. Please consider reaching out for services in your area, and also consider calling 1-800-273-8255 to talk with someone. Go to the emergency room or call 911 if you are in crisis and don't know where to get help. The PRIDE Study team cares about you and the health of our community. | No Answers |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Feeling nervous, anxious, or on edge | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Not being able to stop or control worrying | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Worrying too much about different things | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Trouble relaxing | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Being so restless that it's hard to sit still | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Becoming easily annoyed or irritable | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Feeling afraid as if something awful might happen | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | In the past month, how much have you been bothered by the following problem: Repeated, disturbing memories, thoughts, or images of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2017AQ | | | In the past month, how much have you been bothered by the following problem: Feeling very upset when something reminded you of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2017AQ | | | In the past month, how much have you been bothered by the following problem: Avoided activities or situations because they reminded you of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2017AQ | | | In the past month, how much have you been bothered by the following problem: Feeling distant or cut off from other people? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2017AQ | | | In the past month, how much have you been bothered by the following problem: Feeling irritable or having angry outbursts? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2017AQ | | | In the past month, how much have you been bothered by the following problem: Having difficulty concentrating? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2017AQ | | | Have you ever experienced this kind of event? | Yes (1) No (0) |
2017AQ | | | We would like to ask you some questions about your emotional life, in particular, how you control (that is, regulate and manage) your emotions. The questions below involve two distinct aspects of your emotional life. One is your emotional experience, or what you feel like inside. The other is your emotional expression, or how you show your emotions in the way you talk, gesture, or behave. Although some of the following questions may seem similar to one another, they differ in important ways. For each item, please answer using the following scale: | No Answers |
2017AQ | | | Scale for aq mh | No Answers |
2017AQ | | | When I want to feel more positive emotion (such as joy or amusement), I change what I'm thinking about. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2017AQ | | | I keep my emotions to myself. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2017AQ | | | When I want to feel less negative emotion (such as sadness or anger), I change what I'm thinking about. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2017AQ | | | When I am feeling positive emotions, I am careful not to express them. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2017AQ | | | When I'm faced with a stressful situation, I make myself think about it in a way that helps me stay calm. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2017AQ | | | I control my emotions by not expressing them. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2017AQ | | | When I want to feel more positive emotion, I change the way I'm thinking about the situation. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2017AQ | | | I control my emotions by changing the way I think about the situation I'm in. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2017AQ | | | When I am feeling negative emotions, I make sure not to express them. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2017AQ | | | When I want to feel less negative emotion, I change the way I'm thinking about the situation. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2017AQ | | | You will find a list of statements below. Please rate how true each statement is for you by selecting one option per question. | No Answers |
2017AQ | | | My painful experiences and memories make it difficult for me to live a life that I would value. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2017AQ | | | I'm afraid of my feelings. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2017AQ | | | I worry about not being able to control my worries and feelings. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2017AQ | | | My painful memories prevent me from having a fulfilling life. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2017AQ | | | Emotions cause problems in my life. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2017AQ | | | It seems like most people are handling their lives better than I am. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2017AQ | | | Worries get in the way of my success. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2017AQ | | | Have you ever purposefully physically harmed or injured yourself (for example, cutting or burning yourself)? | Yes (1) No (0) |
2017AQ | | SELFHARM | When was the last time you purposefully physically harmed or injured yourself? | More than 1 year ago (0) More than a month ago but less than a year ago (1) Within the past month (2) |
2017AQ | | | Have you ever thought about or attempted to kill yourself? | Never (0) It was just a brief passing thought. (1) I have had a plan at least once to kill myself but did not try to do it. (2) I have had a plan at least once to kill myself and really wanted to die. (3) I have attempted to kill myself, but did not want to die. (4) I have attempted to kill myself, and really hoped to die. (5) |
2017AQ | | SBQ1 | How often have you thought about killing yourself in the past year? | Never (0) Rarely (1 time) (1) Sometimes (2 times) (2) Often (3-4 times) (3) Very often (5 or more times) (4) |
2017AQ | | | Have you ever told someone that you were going to commit suicide, or that you might do it? | No. (0) Yes, at one time, but did not really want to die. (1) Yes, at one time, and really wanted to die. (2) Yes, more than once, but did not want to do it. (3) Yes, more than once, and really wanted to do it. (4) |
2017AQ | | SBQ1 | When was the last time you attempted to kill yourself? | Within the past year (2) 1-5 years ago (1) More than 5 years ago (0) |
2017AQ | | | How likely is it that you will attempt suicide someday? | Never (0) No chance at all (1) Rather unlikely (2) Unlikely (3) Likely (4) Rather likely (5) Very likely (6) |
2017AQ | | | We at The PRIDE Study value the health and mental health of sexual and gender minority people like you. Suicide has taken too many of us. We sincerely urge you to get help, as we know that things can get better with help. Please consider reaching out for services in your area, and also consider calling 1-800-273-8255 to talk with someone. Go to the emergency room or call 911 if you are in crisis and don't know where to get help. The PRIDE Study team cares about you and the health of our community. | No Answers |
2017AQ | | | Have you ever tried cigarette smoking, even one or two puffs? | Yes (1) No (0) |
2017AQ | | SMOKE_EVER | Have you smoked at least 100 cigarettes in your entire life? | Yes (1) No (0) |
2017AQ | | SMOKE_EVER | Do you now smoke cigarettes every day, some days, or not at all? | Every day (2) Some days (1) Not at all (0) |
2017AQ | | SMOKE_EVER | When was the last time you smoked a cigarette, even one or two puffs? | Within the past 24 hours (8) Within the past 7 days (7) Within the past 30 days (6) Within the past 3 months (5) Within the past 6 months (4) Within the past 1 year (3) Within the past 5 years (2) Within the past 15 years (1) More than 15 years ago (0) |
2017AQ | | SMOKE_NOW | On average, about how many cigarettes a day do you now smoke? | Text Entry (-) |
2017AQ | | SMOKE_NOW | How long after waking do you smoke your first cigarette? | Within 5 minutes (3) 5-30 minutes (2) 31-60 minutes (1) After 60 minutes (0) |
2017AQ | | SMOKE_NOW | During the past 12 months, have you stopped smoking for 24 hours or more? (Do not count times when you weren't allowed to smoke, like if you were in a hospital or in jail.) | Yes (1) No (0) |
2017AQ | | SMOKE_NOW | In any previous quit attempts, which of the following methods/resources have you used to help you quit? (Check all that apply.) | Quit cold turkey (1) Gradually cut down (2) Stop smoking class/program for a fee (3) Stop smoking class/program (no fee) (4) Advice or counseling from a doctor, nurse, psychologist, or other health professional (5) Telephone hotline (6) Hypnosis (7) Acupuncture (8) Nicotine gum (9) Nicotine patch (10) Nicotine spray (11) Nicotine inhaler (12) Nicotine lozenge (13) Zyban, Wellbutrin, or bupropion for smoking cessation (14) Chantix or varenicline (15) E-cigarette (e.g., vaping, hookah pen) with nicotine (16) E-cigarette (e.g., vaping, hookah pen) without nicotine (17) Internet (please specify website) (18) Internet (please specify website) (TEXT) Never tried to quit (0) Other (please specify) (19) Other (please specify) (TEXT) |
2017AQ | | SMOKE_NOW | How interested are you in quitting smoking in the near future? | Not at all interested (0) Somewhat interested (1) Very interested (2) Extremely interested (3) |
2017AQ | | | In the past month, have you used any tobacco or nicotine products OTHER THAN cigarettes? (Check all that apply.) | Blunt (with another substance) (1) Blunt (without any other substance) (2) Bidi (3) Chewing tobacco (chew) (4) Other cigars with tobacco inside (e.g., cigarillos, little cigars, bidis) (5) Other cigars with another substance (e.g., cigarillos, little cigars, bidis) (6) Dip (7) E-cigarette or vape device with nicotine (8) Nicotine replacement products (e.g., patch, gum, lozenge) (9) Snuff (10) Snus (11) E-cigarette or vape device without nicotine (12) Other tobacco product (please specify) (13) Other tobacco product (please specify) (TEXT) No other tobacco product (0) |
2017AQ | | | How long has it been since you last had 5 or more drinks on one occasion? | Within the past 30 days (3) More than 30 days ago but within the past 12 months (2) More than 12 months ago (1) Never had 5 or more drinks on one occasion (0) |
2017AQ | | ALC5 | In the past 30 days, on how many days have you had 5 or more drinks on one occasion? | Text Entry (-) |
2017AQ | | | How long has it been since you last had 4 or more drinks on one occasion? | Within the past 30 days (3) More than 30 days ago but within the past 12 months (2) More than 12 months ago (1) Never had 4 or more drinks on one occasion (0) |
2017AQ | | ALC4 | In the past 30 days, on how many days have you had 4 or more drinks on one occasion? | Text Entry (-) |
2017AQ | | | How often did you have a drink containing alcohol in the past year? | Never (0) Monthly or less (1) 2-4 times a month (2) 2-3 times a week (3) 4 or more times a week (4) |
2017AQ | | AUDITC1 | How many drinks did you have on a typical day when you were drinking in the past year? | 1 or 2 (0) 3 or 4 (1) 5 or 6 (2) 7 to 9 (3) 10 or more (4) |
2017AQ | | AUDITC1 | How often do you have six or more drinks on one occasion in the past year? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2017AQ | | AUDITC1 | How often during the last year have you found that you were not able to stop drinking once you had started? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2017AQ | | AUDITC1 | How often during the last year have you failed to do what was normally expected from you because of drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2017AQ | | AUDITC1 | How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2017AQ | | AUDITC1 | How often during the last year have you had a feeling of guilt or remorse after drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2017AQ | | AUDITC1 | How often during the last year have you been unable to remember what happened the night before because you had been drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2017AQ | | | Have you or someone else been injured as a result of your drinking? | No (0) Yes, but not in the last year (2) Yes, during the last year (4) |
2017AQ | | | Has a relative or friend or a doctor or another health worker been concerned about your drinking or suggested you cut down? | No (0) Yes, but not in the last year (2) Yes, during the last year (4) |
2017AQ | | | In your LIFETIME, which of the following substances have you ever used? (Check all that apply.) | I have never used any substances (0) Cannabis (marijuana, pot, grass, hash, etc.) (1) Cocaine (coke, crack, etc.) (2) Prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) (3) Methamphetamine (speed, crystal meth, tina, ice, etc.) (4) Inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers) (5) Inhaled nitrates (poppers) (6) Sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) (7) GHB (G, gamma-hydroxybutyric acid) (8) Hallucinogens (LSD, acid, mushrooms, PCP, Special K, etc.) (9) Street opioids (heroin, opium, etc.) (10) Prescription opioids (fentanyl, oxycodone OxyContin, Percocet, hydrocodone Vicodin, methadone, buprenorphine, etc.) (11) MDMA (Ecstasy or Molly) (12) Other (please list only 1 drug) (13) Other (please list only 1 drug) (TEXT) Other (please list only 1 drug) (14) Other (please list only 1 drug) (TEXT) |
2017AQ | | DRUGS_LIFETIME | How long has it been since you last used cannabis (marijuana, pot, grass, hash, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2017AQ | | CAN_LASTUSE | In the past 30 days, on how many days have you used cannabis (marijuana, pot, grass, hash, etc.)? | Text Entry (-) |
2017AQ | | CAN_LASTUSE | In the past three months, how often have you used cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | CAN_FREQ | Was any of your cannabis (marijuana, pot, grass, hash, etc.) use in the past three months recommended or prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | CAN_ANYMD | Was all of your cannabis (marijuana, pot, grass, hash, etc.) use in the past three months used exactly as prescribed or recommended by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | CAN_FREQ | In the past 3 months, how often have you had a strong desire or urge to use cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | CAN_FREQ | During the past 3 months, how often has your use of cannabis (marijuana, pot, grass, hash, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | CAN_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of cannabis (marijuana, pot, grass, hash, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using cannabis (marijuana, pot, grass, hash, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | How long has it been since you last used cocaine (coke, crack, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2017AQ | | COKE_LASTUSE | In the past 30 days, on how many days have you used cocaine (coke, crack, etc.)? | Text Entry (-) |
2017AQ | | COKE_LASTUSE | In the past three months, how often have you used cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | COKE_FREQ | In the past 3 months, how often have you had a strong desire or urge to use cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | COKE_FREQ | During the past 3 months, how often has your use of cocaine (coke, crack, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | COKE_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of cocaine (coke, crack, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using cocaine (coke, crack, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever used cocaine (coke, crack, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | How long has it been since you last used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2017AQ | | STIM_LASTUSE | In the past 30 days, on how many days have you used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Text Entry (-) |
2017AQ | | STIM_LASTUSE | In the past three months, how often have you used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | STIM_FREQ | Was any of your prescription stimulant (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) use in the past three months prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | STIM_ANYMD | Was all of your prescription stimulant (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) use in the past three months used exactly as prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | STIM_FREQ | In the past 3 months, how often have you had a strong desire or urge to use prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | STIM_FREQ | During the past 3 months, how often has your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | STIM_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | How long has it been since you last used methamphetamine (speed, crystal meth, tina, ice, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2017AQ | | METH_LASTUSE | In the past 30 days, on how many days have you used methamphetamine (speed, crystal meth, tina, ice, etc.)? | Text Entry (-) |
2017AQ | | METH_LASTUSE | In the past three months, how often have you used methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | METH_FREQ | In the past 3 months, how often have you had a strong desire or urge to use methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | METH_FREQ | During the past 3 months, how often has your use of methamphetamine (speed, crystal meth, tina, ice, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | METH_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of methamphetamine (speed, crystal meth, tina, ice, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using methamphetamine (speed, crystal meth, tina, ice, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever used methamphetamine (speed, crystal meth, tina, ice, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | How long has it been since you last used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2017AQ | | INHALE_LASTUSE | In the past 30 days, on how many days have you used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Text Entry (-) |
2017AQ | | INHALE_LASTUSE | In the past three months, how often have you used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | INHALE_FREQ | In the past 3 months, how often have you had a strong desire or urge to use inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | INHALE_FREQ | During the past 3 months, how often has your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | INHALE_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | How long has it been since you last used inhaled nitrates (poppers)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2017AQ | | POP_LASTUSE | In the past 30 days, on how many days have you used inhaled nitrates (poppers)? | Text Entry (-) |
2017AQ | | POP_LASTUSE | In the past three months, how often have you used inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | POP_FREQ | In the past 3 months, how often have you had a strong desire or urge to use inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | POP_FREQ | During the past 3 months, how often has your use of inhaled nitrates (poppers) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | POP_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | POP_FREQ | During the past 3 months, during what activities have you used inhaled nitrates (poppers)? (Check all that apply.) | Sexual activity with yourself (for example, masturbation) (0) Sexual activity with another person (1) Dancing or clubbing (2) Other activities (3) |
2017AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever used inhaled nitrates (poppers) in the 24 hours after you took a medication intended to give people stronger erections (for example, Viagra, Cialis, or Levitra)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | How long has it been since you last used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2017AQ | | SED_LASTUSE | In the past 30 days, on how many days have you used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Text Entry (-) |
2017AQ | | SED_LASTUSE | In the past three months, how often have you used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | SED_FREQ | Was any of your sedative or sleeping pill (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) use in the past three months prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | SED_ANYMD | Was all of your sedative or sleeping pill (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) use in the past three months used exactly as prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | SED_FREQ | In the past 3 months, how often have you had a strong desire or urge to use sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | SED_FREQ | During the past 3 months, how often has your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | SED_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | How long has it been since you last used GHB (G, gamma-hydroxybutyric acid)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2017AQ | | GHB_LASTUSE | In the past 30 days, on how many days have you used GHB (G, gamma-hydroxybutyric acid)? | Text Entry (-) |
2017AQ | | GHB_LASTUSE | In the past three months, how often have you used GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | GHB_FREQ | Was any of your GHB (G, gamma-hydroxybutyric acid) use in the past three months prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | GHB_ANYMD | Was all of your GHB (G, gamma-hydroxybutyric acid) use in the past three months used exactly as prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | GHB_FREQ | In the past 3 months, how often have you had a strong desire or urge to use GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | GHB_FREQ | During the past 3 months, how often has your use of GHB (G, gamma-hydroxybutyric acid) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | GHB_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of GHB (G, gamma-hydroxybutyric acid)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using GHB (G, gamma-hydroxybutyric acid)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | How long has it been since you last used hallucinogens (LSD, acid, mushrooms, PCP, Special K, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2017AQ | | HALL_LASTUSE | In the past 30 days, on how many days have you used hallucinogens (LSD, acid, mushrooms, PCP, Special K, etc.)? | Text Entry (-) |
2017AQ | | HALL_LASTUSE | In the past three months, how often have you used hallucinogens (LSD, acid, mushrooms, PCP, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | HALL_FREQ | Was any of your hallucinogen (LSD, acid, mushrooms, PCP, Special K, etc.) use in the past three months prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | HALL_ANYMD | Was all of your hallucinogen (LSD, acid, mushrooms, PCP, Special K, etc.) use in the past three months used exactly as prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | HALL_FREQ | In the past 3 months, how often have you had a strong desire or urge to use hallucinogens (LSD, acid, mushrooms, PCP, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | HALL_FREQ | During the past 3 months, how often has your use of hallucinogens (LSD, acid, mushrooms, PCP, Special K, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | HALL_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of hallucinogens (LSD, acid, mushrooms, PCP, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of hallucinogens (LSD, acid, mushrooms, PCP, Special K, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using hallucinogens (LSD, acid, mushrooms, PCP, Special K, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | How long has it been since you last used street opioids (heroin, opium, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2017AQ | | HEROIN_LASTUSE | In the past 30 days, on how many days have you used street opioids (heroin, opium, etc.)? | Text Entry (-) |
2017AQ | | HEROIN_LASTUSE | In the past three months, how often have you used street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | HEROIN_FREQ | In the past 3 months, how often have you had a strong desire or urge to use street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | HEROIN_FREQ | During the past 3 months, how often has your use of street opioids (heroin, opium, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | HEROIN_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of street opioids (heroin, opium, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using street opioids (heroin, opium, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever used street opioids (heroin, opium, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | How long has it been since you last used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2017AQ | | NARC_LASTUSE | In the past 30 days, on how many days have you used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Text Entry (-) |
2017AQ | | NARC_LASTUSE | In the past three months, how often have you used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | NARC_FREQ | Was any of your prescription opioid (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) use in the past three months prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | NARC_ANYMD | Was all of your prescription opioid (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) use in the past three months used exactly as prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | NARC_FREQ | In the past 3 months, how often have you had a strong desire or urge to use prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | NARC_FREQ | During the past 3 months, how often has your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | NARC_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | How long has it been since you last used MDMA (Molly or ecstasy)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2017AQ | | MDMA_LASTUSE | In the past 30 days, on how many days have you used MDMA (Molly or ecstasy)? | Text Entry (-) |
2017AQ | | MDMA_LASTUSE | In the past three months, how often have you used MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | MDMA_FREQ | Was any of your MDMA (Molly or ecstasy) use in the past three months recommended or prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | MDMA_ANYMD | Was all of your MDMA (Molly or ecstasy) use in the past three months used exactly as prescribed or recommended by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | MDMA_FREQ | In the past 3 months, how often have you had a strong desire or urge to use MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | MDMA_FREQ | During the past 3 months, how often has your use of MDMA (Molly or ecstasy) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | MDMA_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of MDMA (Molly or ecstasy)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using MDMA (Molly or ecstasy)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever used MDMA (Molly or ecstasy) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | How long has it been since you last used ${q://QID136/ChoiceTextEntryValue/11}? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2017AQ | | OTDRUG1_LASTUSE | In the past 30 days, on how many days have you used ${q://QID136/ChoiceTextEntryValue/11}? | Text Entry (-) |
2017AQ | | OTDRUG1_LASTUSE DRUGS_LIFETIME | In the past three months, how often have you used ${q://QID136/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | OTDRUG1_FREQ DRUGS_LIFETIME | Was any of your ${q://QID136/ChoiceTextEntryValue/11} use in the past three months recommended or prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | OTDRUG1_ANYMD | Was all of your ${q://QID136/ChoiceTextEntryValue/11} use in the past three months used exactly as prescribed or recommended by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | OTDRUG1_FREQ DRUGS_LIFETIME | In the past 3 months, how often have you had a strong desire or urge to use ${q://QID136/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | OTDRUG1_FREQ DRUGS_LIFETIME | During the past 3 months, how often has your use of ${q://QID136/ChoiceTextEntryValue/11} led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | OTDRUG1_FREQ DRUGS_LIFETIME | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of ${q://QID136/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of ${q://QID136/ChoiceTextEntryValue/11}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using ${q://QID136/ChoiceTextEntryValue/11}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever used ${q://QID136/ChoiceTextEntryValue/11} by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | How long has it been since you last used ${q://QID136/ChoiceTextEntryValue/12}? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2017AQ | | OTDRUG2_LASTUSE | In the past 30 days, on how many days have you used ${q://QID136/ChoiceTextEntryValue/12}? | Text Entry (-) |
2017AQ | | OTDRUG2_LASTUSE DRUGS_LIFETIME | In the past three months, how often have you used ${q://QID136/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | OTDRUG2_FREQ DRUGS_LIFETIME | Was any of your ${q://QID136/ChoiceTextEntryValue/12} use in the past three months recommended or prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | OTDRUG2_ANYMD | Was all of your ${q://QID136/ChoiceTextEntryValue/12} use in the past three months used exactly as prescribed or recommended by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | OTDRUG2_FREQ DRUGS_LIFETIME | In the past 3 months, how often have you had a strong desire or urge to use ${q://QID136/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | OTDRUG2_FREQ DRUGS_LIFETIME | During the past 3 months, how often has your use of ${q://QID136/ChoiceTextEntryValue/12} led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | OTDRUG2_FREQ DRUGS_LIFETIME | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of ${q://QID136/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of ${q://QID136/ChoiceTextEntryValue/12}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using ${q://QID136/ChoiceTextEntryValue/12}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever used ${q://QID136/ChoiceTextEntryValue/12} by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | | We at The PRIDE Study value the health and well-being of sexual and gender minority people like you. For some people discussing their mental health can raise strong emotions or even thoughts of hurting yourself, and it may be helpful to talk about those feelings. We sincerely urge you to get help. Please consider reaching out for services in your area, and also consider calling 1-800-273-8255 to talk with someone. Go to the emergency room or call 911 if you are in crisis and don't know where to get help. The PRIDE Study team cares about you and the health of our communities! | No Answers |
2017AQ | | | This section is meant to give us a sense of your social health, or understanding how you are doing with your relationships to the people and communities around you. We ask questions about employment and housing, how you interact with various people who you meet or know, etc. Some of these questions are standard questions routinely asked in national surveys. Your honest answers will help us understand the overall health of our communities. Your answers will be kept confidential. Please do your best to answer every question, but you may skip questions that feel too uncomfortable to answer. This section should take about 10 minutes to complete. | No Answers |
2017AQ | | | Employment | No Answers |
2017AQ | | | Do you currently work one or more paid jobs? | Yes (1) No (0) |
2017AQ | | WORK | In a typical week, how many hours do you work at your paid job(s)? | 1-10 (0) 11-20 (1) 21-30 (2) 31-40 (3) 41-50 (4) 51-60 (5) 61 (6) |
2017AQ | | | Are you currently a student? | Yes (1) No (0) |
2017AQ | | | Please respond to each item by selecting one option. | No Answers |
2017AQ | | | I have someone who will listen to me when I need to talk. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2017AQ | | | I have someone to confide in or talk to about myself or my problems. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2017AQ | | | I have someone who makes me feel appreciated. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2017AQ | | | I have someone to talk with when I have a bad day. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2017AQ | | | I feel left out. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2017AQ | | | I feel that people barely know me. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2017AQ | | | I feel isolated from others. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2017AQ | | | I feel that people are around me but not with me. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2017AQ | | | The next questions are about romantic or intimate relationships. Please think about how things are right now. | No Answers |
2017AQ | | | Are you currently in a relationship? | Yes (1) No (0) |
2017AQ | | RELATIONSHIP | Which of the following best describes your current romantic relationship(s)? | I am in a romantic relationship with one person (0) I am in a romantic relationship with two or more people (polyamorous) (1) Other (2) Other (TEXT) |
2017AQ | | RELATIONSHIP | Please select the gender(s) of your partner(s). (Check all that apply.) | Genderqueer (0) Man (1) Transgender Man (2) Transgender Woman (3) Woman (4) Another Gender Identity (5) Another Gender Identity (TEXT) |
2017AQ | | RELATIONSHIP | In general, how satisfied are you with your current romantic relationship(s)? | Very dissatisfied (0) Dissatisfied (1) Neutral (2) Satisfied (3) Very satisfied (4) |
2017AQ | | RELATIONSHIP | Which of the following scenarios best describes the current agreement that you have with your romantic partner(s)? | We cannot have any sex with an outside partner (0) We can have sex with outside partners but with some restrictions (1) We can have sex with outside partners without any restrictions (2) We do not have an agreement (3) I have different agreements with different partners (4) |
2017AQ | | | Experiences in Society The next questions are about experiences with violence, harassment, and discrimination that you may have had throughout your life. These questions will help us know more about LGBTQ people's experiences and challenges. You may be asked if some experiences were due to your sexual orientation (the gender of people you are attracted to), gender identity (the gender you identify as), gender expression (how you outwardly express your gender), or race/ethnicity. This may be hard to know for sure. Please make your best judgment. | No Answers |
2017AQ | | | Have you EVER experienced harassment or name calling from strangers in public? | Yes (1) No (0) |
2017AQ | | EVHARASS | Was any of this harassment or name calling from strangers in public due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | EVHARASS | In the PAST YEAR, have you experienced harassment or name calling from strangers in public? | Yes (1) No (0) |
2017AQ | | YRHARASS | Was any of this harassment or name calling that occurred in the PAST YEAR due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | | Have you EVER been physically attacked or deliberately injured? | Yes (1) No (0) |
2017AQ | | EVATTACK | Were any of these physical attacks or injuries due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | EVATTACK | In the PAST YEAR, have you been physically attacked or deliberately injured? | Yes (1) No (0) |
2017AQ | | YRATTACK | Were any of these physical attacks or injuries that occurred in the PAST YEAR due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | | Have you EVER experienced physical violence from a romantic partner? | Yes (1) No (0) |
2017AQ | | EVDV | Was any of this physical violence from a romantic partner due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | EVDV | In the PAST YEAR, have you experienced physical violence from a romantic partner? | Yes (1) No (0) |
2017AQ | | YRDV | Was any of this physical violence from a romantic partner that occurred in the PAST YEAR due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | | Have you EVER experienced unwanted sexual contact? | Yes (1) No (0) |
2017AQ | | EVSA | Was any of this unwanted sexual contact due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | EVSA | How old were you when this unwanted sexual contact occurred? (Check all that apply.) | Child (0-12 years) (1) Adolescent (12-17 years) (2) Adult (18 years) (3) |
2017AQ | | EVSA | In the PAST YEAR, have you experienced unwanted sexual contact? | Yes (1) No (0) |
2017AQ | | YRSA | Was any of this unwanted sexual contact that occurred in the PAST YEAR due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | | Have you EVER been treated unfairly at work or when applying/interviewing for a job? | Yes (1) No (0) |
2017AQ | | EVJOBDISC | Was any of this unfair treatment in employment due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | EVJOBDISC | In the PAST YEAR, have you been treated unfairly at work or when applying/interviewing for a job? | Yes (1) No (0) |
2017AQ | | YRJOBDISC | Was any of this unfair treatment at work or while applying for jobs in the PAST YEAR due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | | Have you EVER been treated unfairly while trying to rent an apartment or buy a home, or been unfairly evicted from your residence? | Yes (1) No (0) |
2017AQ | | EVHOUSDISC | Was any of this unfair treatment in housing/eviction due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | EVHOUSDISC | In the PAST YEAR, have you been treated unfairly while trying to rent an apartment or buy a home, or been unfairly evicted from your residence? | Yes (1) No (0) |
2017AQ | | YRHOUSDISC | Was any of this unfair treatment in housing/eviction in the PAST YEAR due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | | Have you EVER received poorer service than other people in restaurants, stores, other businesses or agencies? | Yes (1) No (0) |
2017AQ | | EVSERVDISC | Was any of the poorer service due to your… (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | EVSERVDISC | In the PAST YEAR, have you received poorer service than other people in restaurants, stores, other businesses or agencies? | Yes (1) No (0) |
2017AQ | | YRSERVDISC | Was any of this poorer service in the PAST YEAR due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | | Have you EVER been treated unfairly while you were a student at school or in another educational setting? | Yes (1) No (0) |
2017AQ | | EVSCHDISC | Was any of this unfair treatment in educational settings due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | EVSCHDISC | In the PAST YEAR, have you been treated unfairly while you were a student at school or in another educational setting? | Yes (1) No (0) |
2017AQ | | YRSCHDISC | Was any of this unfair treatment in educational settings in the PAST YEAR due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | | Have you EVER been denied or given lower quality medical care? | Yes (1) No (0) |
2017AQ | | EVMED | Was any of this discrimination in a medical setting due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | EVMED | In the PAST YEAR, have you been denied or given lower quality medical care? | Yes (1) No (0) |
2017AQ | | YRMED | Was any of this discrimination in a medical setting in the PAST YEAR due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | | Have you EVER been denied or given lower quality mental health care? | Yes (1) No (0) |
2017AQ | | EVMENTAL | Was any of this discrimination in a mental health setting due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | EVMENTAL | In the PAST YEAR, have you been denied or given lower quality mental health care? | Yes (1) No (0) |
2017AQ | | YRMENTAL | Was any of this discrimination in a mental health setting in the PAST YEAR due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | | Have you EVER experienced unfair treatment or harassment from the police or another law enforcement officer? | Yes (1) No (0) |
2017AQ | | EVPOLICE | Was any of this unfair treatment or harassment from a law enforcement officer due to … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | EVPOLICE | In the PAST YEAR, have you experienced unfair treatment or harassment from the police or another law enforcement officer? | Yes (1) No (0) |
2017AQ | | YRPOLICE | Was any of this unfair treatment or harassment from a law enforcement officer in the PAST YEAR due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | | To better customize the rest of your survey, we have 3 available versions of remaining questions. Each version has the same questions, but with customized language. Please choose the option that you think is best for you. | No Answers |
2017AQ | | | I would like to complete a survey designed for: | Gender minority people (for example: transgender, genderqueer, questioning your gender identity, etc.) (0) Sexual minority people (for example: lesbian, gay, bisexual, queer, questioning your sexual orientation, asexual, etc.) (1) People who identify as both sexual and gender minority (2) |
2017AQ | | CYOA | The next questions are about your views about communities that you have lived in. | No Answers |
2017AQ | | CYOA | Overall, how accepting of sexual minority people was the community in which you were raised? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
2017AQ | | CYOA | Overall, how accepting of sexual minority people is the community in which you currently live? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
2017AQ | | CYOA | Overall, how safe for sexual minority people was the community in which you were raised? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
2017AQ | | CYOA | Overall, how safe for sexual minority people is the community in which you currently live? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
2017AQ | | CYOA | Overall, how accepting of gender minority people was the community in which you were raised? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
2017AQ | | CYOA | Overall, how accepting of gender minority people is the community in which you currently live? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
2017AQ | | CYOA | Overall, how safe for gender minority people was the community in which you were raised? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
2017AQ | | CYOA | Overall, how safe for gender minority people is the community in which you currently live? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
2017AQ | | CYOA | To what extent do you agree or disagree with the following statements? | No Answers |
2017AQ | | CYOA | I wish I weren't gay/lesbian/bisexual/sexual minority. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2017AQ | | CYOA | I have tried to stop being attracted to people of the same gender in general. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2017AQ | | CYOA | If someone offered me the chance to be completely heterosexual, I would accept the chance. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2017AQ | | CYOA | I feel that being gay/lesbian/bisexual/sexual minority is a personal shortcoming for me. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2017AQ | | CYOA | I would like to get professional help in order to change my sexual orientation from gay/lesbian/bisexual/sexual minority to heterosexual. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2017AQ | | CYOA | I am proud of my sexual orientation. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2017AQ | | CYOA | To what extent do you agree or disagree with the following statements? | No Answers |
2017AQ | | CYOA | I wish I weren't transgender or gender minority. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2017AQ | | CYOA | In general, I have tried to stop identifying with a gender that differs from my assigned sex at birth. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2017AQ | | CYOA | If someone offered me the chance to be completely non-transgender, I would accept the chance. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2017AQ | | CYOA | I feel that being transgender or gender minority is a personal shortcoming for me. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2017AQ | | CYOA | I would like to get professional help in order to change my gender from transgender/gender minority to non-transgender. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2017AQ | | CYOA | I am proud of my gender. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2017AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself straight, gay, etc.)? Members of your immediate family (for example, parents and siblings) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2017AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself straight, gay, etc.)? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2017AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself straight, gay, etc.)? People you socialize with (for example, friends and acquaintances) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2017AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself straight, gay, etc.)? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2017AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself straight, gay, etc.)? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2017AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself straight, gay, etc.)? Health care providers | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2017AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Members of your immediate family (for example, parents and siblings) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2017AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2017AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? People you socialize with (for example, friends and acquaintances) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2017AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2017AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2017AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Health care providers | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2017AQ | | CYOA | What percent of the people in this group do you think are aware of your gender identity (meaning they are aware of your gender or gender expression)? Members of your immediate family (for example, parents and siblings) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2017AQ | | CYOA | What percent of the people in this group do you think are aware of your gender identity (meaning they are aware of your gender or gender expression)? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2017AQ | | CYOA | What percent of the people in this group do you think are aware of your gender identity (meaning they are aware of your gender or gender expression)? People you socialize with (for example, friends and acquaintances) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2017AQ | | CYOA | What percent of the people in this group do you think are aware of your gender identity (meaning they are aware of your gender or gender expression)? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2017AQ | | CYOA | What percent of the people in this group do you think are aware of your gender identity (meaning they are aware of your gender or gender expression)? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2017AQ | | CYOA | What percent of the people in this group do you think are aware of your gender identity (meaning they are aware of your gender or gender expression)? Health care providers | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2017AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Members of your immediate family (for example, parents and siblings) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2017AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2017AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? People you socialize with (for example, friends and acquaintances) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2017AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2017AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2017AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Health care providers | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2017AQ | | | The next questions are about your experiences with spiritual and/or religious groups. | No Answers |
2017AQ | | | Were you raised with spiritual or religious involvement? | Yes (1) No (2) |
2017AQ | | RAISED_REL CYOA | How accepting of sexual minority people was the religious community in which you were raised? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2017AQ | | RAISED_REL CYOA | How accepting of gender minority people was the religious community in which you were raised? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2017AQ | | | Are you currently spiritual or religious? | Yes (1) No (0) |
2017AQ | | RELIGIOUS CYOA | How accepting of sexual minority people is your current spiritual or religious community? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2017AQ | | RELIGIOUS CYOA | How accepting of gender minority people is your current spiritual or religious community? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2017AQ | | RELIGIOUS | What is your current religious or spiritual identity? (Check all that apply.) | Agnostic (1) Atheist (2) Bahai (3) Buddhist (4) Christian (5) Confucianist (6) Druid (7) Hindu (8) Jain (9) Jehovahs Witness (10) Jewish - Conservative (11) Jewish - Orthodox (12) Jewish - Reform (13) Muslim - Ahmadi (14) Muslim - Shiite (15) Muslim - Sufi (16) Muslim - Sunni (17) Native American Traditional Practitioner or Ceremonial (18) Pagan (19) Rastafarian (20) Scientologist (21) Secular Humanist (22) Shinto (23) Sikh (24) Taoist (25) Tenrikyo (26) Wiccan (27) Spiritual, but no religious affiliation (28) No affiliation (0) A religious affiliation or spiritual identity not listed above (please specify) (29) A religious affiliation or spiritual identity not listed above (please specify) (TEXT) |
2017AQ | | RELIGION | Please select your Christian affiliation. | African Methodist Episcopal (1) African Methodist Episcopal Zion (2) Assembly of God (3) Baptist (4) Catholic/Roman Catholic (5) Church of Christ (6) Church of God in Christ (7) Christian Orthodox (8) Christian Methodist Episcopal (9) Christian Reformed Church (CRC) (10) Episcopalian (11) Evangelical (12) Greek Orthodox (13) Lutheran (14) Mennonite (15) Moravian (16) Nondenominational Christian (17) Pentecostal (18) Presbyterian (19) Protestant (20) Protestant Reformed Church (21) Quaker (22) Reformed Church of America (RCA) (23) Russian Orthodox (24) Seventh Day Adventist (25) The Church of Jesus Christ of Latter-day Saints (26) United Methodist (27) Unitarian Universalist (28) United Church of Christ (29) A Christian affiliation not listed above (please specify) (30) A Christian affiliation not listed above (please specify) (TEXT) |
2017AQ | | CYOA | The next questions about how your parent(s) reacted to learning about your identity. | No Answers |
2017AQ | | CYOA | When your parent(s) initially learned about your gender identity, how accepting were they? Mother or Parent 1 | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not/did not know about my gender identity (88) |
2017AQ | | CYOA | When your parent(s) initially learned about your gender identity, how accepting were they? Father or Parent 2 | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not/did not know about my gender identity (88) |
2017AQ | | CYOA | In your most recent interactions with your parent(s), how accepting were they of your gender identity? Mother or Parent 1 | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not/did not know about my gender identity (88) |
2017AQ | | CYOA | In your most recent interactions with your parent(s), how accepting were they of your gender identity? Father or Parent 2 | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not/did not know about my gender identity (88) |
2017AQ | | CYOA | When your parent(s) initially learned about your sexual orientation, how accepting were they? Mother or Parent 1 | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not/did not know about my sexual orientation (88) |
2017AQ | | CYOA | When your parent(s) initially learned about your sexual orientation, how accepting were they? Father or Parent 2 | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not/did not know about my sexual orientation (88) |
2017AQ | | CYOA | In your most recent interactions with your parent(s), how accepting were they of your sexual orientation? Mother or Parent 1 | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not/did not know about my sexual orientation (88) |
2017AQ | | CYOA | In your most recent interactions with your parent(s), how accepting were they of your sexual orientation? Father or Parent 2 | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not/did not know about my sexual orientation (88) |
2017AQ | | | This section is meant to give us a sense of your physical health. We ask questions about your physical activity, sex life, health insurance, cancer screening, vaccinations, pregnancies, complementary and integrative health, and vitamins and minerals. Many of these questions are standard questions routinely asked in national health surveys. Your honest answers will help us as we study LGBTQ health in The PRIDE Study in order to improve the health and well-being of our communities. Your answers will be kept confidential. Please do your best to answer every question, but you may skip questions that feel too uncomfortable to answer. This section should take about 10-15 minutes to complete. | No Answers |
2017AQ | | | In general, would you say your health is... | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2017AQ | | | In general, would you say your quality of life is... | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2017AQ | | | In general, how would you rate your physical health? | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2017AQ | | | In general, how would you rate your mental health, including your mood and your ability to think? | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2017AQ | | | In general, how would you rate your satisfaction with your social activities and relationships? | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2017AQ | | | In general, please rate how well you carry out your usual social activities and roles. (This includes activities at home, at work and in your community, and responsibilities as a parent, child, spouse, employee, friend, etc.)... | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2017AQ | | | To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair? | Completely (5) Mostly (4) Moderately (3) A little (2) Not at all (1) |
2017AQ | | | In the PAST 7 DAYS, how often have you been bothered by emotional problems, such as feeling anxious, depressed or irritable? | Never (5) Rarely (4) Sometimes (3) Often (2) Always (1) |
2017AQ | | | In the PAST 7 DAYS, how would you rate your fatigue on average? | None (5) Mild (4) Moderate (3) Severe (2) Very severe (1) |
2017AQ | | | In the PAST 7 DAYS, how would you rate your pain on average? | 0 No pain (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Worst pain imaginable (10) |
2017AQ | | | Physical Activity | No Answers |
2017AQ | | | How many days per week do you do VIGOROUS leisure-time physical activities for AT LEAST 10 MINUTES that cause HEAVY sweating or LARGE increases in breathing or heart rate? Examples include aerobics, tennis, bicycling up hills, and running. | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2017AQ | | VIG_DAYS | About how long (in minutes) do you do these vigorous leisure-time physical activities each time? | Text Entry (-) |
2017AQ | | | How many days per week do you do LIGHT OR MODERATE leisure-time physical activities for AT LEAST 10 MINUTES that cause ONLY LIGHT sweating or a SLIGHT to MODERATE increase in breathing or heart rate? Examples include walking, golf, moving boxes, and gardening. | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2017AQ | | MOD_DAYS | About how long (in minutes) do you do these light or moderate leisure-time physical activities each time? | Text Entry (-) |
2017AQ | | | How many days per week do you do leisure-time physical activities specifically designed to STRENGTHEN your muscles such as lifting weights or doing calisthenics? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2017AQ | | | Healthcare Access | No Answers |
2017AQ | | | Is there a place that you USUALLY go to when you are sick or need advice about your health? | Yes (1) No (0) I dont know (88) |
2017AQ | | PLACESICK | What kind of place do you go to most often – a clinic, doctor's office, emergency room, or some other place? | Clinic or health center (1) Doctors office or HMO (2) Hospital emergency room (3) Hospital outpatient department (4) Some other place (5) I dont go to one place most often (6) I dont know (88) |
2017AQ | | PLACESICK | Is that the same place you USUALLY go when you need routine or preventive care, such as a physical examination or check up? | Yes (1) No (0) I dont know (88) |
2017AQ | | PLACEROUTINE | What kind of place do you USUALLY go to when you need routine or preventive care, such as a physical examination or check-up? | I dont get routine or preventative care anywhere (0) Clinic or health center (1) Doctors office or HMO (2) Hospital emergency room (3) Hospital outpatient department (4) Some other place (5) I dont go to one place most often (6) I dont know (88) |
2017AQ | | | DURING THE PAST 12 MONTHS, did you have any trouble finding a general doctor or provider who would see you? | Yes (1) No (0) I havent tried to see a doctor or provider in the past 12 months. (2) |
2017AQ | | | During the past 12 months, have you seen or talked to any health care provider (general doctor, obstetrician/gynecologist, nurse practitioner, physician assistant or midwife) about your own health? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Do you have a primary care provider (PCP)? | Yes (1) No (0) I dont know (88) |
2017AQ | | | In the PAST 12 MONTHS, was there any time when you did NOT have ANY health insurance or coverage? In other words, were you uninsured for any time during the previous 12 months? | Yes (1) No (0) I dont know (88) |
2017AQ | | UNINSUR | In the PAST 12 MONTHS, about how many months were you without coverage? | Less than one month (0) 1 month (1) 2 months (2) 3 months (3) 4 months (4) 5 months (5) 6 months (6) 7 months (7) 8 months (8) 9 months (9) 10 months (10) 11 months (11) 12 months (12) |
2017AQ | | | Are you CURRENTLY covered by any health insurance or health coverage plan? | Yes (1) No (0) I dont know (88) |
2017AQ | | INSURANCE | Are you CURRENTLY covered by any of the following types of health insurance or health coverage plans? (If you have more than one insurance/coverage plans, please select your primary insurance/coverage plan.) | Insurance through my current or former employer or union (1) Insurance through someone elses current or former employer or union (2) Insurance purchased through HealthCare.gov or another health insurance marketplace (sometimes called Obamacare or the Affordable Care Act) (3) Insurance purchased directly from an insurance company (4) Medicare (for people 65 and older or people with certain disabilities) (5) Medicaid (government-assistance plan for those with low incomes or a disability) (6) TRICARE or other military health care (7) Veterans Affairs (VA) (8) Indian Health Service (9) Other (10) Other (TEXT) |
2017AQ | | | In regard to your health insurance or health care coverage, how does it compare to a year ago? Is it better, worse, or about the same? | Better (2) Worse (0) About the same (1) I dont know (88) |
2017AQ | | | In the last 12 months, were you delayed in getting medical care, tests, or treatments that you or a doctor believed necessary? | Yes (1) No (0) |
2017AQ | | DELAYCARE | Which of these best describes the main reason you were delayed in getting medical care, tests, or treatments you or a doctor believed necessary? | I couldnt afford care (0) My insurance company wouldnt approve, cover, or pay for care (1) Doctor refused to accept the insurance plan (2) Problems getting to doctors office (3) I speak a different language (4) I couldnt get time off work or school (5) I dont know where to go to get care (6) I was refused services (7) I couldnt get child care (8) I didnt have time or took too long (9) Other (10) Other (TEXT) |
2017AQ | | | In the last 12 months, were you unable to obtain medical care, tests, or treatments that you or a doctor believed necessary? | Yes (1) No (0) |
2017AQ | | NOCARE | Which of these best describes the main reason you were unable to get medical care, tests, or treatments you or a doctor believed necessary? | I couldnt afford care (0) My insurance company wouldnt approve, cover, or pay for care (1) Doctor refused to accept the insurance plan (2) Problems getting to doctors office (3) I speak a different language (4) I couldnt get time off work or school (5) I dont know where to go to get care (6) I was refused services (7) I couldnt get child care (8) I didnt have time or took too long (9) Other (10) Other (TEXT) |
2017AQ | | | The next questions are about money that you have spent out of pocket on medical care. | No Answers |
2017AQ | | | In the PAST 12 MONTHS, about how much did you spend in total for medical care and dental care? Please include copays, coinsurance, prescription medications, etc. Please do NOT include your monthly health insurance premiums, over-the-counter drugs, or costs that you will be reimbursed for. | Zero (0) Less than 500 (1) 500 - 1,999 (2) 2,000 - 2,999 (3) 3,000 - 4,999 (4) 5,000 or more (5) I dont know (88) |
2017AQ | | OOP | In the PAST 12 MONTHS, did you borrow money to pay for health care? Please do NOT count health insurance premiums, over the counter drugs, or costs that you will be reimbursed for. | Yes (1) No (0) |
2017AQ | | | In the PAST 12 MONTHS, about how much did you spend for prescription medications? | Zero (0) Less than 500 (1) 500 - 1,999 (2) 2,000 - 2,999 (3) 3,000 - 4,999 (4) 5,000 or more (5) I dont know (88) |
2017AQ | | | In the PAST 12 MONTHS, are you under the care of any of the following specialists? (Check all that apply.) | I do not see a specialist (0) Allergist or immunologist (allergy doctor) (1) Cardiologist (heart doctor) (2) Dermatologist (skin doctor) (3) Endocrinologist (hormone doctor) (4) Gastroenterologist (digestive doctor) (5) Hemataologist (blood doctor) (6) Hepatologist (liver doctor) (7) Oncologist (cancer doctor) (8) Nephrologist (kidney doctor) (9) Neurologist (brain and nerve doctor) (10) Neurosurgeon (brain and spine surgeon) (11) Gynecologist (reproductive and genital/urinary doctor) (12) Ophthalmologist (eye doctor) (13) Otorhinolaryngologist (ear, nose, and throat doctor) (14) Plastic surgeon (repair, reconstruction, and physical replacement surgeon) (15) Podiatrist (foot doctor) (16) Psychiatric nurse practitioner (17) Psychiatrist (mental health doctor) (18) Psychologist, psychotherapist, or other mental health counselor (19) Pulmonologist (lung doctor) (20) Rheumatologist (joint and inflammation doctor) (21) Speech/language therapist (22) Urologist (genital/urinary health doctor) (23) Someone not listed here (24) Someone not listed here (TEXT) |
2017AQ | | | Cancer Screening | No Answers |
2017AQ | | | Cancer screening should be based on organs that people currently have. To appropriate ask you about cancer screening, which of the following organs do you have? (Check all that apply.) | Breasts or breast tissue (0) Cervix (you likely have this if you have a uterus or womb) (1) Prostate (you likely have this if you were assigned male sex at birth) (2) |
2017AQ | | ORGANS | Have you EVER HAD a Pap smear or Pap test? | Yes (1) No (0) I dont know (88) |
2017AQ | | ORGANS | How long has it been since your last Pap smear or Pap test? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) Over 5 years ago (4) I dont know (88) |
2017AQ | | PAP_LAST | What is the most important reason you have NOT had a Pap test in the LAST 5 YEARS? | No reason/never thought about it (0) Didnt need it/didnt know I needed this type of test (1) Doctor didnt order it/didnt say I needed it (2) Havent had any problems (3) Put it off/didnt get around to it (4) Too expensive/no insurance/cost (5) Too painful, unpleasant, or embarrassing (6) Had a hysterectomy (7) Dont have a doctor (8) |
2017AQ | | PAP_EVER | What is the most important reason you have NEVER had a Pap test? | No reason/never thought about it (0) Didnt need it/didnt know I needed this type of test (1) Doctor didnt order it/didnt say I needed it (2) Havent had any problems (3) Put it off/didnt get around to it (4) Too expensive/no insurance/cost (5) Too painful, unpleasant, or embarrassing (6) Had a hysterectomy (7) Dont have a doctor (8) |
2017AQ | | PAP_LAST | Have you had a Pap smear or Pap test in the LAST 3 YEARS where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2017AQ | | ORGANS | Have you ever heard of HPV? HPV stands for human papillomavirus. | Yes (1) No (0) I dont know (88) |
2017AQ | | HPV_HEARD | Did you have HPV test with your most recent Pap? | Yes (1) No (0) I dont know (88) |
2017AQ | | HPV_HEARD | Have you had a HPV test in the LAST 3 YEARS where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2017AQ | | ORGANS | Have you EVER HAD a mammogram? | Yes (1) No (0) I dont know (88) |
2017AQ | | MAMMO_EVER | How long has it been since your last mammogram? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) Over 5 years ago (4) I dont know (88) |
2017AQ | | MAMMO_EVER | How many mammograms have you had in the LAST 6 YEARS? | Text Entry (-) |
2017AQ | | MAMMO_6YR | Have you had a mammogram in the LAST 6 YEARS where the results were NOT normal? | Yes (1) No (2) I dont know (88) |
2017AQ | | ORGANS | Have you EVER HAD a PSA test? A PSA test is a blood test to detect prostate cancer. It is also called a prostate-specific antigen test. | Yes (1) No (0) I dont know (88) |
2017AQ | | PSA_EVER | How long has it been since your last PSA test? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) Over 5 years ago (4) I dont know (88) |
2017AQ | | PSA_EVER | Who first suggested the PSA test? | I did (0) My doctor did (1) Someone else (2) I dont know (88) |
2017AQ | | PSA_EVER | How many PSA tests have you had in the LAST 5 years? | Text Entry (-) |
2017AQ | | PSA_EVER | Did a doctor EVER talk with you about the advantages of the PSA test? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Have you and your doctor or other health professional ever DISCUSSED getting a test to check for colon cancer? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Colon cancer tests include blood stool tests, colonoscopy and sigmoidoscopy. A blood stool test or occult blood test, also known as the fecal immunochemical (FIT) test, determines whether you have blood in your stool or bowel movement. These tests can be done at home using a kit. You use a stick or brush to obtain a small amount of stool at home and send it back to the doctor or lab. A sigmoidoscopy and colonoscopy are exams in which a tube is inserted in the rectum to view the colon for signs of cancer or other health problems. For a sigmoidoscopy, the doctor checks only part of the colon and you are fully awake. For a colonoscopy, the doctor checks the entire colon, and you are given medication through a needle in your arm to make you sleepy, and told to have someone drive you home. Before a sigmoidoscopy or colonoscopy, you are asked to take a medication that causes diarrhea. Have you EVER HAD any of these tests for colon cancer? (Check all that apply.) | None of these (0) Blood stool test (FIT test) (1) Sigmoidoscopy (2) Colonoscopy (3) |
2017AQ | | COLON_TEST | How long has it been since your last blood stool test (FIT test)? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) More than 5 years ago but not more than 10 years (4) Over 10 years ago (5) I dont know (88) |
2017AQ | | COLON_TEST | How long has it been since your last sigmoidoscopy? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) More than 5 years ago but not more than 10 years (4) Over 10 years ago (5) I dont know (88) |
2017AQ | | COLON_TEST | How long has it been since your last colonoscopy? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) More than 5 years ago but not more than 10 years (4) Over 10 years ago (5) I dont know (88) |
2017AQ | | | Blood Donation | No Answers |
2017AQ | | | Have you donated blood in the last 12 months? | Yes (1) No (0) |
2017AQ | | | Sleep | No Answers |
2017AQ | | | On average, how many hours of sleep do you get in a 24-hour period? (Please round to the nearest whole hour.) | Text Entry (-) |
2017AQ | | | Oral Health | No Answers |
2017AQ | | | About how long has it been since you last visited a dentist? Include all types of dentists, such as, orthodontists, oral surgeons, and all other dental specialists, as well as dental hygienists. | 6 months or less (0) More than 6 months, but not more than 1 year ago (1) More than 1 year, but not more than 2 years ago (2) More than 2 years, but not more than 3 years ago (3) More than 3 years, but not more than 5 years ago (4) More than 5 years ago (5) Never have been to dentist (6) |
2017AQ | | DENT_VISIT | What was the main reason you last visited the dentist? | I went in on my own for check-up, examination, or cleaning (0) I was called in by the dentist for check-up, examination, or cleaning (1) Something was wrong, bothering, or hurting me (2) I went for treatment of a condition that dentist discovered at earlier check-up or examination (3) Other (4) Other (TEXT) |
2017AQ | | DENT_VISIT | During the past 12 months, was there a time when you needed dental care but could not get it at that time? | Yes (1) No (0) |
2017AQ | | DENTCARE_NO | What were the reasons that you could not get the dental care you needed? (Check all that apply.) | I could not afford the cost (0) I did not want to spend the money (1) Insurance did not cover recommended procedures (2) Dental office is too far away (3) Dental office is not open at convenient times (4) Another dentist recommended not doing it (5) I was afraid or do not like dentists (6) I was unable to take time off from work or school (7) I was too busy (8) I did not think anything serious was wrong/expected dental problems to go away (9) Other (10) Other (TEXT) |
2017AQ | | | How often during the last year have you had painful aching anywhere in your mouth? Would you say…? | Very often (4) Fairly often (3) Occasionally (2) Hardly ever (1) Never (0) |
2017AQ | | | The next questions will ask about the condition of your teeth and some factors related to gum health. Gum disease is a common problem with the mouth. People with gum disease might have swollen gums, receding gums, sore or infected gums or loose teeth. | No Answers |
2017AQ | | | Do you think you might have gum disease? | Yes (1) No (0) |
2017AQ | | | Overall, how would you rate the health of your teeth and gums? Would you say…? | Excellent (4) Very good (3) Good (2) Fair (1) Poor (0) |
2017AQ | | | How many times you brush your teeth in one day? | Text Entry (-) |
2017AQ | | | Have you ever had an exam for oral cancer in which the doctor or dentist pulls on your tongue, sometimes with gauze wrapped around it, and feels under the tongue and inside the cheeks? | Yes (1) No (0) |
2017AQ | | | Sexual Behavior The next set of questions mentions body organs. The organs mentioned refer to the organs you currently have. We are asking these questions to get a comprehensive look at your health. We know that people refer to their organs differently, and we have tried to use the medical terms as well as commonly used non-medical terms. We know that this will not accurately reflect the diversity of our communities, but we hope it gets us closer to some critical health understanding. | No Answers |
2017AQ | | | Do you have a vagina or front hole? | Yes (1) No (0) |
2017AQ | | | Do you have a penis or phallus? (This refers to your anatomy, not a sex toy.) | Yes (1) No (0) |
2017AQ | | | Have you ever engaged in any kind of sexual activity with another person? | Yes (1) No (0) |
2017AQ | | SEX_EVER | Have you ever had receptive vaginal / front hole sex? This means a penis/phallus in your vagina/front hole. | Yes (1) No (0) |
2017AQ | | SEX_EVER | Have you ever had insertive vaginal / front hole sex? This means putting your penis/phallus in someone's vagina/front hole. | Yes (1) No (0) |
2017AQ | | SEX_EVER | Have you ever had vagina/front hole sex where your vagina/front hole is touching another person's vagina/front hole? | Yes (1) No (0) |
2017AQ | | SEX_EVER | Have you ever performed oral sex? This means putting your mouth on another person's genitals. (Check all that apply.) | Yes, on a person with a penis / phallus (1) Yes, on a person with a vagina / front hole (2) No (0) |
2017AQ | | SEX_EVER | Have you ever received oral sex? This means someone put their mouth on your genitals. | Yes (1) No (0) |
2017AQ | | SEX_EVER | Have you ever had anal sex? This means contact between a penis/phallus and your anus or butt. | Yes (1) No (0) |
2017AQ | | SEX_EVER | Have you ever had anal sex? (Check all that apply.) | Yes, I have had contact between my penis/phallus and someones anus or butt (also known as insertive anal sex) (1) Yes, I have had contact between someones penis/phallus and my anus or butt (also known as receptive anal sex) (2) No (0) |
2017AQ | | SEX_EVER | Have you ever performed oral-anal sex (also called rimming)? This means contact between your mouth and someone's anus or butt. | Yes (1) No (0) |
2017AQ | | SEX_EVER | Have you ever performed digital penetration (also called fingering)? This means putting your fingers into someone's vagina/front hole or someone's anus or butt. (Check all that apply.) | Yes, I have had contact between my finger(s) and someones vagina/front hole (1) Yes, I have had contact between my finger(s) and someones anus or butt (2) No (0) |
2017AQ | | SEX_EVER | Have you ever used sex toys (such as dildos) with a sexual partner? | Yes (1) No (0) |
2017AQ | | SEXTOY | Did you insert the sex toy into someone's body or did you receive the sex toy into your body or both? | Yes, I inserted the sex toy into someones body (0) Yes, I received the sex toy into my body (1) Yes, both (2) |
2017AQ | | SEX_EVER | Please tell us about other kinds of sex that you have. | Text Entry (-) |
2017AQ | | SEX_EVER | How old were you the first time you had any kind of sex including vaginal/front hole, oral, and anal? | Text Entry (-) |
2017AQ | | SEX_EVER | In your lifetime, with how many people have you had any kind of sex? | Text Entry (-) |
2017AQ | | SEX_EVER | In the past 12 months, with how many people have you had any kind of sex? | Text Entry (-) |
2017AQ | | SEX_EVER VAGSEX_VAG | In the past 12 months, about how many times have you had vaginal/front hole sex? | Text Entry (-) |
2017AQ | | VAGSEX_YEAR | In the past 12 months, about how often have you had vaginal/front hole sex without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2017AQ | | VAGSEX_NOCON | In the past 12 months, with how many different people have you had vaginal/front hole sex without a condom? | Text Entry (-) |
2017AQ | | SEX_EVER | In the past 12 months, about how many times have you had receptive anal sex? (This means contact between a penis/phallus and your anus or butt.) | Text Entry (-) |
2017AQ | | ANALSEX_YEAR | In the past 12 months, about how often have you had receptive anal sex without using a condom? (This means contact between a penis/phallus and your anus or butt.) | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2017AQ | | ANALSEX_NOCON | In the past 12 months, with how many different people have you had receptive anal sex without a condom? (This means contact between a penis/phallus and your anus or butt.) | Text Entry (-) |
2017AQ | | SEX_EVER | In the past 12 months, about how many times have you had receptive anal sex (that is, you were the bottom)? This means contact between someone's penis/phallus and your anus or butt. | Text Entry (-) |
2017AQ | | BOTTOM_YEAR | In the past 12 months, about how often have you had receptive anal sex (that is, you were the bottom) without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2017AQ | | BOTTOM_NOCON | In the past 12 months, with how many different people have you had receptive anal sex (that is, you were the bottom) without a condom? | Text Entry (-) |
2017AQ | | SEX_EVER | In the past 12 months, about how many times have you had insertive anal sex (that is, you were the top)? This means contact between your penis/phallus and someone's anus or butt. | Text Entry (-) |
2017AQ | | TOP_YEAR | In the past 12 months, about how often have you had insertive anal sex (that is, you were the top) without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2017AQ | | TOP_NOCON | In the past 12 months, with how many different people have you had insertive anal sex (that is, you were the top) without a condom? | Text Entry (-) |
2017AQ | | VAGINA | Sexual Satisfaction / Dysfunction | No Answers |
2017AQ | | | These questions ask about your sexual feelings and responses during the past 4 weeks. Please answer the following questions as honestly and clearly as possible. Your responses will be kept completely confidential. In answering these questions the following definitions apply: Sexual activity can include caressing, foreplay, masturbation and vaginal intercourse. Sexual stimulation includes situations like foreplay with a partner, self-stimulation (masturbation), or sexual fantasy. Sexual desire or interest is a feeling that includes wanting to have a sexual experience, feeling receptive to a partner's sexual initiation, and thinking or fantasizing about having sex. | No Answers |
2017AQ | | VAGINA | Over the past 4 weeks, how often did you feel sexual desire or interest? | Almost always or always (5) Most times (more than half the time) (4) Sometimes (about half the time) (3) A few times (less than half the time) (2) Almost never or never (1) |
2017AQ | | VAGINA | Over the past 4 weeks, how would you rate your level (degree) of sexual desire or interest? | Very high (5) High (4) Moderate (3) Low (2) Very low or none at all (1) |
2017AQ | | VAGINA | Over the past 4 weeks, how often did you feel sexually aroused ("turned on") during sexual activity? | No sexual activity (0) Almost always or always (5) Most times (more than half the time) (4) Sometimes (about half the time) (3) A few times (less than half the time) (2) Almost never or never (1) |
2017AQ | | VAGINA | Over the past 4 weeks, how would you rate your level of sexual arousal ("turn on") during sexual activity? | No sexual activity (0) Very high (5) High (4) Moderate (3) Low (2) Very low or none at all (1) |
2017AQ | | VAGINA | Over the past 4 weeks, how confident were you about becoming sexually aroused during sexual activity? | No sexual activity (0) Very high confidence (5) High confidence (4) Moderate confidence (3) Low confidence (2) Very low or no confidence (1) |
2017AQ | | VAGINA | Over the past 4 weeks, how often have you been satisfied with your arousal (excitement) during sexual activity? | No sexual activity (0) Almost always or always (5) Most times (more than half the time) (4) Sometimes (about half the time) (3) A few times (less than half the time) (2) Almost never or never (1) |
2017AQ | | VAGINA | Over the past 4 weeks, how often did you become lubricated ("wet") during sexual activity? | No sexual activity (0) Almost always or always (5) Most times (more than half the time) (4) Sometimes (about half the time) (3) A few times (less than half the time) (2) Almost never or never (1) |
2017AQ | | VAGINA | Over the past 4 weeks, how difficult was it to become lubricated ("wet") during sexual activity? | No sexual activity (0) Extremely difficult or impossible (1) Very difficult (2) Difficult (3) Slightly difficult (4) Not difficult (5) |
2017AQ | | VAGINA | Over the past 4 weeks, how often did you maintain your lubrication ("wetness") until completion of sexual activity? | No sexual activity (0) Almost always or always (5) Most times (more than half the time) (4) Sometimes (about half the time) (3) A few times (less than half the time) (2) Almost never or never (1) |
2017AQ | | VAGINA | Over the past 4 weeks, how difficult was it to maintain your lubrication ("wetness") until completion of sexual activity? | No sexual activity (0) Extremely difficult or impossible (1) Very difficult (2) Difficult (3) Slightly difficult (4) Not difficult (5) |
2017AQ | | VAGINA | Over the past 4 weeks, when you had sexual stimulation, how often did you reach orgasm (climax)? | No sexual activity (0) Almost always or always (5) Most times (more than half the time) (4) Sometimes (about half the time) (3) A few times (less than half the time) (2) Almost never or never (1) |
2017AQ | | VAGINA | Over the past 4 weeks, when you had sexual stimulation, how difficult was it for you to reach orgasm (climax)? | No sexual activity (0) Extremely difficult or impossible (1) Very difficult (2) Difficult (3) Slightly difficult (4) Not difficult (5) |
2017AQ | | VAGINA | Over the past 4 weeks, how satisfied were you with your ability to reach orgasm (climax) during sexual activity? | No sexual activity (0) Very satisfied (5) Moderately satisfied (4) About equally satisfied and dissatisfied (3) Moderately dissatisfied (2) Very dissatisfied (1) |
2017AQ | | VAGINA | Over the past 4 weeks, how satisfied have you been with the amount of emotional closeness during sexual activity between you and your partner? | No sexual activity (0) Very satisfied (5) Moderately satisfied (4) About equally satisfied and dissatisfied (3) Moderately dissatisfied (2) Very dissatisfied (1) |
2017AQ | | VAGINA | Over the past 4 weeks, how satisfied have you been with your sexual relationship with your partner? | Very satisfied (5) Moderately satisfied (4) About equally satisfied and dissatisfied (3) Moderately dissatisfied (2) Very dissatisfied (1) |
2017AQ | | VAGINA | Over the past 4 weeks, how satisfied have you been with your overall sexual life? | Very satisfied (5) Moderately satisfied (4) About equally satisfied and dissatisfied (3) Moderately dissatisfied (2) Very dissatisfied (1) |
2017AQ | | VAGINA | Over the past 4 weeks, how often did you experience discomfort or pain during vaginal or front hole penetration? | Did not attempt penetration (0) Almost always or always (1) Most times (more than half the time) (2) Sometimes (about half the time) (3) A few times (less than half the time) (4) Almost never or never (5) |
2017AQ | | VAGINA | Over the past 4 weeks, how often did you experience discomfort or pain following vaginal or front hole penetration? | Did not attempt penetration (0) Almost always or always (1) Most times (more than half the time) (2) Sometimes (about half the time) (3) A few times (less than half the time) (4) Almost never or never (5) |
2017AQ | | VAGINA | Over the past 4 weeks, how would you rate your level (degree) of discomfort or pain during or following vaginal or front hole penetration? | Did not attempt penetration (0) Very high (1) High (2) Moderate (3) Low (4) Very low or none at all (5) |
2017AQ | | PENIS | The following questions concern various aspects of your ability to have sex. In answering these questions, please think about all aspects of the sexual activity you have had with your main partner, with other partners, or masturbating. By sexual activity, we mean any type of sex you may have had, including intercourse, oral sex or other sexual activities that could lead to ejaculation. Some of these questions might be difficult to answer. Please answer as many as possible, and be as honest as you can when answering them. Please remember that all of your answers are confidential. The first questions concern your erections, which some people refer to as “hard-ons". | No Answers |
2017AQ | | PENIS | In the last month, have you taken Viagra or any similar drugs for problems with your erection? | Yes (1) No (0) |
2017AQ | | PENIS | In the last month, without using drugs like Viagra, how often have you been able to get an erection when you wanted to? (Check only one) | All of the time (5) Most of the time (4) About half of the time (3) Less than half of the time (2) None of the time (1) Used Viagra or similar drug with every sexual encounter (0) |
2017AQ | | PENIS | In the last month, if you were able to get an erection without using drugs like Viagra, how often were you able to stay hard as long as you wanted to? (Check only one) | All of the time (5) Most of the time (4) About half of the time (3) Less than half of the time (2) None of the time (1) Used Viagra or similar drug with every sexual encounter (0) |
2017AQ | | PENIS | In the last month, if you were able to get an erection, without using drugs like Viagra, how would you rate the hardness of your erection? (Check only one) | Completely hard (5) Almost completely hard (4) Mostly hard, but can be slightly bent (3) A little hard, but bends easily (2) Not at all hard (1) Used Viagra or similar drug with every sexual encounter (0) |
2017AQ | | PENIS | In the last month, if you have had difficulty getting hard or staying hard without using drugs like Viagra, have you been bothered by this problem?… (Check only one) | Not at all bothered/Did not have a problem with erection (5) A little bit bothered (4) Moderately bothered (3) Very bothered (2) Extremely bothered (1) |
2017AQ | | PENIS | The next section deals with ejaculation and the pleasure you have with ejaculation. Ejaculation or “cumming” is the release of semen or “cum” during sexual climax. These questions concern all of your ejaculations when having sexual activity. These could include ejaculations you have had with your main partner, as well as with other partners, or ejaculations you have had when masturbating. | No Answers |
2017AQ | | PENIS | In the last month, how often have you been able to ejaculate when having sexual activity? (Check only one) | All of the time (5) Most of the time (4) About half of the time (3) Less than half of the time (2) None of the time/Could not ejaculate (1) |
2017AQ | | PENIS | In the last month, when having sexual activity, how often did you feel that you took too long to ejaculate or “cum”? (Check only one) | None of the time (5) Less than half of the time (4) About half of the time (3) Most of the time (2) All of the time (1) Could not ejaculate (0) |
2017AQ | | PENIS | In the last month, when having sexual activity, how often have you felt like you were ejaculating (“cumming”), but no fluid came out? | None of the time (5) Less than half of the time (4) About half of the time (3) Most of the time (2) All of the time (1) Could not ejaculate (0) |
2017AQ | | PENIS | In the last month, how would you rate the strength or force of your ejaculation? | As strong as it always was (5) A little less strong than it used to be (4) Somewhat less strong than it used to be (3) Much less strong than it used to be (2) Very much less strong than it used to be (1) Could not ejaculate (0) |
2017AQ | | PENIS | In the last month, how would you rate the amount or volume of semen when you ejaculate? | As much as it always was (5) A little less than it used to be (4) Somewhat less than it used to be (3) Much less than it used to be (2) Very much less than it used to be (1) Could not ejaculate (0) |
2017AQ | | PENIS | Compared to ONE month ago, would you say the physical pleasure you feel when you ejaculate has… | Increased a lot (5) Increased moderately (4) Neither increased nor decreased (3) Decreased moderately (2) Decreased a lot (1) Could not ejaculate (0) |
2017AQ | | PENIS | In the last month, have you experienced any physical pain or discomfort when you ejaculated? Would you say you have… | No pain at all (5) Slight amount of pain or discomfort (4) Moderate amount of pain or discomfort (3) Strong amount of pain or discomfort (2) Extreme amount of pain or discomfort (1) Could not ejaculate (0) |
2017AQ | | PENIS | In the last month, if you have had any ejaculation difficulties or have been unable to ejaculate, have you been bothered by this? | Not at all bothered (5) A little bit bothered (4) Moderately bothered (3) Very bothered (2) Extremely bothered (1) |
2017AQ | | PENIS | Do you have a “main partner”? | Yes (1) No (0) |
2017AQ | | PENIS | These next few questions ask about your relationship with your main partner over the last month. Some of these questions concern your sexual relationship, while others are about your overall relationship. | No Answers |
2017AQ | | PENIS | Generally, how satisfied are you with the overall sexual relationship you have with your main partner? (Check only one) relationship. | Extremely satisfied (5) Moderately satisfied (4) Neither satisfied nor unsatisfied (3) Moderately unsatisfied (2) Extremely unsatisfied (1) |
2017AQ | | PENIS | Generally, how satisfied are you with the quality of the sex life you have with your main partner? | Extremely satisfied (5) Moderately satisfied (4) Neither satisfied nor unsatisfied (3) Moderately unsatisfied (2) Extremely unsatisfied (1) |
2017AQ | | PENIS | Generally, how satisfied are you with the number of times you and your main partner have sex? | Extremely satisfied (5) Moderately satisfied (4) Neither satisfied nor unsatisfied (3) Moderately unsatisfied (2) Extremely unsatisfied (1) |
2017AQ | | PENIS | Generally, how satisfied are you with the way you and your main partner show affection during sex? | Extremely satisfied (5) Moderately satisfied (4) Neither satisfied nor unsatisfied (3) Moderately unsatisfied (2) Extremely unsatisfied (1) |
2017AQ | | PENIS | Generally, how satisfied are you with the way you and your main partner communicate about sex? | Extremely satisfied (5) Moderately satisfied (4) Neither satisfied nor unsatisfied (3) Moderately unsatisfied (2) Extremely unsatisfied (1) |
2017AQ | | PENIS | Aside from your sexual relationship, how satisfied are you with all other aspects of the relationship you have with your main partner? | Extremely satisfied (5) Moderately satisfied (4) Neither satisfied nor unsatisfied (3) Moderately unsatisfied (2) Extremely unsatisfied (1) |
2017AQ | | PENIS | The next set of questions concern the sexual activity you have had in the last month. In answering these questions, we want to know about all of the sexual activity you have had with your main partner, with other partners, or masturbating. By sexual activity, we mean any type of sex you may have had, including intercourse, oral sex, or any other sexual activities that could lead to ejaculation. | No Answers |
2017AQ | | PENIS | In the last month, how often have you had sexual activity, including masturbating, intercourse, oral sex, or any other type of sex? (Check only one) | Daily or almost daily (5) More than 6 times per month (4) 4-6 times per month (3) 1-3 times per month (2) 0 times per month (1) |
2017AQ | | PENIS | When was the last time you had sex? (Check only one) | 1-3 months ago (5) 4-6 months ago (4) 7-12 months ago (3) 13-24 months ago (2) More than 24 months ago (1) |
2017AQ | | PENIS | What are the reasons you have not had sex in the last month? | I could not have sex because I could not get an erection. (1) I could not have sex because I could not ejaculate or cum. (2) I had no partner. (3) Other (please specify) (4) Other (please specify) (TEXT) |
2017AQ | | PENIS | Compared to ONE month ago, has the number of times you have had sexual activity increased or decreased? | Increased a lot (5) Increased moderately (4) Neither increased nor decreased (3) Decreased moderately (2) Decreased a lot (1) |
2017AQ | | PENIS | In the last month, have you been bothered by these changes in the number of times you have had sexual activity? | Not at all bothered (5) A little bit bothered (4) Moderately bothered (3) Very bothered (2) Extremely bothered (1) |
2017AQ | | PENIS | These next questions ask about your urge or desire to have sex with your main partner. Some people refer to this as “feeling horny”. These questions concern the sexual urges you have felt toward your main partner, and not whether you actually had sex. IF YOU DO NOT HAVE A MAIN PARTNER, PLEASE ANSWER ALL QUESTIONS WITHOUT REFERENCE TO A "MAIN PARTNER | No Answers |
2017AQ | | PENIS | In the last month, how often have you felt an urge or desire to have sex with your main partner? | All of the time (5) Most of the time (4) About half of the time (3) Less than half of the time (2) None of the time/Could not ejaculate (1) |
2017AQ | | PENIS | In the last month, how would you rate your urge or desire to have sex with your main partner? | Very high (5) High (4) Moderate (3) Low (2) Very low or none at all (1) |
2017AQ | | PENIS | In the last month, have you been bothered by your level of sexual desire? Have you been… | Not at all bothered (5) A little bit bothered (4) Moderately bothered (3) Very bothered (2) Extremely bothered (1) |
2017AQ | | PENIS | Compared to ONE month ago, has your urge or desire for sex with your main partner increased or decreased? | Increased a lot (5) Increased moderately (4) Neither increased nor decreased (3) Decreased moderately (2) Decreased a lot (1) |
2017AQ | | | Sexual Health and Infections | No Answers |
2017AQ | | | Has a doctor or other health care professional ever told you that you had genital herpes? | Yes (1) No (0) |
2017AQ | | HERPES_EVER | Has a doctor or other health care professional told you that you had genital herpes in the last 12 months? | Yes (1) No (0) |
2017AQ | | | Has a doctor or other health care professional ever told you that you had genital warts? | Yes (1) No (0) |
2017AQ | | WARTS_EVER | Has a doctor or other health care professional told you that you had genital warts in the last 12 months? | Yes (1) No (0) |
2017AQ | | | Has a doctor or other health care professional ever told you that you had human papillomavirus or HPV? | Yes (1) No (0) |
2017AQ | | HPV_EVER | Has a doctor or other health care professional told you that you had human papillomavirus or HPV in the last 12 months? | Yes (1) No (0) |
2017AQ | | | Has a doctor or other health care professional ever told you that you had gonorrhea, sometimes called GC or the clap? | Yes (1) No (0) |
2017AQ | | GC_EVER | Has a doctor or other health care professional told you that you had gonorrhea (also called GC or the clap) in the last 12 months? | Yes (1) No (0) |
2017AQ | | | Has a doctor or other health care professional ever told you that you had chlamydia? | Yes (1) No (0) |
2017AQ | | CT_EVER | Has a doctor or other health care professional told you that you had chlamydia in the last 12 months? | Yes (1) No (0) |
2017AQ | | | Has a doctor or other health care professional ever told you that you had syphilis? | Yes (1) No (0) |
2017AQ | | SYPHILIS_EVER | Has a doctor or other health care professional told you that you had syphilis in the last 12 months? | Yes (1) No (0) |
2017AQ | | | Except for tests that you may have had as part of blood donations, have you ever been tested for HIV? | Yes (1) No (0) I dont know (88) |
2017AQ | | HIVTEST_EVER | Have you been tested for HIV within the past year? | Yes (1) No (0) I dont know (88) |
2017AQ | | HIVTEST_EVER | What is your HIV status? | Positive (I have HIV.) (1) Negative (I do not have HIV.) (0) I dont know (I dont know whether or not I have HIV.) (88) |
2017AQ | | HIVSTATUS | PrEP (pre-exposure prophylaxis) is when HIV-negative people take anti-HIV medications (like Truvada) on a regular basis to prevent HIV infection. Before today, have you ever heard of PrEP? | Yes (1) No (0) I dont know (88) |
2017AQ | | PREP_HEARD | Would you be interested in learning more about PrEP? | Yes (1) No (0) |
2017AQ | | PREP_HEARD | Have you ever been on PrEP to prevent HIV infection? | Yes (1) No (0) |
2017AQ | | PREP_EVER | Are you currently on PrEP to prevent HIV infection? | Yes (1) No (0) |
2017AQ | | | Are you currently on PrEP as part of a clinical study? | Yes (1) No (0) |
2017AQ | | PREP_NOW | How would you rate your ability to take your PrEP pills as prescribed? | Very poor (0) Poor (1) Fair (2) Good (3) Very good (4) |
2017AQ | | PREP_NOW | In the past 7 days, how many days did you take your PrEP pill? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2017AQ | | PREP_NOW | Why are you no longer on PrEP? (Check all that apply.) | My risk of getting HIV is now less because I am in a relationship and/or having less risky sexual activity. (1) PrEP is too expensive. (2) My insurance coverage has changed or I have lost insurance coverage. (3) I forgot to take it most of the time so I decided to stop. (4) It is too much of a hassle to get labs every 3 months. (5) I was having side effects so I decided to stop. (6) My doctor or health care provider said that I needed to stop the medication because of my lab results. (7) I feel discriminated against or stigmatized because I am on PrEP. (8) I became infected with HIV. (9) Something else (10) Something else (TEXT) |
2017AQ | | HIVSTATUS | PEP (post-exposure prophylaxis) is when HIV-negative people take anti-HIV medications AFTER potentially being exposed to HIV in order to prevent HIV infection. Have you ever heard of PEP (post-exposure prophylaxis)? | Yes (1) No (0) |
2017AQ | | PEP_HEARD | Have you ever taken anti-HIV medications (PEP) AFTER potentially being exposed to HIV? | Yes (1) No (0) |
2017AQ | | HIVSTATUS | Do you have a doctor or other health care provider who manages your HIV care? This may be the same provider as your primary care provider or it may be another provider, such as a HIV specialist. | Yes (1) No (0) I dont know (88) |
2017AQ | | HIVDOC | How frequently do you see this provider? | Monthly (0) Every 1-3 months (1) Every 4-6 months (2) Every 7-12 months (3) More than every 12 months (4) |
2017AQ | | HIVSTATUS | How frequently do you have HIV blood work (lab tests) done? | Monthly (0) Every 1-3 months (1) Every 4-6 months (2) Every 7-12 months (3) More than every 12 months (4) |
2017AQ | | HIVSTATUS | Are you on HIV medications, sometimes call anti-retrovirals (ARVs) or anti-retroviral therapy (ART)? | Yes (1) No (2) I dont know (3) |
2017AQ | | HIVSTATUS | When was the last time that you had your HIV viral load checked? A viral load test is a lab test that measures the number of HIV virus particles in a milliliter of your blood. These particles are called “copies.” | Monthly (0) Every 1-3 months (1) Every 4-6 months (2) Every 7-12 months (3) More than every 12 months (4) |
2017AQ | | HIVSTATUS | Is your HIV viral load “suppressed” or “undetectable”? This means that the number of copies of the HIV virus in your blood is at a very low level or not detectable by modern medical tests. This does not mean that your HIV is cured. | Yes (1) No (2) I dont know (3) |
2017AQ | | | Vaccinations | No Answers |
2017AQ | | | DURING THE PAST 12 MONTHS, have you had a flu vaccine - usually a shot in your arm or sprayed in your nose by a doctor or other health professional? These are usually given in the fall and protects against influenza for the flu season. | Yes (1) No (0) I dont know (88) |
2017AQ | | | Have you EVER had a pneumonia shot? This shot is usually given only once or twice in a person's lifetime and is different from the flu shot. It is also called the pneumococcal vaccine. | Yes (1) No (0) I dont know (88) |
2017AQ | | | Have you EVER received the hepatitis B vaccine? This is given in three separate doses and has been available since 1991. It is recommended for newborn infants, adolescents, and people such as health care workers, who may be exposed to the hepatitis B virus. | Yes (1) No (0) I dont know (88) |
2017AQ | | | The hepatitis A vaccine is given as a two-dose series routinely to some children starting at 1 year of age, and to some adults and people who travel outside the United States. Although it can be given as a combination vaccine with hepatitis B, it is different from the hepatitis B shot, and has only been available since 1995. Have you ever received the hepatitis A vaccine? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Shingles is an outbreak of a rash or blisters on the skin that may be associated with severe pain. The pain is generally on one side of the body or face. Shingles is caused by the chicken pox virus. A vaccine for shingles has been available since May 2006. Have you ever had the Zoster or Shingles vaccine, also called Zostavax®? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Have you received a tetanus shot in the past 10 years? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Have you ever received an HPV shot or vaccine? HPV stands for human papillomavirus. The vaccines are sometimes called CERVARIX® or GARDASIL®. | Yes (1) No (0) Doctor refused when asked (2) I dont know (88) |
2017AQ | | | Pregnancy and Family Planning | No Answers |
2017AQ | | | Did you ever have a uterus / womb? | Yes (1) No (0) I dont know (88) |
2017AQ | | UTERUS_EVER | Do you currently have a uterus / womb? | Yes (1) No (0) I dont know (88) |
2017AQ | | UTERUS_EVER | Have you ever had a menstrual period? | Yes (1) No (0) I dont know (88) |
2017AQ | | MENSES_EVER | How old were you when your menstrual period started? (Please enter “88” if you don't know.) | Text Entry (-) |
2017AQ | | MENSES_EVER | Have you had at least one menstrual period in the past 12 months? Please do not include bleedings caused by medical conditions, hormone therapy, or surgeries. | Yes (1) No (0) I dont know (88) |
2017AQ | | MENSES_YEAR | What is the reason that you have not had a period in the past 12 months? (Check all that apply.) | Pregnancy (1) Breastfeeding (2) Hysterectomy (removal of the uterus) (3) Menopause/change of life (4) Hormones to stop my periods (5) Other (6) Other (TEXT) I dont know (88) |
2017AQ | | MENSES_NOYEAR | About how old were you when you had your last menstrual period? (Please enter “88” if you don't know.) | Text Entry (-) |
2017AQ | | UTERUS_EVER | The next questions are about pregnancy planning and your pregnancy history, if applicable. | No Answers |
2017AQ | | UTERUS_NOW | Are you planning to be pregnant in the next 1 year? | Yes (1) No (0) I dont know (88) |
2017AQ | | UTERUS_EVER | Have you ever attempted to become pregnant over a period of at least a year without becoming pregnant? | Yes (1) No (0) I dont know (88) |
2017AQ | | UTERUS_EVER | Have you ever been to a doctor or other medical provider because you have been unable to become pregnant? | Yes (1) No (0) I dont know (88) |
2017AQ | | UTERUS_EVER | Have you ever been treated for an infection in your fallopian tubes, uterus or ovaries, also called a pelvic infection, pelvic inflammatory disease, or PID? | Yes (1) No (0) I dont know (88) |
2017AQ | | UTERUS_EVER | Have you ever been pregnant? Please include any current pregnancy, live births, miscarriages, stillbirths, tubal pregnancies, and abortions. | Yes (1) No (0) I dont know (88) |
2017AQ | | PREG_EVER MENSES_NOYEAR | Are you pregnant now? | Yes (1) No (0) I dont know (88) |
2017AQ | | PREG_EVER | How many times have you been pregnant? (Please count all your pregnancies including current pregnancy, live births, miscarriages, stillbirths, tubal pregnancies, and abortions.) (Please enter "88" if you don't know.) | Text Entry (-) |
2017AQ | | PREG_EVER | Did any of your pregnancies result in a delivery? | Yes (1) No (0) |
2017AQ | | PREG_DEL | How many vaginal deliveries have you had? (Please count the number of deliveries [for example, twins count as 1 delivery] and please include stillbirths and live births.) (Please enter “88” if you don't know.) | Text Entry (-) |
2017AQ | | PREG_DEL | How many cesarean deliveries, also known as C-sections, have you had? (Please count the number of deliveries [for example, twins count as 1 delivery] and please include stillbirths and live births.) (Please enter “88” if you don't know.) | Text Entry (-) |
2017AQ | | PREG_DEL | How many of your deliveries resulted in a live birth? (Please count the number of deliveries [for example, twins count as 1 delivery].) (Please enter “88” if you don't know.) | Text Entry (-) |
2017AQ | | PREG_EVER | How many miscarriages have you had? (A miscarriage is a pregnancy that ends naturally during the first 20 weeks of pregnancy.) (Please enter “88” if you don't know.) | Text Entry (-) |
2017AQ | | PREG_EVER | How many tubal pregnancies have you had? (A tubal pregnancy also known as an 'ectopic pregnancy' is a pregnancy that occurs in the fallopian tube.) (Please enter “88” if you don't know.) | Text Entry (-) |
2017AQ | | PREG_EVER | How many abortions have you had? (An abortion is a pregnancy that is ended during the first 6 months using medications, D&C, vacuum extraction, suction, and saline injections.) (Please enter “88” if you don't know.) | Text Entry (-) |
2017AQ | | PREG_EVER | How old were you at the time of your first pregnancy? (Please enter “88” if you don't know.) | Text Entry (-) |
2017AQ | | LIVE_BIRTH | How old were you at the time of your first live birth? (Please enter “88” if you don't know.) | Text Entry (-) |
2017AQ | | UTERUS_EVER | Have you ever breast/chest fed a child? | Yes (1) No (0) |
2017AQ | | BREASTFED | Were the children that you breast/chest fed born as a result of…? | My own pregnancy and delivery (1) Another persons pregnancy and delivery (2) Both, I have breast/chest fed both a child that I have delivered as well as a child that another person delivered (3) |
2017AQ | | | Sex Work | No Answers |
2017AQ | | | Have you ever engaged in sex or sexual activity for money (sex work) or worked in the sex industry (such as erotic dancing, webcam work, or porn films)? | Yes (1) No (0) |
2017AQ | | SEXWORK | What type of sex work or work in the sex industry have you ever done? (Check all that apply.) | SEXWORK1 (1) SEXWORK2 (2) SEXWORK3 (3) SEXWORK4 (4) SEXWORK5 (5) SEXWORK6 (6) SEXWORK7 (7) SEXWORK8 (8) SEXWORK9 (9) SEXWORK10 (10) SEXWORK11 (11) SEXWORK11 (TEXT) |
2017AQ | | | Have you engaged in sex or sexual activity for food? | Yes, within the past year (2) Yes, but more than a year ago (1) No (0) |
2017AQ | | | Have you engaged in sex or sexual activity for a place to sleep? | Yes, within the past year (2) Yes, but more than a year ago (1) No (0) |
2017AQ | | | Have you engaged in sex or sexual activity for drugs? | Yes, within the past year (2) Yes, but more than a year ago (1) No (0) |
2017AQ | | | Complementary and Integrative Health | No Answers |
2017AQ | | | The next questions are about your use of various practices that some people use to manage physical and/or mental health conditions. | No Answers |
2017AQ | | | IN THE PAST YEAR, have you used acupuncture to manage physical and/or or mental health conditions? | Yes (1) No (0) |
2017AQ | | ACU | What problem(s) or condition(s) do you use acupuncture to manage? | Text Entry (-) |
2017AQ | | ACU | How effective has acupuncture been in managing this/these problem(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2017AQ | | | IN THE PAST YEAR, have you used chiropractic or osteopathic manipulation to manage physical and/or or mental health conditions? | Yes (1) No (0) |
2017AQ | | CHIRO | What problem(s) or condition(s) do you use chiropractic or osteopathic manipulation to manage? | Text Entry (-) |
2017AQ | | CHIRO | How effective has chiropractic or osteopathic manipulation been in managing this/these problem(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2017AQ | | | IN THE PAST YEAR, have you used energy healing to manage physical and/or or mental health conditions? | Yes (1) No (0) |
2017AQ | | ENERGY | What problem(s) or condition(s) do you use energy healing to manage? | Text Entry (-) |
2017AQ | | ENERGY | How effective has energy healing been in managing this/these problem(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2017AQ | | | IN THE PAST YEAR, have you used massage therapy to manage physical and/or or mental health conditions? | Yes (1) No (0) |
2017AQ | | MASSAGE | What problem(s) or condition(s) do you use massage therapy to manage? | Text Entry (-) |
2017AQ | | MASSAGE | How effective has massage therapy been in managing this/these problem(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2017AQ | | | IN THE PAST YEAR, have you practiced any form of meditation regularly? | Yes (1) No (0) |
2017AQ | | MEDITATION | Please estimate how many minutes per week you spent meditating, on average, over the past year. | Text Entry (-) |
2017AQ | | MEDITATION | Was your meditation practice intended to manage physical and/or mental health conditions? | Yes (1) No (0) |
2017AQ | | MEDITATION_MANAGE | What problem(s) or condition(s) do you use meditation to manage? | Text Entry (-) |
2017AQ | | MEDITATION_MANAGE | How effective has meditation been in managing this/these problem(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2017AQ | | | IN THE PAST YEAR, have you practiced any form of yoga regularly? | Yes (1) No (0) |
2017AQ | | YOGA | Please estimate how many minutes per week you spent practicing yoga, on average, over the past year. | Text Entry (-) |
2017AQ | | YOGA | Was your yoga practice intended to manage physical and/or mental health conditions? | Yes (1) No (0) |
2017AQ | | YOGA_MANAGE | What problem(s) or condition(s) do you use yoga to manage? | Text Entry (-) |
2017AQ | | YOGA_MANAGE | How effective has yoga been in managing this/these problem(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2017AQ | | | Medical Marijuana | No Answers |
2017AQ | | | Do you currently use medical cannabis/marijuana to manage any physical or mental health conditions? | Yes, it is legal in my state and I have a physicians recommendation to do so (2) Yes, but it is not legal in my state and/or I do not have a physicians recommendation to do so (1) No (0) |
2017AQ | | | What problems or conditions do you use medical cannabis/marijuana to manage? | Text Entry (-) |
2017AQ | | MEDMJ | How effective has medical cannabis/marijuana been in managing this/these problem(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2017AQ | | MEDMJ | What forms of medical cannabis/marijuana have you used in the past month? (Check all that apply.) | Smoking cannabis/marijuana in flower/plant form (1) Vaporizing cannabis/marijuana in flower/plant form or as an extract (2) Dabbing cannabis/marijuana concentrates (e.g., wax, shatter) (3) Eating cannabis/marijuana in capsules or food products (4) Applying cannabis-containing balms, tinctures, or other products (5) Other (please specify) (6) Other (please specify) (TEXT) |
2017AQ | | | Vitamins and Minerals | No Answers |
2017AQ | | | Are you taking any of the following supplements? (Check all that apply.) | None of these (0) Multivitamin (1) Fish Oil/Omega-3 Fatty Acids (2) Glucosamine and/or chondroitin (3) Probiotics/prebiotics (4) Melatonin (5) Coenzyme Q10 (6) Echinacea (7) Cranberry (pills, capsules) (8) Garlic supplements (9) Ginseng (10) Ginkgo biloba (11) Other (please specify, enter 1 item only) (12) Other (please specify, enter 1 item only) (TEXT) Other (please specify, enter 1 item only) (13) Other (please specify, enter 1 item only) (TEXT) Other (please specify, enter 1 item only) (14) Other (please specify, enter 1 item only) (TEXT) |
2017AQ | | | This section asks additional questions about you and your identities, your use of social media, income, military service, and future research in The PRIDE Study. Your honest answers will help us understand the overall health of our communities. Your answers will be kept confidential. Please do your best to answer every question, but you may skip questions that feel too uncomfortable to answer. This section should take about 5 minutes to complete. | No Answers |
2017AQ | | | More About Me | No Answers |
2017AQ | | | What is your ZIP code? (This is the 5-digit code that helps direct US Mail to you.) | Text Entry (-) |
2017AQ | | | If a national survey company, like Gallup, asked you the following question: “We are asking only for statistical purposes: Do you personally identify as lesbian, gay, bisexual, or transgender?” How would you answer? | I would answer Yes. (1) I would answer No. (0) I would not answer the question. (2) |
2017AQ | | | In politics, as of today, do you consider yourself a Democrat, an Independent, a Republican, or another party? | Democrat (1) Independent (2) Republican (3) Another party (4) |
2017AQ | | POLPARTY | As of today, do you lean more toward the Democratic Party or the Republican Party? | Democratic Party (1) Republican Party (2) Neither/Other (3) |
2017AQ | | | How would you describe your political views? | Very conservative (1) Conservative (2) Moderate (3) Liberal (4) Very liberal (5) |
2017AQ | | | Do you identity as intersex? | Yes (1) No (2) |
2017AQ | | INTERSEX | What does intersex mean to you? | Text Entry (-) |
2017AQ | | | Do you consider yourself a member of any of the following communities? (Check all that apply.) | None of these (1) BDSM (2) Kink (3) Leather (4) Puppy pack (5) Faeries (6) Bear (7) Another community (please specify) (8) Another community (please specify) (TEXT) |
2017AQ | | | What is your best estimate (in US dollars) of your earnings before taxes and deductions from ALL sources (including jobs, businesses, welfare, child support, disability, social security, etc.) in 2016? | Text Entry (-) |
2017AQ | | | What is your current total student loan debt (in US dollars)? | Text Entry (-) |
2017AQ | | | Did you work for pay at any time in 2016? | Yes (1) No (2) |
2017AQ | | JOB | How many months in 2016 did you have at least one job or business? | Text Entry (-) |
2017AQ | | | What is your current relationship status? | Partnered, living with 1 or more partners (1) Partnered, not living with a partner (2) Single (3) Something else (4) Something else (TEXT) |
2017AQ | | | What is your current legal marital status? | Married (1) Legally recognized civil union (2) Registered domestic partnership (3) Widowed (4) Divorced (5) Separated (6) Single, never married (7) |
2017AQ | | | What are your current living arrangements? | Living in house/apartment/condo I own alone or with others (with a mortgage or that you own free and clear) (1) Living in house/apartment/condo I rent alone or with others (2) Living with a partner, spouse, or other person who pays for the housing (3) Living with parents or family I grew up with (4) Living in campus/university housing (5) Living in military barracks (6) Living in a foster group home or other foster care (7) Living in a nursing home or other adult care facility (8) Living in a hospital (9) Living in a hotel or motel that I pay for myself (10) Living in a hotel or motel with an emergency shelter voucher (11) Living temporarily with friends or family because I cannot afford my own housing (12) Living in transitional housing/halfway house (13) Living on the street, in a car, in an abandoned building, in a park, or a place that is NOT a house, apartment, shelter, or other housing (14) Living in a homeless shelter (15) Living in a domestic violence shelter (16) Living in a shelter that is not a homeless shelter or domestic violence shelter (17) A living arrangement not listed above (please specify) (18) A living arrangement not listed above (please specify) (TEXT) |
2017AQ | | | What is your citizenship or immigration status in the U.S.? As a reminder, your answers are confidential and cannot be used against you. We have obtained a Certificate of Confidentiality from the National Institutes of Health. We can use this Certificate to legally refuse to disclose information that may identify you in any federal, state, or local civil, criminal, administrative, legislative, or other proceedings (for example, if there is a court subpoena). | U.S. citizen by birth (1) U.S. citizen by naturalization (2) Permanent resident (Green card holder) (3) A visa holder (such as F-1, J-1, H-1B, and U) (4) DACA (Deferred Action for Childhood Arrival) (5) DAPA (Deferred Action for Parental Accountability) (6) Refugee status (7) Undocumented resident (8) Currently under a withholding of removal status (9) Other documented status not mentioned above (10) Id prefer not to disclose this (11) |
2017AQ | | | Military Service | No Answers |
2017AQ | | | Have you ever served on active duty in the U.S. Armed Forces, Reserves, or National Guard? As a reminder, your answers are confidential and cannot be used against you. We have obtained a Certificate of Confidentiality from the National Institutes of Health. We can use this Certificate to legally refuse to disclose information that may identify you in any federal, state, or local civil, criminal, administrative, legislative, or other proceedings (for example, if there is a court subpoena). | Now on active duty (1) Only on active duty for training in the Reserves or National Guard (2) On active duty in the past but not now (3) Never served in the military (0) |
2017AQ | | MIL_EVER | Are you still serving in the military including Reserves and National Guard? | Yes (1) No (0) |
2017AQ | | MIL_EVER | What is your current or most recent branch of service? | Air Force (1) Air Force Reserve (2) Air National Guard (3) Army (4) Army Reserve (5) Army National Guard (6) Coast Guard (7) Coast Guard Reserve (8) Marine Corps (9) Marine Corps Reserve (10) Navy (11) Navy Reserve (12) |
2017AQ | | MIL_NOW | Did you separate from military service within the last 10 years? | Yes (1) No (0) |
2017AQ | | MIL_NOW | What was your character of discharge? | Entry level separation (1) Honorable (2) General (3) Medical (4) Other-than-honorable (5) Bad conduct (6) Dishonorable (7) None of these (please specify) (8) None of these (please specify) (TEXT) |
2017AQ | | MIL_EVER | Did you ever get any type of health care through the VA? | Yes (1) No (0) |
2017AQ | | VACARE_EVER | Do you currently get any type of health care through the VA? | Yes (1) No (0) |
2017AQ | | | Social Media | No Answers |
2017AQ | | | On which social media sites, do you have a profile? (Check all that apply.) | None of these (0) Facebook (1) Google (2) Instagram (3) LinkedIn (4) Pinterest (5) Snapchat (6) Twitter (7) |
2017AQ | | SOCMED_PROFILE | Please select up to two sites that you use the most? | Facebook (1) Google (2) Instagram (3) LinkedIn (4) Pinterest (5) Snapchat (6) Twitter (7) |
2017AQ | | | Please indicate how true or not true the following statement is to you:I am very active in social networking sites | Completely not true (1) Mostly not true (2) Neither not true or true (3) Mostly true (4) Completely true (5) |
2017AQ | | | Please indicate how true or not true the following statement is to you:I often comment on friends' posts or status | Completely not true (1) Mostly not true (2) Neither not true or true (3) Mostly true (4) Completely true (5) |
2017AQ | | | Please indicate how true or not true the following statement is to you: I often browse social networking sites but don't post status updates | Completely not true (1) Mostly not true (2) Neither not true or true (3) Mostly true (4) Completely true (5) |
2017AQ | | | Please indicate how true or not true the following statement is to you: I rarely interact with others on social networking sites | Completely not true (1) Mostly not true (2) Neither not true or true (3) Mostly true (4) Completely true (5) |
2017AQ | | | Please indicate how true or not true the following statement is to you: I am relatively passive in social networking sites | Completely not true (1) Mostly not true (2) Neither not true or true (3) Mostly true (4) Completely true (5) |
2017AQ | | | Future Research in The PRIDE Study | No Answers |
2017AQ | | | In the future, The PRIDE Study may conduct optional research studies that involve taking certain measurements at home such as your heart rate or blood pressure. Additionally, The PRIDE Study may conduct optional research studies that include collection of biological specimens such as saliva, urine, hair samples, or blood.In order to determine if these are research studies that we should conduct, we are asking the next questions to find out which devices our participants own and what specimens they would be willing to give us for research purposes. | No Answers |
2017AQ | | | Do you own a scale that can measure your weight? It does not need to be a digital scale or a "smart" scale that is connected to the Internet. | Yes (1) No (0) I dont know (88) |
2017AQ | | | Do you own an automatic (digital) blood pressure cuff that goes around your upper arm (not your wrist)? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Do you own a glucometer (a device that checks your blood sugar level using a small drop of blood obtained by a fingerstick)? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Would you be willing to participate in research studies that request you submit a saliva sample? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Would you be willing to participate in research studies that request you submit a urine sample? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Would you be willing to participate in research studies that request you submit a hair sample? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Would you be willing to participate in research studies that request you submit a blood sample? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Would you be willing to participate in research studies that request you submit a cheek scraping (where you gently scrape the inside of your cheek to get cells from inside your mouth)? This is also know as a buccal swab. | Yes (1) No (0) I dont know (88) |
2017AQ | | | Have you ever done DNA genetic testing with the company 23andMe? | Yes (1) No (0) I dont know (88) |
2017AQ | | 23ANDME | Would you be willing to share your 23andMe results with The PRIDE Study? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Have you ever done DNA genetic testing with the company Ancestry.com? | Yes (1) No (0) I dont know (88) |
2017AQ | | ANCESTRY | Would you be willing to share your Ancestry.com results with The PRIDE Study? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Is there anything else you would like to share with us about your health or well-being? | Text Entry (-) |
2018AQ | | | What is your current gender identity? (Check all that apply.) | Genderqueer (1) Man (2) Transgender man (3) Transgender woman (4) Woman (5) Another gender identity (please specify) (6) Another gender identity (please specify) (TEXT) |
2018AQ | | | What was your sex assigned at birth, for example on your original birth certificate? | Female (2) Male (1) |
2018AQ | | | Do you identify as intersex? | Yes (1) No (0) |
2018AQ | | INTERSEX | What does being intersex mean to you? | Text Entry (-) |
2018AQ | | | What is your current sexual orientation? (Check all that apply.) | Asexual (1) Bisexual (2) Gay (3) Lesbian (4) Pansexual (5) Queer (6) Questioning (7) Same-gender loving (8) Straight/Heterosexual (9) Another sexual orientation (please specify) (10) Another sexual orientation (please specify) (TEXT) |
2018AQ | | | What is your ZIP code? (This is the 5-digit code that helps direct U.S. Mail to you.) | Text Entry (-) |
2018AQ | | | What is your current weight in pounds (lbs)? If you don't know, please give your best estimate. | Text Entry (-) |
2018AQ | | | What is your current height in feet and inches? If you don't know, please give your best estimate. | Text Entry (-) |
2018AQ | | | Which categories describe you? (Check all that apply.) | American Indian or Alaska Native (For example: Aztec, Blackfeet Tribe, Mayan, Navajo Nation, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, etc.) (1) Asian (For example: Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, etc.) (2) Black, African American or African (For example: African American, Ethiopian, Haitian, Jamaican, Nigerian, Somali, etc.) (3) Hispanic, Latino, or Spanish (For example: Colombian, Cuban, Dominican, Mexican or Mexican American, Puerto Rican, Salvadoran, etc.) (4) Middle Eastern or North African (For example: Algerian, Egyptian, Iranian, Lebanese, Moroccan, Syrian, etc.) (5) Native Hawaiian or other Pacific Islander (For example: Chamorro, Fijian, Marshallese, Native Hawaiian, Tongan, etc.) (6) White (For example: English, European, French, German, Irish, Italian, Polish, etc.) (7) None of these fully describe me. (please specify) (8) None of these fully describe me. (please specify) (TEXT) |
2018AQ | | | Problems You May Have Had | No Answers |
2018AQ | | | Have you EVER thought that you had a problem with anxiety? | I have never had this problem (0) Yes, I have in the past, but not now (1) Yes, and I think I still have this problem (2) |
2018AQ | | | Have you EVER thought that you had depression? | I have never had this problem (0) Yes, I have in the past, but not now (1) Yes, and I think I still have this problem (2) |
2018AQ | | | Have you EVER thought that you had an eating disorder or a problem with eating? | I have never had this problem (0) Yes, I have in the past, but not now (1) Yes, and I think I still have this problem (2) |
2018AQ | | | Have you EVER thought that you had a problem with alcohol use? | I have never had this problem (0) Yes, I have in the past, but not now (1) Yes, and I think I still have this problem (2) |
2018AQ | | | Have you EVER thought that you had a problem with drug or substance use (other than alcohol)? | I have never had this problem (0) Yes, I have in the past, but not now (1) Yes, and I think I still have this problem (2) |
2018AQ | | | Have you EVER thought that you had a problem with pulling out your hair? | I have never had this problem (0) Yes, I have in the past, but not now (1) Yes, and I think I still have this problem (2) |
2018AQ | | | Have you EVER thought that you had a problem with picking at your skin to the point it caused damage? | I have never had this problem (0) Yes, I have in the past, but not now (1) Yes, and I think I still have this problem (2) |
2018AQ | | | Has a mental health professional or health care provider EVER told you that you have any of the following? (Check all that apply.) | Depression (1) Bipolar Disorder (2) Any anxiety disorder (3) Generalized Anxiety Disorder (4) Post-Traumatic Stress Disorder (PTSD) (5) None of the above (6) |
2018AQ | | | Has a mental health professional or health care provider EVER told you that you have any of the following? (Check all that apply.) | Agoraphobia or Panic Disorder (1) Social Phobia or Social Anxiety Disorder (2) Schizophrenia or a psychotic disorder or that you had a psychotic episode or psychotic break (3) Obsessive Compulsive Disorder (OCD) (4) Chronic Tic Disorder or Tourette Syndrome (5) None of the above (6) |
2018AQ | | | Has a mental health professional or health care provider EVER told you that you have any of the following? (Check all that apply.) | Trichotillomania (hair pulling disorder) (1) Chronic skin picking or Excoriation Disorder (2) Body Dysmorphic Disorder (BDD) (3) Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD) (4) Any personality disorder (such as Borderline Personality Disorder or Narcissistic Personality Disorder) (5) None of the above (6) |
2018AQ | | | Has a mental health professional or health care provider EVER told you that you have any of the following? (Check all that apply.) | Alcoholism or Alcohol Use Disorder (1) Drug or Substance Use Disorder (2) Any eating disorder (such as anorexia or bulimia) (3) Insomnia or another sleep disorder (4) Hypochondriasis or Illness Anxiety Disorder (5) Dissociative Identity Disorder or another dissociative disorder (6) None of the above (7) |
2018AQ | | | How satisfied or dissatisfied are you with the amount of body fat you have? | Very dissatisfied (0) Somewhat dissatisfied (1) Neither satisfied nor dissatisfied (2) Somewhat satisfied (3) Very satisfied (4) |
2018AQ | | BSAT_FAT | Would you prefer to have more body fat, or less body fat? | More body fat (0) Less body fat (1) |
2018AQ | | | How satisfied or dissatisfied are you with the amount of muscle mass you have? | Very dissatisfied (0) Somewhat dissatisfied (1) Neither satisfied nor dissatisfied (2) Somewhat satisfied (3) Very satisfied (4) |
2018AQ | | BSAT_MUSC | Would you prefer to have more muscle mass, or less muscle mass? | More muscle mass (0) Less muscle mass (1) |
2018AQ | | | Which of the following best describes your use of medications for stress or mental health problems? | I have never taken medication for these reasons (0) I used to take medication for at least one of these reasons (1) I currently take medication for at least one of these reasons (2) |
2018AQ | | MED_MENTAL | Which of the following best describes your use of medications for stress or mental health problems? | All of the medications I took for stress or mental health problems were prescribed to me (0) Some of the medications I took for stress or mental health problems were prescribed to me (1) None of the medications I took for stress or mental health problems were prescribed to me (2) |
2018AQ | | | Which of the following best describes your use of medications for substance use problems? | I have never taken medication for this reason (0) I used to take medication for this reason (1) I currently take medication for this reason (2) |
2018AQ | | | Which of the following best describes your use of psychotherapy/counseling for stress or mental health problems? | I have never been in psychotherapy/counseling for these reasons (0) I used to be in psychotherapy/counseling for at least one of these reasons (1) I am currently in psychotherapy/counseling for at least one of these reasons (2) |
2018AQ | | | Which of the following best describes your use of psychotherapy/counseling for substance use problems? | I have never been in psychotherapy/counseling for this reason (0) I used to be in psychotherapy/counseling for this reason (1) I am currently in psychotherapy/counseling for this reason (2) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Little interest or pleasure in doing things | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Feeling down, depressed, or hopeless | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Trouble falling or staying asleep, or sleeping too much | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Feeling tired or having little energy | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Poor appetite or overeating | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Feeling bad about yourself - or that you are a failure or have let yourself or your family down | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Trouble concentrating on things, such as reading the newspaper or watching television | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Thoughts that you would be better off dead or of hurting yourself in some way | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | PHQ9 | We at The PRIDE Study value the health and mental health of sexual and gender minority people like you. Suicide has taken too many of us. We sincerely urge you to get help, as we know that things can get better with help. Please consider reaching out for services in your area, and also consider calling 1-800-273-8255 (National Suicide Prevention Lifeline) or 1-888-843-4564 (LGBT National Hotline) to talk with someone. Go to the emergency room or call 911 if you are in crisis and don't know where to get help. The PRIDE Study team cares about you and the health of our community. | No Answers |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Feeling nervous, anxious or on edge | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Not being able to stop or control worrying | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Worrying too much about different things | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Trouble relaxing | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Being so restless that it is hard to sit still | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Becoming easily annoyed or irritable | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Feeling afraid as if something awful might happen | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | In the past month, how much have you been bothered by the following problem: Repeated, disturbing memories, thoughts, or images of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2018AQ | | | In the past month, how much have you been bothered by the following problem: Feeling very upset when something reminded you of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2018AQ | | | In the past month, how much have you been bothered by the following problem: Avoided activities or situations because they reminded you of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2018AQ | | | In the past month, how much have you been bothered by the following problem: Feeling distant or cut off from other people? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2018AQ | | | In the past month, how much have you been bothered by the following problem: Feeling irritable or having angry outbursts? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2018AQ | | | In the past month, how much have you been bothered by the following problem: Having difficulty concentrating? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2018AQ | | | Sometimes things happen to people that are unusually or especially frightening, horrible, or traumatic. For example: a serious accident or fire, a physical or sexual assault or abuse, an earthquake or flood, a war, seeing someone be killed or seriously injured, having a loved one die through homicide or suicide.Have you ever experienced this kind of event? | Yes (1) No (0) |
2018AQ | | | How often do you have difficulty concentrating on what people say to you, even when they are speaking to you directly? | Never (1) Rarely (2) Sometimes (3) Often (4) Very Often (5) |
2018AQ | | | How often do you leave your seat in meetings or other situations in which you are expected to remain seated? | Never (1) Rarely (2) Sometimes (3) Often (4) Very Often (5) |
2018AQ | | | How often do you have difficulty unwinding and relaxing when you have time to yourself? | Never (1) Rarely (2) Sometimes (3) Often (4) Very Often (5) |
2018AQ | | | When you're in a conversation, how often do you find yourself finishing the sentences of the people you are talking to before they can finish them themselves? | Never (1) Rarely (2) Sometimes (3) Often (4) Very Often (5) |
2018AQ | | | How often do you put things off until the last minute? | Never (1) Rarely (2) Sometimes (3) Often (4) Very Often (5) |
2018AQ | | | How often do you depend on others to keep your life in order and attend to details? | Never (1) Rarely (2) Sometimes (3) Often (4) Very Often (5) |
2018AQ | | | When I want to feel more positive emotion (such as joy or amusement), I change what I'm thinking about. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2018AQ | | | I keep my emotions to myself. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2018AQ | | | When I want to feel less negative emotion (such as sadness or anger), I change what I'm thinking about. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2018AQ | | | When I am feeling positive emotions, I am careful not to express them. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2018AQ | | | When I'm faced with a stressful situation, I make myself think about it in a way that helps me stay calm. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2018AQ | | | I control my emotions by not expressing them. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2018AQ | | | When I want to feel more positive emotion, I change the way I'm thinking about the situation. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2018AQ | | | I control my emotions by changing the way I think about the situation I'm in. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2018AQ | | | When I am feeling negative emotions, I make sure not to express them. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2018AQ | | | When I want to feel less negative emotion, I change the way I'm thinking about the situation. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2018AQ | | | I tend to bounce back quickly after hard times. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQ | | | I have a hard time making it through stressful events. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQ | | | It does not take me long to recover from a stressful event. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQ | | | It is hard for me to snap back when something bad happens. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQ | | | I usually come through difficult times with little trouble. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQ | | | I tend to take a long time to get over set-backs in my life. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQ | | | You will find a list of statements below. Please rate how true each statement is for you by selecting one option per question. | No Answers |
2018AQ | | | My painful experiences and memories make it difficult for me to live a life that I would value. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2018AQ | | | I'm afraid of my feelings. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2018AQ | | | I worry about not being able to control my worries and feelings. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2018AQ | | | My painful memories prevent me from having a fulfilling life. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2018AQ | | | Emotions cause problems in my life. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2018AQ | | | It seems like most people are handling their lives better than I am. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2018AQ | | | Worries get in the way of my success. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2018AQ | | | Have you ever purposefully physically harmed or injured yourself (for example, cutting or burning yourself)? | Yes (1) No (0) |
2018AQ | | SELFHARM | When was the last time you purposefully physically harmed or injured yourself? | More than 1 year ago (0) More than a month ago but less than a year ago (1) Within the past month (2) |
2018AQ | | | Have you ever thought about or attempted to kill yourself? | Never (0) It was just a brief passing thought. (1) I have had a plan at least once to kill myself but did not try to do it. (2) I have had a plan at least once to kill myself and really wanted to die. (3) I have attempted to kill myself, but did not want to die. (4) I have attempted to kill myself, and really hoped to die. (5) |
2018AQ | | SBQ1 | How often have you thought about killing yourself in the past year? | Never (0) Rarely (1 time) (1) Sometimes (2 times) (2) Often (3-4 times) (3) Very often (5 or more times) (4) |
2018AQ | | | Have you ever told someone that you were going to commit suicide, or that you might do it? | No. (0) Yes, at one time, but did not really want to die. (1) Yes, at one time, and really wanted to die. (2) Yes, more than once, but did not want to do it. (3) Yes, more than once, and really wanted to do it. (4) |
2018AQ | | SBQ1 | When was the last time you attempted to kill yourself? | Within the past year (2) 1-5 years ago (1) More than 5 years ago (0) |
2018AQ | | | How likely is it that you will attempt suicide someday? | Never (0) No chance at all (1) Rather unlikely (2) Unlikely (3) Likely (4) Rather likely (5) Very likely (6) |
2018AQ | | | We at The PRIDE Study value the health and mental health of sexual and gender minority people like you. Suicide has taken too many of us. We sincerely urge you to get help, as we know that things can get better with help. Please consider reaching out for services in your area, and also consider calling 1-800-273-8255 (National Suicide Prevention Lifeline) or 1-888-843-4564 (LGBT National Hotline) to talk with someone. Go to the emergency room or call 911 if you are in crisis and don't know where to get help. The PRIDE Study team cares about you and the health of our community. | No Answers |
2018AQ | | | Have you ever tried cigarette smoking, even one or two puffs? | Yes (1) No (0) |
2018AQ | | SMOKE_EVER | Have you smoked at least 100 cigarettes in your entire life? | Yes (1) No (0) |
2018AQ | | SMOKE_EVER | Do you now smoke cigarettes every day, some days, or not at all? | Every day (2) Some days (1) Not at all (0) |
2018AQ | | SMOKE_EVER | When was the last time you smoked a cigarette, even one or two puffs? | Within the past 24 hours (8) Within the past 7 days (7) Within the past 30 days (6) Within the past 3 months (5) Within the past 6 months (4) Within the past 1 year (3) Within the past 5 years (2) Within the past 15 years (1) More than 15 years ago (0) |
2018AQ | | SMOKE_NOW | On average, about how many cigarettes a day do you now smoke? | Text Entry (-) |
2018AQ | | SMOKE_NOW | How long after waking up do you smoke your first cigarette? | Within 5 minutes (3) 5-30 minutes (2) 31-60 minutes (1) After 60 minutes (0) |
2018AQ | | SMOKE_NOW | During the past 12 months, have you stopped smoking for 24 hours or more? (Do not count times when you weren't allowed to smoke, like if you were in a hospital or in jail.) | Yes (1) No (0) |
2018AQ | | SMOKE_NOW | In any previous quit attempts, which of the following methods/resources have you used to help you quit? (Check all that apply.) | Never tried to quit (0) Quit cold turkey (1) Gradually cut down (2) Stop smoking class/program for a fee (3) Stop smoking class/program (no fee) (4) Advice or counseling from a doctor, nurse, psychologist, or other health professional (5) Telephone hotline (6) Hypnosis (7) Acupuncture (8) Nicotine gum (9) Nicotine patch (10) Nicotine spray (11) Nicotine inhaler (12) Nicotine lozenge (13) Zyban, Wellbutrin, or bupropion for smoking cessation (14) Chantix or varenicline (15) E-cigarette (e.g., vaping, hookah pen) with nicotine (16) E-cigarette (e.g., vaping, hookah pen) without nicotine (17) Internet (please specify website) (18) Internet (please specify website) (TEXT) Other (please specify) (19) Other (please specify) (TEXT) |
2018AQ | | SMOKE_NOW | How interested are you in quitting smoking in the near future? | Not at all interested (0) Somewhat interested (1) Very interested (2) Extremely interested (3) |
2018AQ | | | In the past month, have you used any tobacco or nicotine products OTHER THAN cigarettes? (Check all that apply.) | Blunt (with another substance) (1) Blunt (without any other substance) (2) Bidi (3) Chewing tobacco (chew) (4) Other cigars with tobacco inside (e.g., cigarillos, little cigars, bidis) (5) Other cigars with another substance (e.g., cigarillos, little cigars, bidis) (6) Dip (7) E-cigarette or vape device with nicotine (8) Nicotine replacement products (e.g., patch, gum, lozenge) (9) Snuff (10) Snus (11) E-cigarette or vape device without nicotine (12) Other tobacco or nicotine containing product (please specify) (13) Other tobacco or nicotine containing product (please specify) (TEXT) No other tobacco product other than cigarettes (0) I dont use any tobacco- or nicotine-containing products (14) |
2018AQ | | | How long has it been since you last had 5 or more drinks containing alcohol on one occasion? | Within the past 30 days (3) More than 30 days ago but within the past 12 months (2) More than 12 months ago (1) Never had 5 or more drinks on one occasion (0) |
2018AQ | | ALC5 | In the past 30 days, on how many days have you had 5 or more drinks containing alcohol on one occasion? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (1) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | | How long has it been since you last had 4 or more drinks containing alcohol on one occasion? | Within the past 30 days (3) More than 30 days ago but within the past 12 months (2) More than 12 months ago (1) Never had 4 or more drinks on one occasion (0) |
2018AQ | | ALC4 | In the past 30 days, on how many days have you had 4 or more drinks containing alcohol on one occasion? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | | How often did you have a drink containing alcohol in the past year? | Never (0) Monthly or less (1) 2-4 times a month (2) 2-3 times a week (3) 4 or more times a week (4) |
2018AQ | | AUDIT1 | How many drinks containing alcohol did you have on a typical day when you were drinking in the past year? | 1 or 2 (0) 3 or 4 (1) 5 or 6 (2) 7 to 9 (3) 10 or more (4) |
2018AQ | | AUDIT1 | How often do you have six or more drinks on one occasion? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2018AQ | | AUDIT1 | How often during the last year have you found that you were not able to stop drinking once you had started? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2018AQ | | AUDIT1 | How often during the last year have you failed to do what was normally expected from you because of drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2018AQ | | AUDIT1 | How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2018AQ | | AUDIT1 | How often during the last year have you had a feeling of guilt or remorse after drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2018AQ | | AUDIT1 | How often during the last year have you been unable to remember what happened the night before because you had been drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2018AQ | | | Have you or someone else been injured as a result of your drinking? | No (0) Yes, but not in the last year (2) Yes, during the last year (4) |
2018AQ | | | Has a relative or friend or a doctor or another health worker been concerned about your drinking or suggested you cut down? | No (0) Yes, but not in the last year (2) Yes, during the last year (4) |
2018AQ | | | In your LIFETIME, which of the following substances have you ever used? (Check all that apply.) | Cannabis (marijuana, pot, grass, hash, etc.) (1) Cocaine (coke, crack, etc.) (2) Prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) (3) Methamphetamine (speed, crystal meth, tina, ice, etc.) (4) Inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers) (5) Inhaled nitrates (poppers) (6) Sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) (7) GHB (G, gamma-hydroxybutyric acid) (8) Hallucinogens (LSD, acid, mushrooms, PCP, ketamine, etc.) (9) Street opioids (heroin, opium, etc.) (10) Prescription opioids (fentanyl, oxycodone OxyContin, Percocet, hydrocodone Vicodin, methadone, buprenorphine, etc.) (11) MDMA (Ecstasy or Molly) (12) Other 1 (please list only 1 drug) (13) Other 1 (please list only 1 drug) (TEXT) Other 2 (please list only 1 drug) (14) Other 2 (please list only 1 drug) (TEXT) I have never used any substances (0) |
2018AQ | | DRUGS_LIFETIME | How long has it been since you last used cannabis (marijuana, pot, grass, hash, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2018AQ | | CAN_LASTUSE | In the past 30 days, on how many days have you used cannabis (marijuana, pot, grass, hash, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | CAN_LASTUSE | In the past three months, how often have you used cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | CAN_FREQ | Was any of your cannabis (marijuana, pot, grass, hash, etc.) use in the past three months recommended or prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2018AQ | | CAN_ANYMD | Was all of your cannabis (marijuana, pot, grass, hash, etc.) use in the past three months used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2018AQ | | CAN_FREQ | In the past 3 months, how often have you had a strong desire or urge to use cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | CAN_FREQ | During the past 3 months, how often has your use of cannabis (marijuana, pot, grass, hash, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | CAN_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of cannabis (marijuana, pot, grass, hash, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using cannabis (marijuana, pot, grass, hash, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | How long has it been since you last used cocaine (coke, crack, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2018AQ | | COKE_LASTUSE | In the past 30 days, on how many days have you used cocaine (coke, crack, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | COKE_LASTUSE | In the past three months, how often have you used cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | COKE_FREQ | In the past 3 months, how often have you had a strong desire or urge to use cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | COKE_FREQ | During the past 3 months, how often has your use of cocaine (coke, crack, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | COKE_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of cocaine (coke, crack, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using cocaine (coke, crack, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever used cocaine (coke, crack, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | How long has it been since you last used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2018AQ | | STIM_LASTUSE | In the past 30 days, on how many days have you used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | STIM_LASTUSE | In the past three months, how often have you used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | STIM_FREQ | Was any of your prescription stimulant (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2018AQ | | STIM_ANYMD | Was all of your prescription stimulant (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2018AQ | | STIM_FREQ | In the past 3 months, how often have you had a strong desire or urge to use prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | STIM_FREQ | During the past 3 months, how often has your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | STIM_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | How long has it been since you last used methamphetamine (speed, crystal meth, tina, ice, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2018AQ | | METH_LASTUSE | In the past 30 days, on how many days have you used methamphetamine (speed, crystal meth, tina, ice, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | METH_LASTUSE | In the past three months, how often have you used methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | METH_FREQ | In the past 3 months, how often have you had a strong desire or urge to use methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | METH_FREQ | During the past 3 months, how often has your use of methamphetamine (speed, crystal meth, tina, ice, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | METH_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of methamphetamine (speed, crystal meth, tina, ice, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using methamphetamine (speed, crystal meth, tina, ice, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever used methamphetamine (speed, crystal meth, tina, ice, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | How long has it been since you last used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2018AQ | | INHALE_LASTUSE | In the past 30 days, on how many days have you used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 () 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | INHALE_LASTUSE | In the past three months, how often have you used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | INHALE_FREQ | In the past 3 months, how often have you had a strong desire or urge to use inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | INHALE_FREQ | During the past 3 months, how often has your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | INHALE_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | How long has it been since you last used inhaled nitrates (poppers)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2018AQ | | POP_LASTUSE | In the past 30 days, on how many days have you used inhaled nitrates (poppers)? | 0 (0) 1 (1) 2 (3) 3 (3) 4 (4) 5 (5) 6 (7) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | POP_LASTUSE | In the past three months, how often have you used inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | POP_FREQ | In the past 3 months, how often have you had a strong desire or urge to use inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | POP_FREQ | During the past 3 months, how often has your use of inhaled nitrates (poppers) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | POP_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | POP_FREQ | During the past 3 months, during what activities have you used inhaled nitrates (poppers)? (Check all that apply.) | Sexual activity with yourself (for example, masturbation) (0) Sexual activity with another person (1) Dancing or clubbing (2) Other activities (3) |
2018AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever used inhaled nitrates (poppers) in the 24 hours after you took a medication intended to give people stronger erections (for example, Viagra, Cialis, or Levitra)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | | WARNING: Using inhaled nitrates (poppers) in combination with medications that help with sexual activity like Viagra, Cialis, or Levitra can kill you by causing a lethal drop in blood pressure with even one use. We are aware that this information may not be widely known among our communities. If you use inhaled nitrates (poppers) in combination with medications that help with sexual activity like Viagra, Cialis, or Levitra, please contact a health care provider to get more information right away. | No Answers |
2018AQ | | DRUGS_LIFETIME | How long has it been since you last used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2018AQ | | SED_LASTUSE | In the past 30 days, on how many days have you used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | 0 (0) 1 (2) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (2) 28 (28) 29 (29) 30 (30) |
2018AQ | | SED_LASTUSE | In the past three months, how often have you used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | SED_FREQ | Was any of your sedative or sleeping pill (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2018AQ | | SED_ANYMD | Was all of your sedative or sleeping pill (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2018AQ | | SED_FREQ | In the past 3 months, how often have you had a strong desire or urge to use sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | SED_FREQ | During the past 3 months, how often has your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | SED_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | How long has it been since you last used GHB (G, gamma-hydroxybutyric acid)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2018AQ | | GHB_LASTUSE | In the past 30 days, on how many days have you used GHB (G, gamma-hydroxybutyric acid)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (2) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | GHB_LASTUSE | In the past three months, how often have you used GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | GHB_FREQ | Was any of your GHB (G, gamma-hydroxybutyric acid) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2018AQ | | GHB_ANYMD | Was all of your GHB (G, gamma-hydroxybutyric acid) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2018AQ | | GHB_FREQ | In the past 3 months, how often have you had a strong desire or urge to use GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | GHB_FREQ | During the past 3 months, how often has your use of GHB (G, gamma-hydroxybutyric acid) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | GHB_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of GHB (G, gamma-hydroxybutyric acid)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using GHB (G, gamma-hydroxybutyric acid)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | How long has it been since you last used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2018AQ | | HALL_LASTUSE | In the past 30 days, on how many days have you used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (2) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | HALL_LASTUSE | In the past three months, how often have you used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | HALL_FREQ | Was any of your hallucinogen (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) use in the past three months prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2018AQ | | HALL_ANYMD | Was all of your hallucinogen (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) use in the past three months used exactly as prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2018AQ | | HALL_FREQ | In the past 3 months, how often have you had a strong desire or urge to use hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | HALL_FREQ | During the past 3 months, how often has your use of hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | HALL_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | How long has it been since you last used street opioids (heroin, opium, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2018AQ | | HEROIN_LASTUSE | In the past 30 days, on how many days have you used street opioids (heroin, opium, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | HEROIN_LASTUSE | In the past three months, how often have you used street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | HEROIN_FREQ | In the past 3 months, how often have you had a strong desire or urge to use street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | HEROIN_FREQ | During the past 3 months, how often has your use of street opioids (heroin, opium, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | HEROIN_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of street opioids (heroin, opium, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using street opioids (heroin, opium, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever used street opioids (heroin, opium, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | How long has it been since you last used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2018AQ | | NARC_LASTUSE | In the past 30 days, on how many days have you used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | NARC_LASTUSE | In the past three months, how often have you used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | NARC_FREQ | Was any of your prescription opioid (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2018AQ | | NARC_ANYMD | Was all of your prescription opioid (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2018AQ | | NARC_FREQ | In the past 3 months, how often have you had a strong desire or urge to use prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | NARC_FREQ | During the past 3 months, how often has your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | NARC_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | How long has it been since you last used MDMA (Molly or ecstasy)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2018AQ | | MDMA_LASTUSE | In the past 30 days, on how many days have you used MDMA (Molly or ecstasy)? | 0 (0) 1 (2) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (2) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | MDMA_LASTUSE | In the past three months, how often have you used MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | MDMA_FREQ | Was any of your MDMA (Molly or ecstasy) use in the past three months recommended or prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2018AQ | | MDMA_ANYMD | Was all of your MDMA (Molly or ecstasy) use in the past three months used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2018AQ | | MDMA_FREQ | In the past 3 months, how often have you had a strong desire or urge to use MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | MDMA_FREQ | During the past 3 months, how often has your use of MDMA (Molly or ecstasy) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | MDMA_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of MDMA (Molly or ecstasy)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using MDMA (Molly or ecstasy)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever used MDMA (Molly or ecstasy) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | How long has it been since you last used ${q://QID136/ChoiceTextEntryValue/11}? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2018AQ | | OTDRUG1_LASTUSE | In the past 30 days, on how many days have you used ${q://QID136/ChoiceTextEntryValue/11}? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (290) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | OTDRUG1_LASTUSE DRUGS_LIFETIME | In the past three months, how often have you used ${q://QID136/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | OTDRUG1_FREQ DRUGS_LIFETIME | Was any of your ${q://QID136/ChoiceTextEntryValue/11} use in the past three months recommended or prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2018AQ | | OTDRUG1_ANYMD | Was all of your ${q://QID136/ChoiceTextEntryValue/11} use in the past three months used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2018AQ | | OTDRUG1_FREQ DRUGS_LIFETIME | In the past 3 months, how often have you had a strong desire or urge to use ${q://QID136/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | OTDRUG1_FREQ DRUGS_LIFETIME | During the past 3 months, how often has your use of ${q://QID136/ChoiceTextEntryValue/11} led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | OTDRUG1_FREQ DRUGS_LIFETIME | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of ${q://QID136/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of ${q://QID136/ChoiceTextEntryValue/11}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using ${q://QID136/ChoiceTextEntryValue/11}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever used ${q://QID136/ChoiceTextEntryValue/11} by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | How long has it been since you last used ${q://QID136/ChoiceTextEntryValue/12}? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2018AQ | | OTDRUG2_LASTUSE | In the past 30 days, on how many days have you used ${q://QID136/ChoiceTextEntryValue/12}? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | OTDRUG2_LASTUSE DRUGS_LIFETIME | In the past three months, how often have you used ${q://QID136/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | OTDRUG2_FREQ DRUGS_LIFETIME | Was any of your ${q://QID136/ChoiceTextEntryValue/12} use in the past three months recommended or prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2018AQ | | OTDRUG2_ANYMD | Was all of your ${q://QID136/ChoiceTextEntryValue/12} use in the past three months used exactly as prescribed or recommended by a doctor or other health care professional? | Yes (1) No (0) |
2018AQ | | OTDRUG2_FREQ DRUGS_LIFETIME | In the past 3 months, how often have you had a strong desire or urge to use ${q://QID136/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | OTDRUG2_FREQ DRUGS_LIFETIME | During the past 3 months, how often has your use of ${q://QID136/ChoiceTextEntryValue/12} led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | OTDRUG2_FREQ DRUGS_LIFETIME | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of ${q://QID136/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of ${q://QID136/ChoiceTextEntryValue/12}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using ${q://QID136/ChoiceTextEntryValue/12}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever used ${q://QID136/ChoiceTextEntryValue/12} by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | | You have completed the Mental Health Block! This is one of 3 blocks! Thank you for the time and energy you have put into helping us understand LGBTQ people's diverse and vibrant lives as we work towards helping LGBTQ people thrive! Your answers are bringing us closer to health equity for LGBTQ people. Thank you! | No Answers |
2018AQ | | | Do you identify as a person with a disability? | Yes (1) No (2) |
2018AQ | | | What condition(s) or problem(s) are related to your disability identity? (Check all that apply.) | Arthritis/rheumatism (1) Back or neck problem (2) Benign tumors, cysts (3) Birth defect (4) Cancer (5) Circulation problems (including blood clots) (6) Depression/anxiety/emotional problem (7) Diabetes (8) Epilepsy, seizures (9) Fibromyalgia, lupus (10) Fracture, bone/joint injury (11) Hearing problem (12) Heart problem (13) Hernia (14) Hypertension/high blood pressure (15) Intellectual disability, also known as mental retardation (16) Kidney, bladder or renal problems (17) Knee problems (not arthritis, not joint injury) (18) Lung/breathing problem(for example, asthma and emphysema) (19) Memory (20) Migraine headaches (not just headaches) (21) Missing limbs (fingers, toes or digits), amputee (22) Multiple Sclerosis (MS), Muscular Dystrophy (MD) (23) Osteoporosis, tendinitis (24) Other developmental problem (for example cerebral palsy) (25) Other injury (26) Other nerve damage, including carpal tunnel syndrome (27) Parkinsons disease, other tremors (28) Polio(myelitis), paralysis, para/quadriplegia (29) Stroke problem (30) Thyroid problems, Graves disease, gout (31) Ulcer (32) Varicose veins, hemorrhoids (33) Vision/problem seeing (34) Weight problem (35) Other impairment/problem (please specify one) (36) Other impairment/problem (please specify one) (TEXT) Other impairment/problem (please specify one) (37) Other impairment/problem (please specify one) (TEXT) |
2018AQ | | | Are you deaf or do you have serious difficulty hearing? | Yes (1) No (0) |
2018AQ | | | Are you blind or do you have serious difficulty seeing, even when wearing glasses? | Yes (1) No (0) |
2018AQ | | | Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions? | Yes (1) No (0) |
2018AQ | | | Do you have serious difficulty walking or climbing stairs? | Yes (1) No (0) |
2018AQ | | | Do you have difficulty dressing or bathing? | Yes (1) No (0) |
2018AQ | | | Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor's office or shopping? | Yes (1) No (0) |
2018AQ | | | The next set of questions ask about employment. | No Answers |
2018AQ | | | Do you currently work one or more paid jobs? | Yes (1) No (0) |
2018AQ | | WORK | At how many paid jobs do you currently work? | 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) |
2018AQ | | | Which of the following describes your current occupation? (Check all that apply.) | Employed, working 40 or more hours per week (1) Employed, working 1-39 hours per week (2) Temporarily employed (3) Self-employed (4) Not employed, looking for work (5) Not employed, not looking for work (6) Homemaker (7) Student (Full time) (8) Student (Part time) (9) Disabled, not able to work (10) Retired (11) |
2018AQ | | | Which of the following describe(s) your current occupation(s)? (Check all that apply.) | Arts, Design, Entertainment, Sports, and Media Occupations (1) Architecture and Engineering Occupations (2) Building and Grounds Cleaning and Maintenance Occupations (3) Business and Financial Operations Occupations (4) Community and Social Service Occupations (5) Computer and Mathematical Occupations (6) Construction and Extraction Occupations (7) Education, Training, and Library Occupations (8) Farming, Fishing, and Forestry Occupations (9) Food Preparation and Serving Related Occupations (10) Healthcare Practitioners and Technical Occupations (11) Healthcare Support Occupations (12) Installation, Maintenance, and Repair Occupations (13) Legal Occupations (14) Life, Physical, and Social Science Occupations (15) Management Occupations (16) Office and Administrative Support Occupations (17) Personal Care and Service Occupations (18) Production Occupations (19) Protective Service Occupations (20) Sales and Related Occupations (21) Transportation and Materials Moving Occupations (22) Other (please specify) (23) Other (please specify) (TEXT) |
2018AQ | | | What is your job(s)? (Please be as specific as possible.) | Text Entry (-) |
2018AQ | | WORK | In a typical week, how many hours do you work at your paid job(s)? | 1-10 (0) 11-20 (1) 21-30 (2) 31-40 (3) 41-50 (4) 51-60 (5) 61 (6) |
2018AQ | | | IN THE LAST 12 MONTHS, have you been unable to work due to a disability? | Yes (1) No (2) |
2018AQ | | | IN THE LAST 12 MONTHS, have you received Supplemental Security Income (SSI) or other government disability assistance related to a disability status? | Yes (1) No (0) |
2018AQ | | | What were your individual earnings (in US Dollars) before taxes and deductions from ALL sources (including jobs, businesses, welfare, child support, disability, social security, etc.) in the 2017 tax year? | 0 (0) 1 - 10,000 (1) 10,000 - 20,000 (2) 20,000 - 30,000 (3) 30,000 - 40,000 (4) 40,000 - 50,000 (5) 50,000 - 60,000 (6) 60,000 - 70,000 (7) 70,000 - 80,000 (8) 80,000 - 90,000 (9) 90,000 - 100,000 (10) 100,000 (11) |
2018AQ | | | What is your best estimate (in US dollars) of your household earnings before taxes and deductions from ALL sources (including jobs, businesses, welfare, child support, disability, social security, etc.) in the 2017 tax year? | 0 (0) 1 - 10,000 (1) 10,000 - 20,000 (2) 20,000 - 30,000 (3) 30,000 - 40,000 (4) 40,000 - 50,000 (5) 50,000 - 60,000 (6) 60,000 - 70,000 (7) 70,000 - 80,000 (8) 80,000 - 90,000 (9) 90,000 - 100,000 (10) 100,000 (11) |
2018AQ | | | How many individuals are dependent upon the household income you just described? Please enter 1 for yourself. | Text Entry (-) |
2018AQ | | | What is your current total student loan debt (in US dollars), if any? | 0 (I have no student loans.) (0) 1 - 50,000 (1) 50,000 - 100,000 (2) 100,000 - 150,000 (3) 150,000 - 200,000 (4) 200,000-250,000 (6) 250,000-300,000 (7) 300,000-350,000 (8) 350,000 (9) |
2018AQ | | | What is your highest education level completed? | No schooling (1) Nursery school to high school, no diploma (2) High school graduate or equivalent (e.g., GED) (3) Trade/Technical/Vocational training (4) Some college (5) 2-year college degree (6) 4-year college degree (7) Masters degree (8) Doctoral degree (9) Professional degree (e.g., M.D., J.D., M.B.A.) (10) |
2018AQ | | | Have you EVER been held in jail, prison, or juvenile detention? | Yes (1) No (0) |
2018AQ | | INCAR_EVER | In the PAST YEAR, at any time, were you held in jail, prison, or juvenile detention? | Yes (1) No (0) |
2018AQ | | | Have you ever spent any nights sleeping in a shelter or public space including buildings, cars, stairwells, streets, parks, or other outside areas? Please do not include recreational camping. | Yes (1) No (0) |
2018AQ | | HMLS_EV | In the past year, have you spent any nights sleeping in a shelter or public place including buildings, cars, stairwells, streets, parks, or other outside areas? Please do not include recreational camping. | Yes (1) No (0) |
2018AQ | | HMLS_YR | Approximately how many nights in the past year have you spent sleeping in a shelter or public place including buildings, cars, stairwells, streets, parks, or other outside areas? Please do not include recreational camping. | Text Entry (-) |
2018AQ | | | Have you ever spent any nights living temporarily doubled up with others, where you were in a transitional or transitory setting, or you had no fixed address? | Yes (1) No (0) |
2018AQ | | UNSTB_EV | In the past year, have you spent any nights living temporarily doubled up with others, where you were in a transitional or transitory setting, or you had no fixed address? | Yes (1) No (0) |
2018AQ | | UNSTB_YR | Approximately how many nights in the past year have you been living temporarily doubled up with others, where you were in a transitional or transitory setting, or you had no fixed address? | Text Entry (-) |
2018AQ | | | What are your current living arrangements? | Living in house/apartment/condo I own alone or with others (with a mortgage or that you own free and clear) (1) Living in house/apartment/condo I rent alone or with others (2) Living with a partner, spouse, or other person who pays for the housing (3) Living with parents or family I grew up with (4) Living in campus/university housing (5) Living in military barracks (6) Living in a foster group home or other foster care (7) Living in a nursing home or other adult care facility (8) Living in a hospital (9) Living in a hotel or motel that I pay for myself (10) Living in a hotel or motel with an emergency shelter voucher (11) Living temporarily with friends or family because I cannot afford my own housing (12) Living in transitional housing/halfway house (13) Living on the street, in a car, in an abandoned building, in a park, or a place that is NOT a house, apartment, shelter, or other housing (14) Living in a homeless shelter (15) Living in a domestic violence shelter (16) Living in a shelter that is not a homeless shelter or domestic violence shelter (17) A living arrangement not listed above (please describe) (18) A living arrangement not listed above (please describe) (TEXT) |
2018AQ | | | How many people, including yourself, live in your household who are 18 years of age or older? | Text Entry (-) |
2018AQ | | | How many people live in your household who are younger than 18 years of age? | Text Entry (-) |
2018AQ | | | Are you a parent? | Yes (1) No (2) |
2018AQ | | | To how many people are you/have you been a parent?This includes people who are now adults, are deceased, or are not biologically related to you. | Text Entry (-) |
2018AQ | | | We are going to ask you a question about the different people that you parent/have parented. To help you remember which person we are asking a question about, please type in the person's first name, initials, or nickname. We will use these names in the following questions. | Text Entry (-) |
2018AQ | | | Please indicate how you became a parent to ${q://QID1188/ChoiceTextEntryValue/1}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens naturally in pregnancy if you did not undergo in-vitro fertilization) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2018AQ | | | Please indicate how you became a parent to ${q://QID1188/ChoiceTextEntryValue/2}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens naturally in pregnancy if you did not undergo in-vitro fertilization) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2018AQ | | | Please indicate how you became a parent to ${q://QID1188/ChoiceTextEntryValue/3}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens naturally in pregnancy if you did not undergo in-vitro fertilization) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2018AQ | | | Please indicate how you became a parent to ${q://QID1188/ChoiceTextEntryValue/4}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens naturally in pregnancy if you did not undergo in-vitro fertilization) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2018AQ | | | Please indicate how you became a parent to ${q://QID1188/ChoiceTextEntryValue/5}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens naturally in pregnancy if you did not undergo in-vitro fertilization) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2018AQ | | | Please indicate how you became a parent to ${q://QID1188/ChoiceTextEntryValue/6}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens naturally in pregnancy if you did not undergo in-vitro fertilization) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2018AQ | | | Please indicate how you became a parent to ${q://QID1188/ChoiceTextEntryValue/7}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens naturally in pregnancy if you did not undergo in-vitro fertilization) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2018AQ | | | Please indicate how you became a parent to ${q://QID1188/ChoiceTextEntryValue/8}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens naturally in pregnancy if you did not undergo in-vitro fertilization) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2018AQ | | | Please indicate how you became a parent to ${q://QID1188/ChoiceTextEntryValue/9}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens naturally in pregnancy if you did not undergo in-vitro fertilization) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2018AQ | | | Please indicate how you became a parent to ${q://QID1188/ChoiceTextEntryValue/10}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens naturally in pregnancy if you did not undergo in-vitro fertilization) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2018AQ | | | Please indicate how you became a parent to ${q://QID1188/ChoiceTextEntryValue/11}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens naturally in pregnancy if you did not undergo in-vitro fertilization) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2018AQ | | | Please indicate how you became a parent to ${q://QID1188/ChoiceTextEntryValue/12}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens naturally in pregnancy if you did not undergo in-vitro fertilization) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2018AQ | | | Please indicate how you became a parent to ${q://QID1188/ChoiceTextEntryValue/13}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens naturally in pregnancy if you did not undergo in-vitro fertilization) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2018AQ | | | Please indicate how you became a parent to ${q://QID1188/ChoiceTextEntryValue/14}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens naturally in pregnancy if you did not undergo in-vitro fertilization) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2018AQ | | | Now we will ask about sources of emotional and social support. Please respond to each item that follows by selecting one option. | No Answers |
2018AQ | | | I have someone who will listen to me when I need to talk. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2018AQ | | | I have someone to confide in or talk to about myself or my problems. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2018AQ | | | I have someone who makes me feel appreciated. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2018AQ | | | I have someone to talk with when I have a bad day. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2018AQ | | | Has a mental health professional or health care provider EVER told you that you have Autism Spectrum Disorder or Asperger's Syndrome? | Yes (1) No (0) I dont know (88) |
2018AQ | | ASD | At what age were you first told by a mental health professional or health care provider that you have Autism Spectrum Disorder or Asperger's Syndrome? If you are not sure, please provide your best guess. | Text Entry (-) |
2018AQ | | | Do you identify as "neurodivergent" or with any associated term that people sometimes use within the neurodiversity movement (aspie, autistic, etc.)? | Yes (1) No (0) |
2018AQ | | | Are you currently in a relationship? | Yes (1) No (0) |
2018AQ | | RELATIONSHIP | Which of the following best describes your current romantic relationship(s)? | I am in a romantic relationship with one person (0) I am in a romantic relationship with two or more people (polyamorous) (1) Other (please specify) (2) Other (please specify) (TEXT) |
2018AQ | | | How many people are you currently in a romantic relationship with? | 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 or more (6) |
2018AQ | | RELATIONSHIP | Please select the gender(s) of your romantic partner(s). (Check all that apply.) | Cisgender man (identifies as a man and was assigned male sex at birth) (1) Cisgender woman (identifies as a woman and was assigned female sex at birth) (2) Transgender man (identifies as a man and was assigned female sex at birth (3) Transgender woman (identifies as a woman and was assigned male sex at birth) (4) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned female sex at birth (5) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned male sex at birth (6) Person of another gender(s) (please specify) (7) Person of another gender(s) (please specify) (TEXT) I dont know (88) Decline to state (0) |
2018AQ | | RELATIONSHIP | In general, how satisfied are you with your current romantic relationship(s)? | Very dissatisfied (0) Dissatisfied (1) Neutral (2) Satisfied (3) Very satisfied (4) |
2018AQ | | RELATIONSHIP | Which of the following scenarios best describes the current agreement that you have with your romantic partner(s)? | We cannot have any sex with an outside partner (0) We can have sex with outside partners but with some restrictions (1) We can have sex with outside partners without any restrictions (2) We do not have an agreement (3) I have different agreements with different partners (4) |
2018AQ | | | Do you live with your partner(s)? | Yes, I live with 1 partner (0) Yes, I live with 2 or more partners (1) No, I do not live with a partner (2) Something else (please specify) (4) Something else (please specify) (TEXT) |
2018AQ | | | What is your current legal marital status? | Married (1) Legally recognized civil union (2) Registered domestic partnership (3) Widowed (4) Divorced (5) Separated (6) Single, never married (7) |
2018AQ | | | What gender do YOU currently live as in your day-to-day life? | Man (1) Woman (2) Sometimes man, sometimes woman (3) Third gender or something other than man or woman (4) |
2018AQ | | | Have you EVER experienced harassment or name calling from strangers in public? | Yes (1) No (0) |
2018AQ | | EVHARASS | Was any of this harassment or name calling from strangers in public due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | EVHARASS | In the PAST YEAR, have you experienced harassment or name calling from strangers in public? | Yes (1) No (0) |
2018AQ | | YRHARASS | Was any of this harassment or name calling that occurred in the PAST YEAR due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | | Have you EVER been physically attacked or deliberately injured? | Yes (1) No (0) |
2018AQ | | EVATTACK | Were any of these physical attacks or injuries due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | EVATTACK | In the PAST YEAR, have you been physically attacked or deliberately injured? | Yes (1) No (0) |
2018AQ | | YRATTACK | Were any of these physical attacks or injuries that occurred in the PAST YEAR due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | | Have you EVER experienced physical violence from a romantic partner? | Yes (1) No (0) |
2018AQ | | EVDV | Was any of this physical violence from a romantic partner due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | EVDV | In the PAST YEAR, have you experienced physical violence from a romantic partner? | Yes (1) No (0) |
2018AQ | | YRDV | Was any of this physical violence from a romantic partner that occurred in the PAST YEAR due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | | Have you EVER been treated unfairly at work or when applying/interviewing for a job? | Yes (1) No (0) |
2018AQ | | EVJOBDISC | Was any of this unfair treatment in employment due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | EVJOBDISC | In the PAST YEAR, have you been treated unfairly at work or when applying/interviewing for a job? | Yes (1) No (0) |
2018AQ | | YRJOBDISC | Was any of this unfair treatment at work or while applying for jobs in the PAST YEAR due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | | Have you EVER been treated unfairly while trying to rent an apartment or buy a home, or been unfairly evicted from your residence? | Yes (1) No (0) |
2018AQ | | EVHOUSDISC | Was any of this unfair treatment in housing/eviction due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | EVHOUSDISC | In the PAST YEAR, have you been treated unfairly while trying to rent an apartment or buy a home, or been unfairly evicted from your residence? | Yes (1) No (0) |
2018AQ | | YRHOUSDISC | Was any of this unfair treatment in housing/eviction in the PAST YEAR due to your … (Check all that apply.) | Ability/disability (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | | Have you EVER received poorer service than other people in restaurants, stores, other businesses or agencies? | Yes (1) No (0) |
2018AQ | | EVSERVDISC | Was any of the poorer service due to your… (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | EVSERVDISC | In the PAST YEAR, have you received poorer service than other people in restaurants, stores, other businesses or agencies? | Yes (1) No (0) |
2018AQ | | YRSERVDISC | Was any of this poorer service in the PAST YEAR due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | | Have you EVER been treated unfairly while you were a student at school or in another educational setting? | Yes (1) No (0) |
2018AQ | | EVSCHDISC | Was any of this unfair treatment in educational settings due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | EVSCHDISC | In the PAST YEAR, have you been treated unfairly while you were a student at school or in another educational setting? | Yes (1) No (0) |
2018AQ | | YRSCHDISC | Was any of this unfair treatment in educational settings in the PAST YEAR due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | | Have you EVER been denied or given lower quality medical care? | Yes (1) No (0) |
2018AQ | | EVMED | Was any of this discrimination in a medical setting due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | EVMED | In the PAST YEAR, have you been denied or given lower quality medical care? | Yes (1) No (0) |
2018AQ | | YRMED | Was any of this discrimination in a medical setting in the PAST YEAR due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | | Was there a time in the PAST YEAR when you needed to see a health care provider but did not because you thought you would be disrespected or mistreated? | Yes (1) No (2) |
2018AQ | | ANTMEDDISC | When you put off seeing a health care provider because you thought you were going to be disrespected or mistreated, were you concerned you would be disrespected or mistreated because of your... (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | | Have you EVER been denied or given lower quality mental health care? | Yes (1) No (0) |
2018AQ | | EVMENTAL | Was any of this discrimination in a mental health setting due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | EVMENTAL | In the PAST YEAR, have you been denied or given lower quality mental health care? | Yes (1) No (0) |
2018AQ | | YRMENTAL | Was any of this discrimination in a mental health setting in the PAST YEAR due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | | Have you EVER experienced unfair treatment or harassment from the police or another law enforcement officer? | Yes (1) No (0) |
2018AQ | | EVPOLICE | Was any of this unfair treatment or harassment from a law enforcement officer due to … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | EVPOLICE | In the PAST YEAR, have you experienced unfair treatment or harassment from the police or another law enforcement officer? | Yes (1) No (0) |
2018AQ | | YRPOLICE | Was any of this unfair treatment or harassment from a law enforcement officer in the PAST YEAR due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | | Have you EVER experienced unwanted sexual contact? | Yes (1) No (0) |
2018AQ | | EVSA | Was any of this unwanted sexual contact due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | EVSA | How old were you when this unwanted sexual contact occurred? (Check all that apply.) | Child (0-12 years) (1) Adolescent (12-17 years) (2) Adult (18 years) (3) |
2018AQ | | EVSA | In the PAST YEAR, have you experienced unwanted sexual contact? | Yes (1) No (0) |
2018AQ | | YRSA | Was any of this unwanted sexual contact that occurred in the PAST YEAR due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (9) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | EVSA | We realize that recalling past experiences with sexual violence can be difficult. If you'd like to talk with someone about these experiences, please consider reaching out to the National Sexual Assault Hotline (800-656-4673), operated by Rape, Abuse, & Incest National Network (RAINN; rainn.org). | No Answers |
2018AQ | | | How welcomed and accepted do you feel in LGBTQ spaces (including community groups, social clubs, bars, etc.)? | Unaccepted/unwelcomed in all of these spaces (1) Unaccepted/unwelcomed in most of these spaces (but accepted/welcomed in at least one) (2) Accepted/welcomed in about half of these spaces (3) Accepted/welcomed in most, but not all, of these spaces (4) Accepted/welcomed in all of these spaces (5) |
2018AQ | | WELCOME | You mentioned feeling unaccepted/unwelcomed in some or all LGBTQ spaces. People sometimes feel that these spaces are not welcoming towards them due to various aspects of their identities. Please select aspects of your identity that feel unwelcome in these spaces. (Check all that apply.) | My ability/disability status (1) My age (2) My body size, weight, or shape (3) My gender expression (4) My gender identity (5) The language I speak or sign (6) My participation in BDSM, kink, or other sexual activities (7) My political views (8) My race and/or ethnicity (9) My sexual orientation (10) My skin color (11) My spiritual/religious affiliation (12) Another reason (please specify) (13) Another reason (please specify) (TEXT) None of the above (0) |
2018AQ | | | Overall, how safe do you feel LGBTQ spaces are for you? | Very unsafe (4) Somewhat unsafe (3) Neither safe nor unsafe (2) Mostly safe (1) Completely safe (0) |
2018AQ | | | Is there at least one LGBTQ space (e.g., social club, group, bar, etc.) in which you feel safe? | Yes (1) No (0) |
2018AQ | | | We are asking the following question in the 2018 Annual Questionnaire so we can better customize this questionnaire for you.We have three available versions available:o A version for people who identify as a gender minority (e.g., genderqueer, non-binary, questioning one's gender identity, transgender, etc.) that will ask about gender identity/expression.o A version for people who identify as a sexual minority (e.g., asexual, bisexual, gay, lesbian, queer, questioning one's sexual orientation, etc.) that will ask about sexual orientation.o A version or people who identify as both a gender and sexual minority that will ask about gender identity/expression and sexual orientation.Please choose the option that you think is best for you. | No Answers |
2018AQ | | | I would like to complete a survey designed for: | Gender minority people (for example: genderqueer, non-binary, questioning ones gender identity, transgender, etc.) (0) Sexual minority people (for example: asexual, bisexual, gay, lesbian, queer, questioning ones sexual orientation, etc.) (1) People who identify as both a sexual AND gender minority (2) |
2018AQ | | | To what extent do you think about your identity as a gender minority (for example: genderqueer, non-binary, questioning one's gender identity, transgender) person? (Choose one.) | Almost never (0) Several times a year (1) Once a month (2) Once a week (3) A few times a week (4) Once a day (5) Many times a day (6) |
2018AQ | | | To what extent do you think about your identity as a sexual minority (for example: asexual, bisexual, gay, lesbian, queer, questioning one's sexual orientation) person? (Choose one.) | Almost never (0) Several times a year (1) Once a month (2) Once a week (3) A few times a week (4) Once a day (6) Many times a day (6) |
2018AQ | | CYOA | The next questions are about your views about communities that you have lived in. | No Answers |
2018AQ | | CYOA | Overall, how accepting of sexual minority (for example: asexual, bisexual, gay, lesbian, queer, etc.) people was the community in which you were raised? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
2018AQ | | CYOA | Overall, how accepting of sexual minority people is the community in which you currently live? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
2018AQ | | CYOA | Overall, how safe for sexual minority people was the community in which you were raised? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
2018AQ | | CYOA | Overall, how safe for sexual minority people is the community in which you currently live? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
2018AQ | | CYOA | Overall, how accepting of gender minority (for example: genderqueer, non-binary, transgender, etc.) people was the community in which you were raised? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
2018AQ | | CYOA | Overall, how accepting of gender minority people is the community in which you currently live? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
2018AQ | | CYOA | Overall, how safe for gender minority people was the community in which you were raised? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
2018AQ | | CYOA | Overall, how safe for gender minority people is the community in which you currently live? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
2018AQ | | CYOA | I wish I weren't gay/lesbian/bisexual/sexual minority. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2018AQ | | CYOA | I have tried to stop being attracted to people of the same gender in general. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) Not applicable because I am not attracted to people of my gender (11) |
2018AQ | | CYOA | If someone offered me the chance to be completely heterosexual, I would accept the chance. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2018AQ | | CYOA ORIENTATION | If someone offered me the chance to be completely gay/lesbian, I would accept the chance. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2018AQ | | CYOA | I feel that being gay/lesbian/bisexual/sexual minority is a personal shortcoming for me. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2018AQ | | CYOA | I would like to get professional help in order to change my sexual orientation from gay/lesbian/bisexual/sexual minority to heterosexual. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2018AQ | | CYOA | I am proud of my sexual orientation. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2018AQ | | CYOA | I think my life is better because of my sexual orientation. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2018AQ | | CYOA | We are excited to know about people's positive experiences in relation to their sexual orientation! Please tell us what you most like about being or are most proud of being gay/lesbian/bisexual/or a sexual minority. | Text Entry (-) |
2018AQ | | CYOA | I wish I weren't genderqueer, transgender, or gender minority. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2018AQ | | CYOA | In general, I have tried to stop identifying with a gender that differs from my assigned sex at birth. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2018AQ | | CYOA | If someone offered me the chance to have a gender that conformed with my sex assigned at birth, I would accept the chance. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2018AQ | | CYOA | I feel that being genderqueer, transgender, or gender minority is a personal shortcoming for me. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2018AQ | | CYOA | I would like to get professional help in order to have a gender that conformed with my sex assigned at birth. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2018AQ | | CYOA | I am proud of my gender. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2018AQ | | CYOA | I think my life is better because I am genderqueer, transgender, or gender minority. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2018AQ | | CYOA | We are excited to know about people's positive experiences in relation to their gender identity! Please tell us what you are most proud about being genderqueer/transgender/gender non-binary/or a gender minority. | Text Entry (-) |
2018AQ | | | Have you ever been in therapy or been part of a program or group intended to change your sexual orientation to heterosexual/straight? | Yes (1) No (0) |
2018AQ | | | Who provided the therapy, program, or group intended to change your sexual orientation to heterosexual/straight? (Check all that apply.) | A licensed mental health provider (1) A religious group or leader (2) Someone or something else (please specify) (3) Someone or something else (please specify) (TEXT) |
2018AQ | | | How old were you when you FIRST were in therapy or part of a program or group intended to change your sexual orientation to heterosexual/straight? | Text Entry (-) |
2018AQ | | | How old were you when you LAST were in therapy or part of a program or group intended to change your sexual orientation to heterosexual/straight? | Text Entry (-) |
2018AQ | | | Have you ever been in therapy or been part of a program or group intended to change your gender or gender identity to be consistent with your sex assigned at birth? | Yes (1) No (0) |
2018AQ | | | Who provided the therapy, program, or group intended to change your gender or gender identity to be consistent with your sex assigned at birth? (Check all that apply.) | A licensed mental health provider (1) A religious group or leader (2) Someone or something else (please specify) (3) Someone or something else (please specify) (TEXT) |
2018AQ | | | How old were you when you FIRST were in therapy or part of a program or group intended to change your gender or gender identity to be consistent with your sex assigned at birth? | Text Entry (-) |
2018AQ | | | How old were you when you LAST were in therapy or part of a program or group intended to change your gender or gender identity to be consistent with your sex assigned at birth? | Text Entry (-) |
2018AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself straight, gay, etc.)? Members of your immediate family (for example, parents and siblings) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2018AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself straight, gay, etc.)? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2018AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself straight, gay, etc.)? People you socialize with (for example, friends and acquaintances) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2018AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself straight, gay, etc.)? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2018AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself straight, gay, etc.)?Strangers (for example, someone you have a casual conversation with in line at the store) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2018AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself straight, gay, etc.)? Your health care providers | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2018AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Members of your immediate family (for example, parents and siblings) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2018AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2018AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? People you socialize with (for example, friends and acquaintances) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2018AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2018AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2018AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Your health care providers | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2018AQ | | | For people in your life who do not know you, what sexual orientation do they USUALLY think you are? (Choose one.) | Asexual (1) Bisexual (2) Gay (3) Heterosexual or Straight (4) Lesbian (5) Queer (6) Another sexual orientation (7) They cannot tell (8) It varies (9) I dont know what they think (88) |
2018AQ | | CYOA | What percent of the people in this group do you think are aware of your gender identity (meaning they are aware of your gender or gender expression)? Members of your immediate family (for example, parents and siblings) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2018AQ | | CYOA | What percent of the people in this group do you think are aware of your gender identity (meaning they are aware of your gender or gender expression)? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2018AQ | | CYOA | What percent of the people in this group do you think are aware of your gender identity (meaning they are aware of your gender or gender expression)? People you socialize with (for example, friends and acquaintances) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2018AQ | | CYOA | What percent of the people in this group do you think are aware of your gender identity (meaning they are aware of your gender or gender expression)? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2018AQ | | CYOA | What percent of the people in this group do you think are aware of your gender identity (meaning they are aware of your gender or gender expression)? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2018AQ | | CYOA | What percent of the people in this group do you think are aware of your gender identity (meaning they are aware of your gender or gender expression)? Your health care providers | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2018AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Members of your immediate family (for example, parents and siblings) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2018AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2018AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? People you socialize with (for example, friends and acquaintances) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2018AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2018AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2018AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Your health care providers | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2018AQ | | | For people in your life who do not know you, what gender do they USUALLY think you are? (Choose one.) | Man (1) Woman (2) Transgender Man (3) Transgender Woman (4) Non-binary/Genderqueer (5) They cannot tell (6) It varies (7) I dont know what they think (88) |
2018AQ | | | What is your felt gender? | Man or primarily masculine (1) Woman or primarily feminine (2) Both man/masculine and woman/feminine (3) Neither man/masculine nor woman/feminine (4) I dont know (88) |
2018AQ | | | You have completed the Social Health block! This is one of 3 blocks! Phew! We know this survey is long and we thank you for the time and energy you have put into helping us advance our collective understanding of LGBTQ Health. Your answers are bringing us one step closer to LGBTQ health equity! | No Answers |
2018AQ | | | Acid reflux (heartburn) | No Answers |
2018AQ | | | Anemia | No Answers |
2018AQ | | | Angina pectoris (angina) | No Answers |
2018AQ | | | Anxiety | No Answers |
2018AQ | | | Asthma | No Answers |
2018AQ | | | Atrial fibrillation (Afib) | No Answers |
2018AQ | | | Benign prostatic hypertrophy (BPH, enlarged prostate) | No Answers |
2018AQ | | | Bipolar disorder | No Answers |
2018AQ | | | Cancer | No Answers |
2018AQ | | | Cataracts | No Answers |
2018AQ | | | Chronic kidney disease | No Answers |
2018AQ | | | Chronic obstructive pulmonary disease (COPD) | No Answers |
2018AQ | | | Coagulation (bleeding or clotting) problem | No Answers |
2018AQ | | | Congestive heart failure (CHF) | No Answers |
2018AQ | | | Coronary artery disease | No Answers |
2018AQ | | | Depression | No Answers |
2018AQ | | | Diabetes mellitus (diabetes, sugar diabetes) | No Answers |
2018AQ | | | Diabetes mellitus (borderline) | No Answers |
2018AQ | | | Erectile dysfunction | No Answers |
2018AQ | | | Glaucoma | No Answers |
2018AQ | | | Heart attack | No Answers |
2018AQ | | | Heart murmur | No Answers |
2018AQ | | | High cholesterol | No Answers |
2018AQ | | | HIV | No Answers |
2018AQ | | | Hypertension (high blood pressure) | No Answers |
2018AQ | | | Inflammatory bowel disease (Crohn's disease, ulcerative colitis) | No Answers |
2018AQ | | | Irritable bowel syndrome (IBS) | No Answers |
2018AQ | | | Kidney stone (nephrolithiasis) | No Answers |
2018AQ | | | Liver disease | No Answers |
2018AQ | | | Lupus (systemic lupus erhthematous, SLE) | No Answers |
2018AQ | | | Menopause | No Answers |
2018AQ | | | Migraine headache | No Answers |
2018AQ | | | Obstructive sleep apnea (OSA) | No Answers |
2018AQ | | | Peripheral vascular disease (PVD) | No Answers |
2018AQ | | | Psoriasis | No Answers |
2018AQ | | | Pulmonary embolism (PE) | No Answers |
2018AQ | | | Seizure disorder (epilepsy) | No Answers |
2018AQ | | | Stroke (cerebrovascular accident, CVA) | No Answers |
2018AQ | | | Thyroid problem (hyperthyroidism, hypothyroidism) | No Answers |
2018AQ | | | Ulcer (stomach/peptic, duodenal) | No Answers |
2018AQ | | | Uterine fibroids | No Answers |
2018AQ | | | Is the list of medical conditions above correct? | Yes (1) No (0) |
2018AQ | | | Has a doctor or health care provider ever told you that you have the following conditions? (Check all that apply.)Although this list of conditions may seem to repeat what you may have filled out as part of "My Health," we want to make sure everything is as up-to-date as possible. | Acid reflux (heartburn) (1) Anemia (2) Angina pectoris (angina) (3) Anxiety (4) Asthma (5) Atrial fibrillation (Afib) (6) Benign prostatic hypertrophy (BPH, enlarged prostate) (7) Bipolar disorder (8) Cancer (9) Cataracts (10) Chronic kidney disease (11) Chronic obstructive pulmonary disease (COPD) (12) None of these (0) |
2018AQ | | MEDHX1 | With what type(s) of cancer have you been diagnosed? (Check all that apply.) | Anal (1) Breast (2) Colon (3) Kidney (4) Lung (5) Leukemia/Lymphoma (6) Ovary (7) Pancreas (8) Prostate (9) Skin (melanoma) (10) Skin (non-melanoma) (11) Uterus (13) Other (please specify) (12) Other (please specify) (TEXT) |
2018AQ | | CA_TYPE | In what year were you diagnosed with anal cancer? | Text Entry (-) |
2018AQ | | CA_TYPE | In what year were you diagnosed with breast cancer? | Text Entry (-) |
2018AQ | | CA_TYPE | In what year were you diagnosed with colon cancer? | Text Entry (-) |
2018AQ | | CA_TYPE | In what year were you diagnosed with kidney cancer? | Text Entry (-) |
2018AQ | | CA_TYPE | In what year were you diagnosed with lung cancer? | Text Entry (-) |
2018AQ | | CA_TYPE | In what year were you diagnosed with leukemia/lymphoma? | Text Entry (-) |
2018AQ | | CA_TYPE | In what year were you diagnosed with ovarian cancer? | Text Entry (-) |
2018AQ | | CA_TYPE | In what year were you diagnosed with pancreatic cancer? | Text Entry (-) |
2018AQ | | CA_TYPE | In what year were you diagnosed with prostate cancer? | Text Entry (-) |
2018AQ | | CA_TYPE | In what year were you diagnosed with melanoma? | Text Entry (-) |
2018AQ | | CA_TYPE | In what year were you diagnosed with non-melanoma skin cancer? | Text Entry (-) |
2018AQ | | CA_TYPE | In what year were you diagnosed with cancer of the uterus? | Text Entry (-) |
2018AQ | | CA_TYPE | In what year were you diagnosed with ${q://QID1250/ChoiceTextEntryValue/12} cancer? | Text Entry (-) |
2018AQ | | | How about any of these? Has a doctor or other health care provider ever told you that you have the following conditions? (Check all that apply.) | Coagulation (bleeding or clotting) problem (1) Congestive heart failure (CHF) (2) Coronary artery disease (3) Depression (4) Diabetes mellitus (diabetes, sugar diabetes) (5) Diabetes (borderline) (6) Erectile dysfunction (7) Glaucoma (8) Heart attack (9) Heart murmur (10) High cholesterol (11) HIV (12) None of these (0) |
2018AQ | | MEDHX2 | In what year were you diagnosed with HIV? | Text Entry (-) |
2018AQ | | | Here's the last set! Has a doctor or other health care provider ever told you that you have the following conditions? (Check all that apply.) | Hypertension (high blood pressure) (1) Inflammatory bowel disease (Crohns disease, ulcerative colitis) (2) Irritable bowel syndrome (IBS) (3) Kidney stone (nephrolithiasis) (4) Liver disease (5) Lupus (systemic lupus erythematous, SLE) (6) Menopause (7) Migraine headache (8) Obstructive sleep apnea (OSA) (9) Peripheral vascular disease (PVD) (10) Polycystic ovarian syndrome (PCOS) (11) Psoriasis (12) Pulmonary embolism (PE) (13) Seizure disorder (epilepsy) (14) Stroke (cerebrovascular accident, CVA) (15) Thyroid problem (hyperthyroidism, hypothyroidism) (16) Ulcer (stomach/peptic, duodenal) (17) Uterine fibroids (18) None of these (0) |
2018AQ | | | Please list up to five additional medical conditions that a doctor or other health care provider told you that you have. (One condition per line.) If no additional conditions, please click next. | Text Entry (-) |
2018AQ | | | Do you have any of the following symptoms? (Check all that apply.) | Arthritis (joint pain) (1) Bleeding between your periods (2) Chronic low back pain (back pain lasting more than 3 months) (3) Irregular, painful, or heavy menstrual periods (4) Pelvic pain lasting more than 6 months (pain between the belly button and pubic bone) (5) Urinary incontinence (leaking of urine) (6) None of these (0) |
2018AQ | | | Coronary stent placement | No Answers |
2018AQ | | | Coronary artery bypass graft (CABG, bypass surgery) | No Answers |
2018AQ | | | Heart valve replacement | No Answers |
2018AQ | | | Pacemaker implantation | No Answers |
2018AQ | | | Implantable cardiac defibrillator (ICD) implantation | No Answers |
2018AQ | | | Bone marrow transplant | No Answers |
2018AQ | | | Heart transplant | No Answers |
2018AQ | | | Lung transplant | No Answers |
2018AQ | | | Liver transplant | No Answers |
2018AQ | | | Pancreas transplant | No Answers |
2018AQ | | | Kidney transplant | No Answers |
2018AQ | | | Small intestine transplant | No Answers |
2018AQ | | | Gallbladder removal (cholecystectomy) | No Answers |
2018AQ | | | Appendix removal (appendectomy) | No Answers |
2018AQ | | | C section (cesarean section) | No Answers |
2018AQ | | | Uterus removal with cervix retained (supracervical hysterectomy) | No Answers |
2018AQ | | | Uterus removal with cervix removed (total hysterectomy) | No Answers |
2018AQ | | | Ovary removal (oophorectomy) | No Answers |
2018AQ | | | Is this list of general surgeries and procedures correct?(We will ask about gender-affirming or transition-related surgeries and procedures later.) | Yes (1) No (0) |
2018AQ | | | Have you ever had the following surgeries or procedures? (Check all that apply.) (Gender-affirming or transition-related surgeries and procedures are asked about later.)Although this list of procedures may seem to repeat what you may have entered in "My Health," getting the most up-to-date information will make sure that we can customize the survey for you. | Coronary stent placement (1) Coronary artery bypass graft (CABG, bypass surgery) (2) Heart valve replacement (3) Pacemaker implantation (4) Implantable cardiac defibrillator (ICD) implantation (5) Bone marrow transplant (6) Organ transplant (7) Gallbladder removal (cholecystectomy) (8) Appendix removal (appendectomy) (9) C section (cesarean section) (10) Uterus removal with cervix retained (supracervical hysterectomy) (11) Uterus removal with cervix removed (total hysterectomy) (12) Ovary removal (oophorectomy) (13) None of these (18) |
2018AQ | | | Which organ(s) have you received through a transplant? (Check all that apply.) | Heart (1) Lung (2) Liver (3) Pancreas (4) Kidney (5) Small intestine (6) Other (please specify) (7) Other (please specify) (TEXT) |
2018AQ | | | Please list up to five additional general surgeries/procedures that you had (not including gender-affirming or transition-related surgeries or procedures, which we ask about later). Please write in one surgery/procedure per line. If no additional surgeries/procedures, please click next. | Text Entry (-) |
2018AQ | | | Have you EVER used hormones or medications for the purposes of gender affirmation (also called gender transition)? | Yes (1) No (0) I dont know (88) |
2018AQ | | | Which hormones or medications for the purposes of gender affirmation (also called gender transition) have you EVER taken? (Check all that apply.) | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histarelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium or Provera) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) Another hormone/medication not listed here (please specify) (17) Another hormone/medication not listed here (please specify) (TEXT) I have (also) taken some other hormone(s)/medication(s), but I am not sure what it is called. (18) None of the above (19) |
2018AQ | | | Of the hormones or medications for the purposes of gender affirmation (also called gender transition) that you ever took, please indicate the hormones or medications that you are CURRENTLY taking. (Check all that apply.) | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histarelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium or Provera) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) q://QID1289/ChoiceTextEntryValueቭ (17) I am not currently taking any hormones for gender affirmation (18) |
2018AQ | | | Please tell us when you STARTED taking cyproterone acetate (sometimes called: CPA or Cyprostat) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking cyproterone acetate (sometimes called: CPA or Cyprostat) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking cyproterone acetate (sometimes called CPA or Cyprostat), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking dutasteride (sometimes called: Avodart) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking dutasteride (sometimes called: Avodart) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking dutasteride (sometimes called: Avodart), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking depo leuprolide or leuprolide acetate (sometimes called: Lupron) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking depo leuprolide or leuprolide acetate (sometimes called: Lupron) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking depo leuprolide or leuprolide acetate (sometimes called: Lupron), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking depo (injection) provera (sometimes called: “Depo” or medroxyprogesterone acetate) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking depo (injection) provera (sometimes called: "Depo" or medroxyprogesterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking depo (Injection) provera (sometimes called: “Depo” or medroxyprogesterone acetate), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking estrogen (any type in any formulation such as: gel, injection, patch, pill) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking estrogen (any type in any formulation such as: gel, injection, patch, pill) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking estrogen (any type in any formulation such as: gel, injection, patch, pill), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking estradiol valerate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking estradiol valerate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking estradiol valerate (a specific type of estrogen), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking estradiol cypionate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking estradiol cypionate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking estradiol cypionate (a specific type of estrogen), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking finasteride (sometimes called: Proscar or Propecia) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking finasteride (sometimes called: Proscar or Propecia) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking finasteride (sometimes called: Proscar or Propecia), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking histarelin acetate (sometimes called: Vantas or Supprelin) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking histarelin acetate (sometimes called: Vantas or Supprelin) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking histarelin acetate (sometimes called: Vantas or Supprelin), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking progesterone (sometimes called: progestagen or progestins) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking progesterone (sometimes called: progestagen or progestins) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking progesterone (sometimes called: progestagen or progestins), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking micronized progesterone (sometimes called: Prometrium or Provera) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking micronized progesterone (sometimes called: Prometrium or Provera) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking micronized progesterone (sometimes called: Prometrium or Provera), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking spironolactone (sometimes called: "Spiro" or Aldactone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking spironolactone (sometimes called: "Spiro" or Aldactone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking spironolactone (sometimes called: “Spiro” or Aldactone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking testosterone (any type in any formulation such as: gel, injection, patch) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking testosterone (any type in any formulation such as: gel, injection, patch) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking testosterone (any type in any formulation such as: gel, injection, patch), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking testosterone cypionate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking testosterone cypionate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking testosterone cypionate (a specific type of testosterone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking testosterone enanthate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking testosterone enanthate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking testosterone enanthate (a specific type of testosterone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking testosterone undecanoate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking testosterone undecanoate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking testosterone undecanoate (a specific type of testosterone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking ${q://QID1289/ChoiceTextEntryValue/17} for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking ${q://QID1289/ChoiceTextEntryValue/17} for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking ${q://QID1289/ChoiceTextEntryValue/17}, please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Brow lift | No Answers |
2018AQ | | | Chin augmentation (genioplasty) | No Answers |
2018AQ | | | Forehead reconstruction/contouring | No Answers |
2018AQ | | | Jaw bone revision (mandible contouring) | No Answers |
2018AQ | | | Lip lift | No Answers |
2018AQ | | | Nose reconstruction (rhinoplasty) | No Answers |
2018AQ | | | Scalp advancement | No Answers |
2018AQ | | | Tracheal shave (reduction thyrochondroplasty) | No Answers |
2018AQ | | | Vocal cord/voice surgery | No Answers |
2018AQ | | | Breast augmentation | No Answers |
2018AQ | | | Breast/chest reduction (total reduction mammoplasty) | No Answers |
2018AQ | | | Top surgery/chest reconstruction/mastectomy (scars under the chest) | No Answers |
2018AQ | | | Top surgery/chest reconstruction/mastectomy (keyhole, through the areola) | No Answers |
2018AQ | | | Ovary removal (oophorectomy) | No Answers |
2018AQ | | | Fallopian tube removal (salpingectomy) | No Answers |
2018AQ | | | Uterus removal with cervix retained (supracervical hysterectomy) | No Answers |
2018AQ | | | Uterus removal with cervix removed (total hysterectomy) | No Answers |
2018AQ | | | Removal of vaginal tissue (vaginectomy) | No Answers |
2018AQ | | | Phallo/creation of a new penis (phalloplasty) | No Answers |
2018AQ | | | Penile implant insertion | No Answers |
2018AQ | | | Creation of new scrotum (scrotoplasty) | No Answers |
2018AQ | | | Testicular implant insertion | No Answers |
2018AQ | | | Removal of the testes (orchiectomy) | No Answers |
2018AQ | | | Creation of new labia without creation of new vagina (labioplasty) | No Answers |
2018AQ | | | Creation of a new vagina using colon graft (vaginoplasty, colon graft) | No Answers |
2018AQ | | | Creation of a new vagina using penile tissue (vaginoplasty, penile inversion) | No Answers |
2018AQ | | | Fat grafting (e.g., face, hips, buttocks, breasts/chest) | No Answers |
2018AQ | | | Soft tissue filler injection (e.g., silicone) | No Answers |
2018AQ | | | Is this list of gender-affirming or transition-related surgeries or procedures correct? | Yes (1) No (0) |
2018AQ | | | Have you had any gender-affirming or transition-related surgeries or procedures?Although this question and the ones that follow about procedures may seem to repeat what you may have entered in "My Health," getting the most up-to-date information will make sure that we can customize the survey for you. | Yes (1) No (2) |
2018AQ | | GAS_AQ | Have you had any of the following gender-affirming or transition-related surgeries or procedures that involve your head or neck? (Check all that apply.) | Brow lift (1) Chin augmentation (genioplasty) (2) Forehead reconstruction/contouring (3) Jaw bone revision (mandible contouring) (4) Lip lift (5) Nose reconstruction (rhinoplasty) (6) Scalp advancement (7) Tracheal shave (reduction thyrochondroplasty) (8) Vocal cord/voice surgery (9) None of these (10) |
2018AQ | | GAS_AQ | Have you had any of the following gender-affirming or transition-related surgeries or procedures that involve your chest? (Check all that apply.) | Breast augmentation (1) Breast/chest reduction (total reduction mammoplasty) (2) Top surgery/chest reconstruction/mastectomy (scars under the chest) (3) Top surgery/chest reconstruction/mastectomy (keyhole, through the areola) (4) None of these (5) |
2018AQ | | GAS_AQ | Have you had any of the following gender-affirming or transition-related surgeries or procedures that involve abdomen or pelvis? (Check all that apply.) | Ovary removal (oophorectomy) (1) Fallopian tube removal (salpingectomy) (2) Uterus removal with cervix retained (supracervical hysterectomy) (3) Uterus removal with cervix removed (total hysterectomy) (4) Removal of vaginal tissue (vaginectomy) (5) Meta/meto or clitoral release (metoidioplasty) (6) Phallo/creation of a new penis (phalloplasty) (7) Penile implant insertion (8) Creation of new scrotum (scrotoplasty) (9) Testicular implant insertion (10) Removal of the testes (orchiectomy) (11) Creation of new labia without creation of new vagina (labioplasty) (12) Creation of a new vagina using colon graft (vaginoplasty, colon graft) (13) Creation of a new vagina using penile tissue (vaginoplasty, penile inversion) (14) None of these (15) |
2018AQ | | GAS_AQ | Last set! Have you had any of the following gender-affirming or transition-related surgeries or procedures? (Check all that apply.) | Electrolysis (long-term hair removal) (1) Fat grafting (e.g., face, hips, buttocks, breasts/chest) (2) Soft tissue filler injection (e.g., silicone) (3) None of these (4) |
2018AQ | | GAS_PORTAL_CORRECT | Please list up to five additional gender-affirming surgeries/procedures that you had. (One surgery/procedure per line.) If no additional surgeries/procedures, please click next. | Text Entry (-) |
2018AQ | | | In general, would you say your health is... | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2018AQ | | | In general, would you say your quality of life is... | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2018AQ | | | In general, how would you rate your physical health? | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2018AQ | | | In general, how would you rate your mental health, including your mood and your ability to think? | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2018AQ | | | In general, how would you rate your satisfaction with your social activities and relationships? | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2018AQ | | | In general, please rate how well you carry out your usual social activities and roles. (This includes activities at home, at work and in your community, and responsibilities as a parent, child, spouse, employee, friend, etc.) | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2018AQ | | | To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair? | Completely (5) Mostly (4) Moderately (3) A little (2) Not at all (1) |
2018AQ | | | In the PAST 7 DAYS, how often have you been bothered by emotional problems, such as feeling anxious, depressed or irritable? | Never (5) Rarely (4) Sometimes (3) Often (2) Always (1) |
2018AQ | | | In the PAST 7 DAYS, how would you rate your fatigue on average? | None (5) Mild (4) Moderate (3) Severe (2) Very severe (1) |
2018AQ | | | In the PAST 7 DAYS, how would you rate your pain on average? | 0 No pain (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Worst imaginable pain (10) |
2018AQ | | | Physical Activity | No Answers |
2018AQ | | | How many days per week do you do VIGOROUS leisure-time physical activities for AT LEAST 10 MINUTES that cause HEAVY sweating or LARGE increases in breathing or heart rate? Examples include aerobics, tennis, bicycling up hills, and running. | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2018AQ | | VIG_DAYS | About how long (in minutes) do you do these vigorous leisure-time physical activities each time? | Text Entry (-) |
2018AQ | | | How many days per week do you do LIGHT OR MODERATE leisure-time physical activities for AT LEAST 10 MINUTES that cause ONLY LIGHT sweating or a SLIGHT to MODERATE increase in breathing or heart rate? Examples include walking, golf, moving boxes, and gardening. | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2018AQ | | MOD_DAYS | About how long (in minutes) do you do these light or moderate leisure-time physical activities each time? | Text Entry (-) |
2018AQ | | | How many days per week do you do leisure-time physical activities specifically designed to STRENGTHEN your muscles such as lifting weights or doing calisthenics? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2018AQ | | | Have you EVER used the following drugs/supplements for the purpose of enhancing appearance or performance? (Check all that apply.) | Anabolic Steroids (1) Protein supplements (such as whey protein, protein shakes, protein bars) (2) Creatine supplements (including creatine monohydrate, creatine ethyl ester, and others) (3) Synthetic muscle enhancers (such as testosterone replacement therapy, clenbuterol, human growth hormone) (4) Diuretics/water pills (such as furosemide (Lasix), hydrochlorothiazide, spironolactone, and others) (5) I have never used these drugs or supplements. (0) |
2018AQ | | | I use/have used anabolic steroids primarily for: | Performance (including athletic performance) (1) Appearance (2) Both performance and appearance (3) Neither performance or appearance (4) |
2018AQ | | | IN THE PAST 12 MONTHS, I have used anabolic steroids for approximately: | Not used in the last 12 months (0) 1-2 months (1) 3-4 months (2) 5-6 months (3) 7-8 months (4) 9-10 months (5) 11-12 months (6) |
2018AQ | | | Healthcare Access | No Answers |
2018AQ | | | Is there a place that you USUALLY go to when you are sick or need advice about your health? | Yes (1) There is NO place (2) There is MORE THAN ONE place (3) I dont know (88) |
2018AQ | | PLACESICK | What kind of place do you go to MOST often – a clinic, doctor's office, emergency room, or some other place? | Clinic or health center (1) Doctors office or HMO (2) Hospital emergency room (3) Hospital outpatient department (4) Some other place (5) I dont go to one place most often (6) I dont know (88) |
2018AQ | | PLACESICK | Is that the same place you USUALLY go when you need routine or preventive care, such as a physical examination or check up? | Yes (1) No (0) I dont know (88) |
2018AQ | | PLACEROUTINE | What kind of place do you USUALLY go to when you need routine or preventive care, such as a physical examination or check-up? | I dont get routine or preventative care anywhere (0) Clinic or health center (1) Doctors office or HMO (2) Hospital emergency room (3) Hospital outpatient department (4) Some other place (5) I dont go to one place most often (6) I dont know (88) |
2018AQ | | | DURING THE PAST 12 MONTHS, did you have any trouble finding a general doctor or health care provider who would see you? | Yes (1) No (0) I havent tried to see a doctor or health care provider in the past 12 months. (2) I dont know (88) |
2018AQ | | | DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about your own health? (Check all that apply.) | A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker (1) An optometrist, ophthalmologist, or eye doctor (someone who prescribes eye glasses) (2) A foot doctor (a podiatrist) (3) A chiropractor (4) A physical therapist, speech therapist, respiratory therapist, audiologist, or occupational therapist (5) A nurse practitioner, physician assistant, or midwife (6) A doctor who specializes in womens health (an obstetrician/gynecologist) (7) A medical doctor who specializes in a particular medical disease or problem (other than obstetrician/gynecologist, psychiatrist, or ophthalmologist) (8) A general doctor who treats a variety of illnesses (a doctor in general practice, family medicine, or internal medicine) (9) I have not seen or talked to any of these providers. (0) |
2018AQ | | | In the PAST 12 MONTHS, have you seen any of the following specialists? (Check all that apply.) | I did not see any specialists (0) Addiction medicine specialist (1) Allergist or immunologist (allergy doctor) (2) Cardiologist (heart doctor) (3) Dermatologist (skin doctor) (4) Endocrinologist (hormone doctor) (5) Gastroenterologist (digestive doctor) (6) Hematologist (blood doctor) (7) Hepatologist (liver doctor) (8) Infectious disease specialist (9) Oncologist (cancer doctor) (10) Nephrologist (kidney doctor) (11) Neurologist (brain and nerve doctor) (12) Neurosurgeon (brain and spine surgeon) (13) Gynecologist (reproductive and genital/urinary doctor) (14) Ophthalmologist (eye doctor) (15) Orthopedist (bone and joint doctor) (16) Otorhinolaryngologist (ear, nose, and throat doctor) (17) Pain management specialist (18) Plastic surgeon (repair, reconstruction, and physical replacement surgeon) (19) Podiatrist (foot doctor) (20) Psychiatric nurse practitioner (21) Psychiatrist (mental health doctor) (22) Psychologist, psychotherapist, or other mental health counselor (23) Pulmonologist (lung doctor) (24) Rheumatologist (joint and inflammation doctor) (25) Sleep specialist (26) Speech/language therapist (27) Urologist (genital/urinary health doctor) (28) Someone not listed here (please specify) (29) Someone not listed here (please specify) (TEXT) I did not see any specialists (0) |
2018AQ | | | A primary care provider is a health care provider who takes care of your overall general health and may coordinate your care with other medical specialists. Do you have a primary care provider (PCP)? | Yes (1) No (0) I dont know (88) |
2018AQ | | | Have you seen your primary care provider in the past 12 months? | Yes (1) No (0) I dont know (88) |
2018AQ | | | In the PAST 12 MONTHS, have you gone to a doctor, health care provider, or clinic for transgender-related health care (such as hormone treatment)? | Yes (1) No (0) I dont know (88) |
2018AQ | | TRANS_DOC | Does the person or place who provides your transgender-related health care also take care of your overall general health? | Yes (1) No (0) I dont know (88) |
2018AQ | | | In the PAST 12 MONTHS, have you visited a doctor, health care provider, or clinic that focuses on sexual or reproductive health (such as sexually transmitted infections, PrEP, birth control, abortion, etc.)? | Yes (1) No (0) I dont know (88) |
2018AQ | | SEX_DOC | Does the person or place who provides your sexual or reproductive health care also take care of your overall general health? | Yes (1) No (0) I dont know (88) |
2018AQ | | | In the PAST 12 MONTHS, was there any time when you did NOT have ANY health insurance or coverage? In other words, were you uninsured for any time during the previous 12 months? | Yes (1) No (0) I dont know (88) |
2018AQ | | UNINSUR | In the PAST 12 MONTHS, about how many months were you without coverage? | Less than one month (0) 1 month (1) 2 months (2) 3 months (3) 4 months (4) 5 months (5) 6 months (6) 7 months (7) 8 months (8) 9 months (9) 10 months (10) 11 months (11) 12 months (12) |
2018AQ | | | Are you CURRENTLY covered by any health insurance or health coverage plan? | Yes (1) No (0) I dont know (88) |
2018AQ | | INSURANCE | Are you CURRENTLY covered by any of the following types of health insurance or health coverage plans? (If you have more than one insurance/coverage plans, please select your primary insurance/coverage plan.) | Insurance through my current or former employer or union (1) Insurance through someone elses current or former employer or union (2) Insurance purchased through HealthCare.gov or another health insurance marketplace (sometimes called Obamacare or the Affordable Care Act) (3) Insurance purchased directly from an insurance company (4) Medicare (for people 65 and older or people with certain disabilities) (5) Medicaid (government-assistance plan for those with low incomes or a disability) (6) TRICARE or other military health care (7) Veterans Affairs (VA) (8) Indian Health Service (9) Other (10) Other (TEXT) |
2018AQ | | | In regard to your current health insurance or health care coverage, how does it compare to a year ago? Is it better, worse, or about the same? | Better (2) Worse (0) About the same (1) I dont know (88) |
2018AQ | | | In the last 12 months, were you DELAYED in getting medical care, tests, or treatments that you or a health care provider believed necessary? | Yes (1) No (0) |
2018AQ | | DELAYCARE | Which of these reasons describes why you were DELAYED in getting medical care, tests, or treatments you or a health care provider believed necessary? (Check all that apply.) | I couldnt afford care (0) My insurance company wouldnt approve, cover, or pay for care (1) Health care provider refused to accept the insurance plan (2) Problems getting to health care providers office (3) The health care provider could not schedule me in a timely fashion (13) I speak a different language (4) I couldnt get time off work or school (5) I dont know where to go to get care (6) I was refused services (7) I thought I would be mistreated or disrespected on the basis of my sexual orientation (11) I thought I would be mistreated or disrespected on the basis of my gender identity (12) I couldnt get child care (8) I didnt have time or took too long (9) Other (please specify) (10) Other (please specify) (TEXT) |
2018AQ | | | In the last 12 months, were you UNABLE to obtain medical care, tests, or treatments that you or a health care provider believed necessary? | Yes (1) No (0) |
2018AQ | | NOCARE | Which of these best describes the main reason you were UNABLE to get medical care, tests, or treatments you or a health care provider believed necessary? | I couldnt afford care (0) My insurance company wouldnt approve, cover, or pay for care (1) Doctor refused to accept the insurance plan (2) Problems getting to doctors office (3) The health care provider could not schedule me in a timely fashion (13) I speak a different language (4) I couldnt get time off work or school (5) I dont know where to go to get care (6) I was refused services (7) I thought I would be mistreated or disrespected on the basis of my sexual orientation (11) I thought I would be mistreated or disrespected on the basis of my gender identity (12) I couldnt get child care (8) I didnt have time or took too long (9) Other (please specify) (10) Other (please specify) (TEXT) |
2018AQ | | | To understand your health and customize this survey for you, we need to know what organs you were born with. Note: People may have a wide range of language or terms for their physical anatomy. Some people are not comfortable with the term ‘vagina' and may prefer the term ‘front hole.' The PRIDE Study chooses to include both the terms ‘vagina' and ‘front hole' for all relevant questions to honor the preferences and comfort of our participants. Later you will have an opportunity to tell us more about language you prefer that we use.Which of the following organs were you born with? (Check all that apply.) | Cervix (you likely have this if you have a uterus or womb) (1) Ovaries (2) Penis/Phallus (this is a part of your body, not a dildo) (3) Prostate (you likely have this if you were assigned male sex at birth) (4) Testicles (5) Uterus/Womb (6) Vagina/Frontal genital opening/Front hole (7) |
2018AQ | | | Have you ever had breasts or breast tissue? | Yes (1) No (0) I dont know (88) |
2018AQ | | | Which of the following organs do you have now? (Check all that apply.) | Breasts or breast tissue (1) Cervix (you likely have this if you have a uterus or womb) (2) Ovaries (3) Penis/Phallus (this is a part of your body, not a dildo) (4) Prostate (you likely have this if you were assigned male sex at birth) (5) Testicles (6) Uterus/Womb (7) Vagina/Frontal genital opening/Front hole (8) |
2018AQ | | | The PRIDE Study is exploring new ways to ask about body parts as we recognize that the names we provided above may not apply to everyone. Do you feel that the way we asked about body parts and organs works for you? | Yes (1) No (0) |
2018AQ | | | Please indicate which word(s) you use for the following body part(s). | Text Entry (-) |
2018AQ | | | Cancer Screening | No Answers |
2018AQ | | ORGANS_BORN | Have you EVER had a Pap smear or Pap test? (A Pap smear or Pap test is a routine test in which a health care provider places an instrument inside the vagina or front hole, examines the cervix, and takes a few cells from the cervix with a small stick or brush to look for abnormal or cancer cells.) | Yes (1) No (0) I dont know (88) |
2018AQ | | PAP_EVER | How long has it been since your last Pap smear or Pap test? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) Over 5 years ago (4) I dont know (88) |
2018AQ | | PAP_LAST ORGANS_NOW | What is the most important reason you have NOT had a Pap test in the LAST 5 YEARS? | I do not have a reason or I never thought about it (0) I did not know I needed this type of test (1) My health care provider told me I did not need it (2) I was told I could stop screening or I am over the age of 65 (12) I have not had any problems (3) I put it off or I did not get around to it (4) It was too expensive or I have no insurance (5) It was too painful, unpleasant, or embarrassing (6) I do not have a cervix or I have had a hysterectomy (7) I do not have a provider (8) I had an HPV vaccine (9) I dont know (10) |
2018AQ | | PAP_EVER | What is the most important reason you have NEVER had a Pap test? | I do not have a reason or I never thought about it (0) I did not know I needed this type of test (1) My health care provider told me I did not need it (2) I have not had any problems (3) I put it off or I did not get around to it (4) It was too expensive or I have no insurance (5) It was too painful, unpleasant, or embarrassing (6) I do not have a cervix or I have had a hysterectomy (7) I do not have a provider (8) I had an HPV vaccine (9) I am under the age of 21 (10) I dont know (11) |
2018AQ | | PAP_LAST | Have you had a Pap smear or Pap test in the LAST 3 YEARS where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2018AQ | | ORGANS_NOW | Have you ever heard of HPV? HPV stands for human papillomavirus. Some types of HPV increase risk for cervical or anal cancer while others do not. | Yes (1) No (0) I dont know (88) |
2018AQ | | HPV_HEARD | An HPV test is sometimes added to the Pap test for cervical cancer screening. Did you have an HPV test with your most recent Pap? | Yes (1) No (0) I dont know (88) |
2018AQ | | HPV_HEARD | Have you had a cervical HPV test in the LAST 3 YEARS where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2018AQ | | ORGANS_BREASTS | Have you EVER HAD a mammogram? A mammogram is when breast tissue is squeezed between two firm surfaces to obtain X-rays/pictures of the breast tissue. | Yes (1) No (0) I dont know (88) |
2018AQ | | MAMMO_EVER | How long has it been since your last mammogram? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) Over 5 years ago (4) I dont know (88) |
2018AQ | | MAMMO_EVER | How many mammograms have you had in the LAST 6 YEARS? | Text Entry (-) |
2018AQ | | MAMMO_6YR | Have you had a mammogram in the LAST 6 YEARS where the results were NOT normal? | Yes (1) No (2) I dont know (88) |
2018AQ | | ORGANS_BORN | Have you EVER HAD a PSA test? A PSA test is a blood test to detect prostate cancer. It is also called a prostate-specific antigen test. | Yes (1) No (0) I dont know (88) |
2018AQ | | PSA_EVER | How long has it been since your last PSA test? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) Over 5 years ago (4) I dont know (88) |
2018AQ | | PSA_EVER | Who first suggested the PSA test? | I did (0) My health care provider did (1) Someone else (2) I dont know (88) |
2018AQ | | PSA_EVER | How many PSA tests have you had in the LAST 5 years? | Text Entry (-) |
2018AQ | | PSA_EVER | Did a doctor or health care provider EVER talk with you about the advantages of the PSA test? | Yes (1) No (0) I dont know (88) |
2018AQ | | | IN THE LAST YEAR, have you had a digital anal rectal examination performed by a doctor or health care provider? This is when the doctor or health care provider inserts their finger into your anus (butt). | Yes (1) No (0) I dont know (88) |
2018AQ | | | Have you EVER had any of the following tests as an evaluation for anal or rectal cancer? (Check all that apply.) | Digital anal rectal exam (an examination with a health care providers finger) (1) Anal HPV test (a routine test with a swab that tests for human papillomavirus, HPV) (2) Anal Pap smear (a routine test in which a health care provider takes a few cells from the anus using a swab to look for abnormal or cancer cells) (3) High-Resolution Anoscopy (HRA) (an exam with a microscope of the rectum and anus) (4) I dont know (5) None of these (6) |
2018AQ | | ANORECTCA_SCREEN | Was your digital anal/rectal examination test ever abnormal? | Yes (1) No (0) I dont know (88) |
2018AQ | | ANORECTCA_SCREEN | Was your anal HPV test ever abnormal? | Yes (1) No (0) I dont know (88) |
2018AQ | | ANORECTCA_SCREEN | Was your anal Pap smear ever abnormal? | Yes (1) No (0) I dont know (88) |
2018AQ | | ANORECTCA_SCREEN | Was your high-resolution anoscopy (HRA) ever abnormal? | Yes (1) No (0) I dont know (88) |
2018AQ | | | Have you and your doctor or other health care provider ever DISCUSSED getting a test to check for colon or rectal cancer? | Yes (1) No (0) I dont know (88) |
2018AQ | | | Colon or rectal cancer tests include blood stool tests, colonoscopy, and sigmoidoscopy. A blood stool test or occult blood test, also known as the fecal immunochemical (FIT) test, determines whether you have blood in your stool or bowel movement. These tests can be done at home using a kit. You use a stick or brush to obtain a small amount of stool at home and send it back to the doctor or lab. A sigmoidoscopy and colonoscopy are exams in which a tube is inserted in the rectum to view the colon for signs of cancer or other health problems. For a sigmoidoscopy, the doctor checks only part of the colon and you are fully awake. For a colonoscopy, the doctor checks the entire colon, and you are given medication through a needle in your arm to make you sleepy, and told to have someone drive you home. Before a sigmoidoscopy or colonoscopy, you are asked to take a medication that causes diarrhea. Have you EVER HAD any of these tests for colon or rectal cancer? (Check all that apply.) | None of these (0) Blood stool test (FIT test) (1) Sigmoidoscopy (2) Colonoscopy (3) |
2018AQ | | COLON_TEST | How long has it been since your last blood stool test (FIT test)? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) More than 5 years ago but not more than 10 years (4) Over 10 years ago (5) I dont know (88) |
2018AQ | | COLON_TEST | Have you EVER had a blood stool test (FIT) where the results were NOT normal? | Yes (1) No (2) I dont know (88) |
2018AQ | | COLON_TEST | How long has it been since your last sigmoidoscopy? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) More than 5 years ago but not more than 10 years (4) Over 10 years ago (5) I dont know (88) |
2018AQ | | COLON_TEST | Have you EVER had a sigmoidoscopy where the results were NOT normal? | Yes (1) No (2) I dont know (88) |
2018AQ | | COLON_TEST | How long has it been since your last colonoscopy? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) More than 5 years ago but not more than 10 years (4) Over 10 years ago (5) I dont know (88) |
2018AQ | | COLON_TEST | Have you EVER had a colonoscopy where the results were NOT normal? | Yes (1) No (2) I dont know (88) |
2018AQ | | | Sleep | No Answers |
2018AQ | | | On average, how many hours of sleep do you get in a 24-hour period? (Please round to the nearest whole hour.) | Text Entry (-) |
2018AQ | | | Oral Health | No Answers |
2018AQ | | | About how long has it been since you last visited a dentist? Include all types of dentists, such as orthodontists, oral surgeons, and all other dental specialists, as well as dental hygienists. | 6 months or less (0) More than 6 months, but not more than 1 year ago (1) More than 1 year, but not more than 2 years ago (2) More than 2 years, but not more than 3 years ago (3) More than 3 years, but not more than 5 years ago (4) More than 5 years ago (5) Never have been to dentist (6) |
2018AQ | | | During the past 12 months, was there a time when you needed dental care but could not get it at that time? | Yes (1) No (0) |
2018AQ | | DENTCARE_NO | What were the reasons that you could not get the dental care you needed? (Check all that apply.) | I could not afford the cost (0) I did not want to spend the money (1) Insurance did not cover recommended procedures (2) Dental office is too far away (3) Dental office is not open at convenient times (4) Another dentist recommended not doing it (5) I was afraid or do not like dentists (6) I was unable to take time off from work or school (7) I was too busy (8) I did not think anything serious was wrong/expected dental problems to go away (9) I thought I would be mistreated or disrespected on the basis of my sexual orientation (10) I thought I would be mistreated or disrespected on the basis of my gender identity (11) I thought I would be mistreated or disrespected on the basis of my HIV status (12) Other (13) Other (TEXT) |
2018AQ | | | Overall, how would you rate the health of your teeth and gums? Would you say...? | Excellent (4) Very good (3) Good (2) Fair (1) Poor (0) |
2018AQ | | | Sexual Health and Activities The next questions will ask you about your sexual activities including specific sexual behaviors and acts. If you wish to opt out of this survey because of this, please indicate below. | I wish to answer this section. (1) I wish to skip this section. (0) |
2018AQ | | | Have you engaged in any kind of sexual activity with another person in the PAST 12 MONTHS? | Yes (1) No (0) |
2018AQ | | SEX_PASTYR | Have you EVER engaged in any kind of sexual activity with another person? | Yes (1) No (0) |
2018AQ | | SEX_PASTYR | Thinking about all your sexual partner(s) from the LAST 12 MONTHS, what is the gender identity of your sexual partner(s)? (Check all that apply.) We use the term ‘cisgender' to describe someone whose current gender identity is consistent with their sex assigned at birth and ‘transgender' to describe someone whose current gender identity is different than their sex assigned at birth. | I didnt have any sexual partners in the LAST 12 MONTHS (0) Cisgender man (identifies as a man and was assigned male sex at birth) (1) Cisgender woman (identifies as a woman and was assigned female sex at birth) (2) Transgender man (identifies as a man and was assigned female sex at birth) (3) Transgender woman (identifies as a woman and was assigned male sex at birth) (4) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned female sex at birth (5) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned male sex at birth (6) Person of another gender(s) (please specify) (7) Person of another gender(s) (please specify) (TEXT) I dont know (88) Decline to state (89) |
2018AQ | | SEX_PASTYR | Thinking about all your sexual partner(s) IN YOUR LIFE, what is the gender identity of your sexual partner(s)? (Check all that apply.) We use the term ‘cisgender' to describe someone whose current gender identity is consistent with their sex assigned at birth and ‘transgender' to describe someone whose current gender identity is different than their sex assigned at birth. | Cisgender man (identifies as a man and was assigned male sex at birth) (1) Cisgender woman (identifies as a woman and was assigned female sex at birth) (2) Transgender man (identifies as a man and was assigned female sex at birth) (3) Transgender woman (identifies as a woman and was assigned male sex at birth) (4) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned female sex at birth (5) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned male sex at birth (6) Person of another gender(s) (please specify) (7) Person of another gender(s) (please specify) (TEXT) I dont know (88) Decline to state (0) |
2018AQ | | SEX_PASTYR | IN THE LAST 12 MONTHS, have you had receptive vaginal/front hole sex? This means a penis/phallus (this is a part of another person's body, not a dildo) in your vagina/front hole. | Yes (1) No (2) |
2018AQ | | SEX_EVER | Have you ever had receptive vaginal/front hole sex? This means a penis/phallus (this is a part of another person's body, not a dildo) in your vagina/front hole. | Yes (1) No (0) |
2018AQ | | VAGSEX_VAG_YR | How often do you have receptive vaginal/front hole sex? This means a penis/phallus (this is a part of another person's body, not a dildo) in your vagina/front hole. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQ | | SEX_PASTYR | IN THE LAST 12 MONTHS, have you had insertive vaginal/front hole sex? This means putting your penis/phallus (this is a part of your body, not a dildo) in someone's vagina/front hole. | Yes (1) No (2) |
2018AQ | | SEX_EVER | Have you ever had insertive vaginal/front hole sex? This means putting your penis/phallus (this is a part of your body, not a dildo) in someone's vagina/front hole. | Yes (1) No (0) |
2018AQ | | VAGSEX_PEN_YR | How often do you have insertive vaginal/front hole sex? This means putting your penis/phallus (this is a part of your body, not a dildo) in someone's vagina/front hole. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQ | | SEX_PASTYR | IN THE LAST 12 MONTHS, have you had sex where your vagina/front hole is touching another person's vagina/front hole? | Yes (1) No (2) |
2018AQ | | SEX_EVER | Have you ever had sex where your vagina/front hole is touching another person's vagina/front hole? | Yes (1) No (0) |
2018AQ | | VAG2VAG_YR | How often do you have sex where your vagina/front hole is touching another person's vagina/front hole? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQ | | SEX_PASTYR | Have you performed oral sex in the LAST 12 MONTHS? This means putting your mouth on another person's genitals. (Check all that apply.) | Yes, on a person with a penis/phallus (this is a part of another persons body, not a dildo) (1) Yes, on a person with a vagina/front hole (2) No (0) |
2018AQ | | ORAL_GIVE_PASTYR SEX_EVER | Have you EVER performed oral sex? This means putting your mouth on another person's genitals. (Check all that apply.) | Yes, on a person with a penis/phallus (this is a part of another persons body, not a dildo) (1) Yes, on a person with a vagina/front hole (2) No (0) |
2018AQ | | ORAL_GIVE_PASTYR | How often do you perform oral sex on a person with a penis/phallus (this is a part of another person's body, not a dildo)? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQ | | ORAL_GIVE_PASTYR | How often do you perform oral sex on a person with a vagina/front hole? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQ | | SEX_PASTYR | Have you received oral sex in the LAST 12 MONTHS? This means someone put their mouth on your genitals. | Yes (1) No (0) |
2018AQ | | SEX_EVER | Have you EVER received oral sex? This means someone put their mouth on your genitals. | Yes (1) No (0) |
2018AQ | | ORAL_GET_PASTYR | How often have you received oral sex? This means someone put their mouth on your genitals. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQ | | SEX_PASTYR | IN THE PAST 12 MONTHS, have you had anal sex? This means contact between a penis/phallus (this is a part of another person's body, not a dildo) and your anus or butt. | Yes (1) No (2) |
2018AQ | | SEX_EVER | Have you ever had anal sex? This means contact between a penis/phallus (this is a part of another person's body, not a dildo) and your anus or butt. | Yes (1) No (0) |
2018AQ | | ANAL_VAG_YR | How often do you have anal sex? This means contact between a penis/phallus (this is a part of another person's body, not a dildo) and your anus or butt. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQ | | SEX_PASTYR | Have you had anal sex in the LAST 12 MONTHS? (Check all that apply.) | Yes, I have had contact between my penis/phallus (this is a part of my body, not a dildo) and someones anus or butt (also known as insertive anal sex or topping) (1) Yes, I have had contact between someones penis/phallus (this is a part of my body, not a dildo) and my anus or butt (also known as receptive anal sex or bottoming) (2) No (0) |
2018AQ | | SEX_EVER | Have you EVER had anal sex? (Check all that apply.) | Yes, I have had contact between my penis/phallus (this is a part of my body, not a dildo) and someones anus or butt (also known as insertive anal sex or topping) (1) Yes, I have had contact between someones penis/phallus (this is a part of my body, not a dildo) and my anus or butt (also known as receptive anal sex or bottoming) (2) No (0) |
2018AQ | | ANAL_PEN_PASTYR | How often do you have contact between your penis/phallus (a part of your body, not a dildo) and someone's anus or butt (also known as insertive anal sex or "topping")? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQ | | ANAL_PEN_PASTYR | How often do you have contact between someone's penis/phallus (a part of another person's body, not a dildo) and your anus or butt (also known as receptive anal sex or "bottoming")? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQ | | SEX_PASTYR | Have you performed oral-anal sex (also called "rimming") in the LAST 12 MONTHS? This means contact between your mouth and someone's anus or butt. | Yes (1) No (2) |
2018AQ | | SEX_EVER | Have you EVER performed oral-anal sex (also called "rimming")? This means contact between your mouth and someone's anus or butt. | Yes (1) No (0) |
2018AQ | | RIM_PASTYR | How often do you perform oral-anal sex (also called "rimming")? This means contact between your mouth and someone's anus or butt. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQ | | SEX_PASTYR | Have you performed digital penetration (also called "fingering") in the LAST 12 MONTHS? This means putting your fingers into someone's vagina/front hole or someone's anus or butt. (Check all that apply.) | Yes, I have had contact between my finger(s) and someones vagina/front hole (1) Yes, I have had contact between my finger(s) and someones anus or butt (2) No (0) |
2018AQ | | SEX_EVER | Have you EVER performed digital penetration (also called "fingering")? This means putting your fingers into someone's vagina/front hole or someone's anus or butt. (Check all that apply.) | Yes, I have had contact between my finger(s) and someones vagina/front hole (1) Yes, I have had contact between my finger(s) and someones anus or butt (2) No (0) |
2018AQ | | FINGER_PASTYR | How often do you perform digital penetration (also called "fingering") by putting your fingers into someone's vagina/front hole? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQ | | FINGER_PASTYR | How often do you perform digital penetration (also called "fingering") by putting your fingers into someone's anus or butt? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQ | | SEX_PASTYR | Have you used sex toys (such as dildos) with a sexual partner in the LAST 12 MONTHS? (Check all that apply.) | Yes, I inserted the sex toy into someones body (1) Yes, I received the sex toy into my body (2) No (0) |
2018AQ | | SEX_EVER | Have you EVER used sex toys (such as dildos) with a sexual partner? | Yes, I inserted the sex toy into someones body (1) Yes, I received the sex toy into my body (2) No (0) |
2018AQ | | SEXTOY_PASTYR | How often do you insert a sex toy into someone's body? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQ | | SEXTOY_PASTYR | How often do you receive a sex toy into your body? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQ | | SEX_EVER | Please tell us about other kinds of sex that you have. | Text Entry (-) |
2018AQ | | SEX_EVER | How old were you the first time you had any kind of sex with another person including vaginal/front hole, oral, and anal? (Do not include masturbation.) | Text Entry (-) |
2018AQ | | SEX_EVER | In your lifetime, with how many different people have you had any kind of sex? (If you are unsure, please estimate as best you can.) | Text Entry (-) |
2018AQ | | SEX_PASTYR | In the past 12 months, with how many different people have you had any kind of sex? (If you are unsure, please estimate as best you can.) | Text Entry (-) |
2018AQ | | VAGSEX_VAG_YR | In the past 12 months, with how many people have you had receptive vaginal/front hole sex? (This means someone put their penis/phallus (this is a part of another person's body, not a dildo) in your vagina/front hole.) | Text Entry (-) |
2018AQ | | VAGSEX_YEAR_VAG | In the past 12 months, about how often have you had receptive vaginal/front hole sex without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2018AQ | | VAGSEX_RECEP_NOCON | In the past 12 months, with how many different people have you had receptive vaginal/front hole sex without a condom? | Text Entry (-) |
2018AQ | | VAGSEX_PEN_YR | In the past 12 months, with how many people have you had insertive vaginal/front hole sex? (This means you put your penis/phallus (this is a part of your body, not a dildo) in someone's vagina/front hole.) | Text Entry (-) |
2018AQ | | VAGSEX_YEAR_PEN | In the past 12 months, about how often have you had insertive vaginal/front hole sex without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2018AQ | | VAGSEX_INSERT_NOCON | In the past 12 months, with how many different people have you had insertive vaginal/front hole sex without a condom? | Text Entry (-) |
2018AQ | | ANAL_VAG_YR | In the past 12 months, with how many people have you "bottomed" or had receptive anal sex? (This means contact between a penis/phallus (this is a part of another person's body, not a dildo) and your anus or butt.) (If you are unsure, please estimate as best you can.) | Text Entry (-) |
2018AQ | | ANALSEX_YEAR | In the past 12 months, about how often have you "bottomed" or had receptive anal sex without using a condom? (This means contact between a penis/phallus (a part of another person's body, not a dildo) and your anus or butt.) | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2018AQ | | ANALSEX_NOCON | In the past 12 months, with how many different people have you "bottomed" or had receptive anal sex without a condom? (This means contact between a penis/phallus (this is a part of another person's body, not a dildo) and your anus or butt.) | Text Entry (-) |
2018AQ | | ANAL_PEN_PASTYR | In the past 12 months, with how many people have you "topped" or had insertive anal sex? (This means contact between your penis/phallus (this is a part of your body, not a dildo) and someone's anus or butt.) | Text Entry (-) |
2018AQ | | TOP_YEAR | In the past 12 months, about how often have you "topped" or had insertive anal sex without using a condom? (This means contact between your penis/phallus (this is a part of your body, not a dildo) and someone's anus or butt.) | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2018AQ | | TOP_NOCON | In the past 12 months, with how many different people have you "topped" or had insertive anal sex without a condom? (This means contact between your penis/phallus (this is a part of your body, not a dildo) and someone's anus or butt.) (If you are unsure, please estimate as best you can.) | Text Entry (-) |
2018AQ | | | Sexual Health and Infections | No Answers |
2018AQ | | | Has a doctor or other health care professional ever told you that you had genital herpes? | Yes (1) No (0) |
2018AQ | | HERPES_EVER | Has a doctor or other health care professional told you that you had genital herpes in the last 12 months? | Yes (1) No (0) |
2018AQ | | | Has a doctor or other health care professional ever told you that you had genital warts? | Yes (1) No (0) |
2018AQ | | WARTS_EVER | Has a doctor or other health care professional told you that you had genital warts in the last 12 months? | Yes (1) No (0) |
2018AQ | | | Has a doctor or other health care professional ever told you that you had human papillomavirus or HPV? | Yes (1) No (0) |
2018AQ | | HPV_EVER | Has a doctor or other health care professional told you that you had human papillomavirus or HPV in the last 12 months? | Yes (1) No (0) |
2018AQ | | | Has a doctor or other health care professional ever told you that you had gonorrhea, sometimes called 'GC' or the 'clap'? | Yes (1) No (0) |
2018AQ | | GC_EVER | Has a doctor or other health care professional told you that you had gonorrhea (also called 'GC' or the 'clap') in the last 12 months? | Yes (1) No (0) |
2018AQ | | | Has a doctor or other health care professional ever told you that you had chlamydia? | Yes (1) No (0) |
2018AQ | | CT_EVER | Has a doctor or other health care professional told you that you had chlamydia in the last 12 months? | Yes (1) No (0) |
2018AQ | | | Has a doctor or other health care professional ever told you that you had syphilis? | Yes (1) No (0) |
2018AQ | | SYPHILIS_EVER | Has a doctor or other health care professional told you that you had syphilis in the last 12 months? | Yes (1) No (0) |
2018AQ | | | Except for tests that you may have had as part of blood donations, have you ever been tested for HIV? | Yes (1) No (0) I dont know (88) |
2018AQ | | HIVTEST_EVER | Have you been tested for HIV in the last 12 months? | Yes (1) No (0) I dont know (88) |
2018AQ | | | What is your HIV status? | Positive (I have HIV.) (1) Negative (I do not have HIV.) (0) I dont know (I dont know whether or not I have HIV.) (88) |
2018AQ | | | PrEP (pre-exposure prophylaxis) is when HIV-negative people take anti-HIV medications (like Truvada) on a regular basis to prevent HIV infection. Regardless of your current HIV status, have you ever heard of PREP before today? | Yes (1) No (0) I dont know (88) |
2018AQ | | PREP_HEARD | Would you be interested in learning more about PrEP for yourself or others? | Yes (1) No (0) |
2018AQ | | PREP_HEARD | Have you EVER been on PrEP to prevent HIV infection? | Yes (1) No (0) |
2018AQ | | PREP_EVER | Are you CURRENTLY on PrEP to prevent HIV infection? | Yes (1) No (0) |
2018AQ | | | Are you currently on PrEP as part of a clinical or research study? | Yes (1) No (0) |
2018AQ | | PREP_NOW | How would you rate your ability to take your PrEP pills as prescribed? | Very poor (0) Poor (1) Fair (2) Good (3) Very good (4) |
2018AQ | | PREP_NOW | In the past 7 days, how many days did you take your PrEP pill? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2018AQ | | PREP_NOW | Why are you no longer on PrEP? (Check all that apply.) | My risk of getting HIV is now less because I am in a relationship and/or having less risky sexual activity. (1) PrEP is too expensive. (2) My insurance coverage has changed or I have lost insurance coverage. (3) I forgot to take it most of the time so I decided to stop. (4) It is too much of a hassle to get labs every 3 months. (5) I was having side effects so I decided to stop. (6) My doctor or health care provider said that I needed to stop the medication because of my lab results. (7) I feel discriminated against or stigmatized because I am on PrEP. (8) I became infected with HIV. (9) Something else (10) Something else (TEXT) |
2018AQ | | | If you are interested in learning more about PrEP, we encourage you to check out the following resources and talk with your medical provider. For information about PrEP from the Centers for Disease Control and Prevention, please visit: cdc.gov/hiv/risk/prep/ To find a PrEP provider near you, please visit: pleaseprepme.org For information on programs to help pay for PrEP, please visit: gilead.com/responsibility/us-patient-access | No Answers |
2018AQ | | | Although PrEP is for individuals who are HIV negative, we want to share more information about PrEP with individuals who are living with HIV in case they wish to pass this along to other individuals close to them. For information about PrEP from the Centers for Disease Control and Prevention, please visit: cdc.gov/hiv/risk/prep/ To find a PrEP provider near you, please visit: pleaseprepme.org For information on programs to help pay for PrEP, please visit: gilead.com/responsibility/us-patient-access | No Answers |
2018AQ | | | PEP (post-exposure prophylaxis) is when HIV-negative people take anti-HIV medications AFTER potentially being exposed to HIV in order to prevent HIV infection. Regardless of your HIV status, have you ever heard of PEP (post-exposure prophylaxis)? | Yes (1) No (0) |
2018AQ | | PEP_HEARD | Regardless of your current HIV status, have you EVER taken anti-HIV medications (PEP) AFTER potentially being exposed to HIV? | Yes (1) No (0) |
2018AQ | | | Do you have a doctor or other health care provider who manages your HIV care? This person may be the same as your primary care provider or it may be another provider, such as a HIV specialist. | Yes (1) No (0) I dont know (88) |
2018AQ | | HIVDOC | How frequently do you see this health care provider? | Monthly (0) Every 1-3 months (1) Every 4-6 months (2) Every 7-12 months (3) Less than every 12 months (4) |
2018AQ | | | How frequently do you have HIV blood work (lab tests) done? | Monthly (1) Every 1-3 months (2) Every 4-6 months (3) Every 7-12 months (4) Less than every 12 months (5) I dont know (88) I have never had these lab tests done (0) |
2018AQ | | | Are you on HIV medications, sometimes call anti-retrovirals (ARVs) or anti-retroviral therapy (ART)? | Yes (1) No (2) I dont know (3) |
2018AQ | | | When was the last time that you had your HIV viral load checked? A viral load test is a lab test that measures the number of HIV virus particles in a milliliter of your blood. These particles are called “copies.” | Within the last month (1) 1-3 months ago (2) 4-6 months ago (3) 7-12 months ago (4) More than 1 year ago (5) I dont know (88) I have never had my HIV viral load checked (0) |
2018AQ | | | Is your HIV viral load “suppressed” or “undetectable”? This means that the number of copies of the HIV virus in your blood is at a very low level or not detectable by modern medical tests. This does not mean that your HIV is cured. | Yes (1) No (2) I dont know (3) |
2018AQ | | | Vaccinations | No Answers |
2018AQ | | | DURING THE PAST 12 MONTHS, have you had a flu vaccine - usually a shot in your arm or sprayed in your nose by a doctor or other health professional? These are usually given in the fall and protect against influenza for the flu season. | Yes (1) No (0) I dont know (88) |
2018AQ | | | Have you EVER had a pneumonia shot? This shot is usually given only once or twice in a person's lifetime and is different from the flu shot. It is also called the pneumococcal vaccine. | Yes (1) No (0) I dont know (88) |
2018AQ | | | Have you EVER received the hepatitis B vaccine? This is given in three separate doses and has been available since 1991. It is recommended for newborn infants, adolescents, and people such as health care workers, who may be exposed to the hepatitis B virus. | Yes (1) No (0) I dont know (88) |
2018AQ | | | The hepatitis A vaccine is given as a two-dose series routinely to some children starting at 1 year of age, and to some adults and people who travel outside the United States. Although it can be given as a combination vaccine with hepatitis B, it is different from the hepatitis B shot, and has only been available since 1995. Have you ever received the hepatitis A vaccine? | Yes (1) No (0) I dont know (88) |
2018AQ | | | Shingles is an outbreak of a rash or blisters on the skin that may be associated with severe pain. The pain is generally on one side of the body or face. Shingles is caused by the chicken pox virus. A vaccine for shingles has been available since May 2006. Have you ever had the Zoster or Shingles vaccine, also called Zostavax®? | Yes (1) No (0) I dont know (88) |
2018AQ | | | Have you ever received an HPV shot or vaccine? HPV stands for human papillomavirus. The vaccines are sometimes called CERVARIX® or GARDASIL®. The HPV vaccine is given as a three-dose series routinely to people from age 9-26. It was released in 2006. | Yes (1) No (0) Doctor refused when asked (2) I dont know (88) |
2018AQ | | HPVSHOT | How many HPV vaccine shots did you have? | One (1) Two (2) Three (3) I dont know (88) |
2018AQ | | | Reproductive History | No Answers |
2018AQ | | ORGANS_BORN | Has your sperm (also known as semen, cum, nut, ejaculate) EVER resulted in a pregnancy? | Yes (1) No (0) I dont know (88) |
2018AQ | | PREGNANT_SPERM | How many pregnancies? (If you are unsure, please estimate.) | Text Entry (-) |
2018AQ | | ORGANS_BORN | Have you ever had a menstrual period? | Yes (1) No (0) I dont know (88) |
2018AQ | | MENSES_EVER | How old were you when your menstrual period started? (Please enter “88” if you don't know.) | Text Entry (-) |
2018AQ | | MENSES_EVER | Have you had at least one menstrual period in the past 12 months? Please do not include bleedings caused by medical conditions, hormone therapy, or surgeries. | Yes (1) No (0) I dont know (88) |
2018AQ | | MENSES_YEAR | What is the reason(s) that you have not had a period in the past 12 months? (Check all that apply.) | Pregnancy (1) Breastfeeding/chestfeeding (2) Hysterectomy (removal of the uterus) (3) Menopause/change of life (4) Hormones, medications, or devices (like an IUD) to stop my periods (5) Other (please specify) (6) Other (please specify) (TEXT) I dont know (88) |
2018AQ | | MENSES_NOYEAR | About how old were you when you had your last menstrual period? (Please enter “88” if you don't know.) | Text Entry (-) |
2018AQ | | ORGANS_NOW | Are you personally planning to be pregnant in the next year? | Yes (1) No (0) I dont know (88) |
2018AQ | | ORGANS_NOW | Have you ever attempted to become pregnant over a period of at least a year without becoming pregnant? | Yes (1) No (0) I dont know (88) |
2018AQ | | ORGANS_NOW | Have you ever been to a doctor or other medical provider because you have been unable to become pregnant? | Yes (1) No (0) I dont know (88) |
2018AQ | | ORGANS_NOW | Have you ever been treated for an infection in your fallopian tubes, uterus or ovaries, also called a pelvic infection, pelvic inflammatory disease, or PID? | Yes (1) No (0) I dont know (88) |
2018AQ | | ORGANS_NOW | Have you ever been pregnant? Please include any current pregnancy, live births, miscarriages, stillbirths, tubal pregnancies, and abortions. | Yes (1) No (0) I dont know (88) |
2018AQ | | ORGANS_NOW PREG_EVER | Are you pregnant now? | Yes (1) No (0) I dont know (88) |
2018AQ | | PREG_EVER | How many times have you been pregnant? (Please count all your pregnancies including current pregnancy, live births, miscarriages, stillbirths, tubal pregnancies, and abortions.) (Please enter "88" if you don't know.) | Text Entry (-) |
2018AQ | | PREG_EVER | Did any of your pregnancies result in a delivery? | Yes (1) No (0) |
2018AQ | | PREG_DEL | How many vaginal deliveries have you had? (Please count the number of deliveries [for example, twins count as 1 delivery] and please include stillbirths and live births.) (Please enter “88” if you don't know.) | Text Entry (-) |
2018AQ | | PREG_DEL | How many cesarean deliveries, also known as C-sections, have you had? (Please count the number of deliveries [for example, twins count as 1 delivery] and please include stillbirths and live births.) (Please enter “88” if you don't know.) | Text Entry (-) |
2018AQ | | PREG_DEL | How many of your deliveries resulted in a live birth? (Please count the number of deliveries [for example, twins count as 1 delivery].) (Please enter “88” if you don't know.) | Text Entry (-) |
2018AQ | | PREG_EVER | How many miscarriages have you had? (A miscarriage is a pregnancy that ends naturally during the first 20 weeks of pregnancy.) (Please enter “88” if you don't know.) | Text Entry (-) |
2018AQ | | PREG_EVER | How many tubal pregnancies have you had? (A tubal pregnancy also known as an 'ectopic pregnancy' is a pregnancy that occurs in the fallopian tube.) (Please enter “88” if you don't know.) | Text Entry (-) |
2018AQ | | PREG_EVER | How many abortions have you had? (An abortion is a pregnancy that is ended during the first 6 months using medications, D&C, vacuum extraction, suction, and saline injections.) (Please enter “88” if you don't know.) | Text Entry (-) |
2018AQ | | PREG_EVER | How old were you when you became pregnant with your first pregnancy? (Please enter “88” if you don't know.) | Text Entry (-) |
2018AQ | | LIVE_BIRTH | Please tell us the month and year of your FIRST live birth. | No Answers |
2018AQ | | LIVE_BIRTH | Please tell us the month and year of your MOST RECENT live birth. | No Answers |
2018AQ | | ORGANS_BORN | Have you ever breast/chest fed a child? | Yes (1) No (0) |
2018AQ | | BREASTFED ORGANS_BORN | Were the children that you breast/chest fed born as a result of…? | My own pregnancy and delivery (1) Another persons pregnancy and delivery (2) Both, I have breast/chest fed both a child that I have delivered as well as a child that another person delivered (3) |
2018AQ | | | Have you EVER used any type of method for birth control (prevention of pregnancy)? | Yes (1) No (0) I dont know (88) |
2018AQ | | | Please select the method(s) of birth control you have EVER used. (Check all that apply.) | Abstinence (1) Condoms (2) Diaphragm (3) Arm implant (4) Injection (5) Intrauterine Device (IUD) -- Copper -- has no hormones (6) Intrauterine Device (IUD) -- Mirena or Skyla -- has hormones (7) Intrauterine Device (IUD) -- Im not sure what type (8) Menopause (9) Pill (10) Rhythm method (11) Spermicide (12) Sponge (13) Surgical (permanent) sterilization (e.g., tubal ligation, tubes tied) (14) Surgical (permanent) sterilization of your partner (e.g., vasectomy) (15) Patch/transdermal (16) Vaginal ring (17) Withdrawal (18) Another method not listed here (please specify) (19) Another method not listed here (please specify) (TEXT) None of these (20) |
2018AQ | | | Have you used any type of method for birth control (prevention of pregnancy) in the past 12 MONTHS? | Yes (1) No (0) I dont know (88) |
2018AQ | | | Please select the method(s) of birth control you have used in the past 12 MONTHS. (Check all that apply.) | Abstinence (1) Condoms (2) Diaphragm (3) Arm implant (4) Injection (5) Intrauterine Device (IUD) -- Copper -- has no hormones (6) Intrauterine Device (IUD) -- Mirena or Skyla -- has hormones (7) Intrauterine Device (IUD) -- Im not sure what type (8) Menopause (9) Pill (10) Rhythm method (11) Spermicide (12) Sponge (13) Surgical (permanent) sterilization (e.g., tubal ligation, tubes tied) (14) Surgical (permanent) sterilization of your partner (e.g., vasectomy) (15) Patch/transdermal (16) Vaginal ring (17) Withdrawal (18) Another method not listed here (please specify) (19) Another method not listed here (please specify) (TEXT) None of these (20) |
2018AQ | | | Medical Marijuana | No Answers |
2018AQ | | | Do you currently use medical cannabis/marijuana to manage any physical or mental health conditions? | Yes, it is legal in my state and/or I have a health care providers recommendation to do so (2) Yes, but it is not legal in my state and/or I do not have a health care providers recommendation to do so (1) No (0) |
2018AQ | | | What problems or conditions do you use medical cannabis/marijuana to manage? (One problem or condition per line.) | Text Entry (-) |
2018AQ | | MEDMJ | How effective has medical cannabis/marijuana been in managing this/these problem(s) or condition(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2018AQ | | MEDMJ | What forms of medical cannabis/marijuana have you used in the past month? (Check all that apply.) | Smoking cannabis/marijuana in flower/plant form (1) Vaporizing cannabis/marijuana in flower/plant form or as an extract (2) Dabbing cannabis/marijuana concentrates (e.g., wax, shatter) (3) Eating cannabis/marijuana in capsules or food products (4) Applying cannabis-containing balms, tinctures, or other products (5) Other (please specify) (6) Other (please specify) (TEXT) |
2018AQ | | | You have completed the Physical Health Block! This is one of 3 blocks! WOOHOO - another one done! Each block you will out helps us understand LGBTQ peoples' unique lives and health experiences as we work towards helping LGBTQ people thrive. Thank you for bringing us closer to health equity for LGBTQ people. You rock! | No Answers |
2018AQ | | | More About Me | No Answers |
2018AQ | | | In what ZIP code did you spend most of your childhood (until age 18)? (If you do not remember or if it was not within the United States, please leave blank.) | Text Entry (-) |
2018AQ | | | It looks like you did not fill in the ZIP code where you spent most of your childhood. Some people may have difficulty remembering this. Please provide the city and state (and country if outside the United States) where you spent most of your childhood (until age 18). | Text Entry (-) |
2018AQ | | | If a national survey company, like Gallup, asked you the following question: “We are asking only for statistical purposes: Do you personally identify as lesbian, gay, bisexual, or transgender?” How would you answer? | I would answer Yes. (1) I would answer No. (0) I would not answer the question. (2) |
2018AQ | | | Do you consider yourself a member of any of the following communities? (Check all that apply.) | None of these (1) BDSM (2) Kink (3) Leather (4) Puppy pack (5) Faeries (6) Bear (7) Furry (8) Polyamorous (9) Another community (please specify) (10) Another community (please specify) (TEXT) |
2018AQ | | | Military Service | No Answers |
2018AQ | | | Have you ever served on active duty in the U.S. Armed Forces, Reserves, or National Guard? As a reminder, your answers are confidential and cannot be used against you. To protect your privacy, we have obtained a Certificate of Confidentiality from the National Institutes of Health. We can use this Certificate to legally refuse to disclose information that may identify you in any federal, state, or local civil, criminal, administrative, legislative, or other proceedings (for example, if there is a court subpoena). | Now on active duty (1) Only on active duty for training in the Reserves or National Guard (2) On active duty in the past but not now (3) Never served in the military (0) |
2018AQ | | MIL_EVER | Are you still serving in the military including Reserves and National Guard? | Yes (1) No (0) |
2018AQ | | MIL_EVER | What is your current or most recent branch of service? | Air Force (1) Air Force Reserve (2) Air National Guard (3) Army (4) Army Reserve (5) Army National Guard (6) Coast Guard (7) Coast Guard Reserve (8) Marine Corps (9) Marine Corps Reserve (10) Navy (11) Navy Reserve (12) |
2018AQ | | MIL_EVER | When did you begin your military service? (If you can't recall precisely, please estimate.) | No Answers |
2018AQ | | MIL_NOW | When did you separate from military service? (If you can't recall precisely, please estimate.) | No Answers |
2018AQ | | MIL_NOW | What was your character of discharge? | Entry level separation (1) Honorable (2) General (3) Medical (4) Other-than-honorable (5) Bad conduct (6) Dishonorable (7) None of these (please specify) (8) None of these (please specify) (TEXT) |
2018AQ | | MIL_EVER | Did you ever get any type of health care through the VA? | Yes (1) No (0) |
2018AQ | | VACARE_EVER | Do you currently get any type of health care through the VA? | Yes (1) No (0) |
2018AQ | | | Is there anything else you would like to share with us about your health or well-being? | Text Entry (-) |
2018AQ | | | YOU ARE ALMOST DONE WITH THIS SURVEY - PLEASE READ BELOW AND THEN CLICK NEXT This is required in order for the system to mark your survey as "Complete." Thank you for completing the 2018 Annual Questionnaire and for advancing scientific knowledge about the health of LGBTQ people! In addition to our commitment to communicating findings from the study back to our community in the future, we also want to connect our participants with some resources that may be helpful to them now. Please find below a list of websites, organizations, and hotlines that may be helpful in promoting LGBTQ people's health, safety, and wellbeing. - Find an LGBTQ center near you with Centerlink, The Community of LGBT Centers: lgbtcenters.org - Find free HIV testing in your area through the Centers for Disease Control's GetTested program: https://gettested.cdc.gov/ - Find an LGBTQ -friendly doctor through GLMA: Health Professionals Advancing LGBT Equality: https://glmaimpak.networkats.com/members_online_new/members/dir_provider.asp - Talk with someone 24/7 if you are in crisis or thinking of suicide: National Suicide Prevention Lifeline: 1-800-273-8255 - Talk with someone 24/7 if you need support related to being a survivor of sexual assault: National Sexual Assault Hotline: 1-800-656-4673 Thank you again for completing the 2018 Annual Questionnaire. We deeply appreciate for your time, your interest in The PRIDE Study, and your investment in research that will help our communities understand how the experience of being LGBTQ is related to all aspects of health and life. TO LOG YOUR SURVEY AS COMPLETE, PLEASE ADVANCE TO THE NEXT SCREEN and then select "Back to Dashboard | No Answers |
2018AQSUPP | | | Which categories describe you? (Check all that apply.) | American Indian or Alaska Native (For example: Aztec, Blackfeet Tribe, Mayan, Navajo Nation, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, etc.) (1) Asian (For example: Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, etc.) (2) Black, African American or African (For example: African American, Ethiopian, Haitian, Jamaican, Nigerian, Somali, etc.) (3) Hispanic, Latino, or Spanish (For example: Colombian, Cuban, Dominican, Mexican or Mexican American, Puerto Rican, Salvadoran, etc.) (4) Middle Eastern or North African (For example: Algerian, Egyptian, Iranian, Lebanese, Moroccan, Syrian, etc.) (5) Native Hawaiian or other Pacific Islander (For example: Chamorro, Fijian, Marshallese, Native Hawaiian, Tongan, etc.) (6) White (For example: English, European, French, German, Irish, Italian, Polish, etc.) (7) None of these fully describe me. (please specify) (8) None of these fully describe me. (please specify) (TEXT) |
2018AQSUPP | | | Which additional categories describe you? (Check all that apply.) | Dutch (1) English (2) European (3) French (4) German (5) Irish (6) Italian (7) Norwegian (8) Polish (9) Scottish (10) Spanish (11) None of these fully describe me (please tell us about additional categories that describe you) (12) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2018AQSUPP | | | Which additional categories describe you? (Check all that apply.) | Colombian (1) Cuban (2) Dominican (3) Ecuadorian (4) Honduran (5) Mexican or Mexican American (6) Puerto Rican (7) Salvadoran (8) Spanish (9) None of these fully describe me (please tell us about additional categories that describe you) (10) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2018AQSUPP | | | Which additional categories describe you? (Check all that apply.) | Asian Indian (1) Cambodian (2) Chinese (3) Filipino (4) Hmong (5) Japanese (6) Korean (7) Pakistani (8) Vietnamese (9) None of these fully describe me (please tell us about additional categories that describe you) (10) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2018AQSUPP | | | Which additional categories describe you? (Check all that apply.) | African American (1) Barbadian (2) Caribbean (3) Ethiopian (4) Ghanaian (5) Haitian (6) Jamaican (7) Liberian (8) Nigerian (9) Somali (10) South African (11) None of these fully describe me (please tell us about additional categories that describe you) (12) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2018AQSUPP | | | Which additional categories describe you? (Check all that apply.) | American Indian (1) Alaska Native (2) Central or South American Indian (3) None of these fully describe me (please tell us about additional categories that describe you) (4) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2018AQSUPP | | | Please provide the name of the tribe(s) in which you are enrolled or affiliated or your tribal descent. (For example, Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, etc.) Please list tribes separated by commas.For example, one answer may be: "Navajo Nation, Pomo" | Text Entry (-) |
2018AQSUPP | | | Which additional categories describe you? (Check all that apply.) | Afghan (1) Algerian (2) Egyptian (3) Iranian (4) Iraqi (5) Israeli (6) Lebanese (7) Moroccan (8) Syrian (9) Tunisian (10) None of these fully describe me (please tell us about additional categories that describe you) (11) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2018AQSUPP | | | Which additional categories describe you? (Check all that apply?) | Chamorro (1) Chuukese (2) Fijian (3) Marshallese (4) Native Hawaiian (5) Palauan (6) Samoan (7) Tahitian (8) Tongan (9) None of these fully describe me (please tell us about additional categories that describe you) (10) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2018AQSUPP | | | With which ethnic and/or cultural group(s) DO YOU IDENTIFY? (Please list all the ethnic and/or cultural groups with which you identify. Please list only one ethnic or cultural group per box.) | Text Entry (-) |
2018AQSUPP | | | I have a strong sense of IDENTIFICATION with my ethnic/cultural group: ${q://QID1124/ChoiceTextEntryValue/1} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQSUPP | | | I have a strong sense of BELONGING to my ethnic/cultural group: ${q://QID1124/ChoiceTextEntryValue/1} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQSUPP | | | I have a strong sense of IDENTIFICATION with my ethnic/cultural group: ${q://QID1124/ChoiceTextEntryValue/2} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQSUPP | | | I have a strong sense of BELONGING to my ethnic/cultural group: ${q://QID1124/ChoiceTextEntryValue/2} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQSUPP | | | I have a strong sense of IDENTIFICATION with my ethnic/cultural group: ${q://QID1124/ChoiceTextEntryValue/3} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQSUPP | | | I have a strong sense of BELONGING to my ethnic/cultural group: ${q://QID1124/ChoiceTextEntryValue/3} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQSUPP | | | I have a strong sense of IDENTIFICATION with my ethnic/cultural group: ${q://QID1124/ChoiceTextEntryValue/4} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQSUPP | | | I have a strong sense of BELONGING to my ethnic/cultural group: ${q://QID1124/ChoiceTextEntryValue/4} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQSUPP | | | I have a strong sense of IDENTIFICATION with my ethnic/cultural group: ${q://QID1124/ChoiceTextEntryValue/5} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQSUPP | | | I have a strong sense of BELONGING to my ethnic/cultural group: ${q://QID1124/ChoiceTextEntryValue/5} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQSUPP | | | Are you worried about how you look? | Yes (1) No (0) |
2018AQSUPP | | BDDQ_1A | Do you think about your appearance problems a lot and wish you could think about them less? | Yes (1) No (0) |
2018AQSUPP | | BDDQ_1B | Please list the areas of your body you don't like. Examples of disliked body areas include: your skin (for example, acne, scars, wrinkles, paleness, redness); hair; the shape or size of your nose, mouth, jaw, lips, stomach, hips, etc.; or defects of your hands, genitals, breasts, or any other body part. | Text Entry (-) |
2018AQSUPP | | BDDQ_1B | Is your main concern with how you look is that you aren't thin enough or that you might get too fat? | Yes (1) No (0) |
2018AQSUPP | | BDDQ_2A | Is your main concern with how you look that you aren't muscular enough? | Yes (1) No (0) |
2018AQSUPP | | BDDQ_1B | Has it often upset you a lot? | Yes (1) No (0) |
2018AQSUPP | | BDDQ_1B | Has it often gotten in the way of doing things with friends, dating, your relationships with people, or your social activities? | Yes (1) No (0) |
2018AQSUPP | | BDDQ_1B | Has it caused any problems with school, work, or other activities? | Yes (1) No (0) |
2018AQSUPP | | BDDQ_1B | Are there things you avoid because of how you look? | Yes (1) No (0) |
2018AQSUPP | | BDDQ_1B | On an average day, how much time do you usually spend thinking about how you look? (Add up all the time you spend in total in a day then select one.) | Less than 1 hour a day (1) 1-3 hours a day (2) More than 3 hours a day (3) |
2018AQSUPP | | | I often notice small sounds when others do not. | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
2018AQSUPP | | | When I'm reading a story I find it difficult to work out the characters' intentions. | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
2018AQSUPP | | | I find it easy to 'read between the lines' when someone is talking to me. | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
2018AQSUPP | | | I usually concentrate more on the whole picture, rather than the small details. | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
2018AQSUPP | | | I know how to tell if someone listening to me is getting bored. | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
2018AQSUPP | | | I find it easy to do more than one thing at once. | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
2018AQSUPP | | | I find it easy to work out what someone is thinking or feeling just by looking at their face. | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
2018AQSUPP | | | If there is an interruption, I can switch back to what I was doing very quickly. | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
2018AQSUPP | | | I like to collect information about categories of things (e.g., types of cars, types of birds, types of trains, types of plants, etc.) | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
2018AQSUPP | | | I find it difficult to work out people's intentions. | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
2018AQSUPP | | | The next few items ask about how you feel in your environment relating to other people. | No Answers |
2018AQSUPP | | | I feel left out. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2018AQSUPP | | | I feel that people barely know me. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2018AQSUPP | | | I feel isolated from others. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2018AQSUPP | | | I feel that people are around me but not with me. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2018AQSUPP | | | The following questions concern types of unwanted sexual experiences that you may have had. Your responses to these questions help us better understand the unwanted sexual experiences of LGBTQ people. We understand that responding to these questions may bring up memories of very difficult experiences. Please indicate if you would like to complete these questions, or if you would like to skip these questions and move on to the next topic. | Yes, I would like to complete these questions (1) No, I would like to skip these questions (0) |
2018AQSUPP | | | Have you ever had the following experience?Someone fondled, kissed, or rubbed up against the private areas of my body (lips, breast/chest, crotch, or butt) or removed some of my clothes without my consent (but DID NOT attempt sexual penetration) | Yes (1) No (0) |
2018AQSUPP | | SES1 | How many times has this happened in the past 12 months? | 0 (0) 1 (1) 2 (2) 3 (3) |
2018AQSUPP | | SES1 | How many times has this happened since age 14? | 0 (0) 1 (1) 2 (2) 3 (3) |
2018AQSUPP | | SES1 | How many times did this happen to you before age 14? | 0 (0) 1 (2) 2 (2) 3 (3) |
2018AQSUPP | | | Have you ever had the following experience?Someone had oral sex with me or made me have oral sex with them without my consent. | Yes (1) No (0) |
2018AQSUPP | | SES2 | How many times has this happened in the past 12 months? | 0 (0) 1 (1) 2 (2) 3 (3) |
2018AQSUPP | | SES2 | How many times has this happened since age 14? | 0 (0) 1 (1) 2 (2) 3 (3) |
2018AQSUPP | | SES2 | How many times did this happen to you before age 14? | 0 (0) 1 (1) 2 (2) 3 (3) |
2018AQSUPP | | | Have you ever had the following experience?Someone put their penis, fingers, or objects into my butt and/or vagina/front hole without my consent. Note: People may have a wide range of language or terms for their physical anatomy. Some people are not comfortable with the term ‘vagina' and may prefer the term ‘front hole.' The PRIDE Study chooses to include both the terms ‘vagina' and ‘front hole' for all relevant questions to honor the preferences and comfort of our participants. | Yes (1) No (0) |
2018AQSUPP | | SES3 | How many times has this happened in the past 12 months? | 0 (1) 1 (1) 2 (2) 3 (3) |
2018AQSUPP | | SES3 | How many times has this happened since age 14? | 0 (0) 1 (1) 2 (2) 3 (3) |
2018AQSUPP | | SES3 | How many times did this happen to you before age 14? | 0 (0) 1 (1) 2 (2) 3 (3) |
2018AQSUPP | | | Have you ever had the following experience?Even though it didn't happen, someone TRIED to make me have oral sex with them, or TRIED to put fingers, objects, or a penis into my butt and/or vagina/front hole. | Yes (1) No (0) |
2018AQSUPP | | SES4 | How many times has this happened in the past 12 months? | 0 (0) 1 (1) 2 (2) 3 (3) |
2018AQSUPP | | SES4 | How many times has this happened since age 14? | 0 (1) 1 (1) 2 (2) 3 (3) |
2018AQSUPP | | SES4 | How many times did this happen to you before age 14? | 0 (1) 1 (1) 2 (2) 3 (3) |
2018AQSUPP | | | Have you ever been sexually assaulted and/or raped? | Yes (1) No (0) |
2018AQSUPP | | | Thank you for answering these questions to better our understanding of LGBTQ people's experiences with sexual violence. We realize that recalling past experiences with sexual violence can be difficult. If you'd like to talk with someone about these experiences, please consider reaching out to the National Sexual Assault Hotline (800-656-4673), operated by Rape, Abuse, & Incest National Network (RAINN; rainn.org). | No Answers |
2018AQSUPP | | | The PRIDE Study is interested in giving voice to our communities' experiences with discrimination, violence, and harassment. If you would like to tell us more about any experiences that you have had along these lines, please do so here. | Text Entry (-) |
2018AQSUPP | | | We are asking the following question in the 2018 Annual Questionnaire Supplement so we can better customize this questionnaire for you.We have three available versions available: o A version for people who identify as a gender minority (e.g., genderqueer, non-binary, questioning one's gender identity, transgender, etc.) that will ask about gender identity/expression. o A version for people who identify as a sexual minority (e.g., asexual, bisexual, gay, lesbian, queer, questioning one's sexual orientation, etc.) that will ask about sexual orientation. o A version or people who identify as both a gender and sexual minority that will ask about gender identity/expression and sexual orientation. Please choose the option that you think is best for you. | No Answers |
2018AQSUPP | | | I would like to complete a survey designed for: | Gender minority people (for example: genderqueer, non-binary, questioning ones gender identity, transgender, etc.) (0) Sexual minority people (for example: asexual, bisexual, gay, lesbian, queer, questioning ones sexual orientation, etc.) (1) People who identify as both a sexual AND gender minority (2) |
2018AQSUPP | | | The next questions are about your experiences with spiritual and/or religious groups. | No Answers |
2018AQSUPP | | | Were you raised with spiritual or religious involvement? | Yes (1) No (2) |
2018AQSUPP | | RAISED_REL CYOA | How accepting of sexual minority people (for example: asexual, bisexual, gay, lesbian, queer, etc.) was the religious community in which you were raised? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2018AQSUPP | | RAISED_REL CYOA | How accepting of gender minority people (for example: genderqueer, non-binary, transgender, etc.) was the religious community in which you were raised? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2018AQSUPP | | RAISED_REL | In which religion or spiritual tradition were you raised? (Check all that apply.) | Agnostic (1) Atheist (2) Bahai (3) Buddhist (4) Christian (5) Confucianist (6) Druid (7) Hindu (8) Jain (9) Jehovahs Witness (10) Jewish (11) Muslim (12) Native American Traditional Practitioner or Ceremonial (13) Pagan (14) Rastafarian (15) Scientologist (16) Secular Humanist (17) Shinto (18) Sikh (19) Taoist (20) Tenrikyo (21) Wiccan (22) Spiritual, but no religious affiliation (23) No affiliation (0) A religious affiliation or spiritual identity not listed above (please specify) (24) A religious affiliation or spiritual identity not listed above (please specify) (TEXT) |
2018AQSUPP | | RELIGION_RAISED | In which Christian affiliation were you raised? | African Methodist Episcopal (1) African Methodist Episcopal Zion (2) Assembly of God (3) Baptist (4) Catholic/Roman Catholic (5) Church of Christ (6) Church of God in Christ (7) Christian Orthodox (8) Christian Methodist Episcopal (9) Christian Reformed Church (CRC) (10) Episcopalian (11) Evangelical (12) Greek Orthodox (13) Lutheran (14) Mennonite (15) Moravian (16) Nondenominational Christian (17) Pentecostal (18) Presbyterian (19) Protestant (20) Protestant Reformed Church (21) Quaker (22) Reformed Church of America (RCA) (23) Russian Orthodox (24) Seventh Day Adventist (25) The Church of Jesus Christ of Latter-day Saints (26) United Methodist (27) Unitarian Universalist (28) United Church of Christ (29) A Christian affiliation not listed above (please specify) (30) A Christian affiliation not listed above (please specify) (TEXT) |
2018AQSUPP | | RELIGION_RAISED | In which Jewish affiliation were you raised? | Conservative (1) Hasidic (2) Humanist (3) Orthodox (4) Reconstructionist (5) Reform (6) A Jewish affiliation not listed above (please specify) (7) A Jewish affiliation not listed above (please specify) (TEXT) |
2018AQSUPP | | RELIGION_RAISED | In which Muslim affiliation were you raised? | Muslim (not specifically Sunni or Shia) (1) Sunni (for example, Hanafi, Maliki, Shafi, or Hanbali) (2) Shia (for example, Ithna Ashari/Twelver or Ismaili/Sevener) (3) A Muslim affiliation not listed above (please specify) (4) A Muslim affiliation not listed above (please specify) (TEXT) |
2018AQSUPP | | | Are you currently spiritual or religious? | Yes (1) No (0) |
2018AQSUPP | | RELIGIOUS CYOA | How accepting of sexual minority people (for example: asexual, bisexual, gay, lesbian, queer, etc.) is your current spiritual or religious community? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not apply to me, I dont have a spiritual or religious community (5) |
2018AQSUPP | | RELIGIOUS CYOA | How accepting of gender minority people (for example: genderqueer, non-binary, transgender, etc.) is your current spiritual or religious community? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not apply to me, I dont have a spiritual or religious community (5) |
2018AQSUPP | | RELIGIOUS | What is your current religious or spiritual identity? (Check all that apply.) | Agnostic (1) Atheist (2) Bahai (3) Buddhist (4) Christian (5) Confucianist (6) Druid (7) Hindu (8) Jain (9) Jehovahs Witness (10) Jewish (11) Muslim (12) Native American Traditional Practitioner or Ceremonial (13) Pagan (14) Rastafarian (15) Scientologist (16) Secular Humanist (17) Shinto (18) Sikh (19) Taoist (20) Tenrikyo (21) Wiccan (22) Spiritual, but no religious affiliation (23) No affiliation (0) A religious affiliation or spiritual identity not listed above (please specify) (24) A religious affiliation or spiritual identity not listed above (please specify) (TEXT) |
2018AQSUPP | | RELIGION | Please select your Christian affiliation. | African Methodist Episcopal (1) African Methodist Episcopal Zion (2) Assembly of God (3) Baptist (4) Catholic/Roman Catholic (5) Church of Christ (6) Church of God in Christ (7) Christian Orthodox (8) Christian Methodist Episcopal (9) Christian Reformed Church (CRC) (10) Episcopalian (11) Evangelical (12) Greek Orthodox (13) Lutheran (14) Mennonite (15) Moravian (16) Nondenominational Christian (17) Pentecostal (18) Presbyterian (19) Protestant (20) Protestant Reformed Church (21) Quaker (22) Reformed Church of America (RCA) (23) Russian Orthodox (24) Seventh Day Adventist (25) The Church of Jesus Christ of Latter-day Saints (26) United Methodist (27) Unitarian Universalist (28) United Church of Christ (29) A Christian affiliation not listed above (please specify) (30) A Christian affiliation not listed above (please specify) (TEXT) |
2018AQSUPP | | RELIGION | Please select your Jewish affiliation. | Conservative (1) Hasidic (2) Humanist (3) Orthodox (4) Reconstructionist (5) Reform (6) A Jewish affiliation not listed above (please specify) (7) A Jewish affiliation not listed above (please specify) (TEXT) |
2018AQSUPP | | RELIGION | Please select your Muslim affiliation. | Muslim (not specifically Sunni or Shia) (1) Sunni (for example, Hanafi, Maliki, Shafi, or Hanbali) (2) Shia (for example, Ithna Ashari/Twelver or Ismaili/Sevener) (3) A Muslim affiliation not listed above (please specify) (4) A Muslim affiliation not listed above (please specify) (TEXT) |
2018AQSUPP | | | We are going to ask you questions about up to four different people who raised you (for example, parents, family members, or parental figures). To help you remember which person we are asking a question about, please type in the person's first name, initials, or nickname. We will use these names in the questions that follow. | Text Entry (-) |
2018AQSUPP | | | How is ${q://QID932/ChoiceTextEntryValue/1} related to you? | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2018AQSUPP | | | How is ${q://QID932/ChoiceTextEntryValue/2} related to you? | Mother (1) Father (2) Stepmother (3) Stepfather (4) Foster mother (5) Foster father (6) Aunt (7) Uncle (8) Grandmother (9) Grandfather (10) Cousin (11) Sister (12) Brother (13) Another way (please specify) (14) Another way (please specify) (TEXT) |
2018AQSUPP | | | How is ${q://QID932/ChoiceTextEntryValue/3} related to you? | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2018AQSUPP | | | How is ${q://QID932/ChoiceTextEntryValue/4} related to you? | Mother (1) Father (2) Stepmother (3) Stepfather (4) Foster mother (5) Foster father (6) Aunt (7) Uncle (8) Grandmother (9) Grandfather (10) Cousin (11) Sister (12) Brother (13) Another way (please specify) (14) Another way (please specify) (TEXT) |
2018AQSUPP | | CYOA | The next questions are about how ${q://QID932/ChoiceTextEntryValue/1} reacted to learning about your identity. | No Answers |
2018AQSUPP | | CYOA RELATE_NAMES | When ${q://QID932/ChoiceTextEntryValue/1} INITIALLY LEARNED about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my gender identity (88) Did not know about my gender identity and is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | In your most RECENT INTERACTIONS with ${q://QID932/ChoiceTextEntryValue/1}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my gender identity (88) Did not know about my gender identity and is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | When ${q://QID932/ChoiceTextEntryValue/1} INITIALLY LEARNED about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my sexual orientation (88) Did not know about my sexual orientation and is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | In your most RECENT INTERACTIONS with ${q://QID932/ChoiceTextEntryValue/1}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my sexual orientation (88) Did not know about my sexual orientation nand is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | The next questions are about how ${q://QID932/ChoiceTextEntryValue/2} reacted to learning about your identity. | No Answers |
2018AQSUPP | | CYOA RELATE_NAMES | When ${q://QID932/ChoiceTextEntryValue/2} INITIALLY LEARNED about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my gender identity (88) Did not know about my gender identity and is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | In your most RECENT INTERACTIONS with ${q://QID932/ChoiceTextEntryValue/2}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my gender identity (88) Did not know about my gender identity and is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | When ${q://QID932/ChoiceTextEntryValue/2} INITIALLY LEARNED about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my sexual orientation (88) Did not know about my sexual orientation and is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | In your most RECENT INTERACTIONS with ${q://QID932/ChoiceTextEntryValue/2}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my sexual orientation (88) Did not know about my sexual orientation and is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | The next questions are about how ${q://QID932/ChoiceTextEntryValue/3} reacted to learning about your identity. | No Answers |
2018AQSUPP | | CYOA RELATE_NAMES | When ${q://QID932/ChoiceTextEntryValue/3} INITIALLY LEARNED about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my gender identity (88) Did not know about my gender identity and is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | In your most RECENT INTERACTIONS with ${q://QID932/ChoiceTextEntryValue/3}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my gender identity (88) Did not know about my gender identity and is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | When ${q://QID932/ChoiceTextEntryValue/3} INITIALLY LEARNED about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my sexual orientation (88) Did not know about my sexual orientation and is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | In your most RECENT INTERACTIONS with ${q://QID932/ChoiceTextEntryValue/3}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my sexual orientation (88) Did not know about my sexual orientation and is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | The next questions are about how ${q://QID932/ChoiceTextEntryValue/4} reacted to learning about your identity. | No Answers |
2018AQSUPP | | CYOA RELATE_NAMES | When ${q://QID932/ChoiceTextEntryValue/4} INITIALLY LEARNED about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my gender identity (88) Did not know about my gender identity and is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | In your most RECENT INTERACTIONS with ${q://QID932/ChoiceTextEntryValue/4}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my gender identity (88) Did not know about my gender identity and is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | When ${q://QID932/ChoiceTextEntryValue/4} INITIALLY LEARNED about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my sexual orientation (88) Did not know about my sexual orientation and is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | In your most RECENT INTERACTIONS with ${q://QID932/ChoiceTextEntryValue/4}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my sexual orientation (88) Did not know about my sexual orientation and is now deceased or not in contact (87) |
2018AQSUPP | | | Some in our community have people who they are emotionally close to and consider family even though they are not biologically or legally related. This is sometimes called a chosen family.Do you have a chosen family? | Yes (1) No (0) |
2018AQSUPP | | CHOFAM | Please describe anything you would like to share about your chosen family and their role in your life. | Text Entry (-) |
2018AQSUPP | | | The next questions are about money that you have spent out of pocket on medical care. | No Answers |
2018AQSUPP | | | In the PAST 12 MONTHS, about how much did you spend in total for medical care and dental care? Please include copays, coinsurance, prescription medications, etc. Please do NOT include your monthly health insurance premiums, over-the-counter drugs, or costs that you will be reimbursed for. | Zero (0) Less than 500 (1) 500 - 1,999 (2) 2,000 - 2,999 (3) 3,000 - 4,999 (4) 5,000 or more (5) I dont know (88) |
2018AQSUPP | | OOP | In the PAST 12 MONTHS, did you borrow money to pay for health care? Please do NOT count health insurance premiums, over the counter drugs, or costs that you will be reimbursed for. | Yes (1) No (0) |
2018AQSUPP | | | In the PAST 12 MONTHS, about how much did you spend for prescription medications? | Zero (0) Less than 500 (1) 500 - 1,999 (2) 2,000 - 2,999 (3) 3,000 - 4,999 (4) 5,000 or more (5) I dont know (88) |
2018AQSUPP | | | Vitamins and Minerals | No Answers |
2018AQSUPP | | | Are you taking any of the following supplements? (Check all that apply.) | None of these (0) Biotin (1) Calcium (2) Coenzyme Q10 (3) Cranberry (pills, capsules) (4) Echinacea (5) Fiber Supplement (6) Fish Oil/Omega-3 Fatty Acids (7) Folate/Folic Acid (B-9) (8) Garlic supplements (9) Ginkgo biloba (10) Ginseng (11) Glucosamine and/or chondroitin (12) Iron (13) Magnesium (14) Melatonin (15) Multivitamin - not prenatal vitamin (16) Prenatal vitamins (17) Probiotics/prebiotics (18) Turmeric (19) Vitamin B-12 (20) Vitamin B Complex (21) Vitamin C (22) Vitamin D (23) Zinc (24) Other (please specify, enter 1 item only) (25) Other (please specify, enter 1 item only) (TEXT) Other (please specify, enter 1 item only) (26) Other (please specify, enter 1 item only) (TEXT) Other (please specify, enter 1 item only) (27) Other (please specify, enter 1 item only) (TEXT) None of these (0) |
2018AQSUPP | | | We are asking the following question in the 2018 Annual Questionnaire Supplement so we can better customize this questionnaire for you.Note: People may have a wide range of language or terms for their physical anatomy. Some people are not comfortable with the term ‘vagina' and may prefer the term ‘front hole.' The PRIDE Study chooses to include both the terms ‘vagina' and ‘front hole' for all relevant questions to honor the preferences and comfort of our participants. | No Answers |
2018AQSUPP | | | How often during the last year have you had painful aching anywhere in your mouth? Would you say…? | Very often (4) Fairly often (3) Occasionally (2) Hardly ever (1) Never (0) |
2018AQSUPP | | | Have you ever had an exam for oral cancer in which the doctor or dentist pulls on your tongue, sometimes with gauze wrapped around it, and feels under the tongue and inside the cheeks? | Yes (1) No (0) |
2018AQSUPP | | | Complementary and Integrative Health | No Answers |
2018AQSUPP | | | IN THE PAST YEAR, have you used any of the following to manage physical and/or mental health conditions? (Check all that apply.) | Acupuncture (1) Chiropractic or osteopathic manipulation (2) Energy healing (3) Massage therapy (4) None of these (0) |
2018AQSUPP | | CIH_PASTYR | What problem(s) or condition(s) do you use acupuncture to manage? (One condition per line.) | Text Entry (-) |
2018AQSUPP | | CIH_PASTYR | How effective has acupuncture been in managing this/these problem(s) or condition(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2018AQSUPP | | CIH_PASTYR | What problem(s) or condition(s) do you use chiropractic or osteopathic manipulation to manage? (One condition per line.) | Text Entry (-) |
2018AQSUPP | | CIH_PASTYR | How effective has chiropractic or osteopathic manipulation been in managing this/these problem(s) or condition(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2018AQSUPP | | CIH_PASTYR | What problem(s) or condition(s) do you use energy healing to manage? | Text Entry (-) |
2018AQSUPP | | CIH_PASTYR | How effective has energy healing been in managing this/these problem(s) or condition(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2018AQSUPP | | CIH_PASTYR | What problem(s) or condition(s) do you use massage therapy to manage? (One condition per line.) | Text Entry (-) |
2018AQSUPP | | CIH_PASTYR | How effective has massage therapy been in managing this/these problem(s) or condition(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2018AQSUPP | | | IN THE PAST YEAR, have you practiced any form of meditation regularly? | Yes (1) No (0) |
2018AQSUPP | | MEDITATION | Please estimate how many minutes per week you spent meditating, on average, over the past year. | Text Entry (-) |
2018AQSUPP | | MEDITATION | Was your meditation practice intended to manage physical and/or mental health conditions? | Yes (1) No (0) |
2018AQSUPP | | MEDITATION_MANAGE | What problem(s) or condition(s) do you use meditation to manage? (One condition per line.) | Text Entry (-) |
2018AQSUPP | | MEDITATION_MANAGE | How effective has meditation been in managing this/these problem(s) or condition(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2018AQSUPP | | | IN THE PAST YEAR, have you practiced any form of yoga regularly? | Yes (1) No (0) |
2018AQSUPP | | YOGA | Please estimate how many minutes per week you spent practicing yoga, on average, over the past year. | Text Entry (-) |
2018AQSUPP | | YOGA | Was your yoga practice intended to manage physical and/or mental health conditions? | Yes (1) No (0) |
2018AQSUPP | | YOGA_MANAGE | What problem(s) or condition(s) do you use yoga to manage? (One condition per line.) | Text Entry (-) |
2018AQSUPP | | YOGA_MANAGE | How effective has yoga been in managing this/these problem(s) or condition(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2018AQSUPP | | | Which of the following organs do you have now? (Check all that apply.) | Breasts or breast tissue (1) Cervix (you likely have this if you have a uterus or womb) (2) Ovaries (3) Penis/phallus (a part of your body, not a dildo) (4) Prostate (you likely have this if you were assigned male sex at birth) (5) Testicles (6) Uterus/Womb (7) Vagina/Frontal genital opening/Front hole (8) |
2018AQSUPP | | | Have you ever masturbated? Masturbation is touching yourself for sexual pleasure. | Yes (1) No (2) |
2018AQSUPP | | | How often do you masturbate? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQSUPP | | | Do you ever masturbate in the presence of an intimate or romantic partner? | Yes (1) No (2) |
2018AQSUPP | | ORGANS_NOW | Sexual Satisfaction / Dysfunction | No Answers |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how often did you feel sexual desire or interest? | Almost always or always (5) Most times (more than half the time) (4) Sometimes (about half the time) (3) A few times (less than half the time) (2) Almost never or never (1) |
2018AQSUPP | | | Have you had any sexual activity in the last 4 weeks? Recall that sexual activity can be any kind of sex with a partner(s) or self-stimulation (masturbation). | Yes (1) No (2) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how would you rate your level (degree) of sexual desire or interest? | Very high (5) High (4) Moderate (3) Low (2) Very low or none at all (1) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how often did you feel sexually aroused ("turned on") during sexual activity? | No sexual activity (0) Almost always or always (5) Most times (more than half the time) (4) Sometimes (about half the time) (3) A few times (less than half the time) (2) Almost never or never (1) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how would you rate your level of sexual arousal ("turn on") during sexual activity? | No sexual activity (0) Very high (5) High (4) Moderate (3) Low (2) Very low or none at all (1) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how confident were you about becoming sexually aroused during sexual activity? | No sexual activity (0) Very high confidence (5) High confidence (4) Moderate confidence (3) Low confidence (2) Very low or no confidence (1) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how often have you been satisfied with your arousal (excitement) during sexual activity? | No sexual activity (0) Almost always or always (5) Most times (more than half the time) (4) Sometimes (about half the time) (3) A few times (less than half the time) (2) Almost never or never (1) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how often did you become lubricated ("wet") during sexual activity? | No sexual activity (0) Almost always or always (5) Most times (more than half the time) (4) Sometimes (about half the time) (3) A few times (less than half the time) (2) Almost never or never (1) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how difficult was it to become lubricated ("wet") during sexual activity? | No sexual activity (0) Extremely difficult or impossible (1) Very difficult (2) Difficult (3) Slightly difficult (4) Not difficult (5) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how often did you maintain your lubrication ("wetness") until completion of sexual activity? | No sexual activity (0) Almost always or always (5) Most times (more than half the time) (4) Sometimes (about half the time) (3) A few times (less than half the time) (2) Almost never or never (1) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how difficult was it to maintain your lubrication ("wetness") until completion of sexual activity? | No sexual activity (0) Extremely difficult or impossible (1) Very difficult (2) Difficult (3) Slightly difficult (4) Not difficult (5) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, when you had sexual stimulation, how often did you reach orgasm (climax)? | No sexual activity (0) Almost always or always (5) Most times (more than half the time) (4) Sometimes (about half the time) (3) A few times (less than half the time) (2) Almost never or never (1) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, when you had sexual stimulation, how difficult was it for you to reach orgasm (climax)? | No sexual activity (0) Extremely difficult or impossible (1) Very difficult (2) Difficult (3) Slightly difficult (4) Not difficult (5) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how satisfied were you with your ability to reach orgasm (climax) during sexual activity? | No sexual activity (0) Very satisfied (5) Moderately satisfied (4) About equally satisfied and dissatisfied (3) Moderately dissatisfied (2) Very dissatisfied (1) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how satisfied have you been with the amount of emotional closeness during sexual activity between you and your partner? | No sexual activity (0) Very satisfied (5) Moderately satisfied (4) About equally satisfied and dissatisfied (3) Moderately dissatisfied (2) Very dissatisfied (1) Not applicable. I dont have a partner(s) (88) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how satisfied have you been with your sexual relationship with your partner? | Very satisfied (5) Moderately satisfied (4) About equally satisfied and dissatisfied (3) Moderately dissatisfied (2) Very dissatisfied (1) Not applicable, I dont have a partner(s) (88) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how satisfied have you been with your overall sexual life? | Very satisfied (5) Moderately satisfied (4) About equally satisfied and dissatisfied (3) Moderately dissatisfied (2) Very dissatisfied (1) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how often did you experience discomfort or pain during vaginal or front hole penetration? | Did not attempt or do not engage in vaginal/front hole penetration (0) Almost always or always (1) Most times (more than half the time) (2) Sometimes (about half the time) (3) A few times (less than half the time) (4) Almost never or never (5) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how often did you experience discomfort or pain following vaginal or front hole penetration? | Did not attempt or do not engage in vaginal/front hole penetration (0) Almost always or always (1) Most times (more than half the time) (2) Sometimes (about half the time) (3) A few times (less than half the time) (4) Almost never or never (5) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how would you rate your level (degree) of discomfort or pain during or following vaginal or front hole penetration? | Did not attempt or do not engage in vaginal/front hole penetration (0) Very high (1) High (2) Moderate (3) Low (4) Very low or none at all (5) |
2018AQSUPP | | ORGANS_NOW | In the last month, have you taken Viagra or any similar drugs for problems with your erection? | Yes (1) No (0) |
2018AQSUPP | | ORGANS_NOW | In the last month, without using drugs like Viagra, how often have you been able to get an erection when you wanted to? (Check only one) | All of the time (5) Most of the time (4) About half of the time (3) Less than half of the time (2) None of the time (1) Used Viagra or similar drug with every sexual encounter (0) Not applicable. I did not want to get an erection (7) |
2018AQSUPP | | ORGANS_NOW | In the last month, if you were able to get an erection without using drugs like Viagra, how often were you able to stay hard as long as you wanted to? (Check only one) | All of the time (5) Most of the time (4) About half of the time (3) Less than half of the time (2) None of the time (1) Used Viagra or similar drug with every sexual encounter (0) |
2018AQSUPP | | ORGANS_NOW | In the last month, if you were able to get an erection, without using drugs like Viagra, how would you rate the hardness of your erection? (Check only one) | Completely hard (5) Almost completely hard (4) Mostly hard, but can be slightly bent (3) A little hard, but bends easily (2) Not at all hard (1) Used Viagra or similar drug with every sexual encounter (0) |
2018AQSUPP | | ORGANS_NOW | In the last month, if you have had difficulty getting hard or staying hard without using drugs like Viagra, have you been bothered by this problem?… (Check only one) | Not at all bothered/Did not have a problem with erection (5) A little bit bothered (4) Moderately bothered (3) Very bothered (2) Extremely bothered (1) |
2018AQSUPP | | | We know that some people who have a penis or phallus have never had the capacity to ejaculate or "cum." Have you ever had the capacity to ejaculate or "cum? | Yes (1) No (2) |
2018AQSUPP | | ORGANS_NOW | In the last month, how often have you been able to ejaculate when having sexual activity? (Check only one) | All of the time (5) Most of the time (4) About half of the time (3) Less than half of the time (2) None of the time/Could not ejaculate (1) |
2018AQSUPP | | ORGANS_NOW | In the last month, when having sexual activity, how often did you feel that you took too long to ejaculate or “cum”? (Check only one) | None of the time (5) Less than half of the time (4) About half of the time (3) Most of the time (2) All of the time (1) Could not ejaculate (0) |
2018AQSUPP | | ORGANS_NOW | In the last month, when having sexual activity, how often have you felt like you were ejaculating (“cumming”), but no fluid came out? | None of the time (5) Less than half of the time (4) About half of the time (3) Most of the time (2) All of the time (1) Could not ejaculate (0) |
2018AQSUPP | | ORGANS_NOW | In the last month, how would you rate the strength or force of your ejaculation? | As strong as it always was (5) A little less strong than it used to be (4) Somewhat less strong than it used to be (3) Much less strong than it used to be (2) Very much less strong than it used to be (1) Could not ejaculate (0) |
2018AQSUPP | | ORGANS_NOW | In the last month, how would you rate the amount or volume of semen when you ejaculate? | As much as it always was (5) A little less than it used to be (4) Somewhat less than it used to be (3) Much less than it used to be (2) Very much less than it used to be (1) Could not ejaculate (0) |
2018AQSUPP | | ORGANS_NOW | Compared to ONE month ago, would you say the physical pleasure you feel when you ejaculate has… | Increased a lot (5) Increased moderately (4) Neither increased nor decreased (3) Decreased moderately (2) Decreased a lot (1) Could not ejaculate (0) |
2018AQSUPP | | ORGANS_NOW | In the last month, have you experienced any physical pain or discomfort when you ejaculated? Would you say you have… | No pain at all (5) Slight amount of pain or discomfort (4) Moderate amount of pain or discomfort (3) Strong amount of pain or discomfort (2) Extreme amount of pain or discomfort (1) Could not ejaculate (0) |
2018AQSUPP | | ORGANS_NOW | In the last month, if you have had any ejaculation difficulties or have been unable to ejaculate, have you been bothered by this? | Not at all bothered (5) A little bit bothered (4) Moderately bothered (3) Very bothered (2) Extremely bothered (1) Not applicable because I dont have any ejaculation difficulties (0) |
2018AQSUPP | | ORGANS_NOW | Do you have a “main partner”? | Yes (1) No (0) |
2018AQSUPP | | ORGANS_NOW | Generally, how satisfied are you with the overall sexual relationship you have with your main partner? (Check only one.) | Extremely satisfied (5) Moderately satisfied (4) Neither satisfied nor unsatisfied (3) Moderately unsatisfied (2) Extremely unsatisfied (1) |
2018AQSUPP | | ORGANS_NOW | Generally, how satisfied are you with the quality of the sex life you have with your main partner? | Extremely satisfied (5) Moderately satisfied (4) Neither satisfied nor unsatisfied (3) Moderately unsatisfied (2) Extremely unsatisfied (1) |
2018AQSUPP | | ORGANS_NOW | Generally, how satisfied are you with the number of times you and your main partner have sex? | Extremely satisfied (5) Moderately satisfied (4) Neither satisfied nor unsatisfied (3) Moderately unsatisfied (2) Extremely unsatisfied (1) |
2018AQSUPP | | ORGANS_NOW | Generally, how satisfied are you with the way you and your main partner show affection during sex? | Extremely satisfied (5) Moderately satisfied (4) Neither satisfied nor unsatisfied (3) Moderately unsatisfied (2) Extremely unsatisfied (1) |
2018AQSUPP | | ORGANS_NOW | Generally, how satisfied are you with the way you and your main partner communicate about sex? | Extremely satisfied (5) Moderately satisfied (4) Neither satisfied nor unsatisfied (3) Moderately unsatisfied (2) Extremely unsatisfied (1) |
2018AQSUPP | | ORGANS_NOW | Aside from your sexual relationship, how satisfied are you with all other aspects of the relationship you have with your main partner? | Extremely satisfied (5) Moderately satisfied (4) Neither satisfied nor unsatisfied (3) Moderately unsatisfied (2) Extremely unsatisfied (1) |
2018AQSUPP | | ORGANS_NOW | In the last month, how often have you had sexual activity, including masturbating, intercourse, oral sex, or any other type of sex? (Check only one) | Daily or almost daily (5) More than 6 times per month (4) 4-6 times per month (3) 1-3 times per month (2) 0 times per month (1) |
2018AQSUPP | | ORGANS_NOW | When was the last time you had sex? (Check only one) | 1-3 months ago (5) 4-6 months ago (4) 7-12 months ago (3) 13-24 months ago (2) More than 24 months ago (1) |
2018AQSUPP | | ORGANS_NOW | What are the reasons you have not had sex in the last month? (Check all that apply.) | I could not have sex because I could not get an erection. (1) I could not have sex because I could not ejaculate or cum. (4) I did not want to have sex in the last month. (7) I had no partner. (3) Other (please specify) (4) Other (please specify) (TEXT) |
2018AQSUPP | | ORGANS_NOW | Compared to ONE month ago, has the number of times you have had sexual activity increased or decreased? | Increased a lot (5) Increased moderately (4) Neither increased nor decreased (3) Decreased moderately (2) Decreased a lot (1) |
2018AQSUPP | | ORGANS_NOW | In the last month, have you been bothered by these changes in the number of times you have had sexual activity? | Not at all bothered (5) A little bit bothered (4) Moderately bothered (3) Very bothered (2) Extremely bothered (1) |
2018AQSUPP | | ORGANS_NOW | In the last month, how often have you felt an urge or desire to have sex with your main partner? | All of the time (5) Most of the time (4) About half of the time (3) Less than half of the time (2) None of the time (1) |
2018AQSUPP | | ORGANS_NOW | In the last month, how would you rate your urge or desire to have sex with your main partner? | Very high (5) High (4) Moderate (3) Low (2) Very low or none at all (1) |
2018AQSUPP | | ORGANS_NOW | In the last month, have you been bothered by your level of sexual desire? Have you been… | Not at all bothered (5) A little bit bothered (4) Moderately bothered (3) Very bothered (2) Extremely bothered (1) |
2018AQSUPP | | ORGANS_NOW | Compared to ONE month ago, has your urge or desire for sex with your main partner increased or decreased? | Increased a lot (5) Increased moderately (4) Neither increased nor decreased (3) Decreased moderately (2) Decreased a lot (1) |
2018AQSUPP | | | Do you use lubrication (also called "lube") when you masturbate? | Always (3) Sometimes (2) Never (1) |
2018AQSUPP | | | Do you use lubrication (also called "lube") when you have vaginal/front hole sex? | Always (3) Sometimes (2) Never (1) I do not engage in this type of sex (0) |
2018AQSUPP | | | Do you use lubrication (also called "lube") when you have anal sex? | Always (3) Sometimes (2) Never (1) I do not engage in this type of sex (0) |
2018AQSUPP | | | Sex Work | No Answers |
2018AQSUPP | | | Have you ever engaged in sex or sexual activity in exchange for money (sex work) or worked in the sex industry (such as erotic dancing, webcam work, or porn films)? | Yes (1) No (0) |
2018AQSUPP | | SEXWORK | What type of sex work or work in the sex industry have you ever done? (Check all that apply.) | SEXWORK1 (1) SEXWORK2 (2) SEXWORK3 (3) SEXWORK4 (4) SEXWORK5 (5) SEXWORK6 (6) SEXWORK7 (7) SEXWORK8 (8) SEXWORK9 (9) SEXWORK10 (10) SEXWORK11 (11) SEXWORK11 (TEXT) |
2018AQSUPP | | | Have you engaged in sex or sexual activity in exchange for food? | Yes, within the past year (2) Yes, but more than a year ago (1) No (0) |
2018AQSUPP | | | Have you engaged in sex or sexual activity in exchange for a place to sleep? | Yes, within the past year (2) Yes, but more than a year ago (1) No (0) |
2018AQSUPP | | | Have you engaged in sex or sexual activity in exchange for drugs? | Yes, within the past year (2) Yes, but more than a year ago (1) No (0) |
2018AQSUPP | | | Please select up to 3 of the following dating sites/apps that you use the most. | I dont use any dating sites/apps (0) Adam4Adam (1) BBRT (2) Blendr (3) Bumble (4) Chappy (5) Coffee Meets Bagel (6) Compatible Partners (7) Craigslist (8) Feeld (9) FetLife (10) FWB (Friends With Benefits) (11) Grindr (12) Growlr (13) Happn (14) Hinge (15) Her (16) Hornet (17) Jackd (18) Manhunt (19) Match.com (20) MR X (21) OKCupid (22) Plenty of Fish (POF) (23) Recon (24) Seeking Arrangement (25) Scissr (26) Scruff (27) Surge (28) The League (29) Thrust (30) Tinder (31) Zoe (32) Other (please specify) (33) Other (please specify) (TEXT) |
2018AQSUPP | | | On average, which best describes the amount of time you spend on dating sites/apps? | Less than 1 hour a week (1) 1-6 hours per week (2) 1 hour per day (3) 2 hours per day (4) 3 or more hours per day (5) |
2018AQSUPP | | | How often do you meet up with someone from a dating site/app? | Almost never (1) About once per month (2) A couple of times per month (3) About once per week (4) Several times per week (5) Daily (6) |
2018AQSUPP | | | Some people report experiencing discrimination or harassment on dating sites/apps due to their personal characteristics. Have you ever experienced discrimination or harassment on a dating site/app due to any of the following? (Check all the apply.) | I have never experienced discrimination/harassment on dating sites/apps (0) My ability/disability status (1) My age (2) My body size or shape (3) My gender expression (4) My gender identity (5) My HIV status (6) The language I speak or sign (7) My participation in BDSM, kink, or other sexual activities (8) My political views (9) My preferred safer sex practices (e.g., PrEP, condoms) (10) My race and/or ethnicity (11) My sexual orientation (12) My skin color (13) My spiritual/religious affiliation (14) Another reason (please specify) (15) Another reason (please specify) (TEXT) |
2018AQSUPP | | | If you would like to, please tell us more about your experiences (positive and/or negative) using dating sites/apps. | Text Entry (-) |
2018AQSUPP | | | More About Me | No Answers |
2018AQSUPP | | | In politics, as of today, do you consider yourself a Democrat, an Independent, a Republican, or another party? | Democrat (1) Independent (2) Republican (3) Another party (please specify) (4) Another party (please specify) (TEXT) I do not identify with any political party. (5) |
2018AQSUPP | | POLPARTY | As of today, do you lean more toward the Democratic Party or the Republican Party? | Democratic Party (1) Republican Party (2) Neither/Other (3) |
2018AQSUPP | | | Did you vote in the 2016 election year? | Yes (1) No (2) I do not remember (3) I am not eligible to vote (4) |
2018AQSUPP | | | Did you intend to vote, or have you already voted, in the 2018 election year? | Yes (1) No (2) I do not remember if I voted (3) I have not yet decided (4) I am not eligible to vote (5) |
2018AQSUPP | | | How would you describe your political views? | Very conservative (1) Conservative (2) Moderate (3) Liberal (4) Very liberal (5) |
2018AQSUPP | | | What is your citizenship or immigration status in the U.S.? As a reminder, your answers are confidential and cannot be used against you. To protect your privacy, we have obtained a Certificate of Confidentiality from the National Institutes of Health. We can use this Certificate to legally refuse to disclose information that may identify you in any federal, state, or local civil, criminal, administrative, legislative, or other proceedings (for example, if there is a court subpoena). | U.S. citizen by birth (1) U.S. citizen by naturalization (2) Permanent resident (Green card holder) (3) A visa holder (such as F-1, J-1, H-1B, and U) (4) DACA (Deferred Action for Childhood Arrival) (5) Refugee status (6) Undocumented resident (7) Currently under a withholding of removal status (8) Other documented status not mentioned above (9) Id prefer not to disclose this (10) |
2018AQSUPP | | | Future Research in The PRIDE Study | No Answers |
2018AQSUPP | | | In the future, The PRIDE Study may conduct optional research studies that involve taking certain measurements at home such as your heart rate or blood pressure. Additionally, The PRIDE Study may conduct optional research studies that include collection of biological specimens such as saliva, urine, hair samples, or blood.In order to determine if these are research studies that we should conduct, we are asking the next questions to find out which devices our participants own and what specimens they would be willing to give us for research purposes. | No Answers |
2018AQSUPP | | | Do you own a scale that can measure your weight? It does not need to be a digital scale or a "smart" scale that is connected to the Internet. | Yes (1) No (0) I dont know (88) |
2018AQSUPP | | | Do you own an automatic (digital) blood pressure cuff that goes around your upper arm (not your wrist)? | Yes (1) No (0) I dont know (88) |
2018AQSUPP | | | Do you own a glucometer (a device that checks your blood sugar level using a small drop of blood obtained by a fingerstick)? | Yes (1) No (0) I dont know (88) |
2018AQSUPP | | | Would you be willing to participate in research studies that request that you submit a saliva (spit) sample? | Yes (1) No (0) I dont know (88) |
2018AQSUPP | | | Would you be willing to participate in research studies that request that you submit a urine (pee) sample? | Yes (1) No (0) I dont know (88) |
2018AQSUPP | | | Would you be willing to participate in research studies that request that you submit a hair sample? | Yes (1) No (0) I dont know (88) |
2018AQSUPP | | | Would you be willing to participate in research studies that request that you submit a blood sample? | Yes (1) No (0) I dont know (88) |
2018AQSUPP | | | Would you be willing to participate in research studies that request that you submit a cheek scraping (where you gently scrape the inside of your cheek to get cells from inside your mouth)? This is also known as a buccal swab. | Yes (1) No (0) I dont know (88) |
2018AQSUPP | | | If you have any specific ideas or concerns that you would like to share with us about giving biological samples to The PRIDE Study, please describe them here. | Text Entry (-) |
2018AQSUPP | | | Have you ever done DNA genetic testing with any of the following companies? (Check all that apply.) | 23andMe (1) AncestryDNA (2) CRI Genetics (3) FamilyTree DNA (4) HomeDNA (5) Living DNA (6) MyHeritage DNA (7) National Geographic Genographic Project (8) Another company (please specify) (9) Another company (please specify) (TEXT) None of these (0) |
2018AQSUPP | | DNA | Would you be willing to share your DNA genetic testing results with The PRIDE Study? | Yes (1) No (0) I dont know (88) |
2018AQSUPP | | | We at The PRIDE Study are interested in what makes people thrive. Therefore, can you tell us a bit about what brings you joy? | Text Entry (-) |
2018AQSUPP | | | Is there anything else you would like to share with us about your health or well-being? | Text Entry (-) |
2018AQSUPP | | | YOU ARE ALMOST DONE WITH THIS SURVEY - PLEASE READ BELOW AND THEN CLICK NEXT This is required in order for the system to mark your survey as "Complete." Thank you for completing the 2018 Annual Questionnaire Supplement and for advancing scientific knowledge about the health of LGBTQ people! In addition to our commitment to communicating findings from the study back to our community in the future, we also want to connect our participants with some resources that may be helpful to them now. Please find below a list of websites, organizations, and hotlines that may be helpful in promoting LGBTQ people's health, safety, and wellbeing. - Find an LGBTQ center near you with Centerlink, The Community of LGBT Centers: lgbtcenters.org - Find free HIV testing in your area through the Centers for Disease Control's GetTested program: https://gettested.cdc.gov/ - Find an LGBTQ -friendly doctor through the Gay and Lesbian Medical Association: https://glmaimpak.networkats.com/members_online_new/members/dir_provider.asp - Talk with someone 24/7 if you are in crisis or thinking of suicide: National Suicide Prevention Lifeline: 1-800-273-8255 - Talk with someone 24/7 if you need support related to being a survivor of sexual assault: National Sexual Assault Hotline: 1-800-656-4673 TO LOG YOUR SURVEY AS COMPLETE, PLEASE ADVANCE TO NEXT SCREEN and then select "Back to Dashboard | No Answers |
2019AQ | | | What is your current gender identity? (Check all that apply.) | Agender (1) Cisgender man (2) Cisgender woman (3) Genderqueer (4) Man (5) Non-binary (6) Questioning (7) Transgender man (8) Transgender woman (9) Two-spirit (10) Woman (11) Another gender identity (please specify) (12) Another gender identity (please specify) (TEXT) |
2019AQ | | | What was the sex assigned to you at birth, for example on your original birth certificate? | Female (2) Male (1) |
2019AQ | | | What is your current sexual orientation? (Check all that apply.) | Asexual (1) Bisexual (2) Gay (3) Lesbian (4) Pansexual (5) Queer (6) Questioning (7) Same-gender loving (8) Straight (9) Two-spirit (10) Another sexual orientation (11) Another sexual orientation (TEXT) |
2019AQ | | | What is your current height in feet and inches? If you don't know, please give your best estimate. | Text Entry (-) |
2019AQ | | | What is your current weight in pounds (lbs)? If you don't know, please give your best estimate. | Text Entry (-) |
2019AQ | | | What is your ZIP code? (This is the 5-digit code that helps direct U.S. Mail to you.) | Text Entry (-) |
2019AQ | | | I would like to complete a survey designed for: | Gender minority people (for example: genderqueer, non-binary, questioning ones gender identity, transgender, etc.) (1) Sexual minority people (for example: asexual, bisexual, gay, lesbian, queer, questioning ones sexual orientation, etc.) (2) People who identify as both a sexual AND gender minority (3) |
2019AQ | | | If you had to choose only one of the following terms, which best describes your current gender identity?("Cisgender" here means identifying with the sex assigned to you at birth. For example, a cisgender woman identifies as a woman and was assigned female sex at birth.) | Cisgender man (1) Cisgender woman (2) Non-binary (3) Transgender man (4) Transgender woman (5) Another gender identity (6) |
2019AQ | | | If you had to choose only one of the following terms, which best describes your current sexual orientation? | Asexual/Demisexual/Gray-Ace (1) Bisexual/Pansexual (2) Gay/Lesbian (3) Queer (4) Straight/Heterosexual (5) Another sexual orientation (6) |
2019AQ | | | We would like to know more about your current romantic feelings toward other people. Please select all of the people you have romantic feelings for: (Check all that apply.) | Cisgender men (identify as men and were assigned male sex at birth) (1) Transgender men (identify as men and were assigned female sex at birth) (2) Cisgender women (identify as women and were assigned female sex at birth) (3) Transgender women (identify as women and were assigned male sex at birth) (4) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned female sex at birth (5) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned male sex at birth (6) I am romantically attracted to people of another gender(s) (please specify) (7) I am romantically attracted to people of another gender(s) (please specify) (TEXT) I am not romantically attracted to people of any gender (0) I dont know (88) |
2019AQ | | | We would like to know more about your current sexual attractions to other people. Please select all of the people you are attracted to: (Check all that apply.) | Cisgender men (identify as men and were assigned male sex at birth) (1) Transgender men (identify as men and were assigned female sex at birth) (2) Cisgender women (identify as women and were assigned female sex at birth) (3) Transgender women (identify as women and were assigned male sex at birth) (4) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned female sex at birth (5) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned male sex at birth (6) I am sexually attracted to people of another gender(s) (please specify) (7) I am sexually attracted to people of another gender(s) (please specify) (TEXT) I am not sexually attracted to people of any gender (0) I dont know (88) |
2019AQ | | | People are often referred to by pronouns instead of their names, such as they/theirs, she/hers, he/his, ze/hir. Which pronouns do you want people to use to refer to you? (Check all that apply.) | He, him, his (1) She, her, hers (2) They, them, theirs (3) Ze, hir, hirs (4) No pronouns. I want people to only use my name. (5) Any pronouns are fine. I dont have a preference. (6) Pronouns not listed above (7) Pronouns not listed above (TEXT) |
2019AQ | | | What percentage of time do people use the pronouns you selected above (considering all situations)? | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2019AQ | | | People often have a chosen name that is different than the name they were given at birth. Do you have a name like that? | Yes (1) No (2) |
2019AQ | | CHONAME | What percentage of time do people use your chosen name? | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2019AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Depression (1) Bipolar Disorder (2) Any anxiety disorder (3) Generalized Anxiety Disorder (4) Post-Traumatic Stress Disorder (PTSD) (5) None of the above (0) |
2019AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Agoraphobia or Panic Disorder (1) Social Phobia or Social Anxiety Disorder (2) Schizophrenia or a psychotic disorder or that you had a psychotic episode or psychotic break (3) Obsessive Compulsive Disorder (OCD) (4) Chronic Tic Disorder or Tourette Syndrome (5) None of the above (0) |
2019AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Trichotillomania (hair pulling disorder) (1) Chronic skin picking or Excoriation Disorder (2) Body Dysmorphic Disorder (BDD) (3) Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD) (4) Any personality disorder (such as Borderline Personality Disorder or Narcissistic Personality Disorder) (5) None of the above (0) |
2019AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Alcoholism or Alcohol Use Disorder (1) Drug or Substance Use Disorder (2) Any eating disorder (such as anorexia or bulimia) (3) Insomnia or another sleep disorder (4) Hypochondriasis or Illness Anxiety Disorder (5) Dissociative Identity Disorder or another dissociative disorder (6) None of the above (0) |
2019AQ | | | Were any of these conditions diagnosed within the PAST 12 MONTHS? (Check all that apply.) | None of these were diagnosed in the past 12 months. (0) Depression (1) Bipolar Disorder (2) Any anxiety disorder (3) Generalized Anxiety Disorder (4) Post-Traumatic Stress Disorder (PTSD) (5) Agoraphobia or Panic Disorder (6) Social Phobia or Social Anxiety Disorder (7) Schizophrenia or a psychotic disorder or that you had a psychotic episode or psychotic break (8) Obsessive Compulsive Disorder (OCD) (9) Chronic Tic Disorder or Tourette Syndrome (10) Trichotillomania (hair pulling disorder) (11) Chronic skin picking or Excoriation Disorder (12) Body Dysmorphic Disorder (BDD) (13) Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD) (14) Any personality disorder (such as Borderline Personality Disorder or Narcissistic Personality Disorder) (15) Alcoholism or Alcohol Use Disorder (16) Drug or Substance Use Disorder (17) Any eating disorder (such as anorexia or bulimia) (18) Insomnia or another sleep disorder (19) Hypochondriasis or Illness Anxiety Disorder (20) Dissociative Identity Disorder or another dissociative disorder (21) |
2019AQ | | | Problems You May Have Had | No Answers |
2019AQ | | | In the PAST 12 MONTHS, do you think that you had depression? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2019AQ | | | In the PAST 12 MONTHS, do you think that you had a problem with anxiety? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2019AQ | | | In the PAST 12 MONTHS, do you think that you had a problem with alcohol use? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2019AQ | | | In the PAST 12 MONTHS, do you think that you had a problem with drug or substance use (other than alcohol)? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2019AQ | | | In the PAST 12 MONTHS, do you think that you had an eating disorder or a problem with eating? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2019AQ | | | In the PAST 12 MONTHS, have you purposefully physically harmed or injured yourself (for example, cutting or burning yourself)? | Yes (1) No (0) |
2019AQ | | | Which of the following best describes your use of medications for stress or mental health problems in the PAST 12 MONTHS? | I have not taken medication for these reasons in the past 12 months (0) I took medication for at least one of these reasons in the past 12 months, but not now (1) I currently take medication for at least one of these reasons (2) |
2019AQ | | MED_MENTAL | Which of the following best describes your use of medications for stress or mental health problems in the PAST 12 MONTHS? | All of the medications I took for stress or mental health problems were prescribed to me (0) Some of the medications I took for stress or mental health problems were prescribed to me (1) None of the medications I took for stress or mental health problems were prescribed to me (2) |
2019AQ | | PROB_SUBST | Which of the following best describes your use of medications for substance use problems in the PAST 12 MONTHS? | I have not taken medication for this reason in the past 12 months (0) I took medication for this reason in the past 12 months, but not now (1) I currently take medication for this reason (2) |
2019AQ | | | Which of the following best describes your use of psychotherapy/counseling for stress or mental health problems in the PAST 12 MONTHS? | I have not been in psychotherapy/counseling for these reasons in the past 12 months (0) I was in psychotherapy/counseling for at least one of these reasons in the past 12 months, but not now (1) I am currently in psychotherapy/counseling for at least one of these reasons (2) |
2019AQ | | PROB_SUBST | Which of the following best describes your use of psychotherapy/counseling for substance use problems in the PAST 12 MONTHS? | I have not been in psychotherapy/counseling for this reason in the past 12 months (0) I was in psychotherapy/counseling for this reason in the past 12 months, but not now (1) I am currently in psychotherapy/counseling for this reason (2) |
2019AQ | | | Have you EVER tried cigarette smoking, even one or two puffs? | Yes (1) No (0) |
2019AQ | | SMOKE_EVER | Have you smoked at least 100 cigarettes in YOUR ENTIRE LIFE? | Yes (1) No (0) |
2019AQ | | SMOKER | Do you now smoke cigarettes every day, some days, or not at all? | Every day (2) Some days (1) Not at all (0) |
2019AQ | | SMOKE_EVER | When was the last time you smoked a cigarette, even one or two puffs? | Within the past 24 hours (8) Within the past 7 days (7) Within the past 30 days (6) Within the past 3 months (5) Within the past 6 months (4) Within the past 1 year (3) Within the past 5 years (2) Within the past 15 years (1) More than 15 years ago (0) |
2019AQ | | SMOKE_NOW | On average, about how many cigarettes a day do you now smoke? | Text Entry (-) |
2019AQ | | | In the PAST MONTH, have you used any tobacco or nicotine products other than cigarettes? (Check all that apply.) | Blunt (with another substance) (1) Blunt (without any other substance) (2) Bidi (3) Chewing tobacco (chew) (4) Other cigars with tobacco inside (e.g., cigarillos, little cigars, bidis) (5) Other cigars with another substance (e.g., cigarillos, little cigars, bidis) (6) Dip (7) E-cigarette or vape device with nicotine (8) E-cigarette or vape device without nicotine (9) Nicotine replacement products (e.g., patch, gum, lozenge) (10) Snuff (11) Snus (12) Other tobacco or nicotine containing product (please specify) (13) Other tobacco or nicotine containing product (please specify) (TEXT) I have never used any tobacco product other than cigarettes (14) I have never used any tobacco- or nicotine-containing products (0) |
2019AQ | | | How long has it been since you last had 5 or more drinks containing alcohol on one occasion? | Within the past 30 days (3) More than 30 days ago but within the past 12 months (2) More than 12 months ago (1) Never had 5 or more drinks on one occasion (0) |
2019AQ | | ALC5 | In the PAST 30 DAYS, on how many days have you had 5 or more drinks containing alcohol on one occasion? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (1) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | | How long has it been since you last had 4 or more drinks containing alcohol on one occasion? | Within the past 30 days (3) More than 30 days ago but within the past 12 months (2) More than 12 months ago (1) Never had 4 or more drinks on one occasion (0) |
2019AQ | | ALC4 | In the PAST 30 DAYS, on how many days have you had 4 or more drinks containing alcohol on one occasion? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | | How often did you have a drink containing alcohol in the PAST YEAR? | Never (0) Monthly or less (1) 2-4 times a month (2) 2-3 times a week (3) 4 or more times a week (4) |
2019AQ | | AUDIT1 | How many drinks containing alcohol did you have on a typical day when you were drinking in the PAST YEAR? | 1 or 2 (0) 3 or 4 (1) 5 or 6 (2) 7 to 9 (3) 10 or more (4) |
2019AQ | | AUDIT1 | How often do you have six or more drinks on one occasion? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2019AQ | | AUDIT1 | How often during the LAST YEAR have you found that you were not able to stop drinking once you had started? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2019AQ | | AUDIT1 | How often during the LAST YEAR have you failed to do what was normally expected from you because of drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2019AQ | | AUDIT1 | How often during the LAST YEAR have you needed a first drink in the morning to get yourself going after a heavy drinking session? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2019AQ | | AUDIT1 | How often during the LAST YEAR have you had a feeling of guilt or remorse after drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2019AQ | | AUDIT1 | How often during the LAST YEAR have you been unable to remember what happened the night before because you had been drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2019AQ | | | Have you or someone else been injured as a result of your drinking? | No (0) Yes, but not in the last year (2) Yes, during the last year (4) |
2019AQ | | | Has a relative or friend or a doctor or another health worker been concerned about your drinking or suggested you cut down? | No (0) Yes, but not in the last year (2) Yes, during the last year (4) |
2019AQ | | | Have you thought about or attempted to kill yourself? | Never (0) It was just a brief passing thought. (1) I have had a plan at least once to kill myself but did not try to do it. (2) I have had a plan at least once to kill myself and really wanted to die. (3) I have attempted to kill myself, but did not want to die. (4) I have attempted to kill myself, and really hoped to die. (5) |
2019AQ | | SBQ1 | How often have you thought about killing yourself? | Never (0) Rarely (1 time) (1) Sometimes (2 times) (2) Often (3-4 times) (3) Very often (5 or more times) (4) |
2019AQ | | | Have you told someone that you were going to commit suicide, or that you might do it? | No. (0) Yes, at one time, but did not really want to die. (1) Yes, at one time, and really wanted to die. (2) Yes, more than once, but did not want to do it. (3) Yes, more than once, and really wanted to do it. (4) |
2019AQ | | SBQ1 | When was the last time you attempted to kill yourself? | Within the past year (2) 1-5 years ago (1) More than 5 years ago (0) |
2019AQ | | | How likely is it that you will attempt suicide someday? | Never (0) No chance at all (1) Rather unlikely (2) Unlikely (3) Likely (4) Rather likely (5) Very likely (6) |
2019AQ | | SBQ1 SBQ5 | We at The PRIDE Study value the health and mental health of sexual and gender minority people like you. Suicide has taken too many of us. We sincerely urge you to get help, as we know that things can get better with help. Please consider reaching out for services in your area, and also consider calling 1-800-273-8255 (National Suicide Prevention Lifeline) or 1-888-843-4564 (LGBT National Hotline) to talk with someone. Go to the emergency room or call 911 if you are in crisis and don't know where to get help. The PRIDE Study team cares about you and the health of our community. | No Answers |
2019AQ | | | I tend to bounce back quickly after hard times. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2019AQ | | | I have a hard time making it through stressful events. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2019AQ | | | It does not take me long to recover from a stressful event. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2019AQ | | | It is hard for me to snap back when something bad happens. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2019AQ | | | I usually come through difficult times with little trouble. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2019AQ | | | I tend to take a long time to get over set-backs in my life. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2019AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Repeated, disturbing memories, thoughts, or images of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2019AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Feeling very upset when something reminded you of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2019AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Avoided activities or situations because they reminded you of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2019AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Feeling distant or cut off from other people? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2019AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Feeling irritable or having angry outbursts? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2019AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Having difficulty concentrating? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2019AQ | | | Sometimes things happen to people that are unusually or especially frightening, horrible, or traumatic. For example: a serious accident or fire, a physical or sexual assault or abuse, an earthquake or flood, a war, seeing someone be killed or seriously injured, having a loved one die through homicide or suicide.Have you experienced this kind of event in the PAST 12 MONTHS? | Yes, in the PAST 12 MONTHS (2) Yes, more than 12 months ago (1) No (0) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Little interest or pleasure in doing things | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling down, depressed, or hopeless | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Trouble falling or staying asleep, or sleeping too much | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling tired or having little energy | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Poor appetite or overeating | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling bad about yourself - or that you are a failure or have let yourself or your family down | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Trouble concentrating on things, such as reading the newspaper or watching television | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Thoughts that you would be better off dead or of hurting yourself in some way | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | PHQ9 | We at The PRIDE Study value the health and mental health of sexual and gender minority people like you. Suicide has taken too many of us. We sincerely urge you to get help, as we know that things can get better with help. Please consider reaching out for services in your area, and also consider calling 1-800-273-8255 (National Suicide Prevention Lifeline) or 1-888-843-4564 (LGBT National Hotline) to talk with someone. Go to the emergency room or call 911 if you are in crisis and don't know where to get help. The PRIDE Study team cares about you and the health of our community. | No Answers |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling nervous, anxious or on edge | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Not being able to stop or control worrying | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Worrying too much about different things | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Trouble relaxing | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Being so restless that it is hard to sit still | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Becoming easily annoyed or irritable | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling afraid as if something awful might happen | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | In your LIFETIME, which of the following substances have you ever used - either prescribed or not prescribed by a health care provider? (Check all that apply.) | Cannabis (marijuana, pot, grass, hash, etc.) (1) Cocaine (coke, crack, etc.) (2) Prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) (3) Methamphetamine (speed, crystal meth, tina, ice, etc.) (4) Inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers) (5) Inhaled nitrates (poppers) (6) Sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) (7) GHB (G, gamma-hydroxybutyric acid) (8) Hallucinogens (LSD, acid, mushrooms, PCP, ketamine, etc.) (9) Street opioids (heroin, opium, etc.) (10) Prescription opioids (fentanyl, oxycodone OxyContin, Percocet, hydrocodone Vicodin, methadone, buprenorphine, etc.) (11) MDMA (Ecstasy or Molly) (12) Other 1 (please list only 1 drug) (13) Other 1 (please list only 1 drug) (TEXT) Other 2 (please list only 1 drug) (14) Other 2 (please list only 1 drug) (TEXT) I have never used any substances (0) |
2019AQ | | DRUGS | How long has it been since you last used cannabis (marijuana, pot, grass, hash, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2019AQ | | CAN_LASTUSE | In the PAST 30 DAYS, on how many days have you used cannabis (marijuana, pot, grass, hash, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | CAN_LASTUSE | In the PAST 3 MONTHS, how often have you used cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | CAN_FREQ | Was any of your cannabis (marijuana, pot, grass, hash, etc.) use in the past three months recommended or prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | CAN_ANYMD | Was all of your cannabis (marijuana, pot, grass, hash, etc.) use in the past three months used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | CAN_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | CAN_FREQ | During the PAST 3 MONTHS, how often has your use of cannabis (marijuana, pot, grass, hash, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | CAN_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of cannabis (marijuana, pot, grass, hash, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER tried and failed to control, cut down or stop using cannabis (marijuana, pot, grass, hash, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | How long has it been since you last used cocaine (coke, crack, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2019AQ | | COKE_LASTUSE | In the PAST 30 DAYS, on how many days have you used cocaine (coke, crack, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | COKE_LASTUSE | In the PAST 3 MONTHS, how often have you used cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | COKE_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | COKE_FREQ | During the PAST 3 MONTHS, how often has your use of cocaine (coke, crack, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | COKE_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of cocaine (coke, crack, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER tried and failed to control, cut down or stop using cocaine (coke, crack, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER used cocaine (coke, crack, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | How long has it been since you last used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2019AQ | | STIM_LASTUSE | In the PAST 30 DAYS, on how many days have you used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | STIM_LASTUSE | In the PAST 3 MONTHS, how often have you used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | STIM_FREQ | Was any of your prescription stimulant (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | STIM_ANYMD | Was all of your prescription stimulant (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | STIM_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | STIM_FREQ | During the PAST 3 MONTHS, how often has your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | STIM_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER tried and failed to control, cut down or stop using prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | How long has it been since you last used methamphetamine (speed, crystal meth, tina, ice, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2019AQ | | METH_LASTUSE | In the PAST 30 DAYS, on how many days have you used methamphetamine (speed, crystal meth, tina, ice, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | METH_LASTUSE | In the PAST 3 MONTHS, how often have you used methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | METH_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | METH_FREQ | During the PAST 3 MONTHS, how often has your use of methamphetamine (speed, crystal meth, tina, ice, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | METH_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of methamphetamine (speed, crystal meth, tina, ice, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER tried and failed to control, cut down or stop using methamphetamine (speed, crystal meth, tina, ice, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER used methamphetamine (speed, crystal meth, tina, ice, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | How long has it been since you last used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2019AQ | | INHALE_LASTUSE | In the PAST 30 DAYS, on how many days have you used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | INHALE_LASTUSE | In the PAST 3 MONTHS, how often have you used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | INHALE_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | INHALE_FREQ | During the PAST 3 MONTHS, how often has your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | INHALE_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER tried and failed to control, cut down or stop using inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | How long has it been since you last used inhaled nitrates (poppers)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2019AQ | | POP_LASTUSE | In the PAST 30 DAYS, on how many days have you used inhaled nitrates (poppers)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | POP_LASTUSE | In the PAST 3 MONTHS, how often have you used inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | POP_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | POP_FREQ | During the PAST 3 MONTHS, how often has your use of inhaled nitrates (poppers) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | POP_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | POP_FREQ | During the PAST 3 MONTHS, during what activities have you used inhaled nitrates (poppers)? (Check all that apply.) | Sexual activity with yourself (for example, masturbation) (0) Sexual activity with another person (1) Dancing or clubbing (2) Other activities (3) |
2019AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER tried and failed to control, cut down or stop using inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER used inhaled nitrates (poppers) in the 24 hours after you took a medication intended to give people stronger erections (for example, Viagra, Cialis, or Levitra)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | POP_PDE5INHIB | WARNING: Using inhaled nitrates (poppers) in combination with medications that help with sexual activity like Viagra, Cialis, or Levitra can kill you by causing a lethal drop in blood pressure with even one use. We are aware that this information may not be widely known among our communities. If you use inhaled nitrates (poppers) in combination with medications that help with sexual activity like Viagra, Cialis, or Levitra, please contact a health care provider to get more information right away. | No Answers |
2019AQ | | DRUGS | How long has it been since you last used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2019AQ | | SED_LASTUSE | In the PAST 30 DAYS, on how many days have you used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | SED_LASTUSE | In the PAST 3 MONTHS, how often have you used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | SED_FREQ | Was any of your sedative or sleeping pill (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | SED_ANYMD | Was all of your sedative or sleeping pill (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | SED_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | SED_FREQ | During the PAST 3 MONTHS, how often has your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | SED_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER tried and failed to control, cut down or stop using sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | How long has it been since you last used GHB (G, gamma-hydroxybutyric acid)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2019AQ | | GHB_LASTUSE | In the PAST 30 DAYS, on how many days have you used GHB (G, gamma-hydroxybutyric acid)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | GHB_LASTUSE | In the PAST 3 MONTHS, how often have you used GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | GHB_FREQ | Was any of your GHB (G, gamma-hydroxybutyric acid) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GHB_ANYMD | Was all of your GHB (G, gamma-hydroxybutyric acid) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GHB_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | GHB_FREQ | During the PAST 3 MONTHS, how often has your use of GHB (G, gamma-hydroxybutyric acid) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | GHB_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of GHB (G, gamma-hydroxybutyric acid)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER tried and failed to control, cut down or stop using GHB (G, gamma-hydroxybutyric acid)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | How long has it been since you last used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2019AQ | | HALL_LASTUSE | In the PAST 30 DAYS, on how many days have you used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | HALL_LASTUSE | In the PAST 3 MONTHS, how often have you used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | HALL_FREQ | Was any of your hallucinogen (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) use in the past three months prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2019AQ | | HALL_ANYMD | Was all of your hallucinogen (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) use in the past three months used exactly as prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2019AQ | | HALL_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | HALL_FREQ | During the PAST 3 MONTHS, how often has your use of hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | HALL_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER tried and failed to control, cut down or stop using hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | How long has it been since you last used street opioids (heroin, opium, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2019AQ | | HEROIN_LASTUSE | In the PAST 30 DAYS, on how many days have you used street opioids (heroin, opium, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | HEROIN_LASTUSE | In the PAST 3 MONTHS, how often have you used street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | HEROIN_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | HEROIN_FREQ | During the PAST 3 MONTHS, how often has your use of street opioids (heroin, opium, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | HEROIN_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of street opioids (heroin, opium, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER tried and failed to control, cut down or stop using street opioids (heroin, opium, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER used street opioids (heroin, opium, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | How long has it been since you last used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2019AQ | | NARC_LASTUSE | In the PAST 30 DAYS, on how many days have you used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | NARC_LASTUSE | In the PAST 3 MONTHS, how often have you used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | NARC_FREQ | Was any of your prescription opioid (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | NARC_ANYMD | Was all of your prescription opioid (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | NARC_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | NARC_FREQ | During the PAST 3 MONTHS, how often has your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | NARC_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER tried and failed to control, cut down or stop using prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | How long has it been since you last used MDMA (Molly or ecstasy)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2019AQ | | MDMA_LASTUSE | In the PAST 30 DAYS, on how many days have you used MDMA (Molly or ecstasy)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | MDMA_LASTUSE | In the PAST 3 MONTHS, how often have you used MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | MDMA_FREQ | Was any of your MDMA (Molly or ecstasy) use in the past three months recommended or prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | MDMA_ANYMD | Was all of your MDMA (Molly or ecstasy) use in the past three months used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | MDMA_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | MDMA_FREQ | During the PAST 3 MONTHS, how often has your use of MDMA (Molly or ecstasy) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | MDMA_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of MDMA (Molly or ecstasy)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER tried and failed to control, cut down or stop using MDMA (Molly or ecstasy)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | | Have you EVER used MDMA (Molly or ecstasy) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | How long has it been since you last used ${q://QID1903/ChoiceTextEntryValue/11}? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2019AQ | | OTDRUG1_LASTUSE | In the PAST 30 DAYS, on how many days have you used ${q://QID1903/ChoiceTextEntryValue/11}? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | OTDRUG1_LASTUSE | In the PAST 3 MONTHS, how often have you used ${q://QID1903/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | OTDRUG1_FREQ | Was any of your ${q://QID1903/ChoiceTextEntryValue/11} use in the past three months recommended or prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | OTDRUG1_ANYMD | Was all of your ${q://QID1903/ChoiceTextEntryValue/11} use in the past three months used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | OTDRUG1_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use ${q://QID1903/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | OTDRUG1_FREQ | During the PAST 3 MONTHS, how often has your use of ${q://QID1903/ChoiceTextEntryValue/11} led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | OTDRUG1_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of ${q://QID1903/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of ${q://QID1903/ChoiceTextEntryValue/11}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER tried and failed to control, cut down or stop using ${q://QID1903/ChoiceTextEntryValue/11}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER used ${q://QID1903/ChoiceTextEntryValue/11} by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | How long has it been since you last used ${q://QID1903/ChoiceTextEntryValue/12}? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2019AQ | | OTDRUG2_LASTUSE | In the PAST 30 DAYS, on how many days have you used ${q://QID1903/ChoiceTextEntryValue/12}? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | OTDRUG2_LASTUSE | In the PAST 3 MONTHS, how often have you used ${q://QID1903/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | OTDRUG2_FREQ | Was any of your ${q://QID1903/ChoiceTextEntryValue/12} use in the past three months recommended or prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2019AQ | | OTDRUG2_ANYMD | Was all of your ${q://QID1903/ChoiceTextEntryValue/12} use in the past three months used exactly as prescribed or recommended by a doctor or other health care professional? | Yes (1) No (0) |
2019AQ | | OTDRUG2_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use ${q://QID1903/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | OTDRUG2_FREQ | During the PAST 3 MONTHS, how often has your use of ${q://QID1903/ChoiceTextEntryValue/12} led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | OTDRUG2_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of ${q://QID1903/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of ${q://QID1903/ChoiceTextEntryValue/12}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER tried and failed to control, cut down or stop using ${q://QID1903/ChoiceTextEntryValue/12}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER used ${q://QID1903/ChoiceTextEntryValue/12} by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | | You have completed the Mental Health section! This is one of 4 sections! Thank you for the time and energy you have put into helping us understand LGBTQ people's diverse and vibrant lives as we work towards helping LGBTQ people thrive! Your answers are bringing us closer to health equity for LGBTQ people. Thank you! | No Answers |
2019AQ | | | Do you currently identify as a person with a disability? | Yes (1) No (0) |
2019AQ | | DIS_SELFID | What condition(s) or problem(s) are related to your disability identity? (Check all that apply.) | Arthritis/rheumatism (1) Autism (2) Back or neck problem (3) Benign tumors, cysts (4) Birth defect (5) Cancer (6) Circulation problems (including blood clots) (7) Depression/anxiety/emotional problem (8) Diabetes (9) Epilepsy, seizures (10) Fibromyalgia, lupus (11) Fracture, bone/joint injury (12) Hearing problem (13) Heart problem (14) Hernia (15) Hypertension/high blood pressure (16) Intellectual/developmental disability (17) Kidney, bladder or renal problems (18) Knee problems (not arthritis, not joint injury) (19) Lung/breathing problem (for example, asthma and emphysema) (20) Memory (21) Migraine headaches (not just headaches) (22) Missing limbs (fingers, toes or digits), amputee (23) Multiple Sclerosis (MS), Muscular Dystrophy (MD) (24) Osteoporosis, tendinitis (25) Other developmental problem (for example cerebral palsy) (26) Other injury (27) Other nerve damage, including carpal tunnel syndrome (28) Parkinsons disease, other tremors (29) Polio (myelitis), paralysis, para/quadriplegia (30) Stroke problem (31) Thyroid problems, Graves disease, gout (32) Ulcer (33) Varicose veins, hemorrhoids (34) Vision/problem seeing (35) Weight problem (36) Other impairment/problem (please specify one) (37) Other impairment/problem (please specify one) (TEXT) Other impairment/problem (please specify one) (38) Other impairment/problem (please specify one) (TEXT) |
2019AQ | | | In the PAST 12 MONTHS, have you been unable to work due to a disability? | Yes (1) No (0) |
2019AQ | | | In the PAST 12 MONTHS, have you received Supplemental Security Income (SSI) or other government disability assistance related to a disability status? | Yes (1) No (0) |
2019AQ | | | Are you deaf or do you have serious difficulty hearing? | Yes (1) No (0) |
2019AQ | | | Are you blind or do you have serious difficulty seeing, even when wearing glasses? | Yes (1) No (0) |
2019AQ | | | Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions? | Yes (1) No (0) |
2019AQ | | | Do you have serious difficulty walking or climbing stairs? | Yes (1) No (0) |
2019AQ | | | Do you have difficulty dressing or bathing? | Yes (1) No (0) |
2019AQ | | | Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor's office or shopping? | Yes (1) No (0) |
2019AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Standing for long periods such as 30 minutes? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2019AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Taking care of your household responsibilities? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2019AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Learning a new task, for example, learning how to get to a new place? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2019AQ | | | In the PAST 30 DAYS, how much of a problem did you have joining in community activities (for example, festivities, religious or other activities) as fully as someone who doesn't experience your health conditions? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2019AQ | | | In the PAST 30 DAYS, how much have you been emotionally affected by your health problems? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2019AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Concentrating on doing something for ten minutes? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2019AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Walking a long distance such as a kilometer [or approximately 0.6 miles]? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2019AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Washing your whole body? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2019AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Getting dressed? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2019AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Dealing with people you do not know? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2019AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Maintaining a friendship? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2019AQ | | | In the PAST 30 DAYS, how much difficulty did you have with: Your day-to-day work? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2019AQ | | | Overall, in the PAST 30 DAYS, how many days were these difficulties present? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | | In the PAST 30 DAYS, for how many days were you totally unable to carry out your usual activities or work because of any health condition? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | | In the PAST 30 DAYS, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | | The next set of questions ask about employment. | No Answers |
2019AQ | | | Do you currently work one or more paid jobs? | Yes (1) No (0) |
2019AQ | | WORK | What is the main reason you do not currently work? | Taking care of house or family (1) Going to school (2) Retired (3) On a planned vacation from work (4) On family or parental leave (5) Temporarily unable to work for health reasons (6) Have job or contract and off-season (7) On layoff (8) Disabled (9) Other (please specify) (10) Other (please specify) (TEXT) I dont know (88) |
2019AQ | | WORK | Which of the following describes your current occupation? (Check all that apply.) | Employed, working 40 or more hours per week (1) Employed, working 1-39 hours per week (2) Temporarily employed (3) Self-employed (4) Not employed, looking for work (5) Not employed, not looking for work (6) Homemaker (7) Student (Full time) (8) Student (Part time) (9) Disabled, not able to work (10) Retired (11) |
2019AQ | | WORK | In a typical week, how many hours do you work at your paid job(s)? | 1-10 (0) 11-20 (1) 21-30 (2) 31-40 (3) 41-50 (4) 51-60 (5) 61 (6) |
2019AQ | | | What were your individual earnings (in US Dollars) before taxes and deductions from ALL sources (including jobs, businesses, welfare, child support, disability, social security, etc.) in the 2018 tax year? | 0 (0) 1 - 10,000 (1) 10,000 - 20,000 (2) 20,000 - 30,000 (3) 30,000 - 40,000 (4) 40,000 - 50,000 (5) 50,000 - 60,000 (6) 60,000 - 70,000 (7) 70,000 - 80,000 (8) 80,000 - 90,000 (9) 90,000 - 100,000 (10) 100,000 (11) |
2019AQ | | | What is your best estimate (in US dollars) of your household earnings before taxes and deductions from ALL sources (including jobs, businesses, welfare, child support, disability, social security, etc.) in the 2018 tax year? | 0 (0) 1 - 10,000 (1) 10,000 - 20,000 (2) 20,000 - 30,000 (3) 30,000 - 40,000 (4) 40,000 - 50,000 (5) 50,000 - 60,000 (6) 60,000 - 70,000 (7) 70,000 - 80,000 (8) 80,000 - 90,000 (9) 90,000 - 100,000 (10) 100,000 (11) |
2019AQ | | | How many individuals are dependent upon the household income you just described? Please enter 1 for yourself. | Text Entry (-) |
2019AQ | | | What is your highest education level completed? | No schooling (1) Nursery school to high school, no diploma (2) High school graduate or equivalent (e.g., GED) (3) Trade/Technical/Vocational training (4) Some college (5) 2-year college degree (6) 4-year college degree (7) Masters degree (8) Doctoral degree (9) Professional degree (e.g., M.D., J.D., M.B.A.) (10) |
2019AQ | | | In the PAST 12 MONTHS, at any time, were you held in jail, prison, or juvenile detention? | Yes (1) No (0) |
2019AQ | | | In the PAST 12 MONTHS, have you spent any nights sleeping in a shelter or public place including buildings, cars, stairwells, streets, parks, or other outside areas? Please do not include recreational camping. | Yes (1) No (0) |
2019AQ | | HMLS_YR | Approximately how many nights in the PAST 12 MONTHS have you spent sleeping in a shelter or public place including buildings, cars, stairwells, streets, parks, or other outside areas? Please do not include recreational camping. | Text Entry (-) |
2019AQ | | | In the PAST 12 MONTHS, have you spent any nights living temporarily doubled up with others, where you were in a transitional or transitory setting, or you had no fixed address? | Yes (1) No (0) |
2019AQ | | UNSTB_YR | Approximately how many nights in the PAST 12 MONTHS have you been living temporarily doubled up with others, where you were in a transitional or transitory setting, or you had no fixed address? | Text Entry (-) |
2019AQ | | | What are your current living arrangements? | Living in house/apartment/condo I own alone or with others (with a mortgage or that you own free and clear) (1) Living in house/apartment/condo I rent alone or with others (2) Living with a partner, spouse, or other person who pays for the housing (3) Living with parents or family I grew up with (4) Living in campus/university housing (5) Living in military barracks (6) Living in a foster group home or other foster care (7) Living in a nursing home or other adult care facility (8) Living in a hospital (9) Living in a hotel or motel that I pay for myself (10) Living in a hotel or motel with an emergency shelter voucher (11) Living temporarily with friends or family because I cannot afford my own housing (12) Living in transitional housing/halfway house (13) Living on the street, in a car, in an abandoned building, in a park, or a place that is NOT a house, apartment, shelter, or other housing (14) Living in a homeless shelter (15) Living in a domestic violence shelter (16) Living in a shelter that is not a homeless shelter or domestic violence shelter (17) A living arrangement not listed above (please describe) (18) A living arrangement not listed above (please describe) (TEXT) |
2019AQ | | | How many people, including yourself, live in your household who are 18 years of age or older? | Text Entry (-) |
2019AQ | | | How many people live in your household who are younger than 18 years of age? | Text Entry (-) |
2019AQ | | | In the PAST 12 MONTHS, have you experienced harassment or name calling from strangers in public? | Yes (1) No (0) |
2019AQ | | YRHARASS | Do you think you were targeted for this harassment or name calling that occurred in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2019AQ | | | In the PAST 12 MONTHS, have you been physically attacked or deliberately injured? | Yes (1) No (0) |
2019AQ | | YRATTACK | Do you think you were targeted for these physical attacks or injuries that occurred in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2019AQ | | | In the PAST 12 MONTHS, have you experienced physical violence from a romantic or sexual partner? | Yes (1) No (0) |
2019AQ | | YRDV | Do you think you were targeted for this physical violence from a romantic or sexual partner that occurred in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2019AQ | | | In the PAST 12 MONTHS, have you been treated unfairly at work or when applying/interviewing for a job? | Yes (1) No (0) Not applicable, I have not worked and have not applied for jobs in the past 12 months (99) |
2019AQ | | YRJOBDISC | Do you think you were targeted for this unfair treatment at work or while applying for jobs in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2019AQ | | | In the PAST 12 MONTHS, have you been treated unfairly while trying to rent an apartment or buy a home, or been unfairly evicted from your residence? | Yes (1) No (0) |
2019AQ | | YRHOUSDISC | Do you think you were targeted for this unfair treatment in housing/eviction in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2019AQ | | | In the PAST 12 MONTHS, have you received poorer service than other people in restaurants, stores, other businesses or agencies? | Yes (1) No (0) |
2019AQ | | YRSERVDISC | Do you think you were targeted for this poorer service in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2019AQ | | | In the PAST 12 MONTHS, have you been treated unfairly while you were a student at school or in another educational setting? | Yes (1) No (0) Not applicable, I have not been in an educational setting in the past 12 months (99) |
2019AQ | | YRSCHDISC | Do you think you were targeted for this unfair treatment in educational settings in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2019AQ | | | In the PAST 12 MONTHS, have you been denied or given lower quality medical care? | Yes (1) No (0) Not applicable, I have not received or tried to receive medical care in the past 12 months (99) |
2019AQ | | YRMED | Do you think you were targeted for this discrimination in a medical setting in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2019AQ | | | Was there a time in the PAST 12 MONTHS when you needed to see a health care provider but did not because you thought you would be disrespected or mistreated? | Yes (1) No (0) |
2019AQ | | ANTMEDDISC | When you put off seeing a health care provider in the PAST 12 MONTHS because you thought you were going to be disrespected or mistreated, were you concerned you would be disrespected or mistreated because of your... (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2019AQ | | | In the PAST 12 MONTHS, have you been denied or given lower quality mental health care? | Yes (1) No (0) Not applicable, I have not received or tried to receive mental health care in the past 12 months (99) |
2019AQ | | YRMENTAL | Do you think you were targeted for this discrimination in a mental health setting in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2019AQ | | | In the PAST 12 MONTHS, have you experienced unfair treatment or harassment from the police or another law enforcement officer? | Yes (1) No (0) |
2019AQ | | YRPOLICE | Do you think you were targeted for this unfair treatment or harassment from a law enforcement officer in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2019AQ | | | In the PAST 12 MONTHS, have you experienced unwanted sexual contact? | Yes (1) No (0) |
2019AQ | | YRSA | Do you think you were targeted for this unwanted sexual contact that occurred in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2019AQ | | YRSA | Thank you for answering these questions to better our understanding of LGBTQ people's experiences with sexual violence. We realize that recalling past experiences with sexual violence can be difficult. If you'd like to talk with someone about these experiences, please consider reaching out to the National Sexual Assault Hotline (800-656-4673), operated by Rape, Abuse, & Incest National Network (RAINN; rainn.org). | No Answers |
2019AQ | | | Now we will ask about sources of emotional and social support. Please respond to each item that follows by selecting one option. | No Answers |
2019AQ | | | I have someone who will listen to me when I need to talk. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2019AQ | | | I have someone to confide in or talk to about myself or my problems. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2019AQ | | | I have someone who makes me feel appreciated. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2019AQ | | | I have someone to talk with when I have a bad day. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2019AQ | | | I feel left out. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2019AQ | | | I feel that people barely know me. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2019AQ | | | I feel isolated from others. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2019AQ | | | I feel that people are around me but not with me. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2019AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? Members of your immediate family (for example, parents and siblings) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2019AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2019AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? People you socialize with (for example, friends and acquaintances) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2019AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2019AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2019AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? Your health care providers | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2019AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Members of your immediate family (for example, parents and siblings) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2019AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2019AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? People you socialize with (for example, friends and acquaintances) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2019AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2019AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2019AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Your health care providers | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2019AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? Members of your immediate family (for example, parents and siblings) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2019AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2019AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? People you socialize with (for example, friends and acquaintances) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2019AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2019AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)?Strangers (for example, someone you have a casual conversation with in line at the store) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2019AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? Your health care providers | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2019AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Members of your immediate family (for example, parents and siblings) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2019AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2019AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? People you socialize with (for example, friends and acquaintances) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2019AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2019AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2019AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Your health care providers | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2019AQ | | | The following questions concern types of unwanted sexual experiences that you may have had. Your responses to these questions help us better understand the unwanted sexual experiences of LGBTQ people. We understand that responding to these questions may bring up memories of very difficult experiences. Please indicate if you would like to complete these questions, or if you would like to skip these questions and move on to the next topic. | Yes, I would like to complete these questions (1) No, I would like to skip these questions (0) |
2019AQ | | | How many times has this happened in the PAST 12 MONTHS?Someone fondled, kissed, or rubbed up against the private areas of my body (lips, breast/chest, crotch, or butt) or removed some of my clothes without my consent (but DID NOT attempt sexual penetration) | 0 (0) 1 (1) 2 (2) 3 (3) |
2019AQ | | | How many times has this happened in the PAST 12 MONTHS? Someone had oral sex with me or made me have oral sex with them without my consent. | 0 (0) 1 (1) 2 (2) 3 (3) |
2019AQ | | | Note: People may have a wide range of language or terms for their physical anatomy. Some people are not comfortable with the term ‘vagina' and may prefer the term ‘frontal genital opening.' The PRIDE Study chooses to include both the terms ‘vagina' and ‘frontal genital opening' for all relevant questions to honor the preferences and comfort of our participants. How many times has this happened in the PAST 12 MONTHS? Someone put their penis, fingers, or objects into my butt and/or vagina/frontal genital opening without my consent. | 0 (0) 1 (1) 2 (2) 3 (3) |
2019AQ | | | How many times has this happened in the PAST 12 MONTHS? Even though it didn't happen, someone TRIED to make me have oral sex with them, or TRIED to put fingers, objects, or a penis into my butt and/or vagina/frontal genital opening. | 0 (0) 1 (1) 2 (2) 3 (3) |
2019AQ | | | Have you been sexually assaulted and/or raped in the PAST 12 MONTHS? | Yes (1) No (0) |
2019AQ | | SES1_YR | We realize that recalling past experiences with sexual violence can be difficult. If you'd like to talk with someone about these experiences, please consider reaching out to the National Sexual Assault Hotline (800-656-4673), operated by Rape, Abuse, & Incest National Network (RAINN; rainn.org). | No Answers |
2019AQ | | CYOA | I wish I weren't genderqueer, transgender, or gender minority. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2019AQ | | CYOA | In general, I have tried to stop identifying with a gender that differs from my assigned sex at birth. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2019AQ | | CYOA | If someone offered me the chance to have a gender that conformed with my sex assigned at birth, I would accept the chance. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2019AQ | | CYOA | I feel that being genderqueer, transgender, or gender minority is a personal shortcoming for me. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2019AQ | | CYOA | I would like to get professional help in order to have a gender that conforms with my sex assigned at birth. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2019AQ | | CYOA | I am proud of my gender. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2019AQ | | CYOA | I think my life is better because I am genderqueer, transgender, or gender minority. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2019AQ | | CYOA | To what extent do you think about your identity as a gender minority (for example: genderqueer, non-binary, questioning one's gender identity, transgender) person? (Choose one.) | Almost never (0) Several times a year (1) Once a month (2) Once a week (3) A few times a week (4) Once a day (5) Many times a day (6) |
2019AQ | | CYOA | I wish I weren't lesbian/gay/bisexual/asexual/sexual minority. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2019AQ | | CYOA | I have tried to stop being attracted to people of the same gender in general. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) Not applicable because I am not attracted to people of my gender (0) |
2019AQ | | CYOA | If someone offered me the chance to be completely heterosexual, I would accept the chance. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2019AQ | | ORIENTATION CYOA | If someone offered me the chance to be completely gay/lesbian, I would accept the chance. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2019AQ | | CYOA | I feel that being lesbian/gay/bisexual/asexual/sexual minority is a personal shortcoming for me. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2019AQ | | CYOA | I would like to get professional help in order to change my sexual orientation from lesbian/gay/bisexual/asexual/sexual minority to heterosexual. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2019AQ | | CYOA | I am proud of my sexual orientation. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2019AQ | | CYOA | I think my life is better because of my sexual orientation. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2019AQ | | CYOA | To what extent do you think about your identity as a sexual minority (for example: asexual, bisexual, gay, lesbian, queer, questioning one's sexual orientation) person? (Choose one.) | Almost never (0) Several times a year (1) Once a month (2) Once a week (3) A few times a week (4) Once a day (5) Many times a day (6) |
2019AQ | | | Did you become a parent in the PAST 12 MONTHS? | Yes (1) No (0) |
2019AQ | | PARENT | To how many children did you become a parent in the PAST 12 MONTHS? | Text Entry (-) |
2019AQ | | | We are going to ask you a question about the children who you became a parent to in the PAST 12 MONTHS. To help you remember which child we are asking a question about, please type in the child's first name, initials, or nickname. We will use these names in the following questions. | Text Entry (-) |
2019AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/1}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2019AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/2}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2019AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/3}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2019AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/4}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2019AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/5}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2019AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/6}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2019AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/7}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2019AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/8}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2019AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/9}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2019AQ | | | In the PAST 12 MONTHS, have you been in therapy or been part of a program or group intended to change your gender or gender identity to be consistent with the sex assigned to you at birth? (This is sometimes called "conversion therapy.") | Yes (1) No (0) |
2019AQ | | GICONVTX | Who provided the therapy, program, or group intended to change your gender or gender identity to be consistent with the sex assigned to you at birth? (Check all that apply.) | A licensed mental health provider (1) A religious group or leader (2) Someone or something else (please specify) (3) Someone or something else (please specify) (TEXT) |
2019AQ | | | In the PAST 12 MONTHS, have you been in therapy or been part of a program or group intended to change your sexual orientation to heterosexual/straight? (This is sometimes called "conversion therapy.") | Yes (1) No (0) |
2019AQ | | SOCONVTX | Who provided the therapy, program, or group intended to change your sexual orientation to heterosexual/straight? (Check all that apply.) | A licensed mental health provider (1) A religious group or leader (2) Someone or something else (please specify) (3) Someone or something else (please specify) (TEXT) |
2019AQ | | CYOA | Overall, how accepting of gender minority people is the community in which you currently live? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
2019AQ | | CYOA | Overall, how accepting of sexual minority people is the community in which you currently live? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
2019AQ | | | How welcomed and accepted do you feel in LGBTQ spaces (including community groups, social clubs, bars, etc.)? | Unaccepted/unwelcomed in all of these spaces (1) Unaccepted/unwelcomed in most of these spaces (but accepted/welcomed in at least one) (2) Accepted/welcomed in about half of these spaces (3) Accepted/welcomed in most, but not all, of these spaces (4) Accepted/welcomed in all of these spaces (5) |
2019AQ | | WELCOME | You mentioned feeling unaccepted/unwelcomed in some or all LGBTQ spaces. People sometimes feel that these spaces are not welcoming towards them due to various aspects of their identities. Please select aspects of your identity that feel unwelcome in these spaces. (Check all that apply.) | My ability/disability status (1) My age (2) My body size, weight, or shape (3) My gender expression (4) My gender identity (5) The language I speak or sign (6) My participation in BDSM, kink, or other sexual activities (7) My political views (8) My race and/or ethnicity (9) My sexual orientation (10) My skin color (11) My spiritual/religious affiliation (12) Another reason (please specify) (13) Another reason (please specify) (TEXT) None of the above (0) |
2019AQ | | | Is there at least one LGBTQ space (e.g., social club, group, bar, etc.) in which you feel safe? | Yes (1) No (0) |
2019AQ | | | Overall, how safe do you feel LGBTQ spaces are for you? | Very unsafe (4) Somewhat unsafe (3) Neither safe nor unsafe (2) Mostly safe (1) Completely safe (0) |
2019AQ | | | Overall, how safe for gender minority people is the community in which you currently live? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
2019AQ | | CYOA | Overall, how safe for sexual minority people is the community in which you currently live? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
2019AQ | | | Are you currently in a relationship? | Yes (1) No (0) |
2019AQ | | RELATIONSHIP | Which of the following best describes your current romantic relationship(s)? | I am in a romantic relationship with one person (1) I am in a romantic relationship with two or more people (polyamorous) (2) Other (please specify) (3) Other (please specify) (TEXT) |
2019AQ | | REL_TYPE | How many people are you currently in romantic relationships with? | 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 or more (6) |
2019AQ | | RELATIONSHIP | In general, how satisfied are you with your current romantic relationship(s)? | Very dissatisfied (0) Dissatisfied (1) Neutral (2) Satisfied (3) Very satisfied (4) |
2019AQ | | RELATIONSHIP | Which of the following scenarios best describes the current agreement that you have with your romantic partner(s)? | We cannot have any sex with an outside partner (0) We can have sex with outside partners but with some restrictions (1) We can have sex with outside partners without any restrictions (2) We do not have an agreement (3) I have different agreements with different partners (4) |
2019AQ | | | Do you live with your partner(s)? | Yes, I live with 1 partner (0) Yes, I live with 2 or more partners (1) No, I do not live with a partner (2) Something else (please specify) (3) Something else (please specify) (TEXT) |
2019AQ | | | What is your current legal marital status? | Married (1) Legally recognized civil union (2) Registered domestic partnership (3) Widowed (4) Divorced (5) Separated (6) Single, never married (7) |
2019AQ | | | What gender do you currently live in on a day-to-day basis? | Man (1) Woman (2) Genderqueer/Non-binary/neither man nor woman (3) Part time one gender/part time another gender (4) |
2019AQ | | | For people in your life who do not know you, what gender do they USUALLY think you are? (Choose one.) | Man (1) Non-binary/Genderqueer (2) Transgender Man (3) Transgender Woman (4) Two-spirit (5) Woman (6) Another gender (7) It varies (8) They cannot tell (9) I dont know what they think (88) |
2019AQ | | CYOA | There are many ways people can feel supported and affirmed as a gender minority person. Did any of your immediate family members who you grew up with (parents, siblings, grandparents, people who raised you, etc.) do any of these things to support you about your gender? (Check all that apply.) | Told you that they respect and/or support you (1) Used your preferred name even if it was not your legal name (2) Used your correct pronouns (such as he/she/they) (3) Provided financial support to help with any part of your gender transition (4) Helped you change your name and/or gender on your identity documents (ID), like your drivers license (such as doing things like filling out papers or going with you to court) (5) Did research to learn how to best support you (such as reading books, using online information, or attending a conference) (6) Stood up for you with family, friends, or others (7) Supported you in another way not listed above (please specify) (8) Supported you in another way not listed above (please specify) (TEXT) None of the above (0) |
2019AQ | | | For people in your life who do not know you, what sexual orientation do they USUALLY think you are? (Choose one.) | Asexual (1) Bisexual (2) Gay (3) Heterosexual or Straight (4) Lesbian (5) Queer (6) They cannot tell (7) Two-spirit (8) It varies (9) Another sexual orientation (10) I dont know what they think (88) |
2019AQ | | CYOA | There are many ways people can feel supported and affirmed as a sexual minority person. Did any of your immediate family members who you grew up with (parents, siblings, grandparents, people who raised you, etc.) do any of these things to support you about your sexual orientation? (Check all that apply.) | Told you that they respect and/or support you (1) Positively acknowledged your relationship to your partner(s) (2) Positively acknowledged your sexual and/or romantic orientation (3) Welcomed your partner(s) to a family event (4) Provided financial support related to your relationship(s) (e.g., first date, family building, moving in together) (5) Attended an event that you hosted with a partner(s) (6) Researched how to best support you (such as reading books, using online information, or attending a conference) (7) Stood up for you with family, friends, or others (8) Supported you in another way not listed above (please specify) (9) Supported you in another way not listed above (please specify) (TEXT) None of the above (0) |
2019AQ | | | In the PAST 12 MONTHS, has a mental health professional or health care provider told you that you have Autism Spectrum Disorder or Asperger's Syndrome? | Yes (1) No (0) I dont know (88) |
2019AQ | | | Do you identify as "neurodivergent" or with any associated term that people sometimes use within the neurodiversity movement (aspie, autistic, etc.)? | Yes (1) No (0) |
2019AQ | | | Coming out about one's sexual orientation or gender is a process. People do not always come out to everyone at the same time. In the PAST 12 MONTHS, have you come out to any of the people who raised you? (Check all that apply.) | Yes, I came out about my sexual orientation (e.g., asexual, bisexual, gay, lesbian, queer, questioning ones sexual orientation, etc.) to someone who raised me (1) Yes, I came out about my gender identity (e.g., genderqueer, non-binary, questioning ones gender identity, transgender, etc.) to someone who raised me (2) No, I did not come out in the past 12 months to anyone who raised me (0) |
2019AQ | | COMEOUT_PSTYR | We are going to ask you follow-up questions about coming out about your sexual orientation (e.g., asexual, bisexual, gay, lesbian, queer, questioning one's sexual orientation, etc.) in the past 12 months to someone who raised you. To help you remember who we are asking about, please list the first names, initials, or nicknames of the person/people you came out to. We will use these names in questions that follow. | Text Entry (-) |
2019AQ | | COMEOUTSO_NAMES | How is ${q://QID622/ChoiceTextEntryValue/1} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2019AQ | | COMEOUTSO_NAMES | When ${q://QID622/ChoiceTextEntryValue/1} initially learned about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTSO_NAMES | In your most recent interactions with ${q://QID622/ChoiceTextEntryValue/1}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTSO_NAMES | How did your communication with ${q://QID622/ChoiceTextEntryValue/1} change after they learned about your sexual orientation? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2019AQ | | COMEOUTSO_NAMES | How is ${q://QID622/ChoiceTextEntryValue/2} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2019AQ | | COMEOUTSO_NAMES | When ${q://QID622/ChoiceTextEntryValue/2} initially learned about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTSO_NAMES | In your most recent interactions with ${q://QID622/ChoiceTextEntryValue/2}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTSO_NAMES | How did your communication with ${q://QID622/ChoiceTextEntryValue/2} change after they learned about your sexual orientation? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2019AQ | | COMEOUTSO_NAMES | How is ${q://QID622/ChoiceTextEntryValue/3} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2019AQ | | COMEOUTSO_NAMES | When ${q://QID622/ChoiceTextEntryValue/3} initially learned about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTSO_NAMES | In your most recent interactions with ${q://QID622/ChoiceTextEntryValue/3}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTSO_NAMES | How did your communication with ${q://QID622/ChoiceTextEntryValue/3} change after they learned about your sexual orientation? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2019AQ | | COMEOUTSO_NAMES | How is ${q://QID622/ChoiceTextEntryValue/4} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2019AQ | | COMEOUTSO_NAMES | When ${q://QID622/ChoiceTextEntryValue/4} initially learned about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTSO_NAMES | In your most recent interactions with ${q://QID622/ChoiceTextEntryValue/4}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTSO_NAMES | How did your communication with ${q://QID622/ChoiceTextEntryValue/4} change after they learned about your sexual orientation? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2019AQ | | | We are going to ask you follow-up questions about coming out about your gender identity (e.g., genderqueer, non-binary, questioning one's gender identity, transgender, etc.) in the past 12 months to someone who raised you. To help you remember who we are asking about, please list the first names, initials, or nicknames of the person/people you came out to. We will use these names in questions that follow. | Text Entry (-) |
2019AQ | | COMEOUTGI_NAMES | How is ${q://QID2154/ChoiceTextEntryValue/1} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2019AQ | | COMEOUTGI_NAMES | When ${q://QID2154/ChoiceTextEntryValue/1} initially learned about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTGI_NAMES | In your most recent interactions with ${q://QID2154/ChoiceTextEntryValue/1}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTGI_NAMES | How did your communication with ${q://QID2154/ChoiceTextEntryValue/1} change after they learned about your gender identity? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2019AQ | | COMEOUTGI_NAMES | How is ${q://QID2154/ChoiceTextEntryValue/2} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2019AQ | | COMEOUTGI_NAMES | When ${q://QID2154/ChoiceTextEntryValue/2} initially learned about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTGI_NAMES | In your most recent interactions with ${q://QID2154/ChoiceTextEntryValue/2}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTGI_NAMES | How did your communication with ${q://QID2154/ChoiceTextEntryValue/2} change after they learned about your gender identity? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2019AQ | | COMEOUTGI_NAMES | How is ${q://QID2154/ChoiceTextEntryValue/3} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2019AQ | | COMEOUTGI_NAMES | When ${q://QID2154/ChoiceTextEntryValue/3} initially learned about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTGI_NAMES | In your most recent interactions with ${q://QID2154/ChoiceTextEntryValue/3}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTGI_NAMES | How did your communication with ${q://QID2154/ChoiceTextEntryValue/3} change after they learned about your gender identity? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2019AQ | | COMEOUTGI_NAMES | How is ${q://QID2154/ChoiceTextEntryValue/4} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2019AQ | | COMEOUTGI_NAMES | When ${q://QID2154/ChoiceTextEntryValue/4} initially learned about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTGI_NAMES | In your most recent interactions with ${q://QID2154/ChoiceTextEntryValue/4}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTGI_NAMES | How did your communication with ${q://QID2154/ChoiceTextEntryValue/4} change after they learned about your gender identity? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2019AQ | | | Please choose the response that best applies to you. | No Answers |
2019AQ | | CYOA | The decision to hide or reveal my sexual orientation to others causes me significant distress. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2019AQ | | | Because of my sexual orientation, no one understands my pain or distress. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2019AQ | | | I was rejected by a family member or friend after telling him/her my sexual orientation. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2019AQ | | | I feel confused or conflicted by my sexual orientation. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2019AQ | | | I feel comfortable revealing my sexual attractions and/or behavior. | Strongly Disagree (6) Moderately Disagree (5) Slightly Disagree (4) Slightly Agree (3) Moderately Agree (2) Strongly Agree (1) |
2019AQ | | | The decision to hide or reveal my gender identity or that I am a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.) to others causes me significant distress. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2019AQ | | | Because of my gender identity, no one understands my pain or distress. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2019AQ | | | I was rejected by a family member or friend after telling them my gender identity. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2019AQ | | | I feel confused or conflicted by my gender identity. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2019AQ | | | I feel comfortable revealing my gender identity and/or expression and/or status as a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.). | Strongly Disagree (6) Moderately Disagree (5) Slightly Disagree (4) Slightly Agree (3) Moderately Agree (2) Strongly Agree (1) |
2019AQ | | | People treat me unfairly because of my race, ethnicity, sexual, and/or gender identity. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2019AQ | | | At times, I feel I stick out because of my race, ethnicity, sexual orientation, and/or gender identity. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2019AQ | | | Stereotypes about racial, ethnic, sexual, and gender minority people hurt my self-esteem or the way I see myself. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2019AQ | | | I believe the world is a dangerous place to be a racial, ethnic, sexual, and/or gender minority person. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2019AQ | | | You have completed the Social Health section! This is one of 4 sections! Phew! We know this survey is long and we thank you for the time and energy you have put into helping us advance our collective understanding of LGBTQ health. Your answers are bringing us one step closer to LGBTQ health equity! | No Answers |
2019AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) Although this list of conditions may seem to repeat what you may have filled out as part of "My Health," we want to make sure everything is as up-to-date as possible. | Acid reflux (heartburn) (1) Anemia (2) Angina pectoris (angina) (3) Anxiety (4) Asthma (5) Atrial fibrillation (Afib) (6) Benign prostatic hypertrophy (BPH, enlarged prostate) (7) Bipolar disorder (8) Cancer (9) Cataracts (10) Chronic kidney disease (11) Chronic obstructive pulmonary disease (COPD) (12) None of these (0) |
2019AQ | | MEDHX1 | With what type(s) of cancer have you been diagnosed? (Check all that apply.) | Anal (1) Breast (2) Colon (3) Kidney (4) Lung (5) Leukemia/Lymphoma (6) Ovary (7) Pancreas (8) Prostate (9) Skin (melanoma) (10) Skin (non-melanoma) (11) Uterus (13) Other (please specify) (12) Other (please specify) (TEXT) |
2019AQ | | | How about any of these? Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Coagulation (bleeding or clotting) problem (1) Congestive heart failure (CHF) (2) Coronary artery disease (3) Depression (4) Diabetes mellitus (diabetes, sugar diabetes) (5) Diabetes (borderline) (6) Erectile dysfunction (7) Glaucoma (8) Heart attack (9) Heart murmur (10) High cholesterol (11) HIV (12) None of these (0) |
2019AQ | | | Here's the last set! Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Hypertension (high blood pressure) (1) Inflammatory bowel disease (Crohns disease, ulcerative colitis) (2) Irritable bowel syndrome (IBS) (3) Kidney stone (nephrolithiasis) (4) Liver disease (5) Lupus (systemic lupus erythematous, SLE) (6) Menopause (7) Migraine headache (8) Obstructive sleep apnea (OSA) (9) Peripheral vascular disease (PVD) (10) Polycystic ovarian syndrome (PCOS) (11) Psoriasis (12) Pulmonary embolism (PE) (13) Seizure disorder (epilepsy) (14) Stroke (cerebrovascular accident, CVA) (15) Thyroid problem (hyperthyroidism, hypothyroidism) (16) Ulcer (stomach/peptic, duodenal) (17) Uterine fibroids (18) None of these (0) |
2019AQ | | | Please list up to five additional medical conditions that a doctor or other health care provider told you that you have. (One condition per line.) If no additional conditions, please click next. | Text Entry (-) |
2019AQ | | | Were any of these conditions diagnosed within the PAST 12 MONTHS? (Check all that apply.) | None of these were diagnosed in the past 12 months. (0) Acid reflux (heartburn) (1) Anemia (2) Angina pectoris (angina) (3) Anxiety (4) Asthma (5) Atrial fibrillation (Afib) (6) Benign prostatic hypertrophy (BPH, enlarged prostate) (7) Bipolar disorder (8) Cataracts (9) Chronic kidney disease (10) Chronic obstructive pulmonary disease (COPD) (11) Anal cancer (12) Breast cancer (13) Colon cancer (14) Kidney cancer (15) Lung cancer (16) Leukemia/Lymphoma (17) Ovarian cancer (18) Pancreatic cancer (19) Prostate cancer (20) Skin cancer (melanoma) (21) Skin cancer (non-melanoma) (22) Uterine cancer (23) q://QID901/ChoiceTextEntryValueቨ cancer (24) Coagulation (bleeding or clotting) problem (25) Congestive heart failure (CHF) (26) Coronary artery disease (27) Depression (28) Diabetes mellitus (diabetes, sugar diabetes) (29) Diabetes (borderline) (30) Erectile dysfunction (31) Glaucoma (32) Heart attack (33) Heart murmur (34) High cholesterol (35) HIV (36) Hypertension (high blood pressure) (37) Inflammatory bowel disease (Crohns disease, ulcerative colitis) (38) Irritable bowel syndrome (IBS) (39) Kidney stone (nephrolithiasis) (40) Liver disease (41) Lupus (systemic lupus erythematous, SLE) (42) Menopause (43) Migraine headache (44) Obstructive sleep apnea (OSA) (45) Peripheral vascular disease (PVD) (46) Polycystic ovarian syndrome (PCOS) (47) Psoriasis (48) Pulmonary embolism (PE) (49) Seizure disorder (epilepsy) (50) Stroke (cerebrovascular accident, CVA) (51) Thyroid problem (hyperthyroidism, hypothyroidism) (52) Ulcer (stomach/peptic, duodenal) (53) Uterine fibroids (54) q://QID895/ChoiceTextEntryValueǗ (55) q://QID895/ChoiceTextEntryValueǘ (56) q://QID895/ChoiceTextEntryValueǙ (57) q://QID895/ChoiceTextEntryValueǚ (58) q://QID895/ChoiceTextEntryValueǛ (59) |
2019AQ | | | In the PAST 12 MONTHS, have you had the following surgeries or procedures? (Check all that apply.) (Gender-affirming or transition-related surgeries and procedures are asked about later.) | Coronary stent placement (1) Coronary artery bypass graft (CABG, bypass surgery) (2) Heart valve replacement (3) Pacemaker implantation (4) Implantable cardiac defibrillator (ICD) implantation (5) Bone marrow transplant (6) Organ transplant (7) Gallbladder removal (cholecystectomy) (8) Appendix removal (appendectomy) (9) C section (cesarean section) (10) Uterus removal with cervix retained (supracervical hysterectomy) (11) Uterus removal with cervix removed (total hysterectomy) (12) Ovary removal (oophorectomy) (13) None of these (0) |
2019AQ | | SURGHX | Which organ(s) have you received through a transplant? (Check all that apply.) | Heart (1) Lung (2) Liver (3) Pancreas (4) Kidney (5) Small intestine (6) Other (please specify) (7) Other (please specify) (TEXT) |
2019AQ | | | In the PAST 12 MONTHS, have you had any of the following procedures for any reason (including gender affirmation or transition)? (Check all that apply.) | Electrolysis (long-term hair removal) (1) Fat grafting (e.g., face, hips, buttocks, breasts/chest) (2) None of these (3) |
2019AQ | | | Please list up to five additional general surgeries/procedures that you had in the PAST 12 MONTHS (not including gender-affirming or transition-related surgeries or procedures, which we ask about later). Please write in one surgery/procedure per line. If no additional surgeries/procedures, please click next. | Text Entry (-) |
2019AQ | | | Have you had any gender-affirming or transition-related surgeries or procedures in the PAST 12 MONTHS? | Yes (1) No (0) |
2019AQ | | GAS_AQ | In the PAST 12 MONTHS, have you had any of the following gender-affirming or transition-related surgeries or procedures that involve your head or neck? (Check all that apply.) | Brow lift (1) Chin augmentation (genioplasty) (2) Forehead reconstruction/contouring (3) Jaw bone revision (mandible contouring) (4) Lip lift (5) Nose reconstruction (rhinoplasty) (6) Scalp advancement (7) Tracheal shave (reduction thyrochondroplasty) (8) Vocal cord/voice surgery (9) None of these (0) |
2019AQ | | GAS_AQ | In the PAST 12 MONTHS, have you had any of the following gender-affirming or transition-related surgeries or procedures that involve your chest? (Check all that apply.) | Breast augmentation (1) Breast/chest reduction (reduction mammoplasty) (2) Top surgery/chest reconstruction/mastectomy (scars under the chest, double incision) (3) Top surgery/chest reconstruction/mastectomy (keyhole, through the areola, periareolar) (4) None of these (0) |
2019AQ | | GAS_AQ | In the PAST 12 MONTHS, have you had any of the following gender-affirming or transition-related surgeries or procedures that involve your abdomen or pelvis? (Check all that apply.) | Creation of a new vagina using colon graft (vaginoplasty, colon graft) (1) Creation of a new vagina using penile tissue (vaginoplasty, penile inversion) (2) Creation of new labia without creation of new vagina (labiaplasty) (3) Creation of new scrotum (scrotoplasty) (4) Fallopian tube removal (salpingectomy) (5) Meta/meto or clitoral release (metoidioplasty) (6) Ovary removal (oophorectomy) (7) Penile implant insertion (8) Phallo/creation of a new penis (phalloplasty) (9) Removal of penis (penectomy) (10) Removal of testes (orchiectomy) (11) Removal of vaginal tissue (vaginectomy) (12) Testicular implant insertion (13) Uterus removal with cervix retained (supracervical hysterectomy) (14) Uterus removal with cervix removed (total hysterectomy) (15) None of these (0) |
2019AQ | | GAS_AQ | Please list up to five additional gender-affirming surgeries/procedures that you had in the PAST 12 MONTHS. (One surgery/procedure per line.) If no additional surgeries/procedures, please click next. | Text Entry (-) |
2019AQ | | | Are you CURRENTLY taking hormones or medications for the purposes of gender affirmation (also called gender transition)? | Yes (1) No (0) |
2019AQ | | GAHORMONE_AN | Which hormones or medications for the purposes of gender affirmation (also called gender transition) are you CURRENTLY taking? (Check all that apply.) | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histarelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium or Provera) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) Another hormone/medication not listed here (please specify) (17) Another hormone/medication not listed here (please specify) (TEXT) I have (also) taken some other hormone(s)/medication(s), but I am not sure what it is called. (18) |
2019AQ | | | Were any of the following hormones or medications that you used in the PAST 12 MONTHS for the purposes of gender affirmation (also called gender transition) prescribed by a doctor or health care provider? | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histarelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium or Provera) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) q://QID2316/ChoiceTextEntryValueቭ (17) I have (also) taken some other hormone(s)/medication(s), but I am not sure what it is called. (18) |
2019AQ | | GAHORMONE_ANYRX | Was all of the cyproterone acetate (sometimes called: CPA or Cyprostat) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the dutasteride (sometimes called: Avodart) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the depo leuprolide or leuprolide acetate (sometimes called: Lupron) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the depo (Injection) provera (sometimes called: “Depo” or medroxyprogesterone acetate) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the estrogen (any type in any formulation such as: gel, injection, patch, pill) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the estradiol valerate (a specific type of estrogen) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the estradiol cypionate (a specific type of estrogen) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the finasteride (sometimes called: Proscar or Propecia) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the histarelin acetate (sometimes called: Vantas or Supprelin) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the progesterone (sometimes called: progestagen or progestins) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the micronized progesterone (sometimes called: Prometrium or Provera) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the spironolactone (sometimes called: “Spiro” or Aldactone) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the testosterone (any type in any formulation such as: gel, injection, patch) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the testosterone cypionate (a specific type of testosterone) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the testosterone enanthate (a specific type of testosterone) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the testosterone undecanoate (a specific type of testosterone) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the ${q://QID2316/ChoiceTextEntryValue/17} used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | | In the PAST 12 MONTHS, did you start or stop taking any hormones or medications for the purposes of gender affirmation (also called gender transition)? (Check all that apply.) | Yes, I started taking some hormones/medications for gender affirmation in the PAST 12 MONTHS. (1) Yes, I stopped taking some hormones/medications for gender affirmation in the PAST 12 MONTHS. (0) No, I did not start or stop taking hormones/medications for gender affirmation in the PAST 12 MONTHS. (2) |
2019AQ | | GAHORMONE_CHANGE_YR | Which hormones or medications for the purposes of gender affirmation (also called gender transition) did you START in the PAST 12 MONTHS? (Check all that apply.) | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histarelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium or Provera) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) Another hormone/medication not listed here (please specify) (17) Another hormone/medication not listed here (please specify) (TEXT) I have (also) taken some other hormone(s)/medication(s), but I am not sure what it is called. (18) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking cyproterone acetate (sometimes called: CPA or Cyprostat) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking dutasteride (sometimes called: Avodart) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking depo leuprolide or leuprolide acetate (sometimes called: Lupron) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking depo (injection) provera (sometimes called: “Depo” or medroxyprogesterone acetate) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking estrogen (any type in any formulation such as: gel, injection, patch, pill) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking estradiol valerate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking estradiol cypionate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking finasteride (sometimes called: Proscar or Propecia) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking histarelin acetate (sometimes called: Vantas or Supprelin) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking progesterone (sometimes called: progestagen or progestins) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking micronized progesterone (sometimes called: Prometrium or Provera) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking spironolactone (sometimes called: "Spiro" or Aldactone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking testosterone (any type in any formulation such as: gel, injection, patch) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking testosterone cypionate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking testosterone enanthate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking testosterone undecanoate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking ${q://QID2317/ChoiceTextEntryValue/17} for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_CHANGE_YR | Which hormones or medications for the purposes of gender affirmation (also called gender transition) did you STOP in the PAST 12 MONTHS? (Check all that apply.) | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histarelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium or Provera) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) Another hormone/medication not listed here (please specify) (17) Another hormone/medication not listed here (please specify) (TEXT) I have (also) taken some other hormone(s)/medication(s), but I am not sure what it is called. (18) |
2019AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking cyproterone acetate (sometimes called: CPA or Cyprostat) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking cyproterone acetate (sometimes called CPA or Cyprostat), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2019AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking dutasteride (sometimes called: Avodart) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking dutasteride (sometimes called: Avodart), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2019AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking depo leuprolide or leuprolide acetate (sometimes called: Lupron) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking depo leuprolide or leuprolide acetate (sometimes called: Lupron), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2019AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking depo (injection) provera (sometimes called: "Depo" or medroxyprogesterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking depo (Injection) provera (sometimes called: “Depo” or medroxyprogesterone acetate), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2019AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking estrogen (any type in any formulation such as: gel, injection, patch, pill) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking estrogen (any type in any formulation such as: gel, injection, patch, pill), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2019AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking estradiol valerate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking estradiol valerate (a specific type of estrogen), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2019AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking estradiol cypionate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking estradiol cypionate (a specific type of estrogen), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2019AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking finasteride (sometimes called: Proscar or Propecia) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking finasteride (sometimes called: Proscar or Propecia), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2019AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking histarelin acetate (sometimes called: Vantas or Supprelin) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking histarelin acetate (sometimes called: Vantas or Supprelin), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2019AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking micronized progesterone (sometimes called: Prometrium or Provera) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking micronized progesterone (sometimes called: Prometrium or Provera), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2019AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking progesterone (sometimes called: progestagen or progestins) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking progesterone (sometimes called: progestagen or progestins), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2019AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking spironolactone (sometimes called: "Spiro" or Aldactone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking spironolactone (sometimes called: “Spiro” or Aldactone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2019AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking testosterone (any type in any formulation such as: gel, injection, patch) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking testosterone (any type in any formulation such as: gel, injection, patch), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2019AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking testosterone cypionate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking testosterone cypionate (a specific type of testosterone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2019AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking testosterone enanthate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking testosterone enanthate (a specific type of testosterone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2019AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking testosterone undecanoate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking testosterone undecanoate (a specific type of testosterone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2019AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking ${q://QID2317/ChoiceTextEntryValue/17} for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking ${q://QID2317/ChoiceTextEntryValue/17}, please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2019AQ | | | To understand your health and customize this survey for you, we need to know what organs you were born with. People have a wide range of language or terms for their physical anatomy (not all of which are listed here). Which of the following organs were you born with? (Check all that apply.) | Cervix (you likely have/had this if you were assigned female sex at birth) (1) Ovaries (2) Penis/Phallus (not including a prosthetic) (3) Prostate (you likely have/had this if you were assigned male sex at birth) (4) Testicles (5) Uterus/Womb (6) Vagina/Frontal genital opening (7) |
2019AQ | | | Have you EVER had breasts or breast tissue? | Yes (1) No (0) I dont know (88) |
2019AQ | | | Which of the following organs do you have now? (Check all that apply.) | Breasts or breast tissue (1) Cervix (you likely have this if you have a uterus or womb) (2) Ovaries (3) Penis/Phallus (not including a prosthetic) (4) Prostate (you likely have this if you were assigned male sex at birth) (5) Testicles (6) Uterus/Womb (7) Vagina/Frontal genital opening (8) |
2019AQ | | ORGANS_NOW | You have indicated that you currently have a vagina/frontal genital opening. In order to customize the rest of this questionnaire, please select the term you would like us to use to describe your vagina/frontal genital opening. | Please use the term vagina. (1) Please use the term frontal genital opening. (2) |
2019AQ | | | In general, would you say your health is... | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2019AQ | | | In general, would you say your quality of life is... | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2019AQ | | | In general, how would you rate your physical health? | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2019AQ | | | In general, how would you rate your mental health, including your mood and your ability to think? | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2019AQ | | | In general, how would you rate your satisfaction with your social activities and relationships? | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2019AQ | | | In general, please rate how well you carry out your usual social activities and roles. (This includes activities at home, at work and in your community, and responsibilities as a parent, child, spouse, employee, friend, etc.) | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2019AQ | | | To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair? | Completely (5) Mostly (4) Moderately (3) A little (2) Not at all (1) |
2019AQ | | | In the PAST 7 DAYS, how often have you been bothered by emotional problems, such as feeling anxious, depressed or irritable? | Never (5) Rarely (4) Sometimes (3) Often (2) Always (1) |
2019AQ | | | In the PAST 7 DAYS, how would you rate your fatigue on average? | None (5) Mild (4) Moderate (3) Severe (2) Very severe (1) |
2019AQ | | | In the PAST 7 DAYS, how would you rate your pain on average? | 0 No pain (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Worst imaginable pain (10) |
2019AQ | | | Cancer Screening | No Answers |
2019AQ | | ORGANS_BORN VAGINA_BRANCH | In the PAST 12 MONTHS, have you had a Pap smear or Pap test? (A Pap smear or Pap test is a routine test in which a health care provider places an instrument inside the vagina, examines the cervix, and takes a few cells from the cervix with a small stick or brush to look for abnormal or cancer cells.) | Yes (1) No (0) I dont know (88) |
2019AQ | | ORGANS_BORN VAGINA_BRANCH | In the PAST 12 MONTHS, have you had a Pap smear or Pap test? (A Pap smear or Pap test is a routine test in which a health care provider places an instrument inside the frontal genital opening, examines the cervix, and takes a few cells from the cervix with a small stick or brush to look for abnormal or cancer cells.) | Yes (1) No (0) I dont know (88) |
2019AQ | | PAP_YR_V | Have you had a Pap smear or Pap test in the PAST 12 MONTHS where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2019AQ | | PAP_YR_V | An HPV test is sometimes added to the Pap test for cervical cancer screening. Did you have an HPV test with a Pap test in the PAST 12 MONTHS? | Yes (1) No (0) I dont know (88) |
2019AQ | | HPV_RECENTPAP | Have you had a cervical HPV test in the PAST 12 MONTHS where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2019AQ | | ORGANS_NOW | In the PAST 12 MONTHS, have you had a mammogram? A mammogram is when breast/chest tissue is squeezed between two firm surfaces to obtain X-rays/pictures of the breast/chest tissue. | Yes (1) No (0) I dont know (88) |
2019AQ | | MAMMO_YR | Have you had a mammogram in the PAST 12 MONTHS where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2019AQ | | ORGANS_BORN | In the PAST 12 MONTHS, have you had a PSA test? A PSA test is a blood test to detect prostate cancer. It is also called a prostate-specific antigen test. | Yes (1) No (0) I dont know (88) |
2019AQ | | PSA_YR | Have you had a PSA test in the PAST 12 MONTHS where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2019AQ | | | Colon or rectal cancer tests include blood stool tests, colonoscopy, and sigmoidoscopy. A blood stool test or occult blood test, also known as the fecal immunochemical (FIT) test, determines whether you have blood in your stool or bowel movement. These tests can be done at home using a kit. You use a stick or brush to obtain a small amount of stool at home and send it back to the doctor or lab. A sigmoidoscopy and colonoscopy are exams in which a tube is inserted in the rectum to view the colon for signs of cancer or other health problems. For a sigmoidoscopy, the doctor checks only part of the colon and you are fully awake. For a colonoscopy, the doctor checks the entire colon, and you are given medication through a needle in your arm to make you sleepy, and told to have someone drive you home. Before a sigmoidoscopy or colonoscopy, you are asked to take a medication that causes diarrhea. In the PAST 12 MONTHS, have you had any of these tests for colon or rectal cancer? (Check all that apply.) | None of these (0) Blood stool test (FIT test) (1) Sigmoidoscopy (2) Colonoscopy (3) |
2019AQ | | COLON_TEST | In the PAST 12 MONTHS, have you had a blood stool test (FIT) where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2019AQ | | COLON_TEST | In the PAST 12 MONTHS, have you had a sigmoidoscopy where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2019AQ | | COLON_TEST | In the PAST 12 MONTHS, have you had a colonoscopy where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2019AQ | | | In the PAST 12 MONTHS, have you had any of the following tests as an evaluation for anal or rectal cancer? (Check all that apply.) | Digital anal rectal exam (an examination where a doctor or health care provider inserts their finger into your anus (butt)) (1) Anal HPV test (a routine test with a swab that tests for human papillomavirus, HPV) (2) Anal Pap smear (a routine test in which a health care provider takes a few cells from the anus using a swab to look for abnormal or cancer cells) (3) High-Resolution Anoscopy (HRA) (an exam with a microscope of the rectum and anus) (4) I dont know (88) None of these (0) |
2019AQ | | ANORECTCA_SCREEN_YR | In the PAST 12 MONTHS, have you had a digital anal/rectal examination where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2019AQ | | ANORECTCA_SCREEN_YR | In the PAST 12 MONTHS, have you had an anal HPV examination where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2019AQ | | ANORECTCA_SCREEN_YR | In the PAST 12 MONTHS, have you had an anal Pap smear where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2019AQ | | ANORECTCA_SCREEN_YR | In the PAST 12 MONTHS, have you had a high-resolution anoscopy (HRA) where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2019AQ | | | Physical Activity | No Answers |
2019AQ | | | How many DAYS PER WEEK do you do LIGHT OR MODERATE leisure-time physical activities for AT LEAST 10 MINUTES that cause ONLY LIGHT sweating or a SLIGHT to MODERATE increase in breathing or heart rate? Examples include walking, golf, moving boxes, and gardening. | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2019AQ | | MOD_DAYS | About how long (in minutes) do you do these light or moderate leisure-time physical activities each time? | Text Entry (-) |
2019AQ | | | How many DAYS PER WEEK do you do VIGOROUS leisure-time physical activities for AT LEAST 10 MINUTES that cause HEAVY sweating or LARGE increases in breathing or heart rate? Examples include aerobics, tennis, bicycling up hills, and running. | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2019AQ | | VIG_DAYS | About how long (in minutes) do you do these vigorous leisure-time physical activities each time? | Text Entry (-) |
2019AQ | | | How many DAYS PER WEEK do you do leisure-time physical activities specifically designed to STRENGTHEN your muscles such as lifting weights or doing calisthenics? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2019AQ | | | Healthcare Access | No Answers |
2019AQ | | | During the PAST 12 MONTHS, have you had a flu vaccine - usually a shot in your arm or sprayed in your nose by a doctor or other health professional? These are usually given in the fall and protect against influenza for the flu season. | Yes (1) No (0) I dont know (88) |
2019AQ | | | Is there a place that you USUALLY go to when you are sick or need advice about your health? | Yes (1) There is NO place (2) There is MORE THAN ONE place (3) I dont know (88) |
2019AQ | | PLACESICK | What kind of place do you go to MOST often – a clinic, doctor's office, emergency room, or some other place? | Clinic or health center (1) Doctors office or HMO (2) Hospital emergency room (3) Hospital outpatient department (4) Some other place (5) I dont go to one place most often (6) I dont know (88) |
2019AQ | | PLACESICK | Is that the same place you USUALLY go when you need routine or preventive care, such as a physical examination or check up? | Yes (1) No (0) I dont know (88) |
2019AQ | | PLACEROUTINE | What kind of place do you USUALLY go to when you need routine or preventive care, such as a physical examination or check-up? | I dont get routine or preventative care anywhere (0) Clinic or health center (1) Doctors office or HMO (2) Hospital emergency room (3) Hospital outpatient department (4) Some other place (5) I dont go to one place most often (6) I dont know (88) |
2019AQ | | | During the PAST 12 MONTHS, did you have any trouble finding a general doctor or health care provider who would see you? | Yes (1) No (0) I havent tried to see a doctor or health care provider in the past 12 months. (2) I dont know (88) |
2019AQ | | | In the PAST 12 MONTHS, have you seen or talked to any of the following health care providers about your own health? (Check all that apply.) | A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker (1) An optometrist, ophthalmologist, or eye doctor (someone who prescribes eye glasses) (2) A foot doctor (a podiatrist) (3) A chiropractor (4) A physical therapist, speech therapist, respiratory therapist, audiologist, or occupational therapist (5) A nurse practitioner, physician assistant, or midwife (6) A doctor who specializes in reproductive, genital, and sexual health (an obstetrician/gynecologist) (7) A medical doctor who specializes in a particular medical disease or problem (other than obstetrician/gynecologist, psychiatrist, or ophthalmologist) (8) A general doctor who treats a variety of illnesses (a doctor in general practice, family medicine, or internal medicine) (9) I have not seen or talked to any of these providers. (0) |
2019AQ | | | A primary care provider is a health care provider who takes care of your overall general health and may coordinate your care with other medical specialists. Do you have a primary care provider (PCP)? | Yes (1) No (0) I dont know (88) |
2019AQ | | PCP | Have you seen your primary care provider in the PAST 12 MONTHS? | Yes (1) No (0) I dont know (88) |
2019AQ | | | In the PAST 12 MONTHS, have you seen any of the following specialists? (Check all that apply.) | I did not see any specialists (0) Addiction medicine specialist (1) Allergist or immunologist (allergy doctor) (2) Cardiologist (heart doctor) (3) Dermatologist (skin doctor) (4) Endocrinologist (hormone doctor) (5) Gastroenterologist (digestive doctor) (6) Gynecologist (reproductive and genital/urinary doctor) (7) Hematologist (blood doctor) (8) Hepatologist (liver doctor) (9) Infectious disease specialist (10) Oncologist (cancer doctor) (11) Nephrologist (kidney doctor) (12) Neurologist (brain and nerve doctor) (13) Neurosurgeon (brain and spine surgeon) (14) Ophthalmologist (eye doctor) (15) Orthopedist (bone and joint doctor) (16) Otorhinolaryngologist (ear, nose, and throat doctor) (17) Pain management specialist (18) Plastic surgeon (repair, reconstruction, and physical replacement surgeon) (19) Podiatrist (foot doctor) (20) Psychiatric nurse practitioner (21) Psychiatrist (mental health doctor) (22) Psychologist, psychotherapist, or other mental health counselor (23) Pulmonologist (lung doctor) (24) Rheumatologist (joint and inflammation doctor) (25) Sleep specialist (26) Speech/language therapist (27) Urologist (genital/urinary health doctor) (28) Someone not listed here (please specify) (29) Someone not listed here (please specify) (TEXT) I did not see any specialists (0) |
2019AQ | | CYOA | In the PAST 12 MONTHS, have you gone to a doctor, health care provider, or clinic for transgender-related health care (such as hormone treatment)? | Yes (1) No (0) I dont know (88) |
2019AQ | | TRANS_DOC | Does the person or place who provides your transgender-related health care also take care of your overall general health? | Yes (1) No (0) I dont know (88) |
2019AQ | | | In the PAST 12 MONTHS, have you visited a doctor, health care provider, or clinic that focuses on sexual or reproductive health (such as sexually transmitted infections, PrEP, birth control, abortion, etc.)? | Yes (1) No (0) I dont know (88) |
2019AQ | | SEX_DOC | Does the person or place who provides your sexual or reproductive health care also take care of your overall general health? | Yes (1) No (0) I dont know (88) |
2019AQ | | | In the PAST 12 MONTHS, was there any time when you did NOT have ANY health insurance or coverage? In other words, were you uninsured for any time during the previous 12 months? | Yes (1) No (0) I dont know (88) |
2019AQ | | UNINSUR | In the PAST 12 MONTHS, about how many months were you without coverage? | Less than one month (0) 1 month (1) 2 months (2) 3 months (3) 4 months (4) 5 months (5) 6 months (6) 7 months (7) 8 months (8) 9 months (9) 10 months (10) 11 months (11) 12 months (12) |
2019AQ | | | Are you CURRENTLY covered by any health insurance or health coverage plan? | Yes (1) No (0) I dont know (88) |
2019AQ | | INSURANCE | Are you CURRENTLY covered by any of the following types of health insurance or health coverage plans? (If you have more than one insurance/coverage plans, please select your primary insurance/coverage plan.) | Insurance through my current or former employer or union (1) Insurance through someone elses current or former employer or union (2) Insurance purchased through HealthCare.gov or another health insurance marketplace (sometimes called Obamacare or the Affordable Care Act) (3) Insurance purchased directly from an insurance company (4) Medicare (for people 65 and older or people with certain disabilities) (5) Medicaid (government-assistance plan for those with low incomes or a disability) (6) TRICARE or other military health care (7) Veterans Affairs (VA) (8) Indian Health Service (9) Other (10) Other (TEXT) |
2019AQ | | | In the PAST 12 MONTHS, were you delayed in getting medical care, tests, or treatments that you or a health care provider believed necessary? | Yes (1) No (0) |
2019AQ | | DELAYCARE | Which of these reasons describes why you were delayed in getting medical care, tests, or treatments you or a health care provider believed necessary? (Check all that apply.) | I couldnt afford care (0) My insurance company wouldnt approve, cover, or pay for care (1) Health care provider refused to accept the insurance plan (2) Problems getting to health care providers office (3) The health care provider could not schedule me in a timely fashion (4) I speak a different language (5) I couldnt get time off work or school (6) I dont know where to go to get care (7) I was refused services (8) I thought I would be mistreated or disrespected on the basis of my sexual orientation (9) I thought I would be mistreated or disrespected on the basis of my gender identity (10) I thought I would be mistreated or disrespected on the basis of my HIV status (11) I couldnt get child care (12) I didnt have time or took too long (13) Other (please specify) (14) Other (please specify) (TEXT) |
2019AQ | | | In the PAST 12 MONTHS, were you unable to obtain medical care, tests, or treatments that you or a health care provider believed necessary? | Yes (1) No (0) |
2019AQ | | NOCARE | Which of these best describes the main reason you were unable to get medical care, tests, or treatments you or a health care provider believed necessary? (Check all that apply.) | I couldnt afford care (0) My insurance company wouldnt approve, cover, or pay for care (1) Doctor refused to accept the insurance plan (2) Problems getting to doctors office (3) The health care provider could not schedule me in a timely fashion (4) I speak a different language (5) I couldnt get time off work or school (6) I dont know where to go to get care (7) I was refused services (8) I thought I would be mistreated or disrespected on the basis of my sexual orientation (9) I thought I would be mistreated or disrespected on the basis of my gender identity (10) I thought I would be mistreated or disrespected on the basis of my HIV status (11) I couldnt get child care (12) I didnt have time or took too long (13) Other (please specify) (14) Other (please specify) (TEXT) |
2019AQ | | | The next questions are about money that you have spent out of pocket on health care. | No Answers |
2019AQ | | | In the PAST 12 MONTHS, about how much did you spend in total for medical care and dental care? Please include copays, coinsurance, prescription medications, etc. Please do NOT include your monthly health insurance premiums, over-the-counter drugs, or costs that you will be reimbursed for. | Zero (0) Less than 500 (1) 500 - 1,999 (2) 2,000 - 2,999 (3) 3,000 - 4,999 (4) 5,000 or more (5) I dont know (88) |
2019AQ | | | In the PAST 12 MONTHS, about how much did you spend for prescription medications? | Zero (0) Less than 500 (1) 500 - 1,999 (2) 2,000 - 2,999 (3) 3,000 - 4,999 (4) 5,000 or more (5) I dont know (88) |
2019AQ | | | In the PAST 12 MONTHS, did you borrow money to pay for health care? Please do NOT count health insurance premiums, over the counter drugs, or costs that you will be reimbursed for. | Yes (1) No (0) |
2019AQ | | | Sex Work | No Answers |
2019AQ | | | In the PAST 12 MONTHS, have you engaged in sex or sexual activity in exchange for money (sex work) or worked in the sex industry (such as erotic dancing, webcam work, or porn films)? | Yes (1) No (0) |
2019AQ | | SEXWORK | In the PAST 12 MONTHS, what type of sex work or work in the sex industry have you done? (Check all that apply.) | SEXWORK1 (1) SEXWORK2 (2) SEXWORK3 (3) SEXWORK4 (4) SEXWORK5 (5) SEXWORK6 (6) SEXWORK7 (7) SEXWORK8 (8) SEXWORK9 (9) SEXWORK10 (10) SEXWORK11 (11) SEXWORK11 (TEXT) |
2019AQ | | | In the PAST 12 MONTHS, have you engaged in sex or sexual activity in exchange for food? | Yes (1) No (0) |
2019AQ | | | In the PAST 12 MONTHS, have you engaged in sex or sexual activity in exchange for a place to sleep? | Yes (1) No (0) |
2019AQ | | | In the PAST 12 MONTHS, have you engaged in sex or sexual activity in exchange for drugs? | Yes (1) No (0) |
2019AQ | | | Now we will ask you about your oral health and symptoms. | No Answers |
2019AQ | | | During the PAST 12 MONTHS, were you able to visit a dentist? Include all types of dentists, such as orthodontists, oral surgeons, and all other dental specialists, as well as dental hygienists. | Yes (1) No (0) |
2019AQ | | | During the PAST 12 MONTHS, was there a time when you needed dental care but could not get it at that time? | Yes (1) No (0) |
2019AQ | | DENTCARE_NO | What were the reasons that you could not get the dental care you needed? (Check all that apply.) | I could not afford the cost (0) I did not want to spend the money (1) Insurance did not cover recommended procedures (2) Dental office is too far away (3) Dental office is not open at convenient times (4) Another dentist recommended not doing it (5) I was afraid or do not like dentists (6) I was unable to take time off from work or school (7) I was too busy (8) I did not think anything serious was wrong/expected dental problems to go away (9) I thought I would be mistreated or disrespected on the basis of my sexual orientation (10) I thought I would be mistreated or disrespected on the basis of my gender identity (11) I thought I would be mistreated or disrespected on the basis of my HIV status (12) Other (13) Other (TEXT) |
2019AQ | | | During the PAST 12 MONTHS, have you had an exam for oral cancer in which the doctor or dentist pulls on your tongue, sometimes with gauze wrapped around it, and feels under the tongue and inside the cheeks? | Yes (1) No (0) |
2019AQ | | | How often during the PAST 12 MONTHS have you had painful aching anywhere in your mouth? Would you say…? | Very often (4) Fairly often (3) Occasionally (2) Hardly ever (1) Never (0) |
2019AQ | | | Sleep | No Answers |
2019AQ | | | On average, how many hours of sleep do you get in a 24-HOUR PERIOD? (Please round to the nearest whole hour.) | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) |
2019AQ | | | In the PAST WEEK, how many times did you have trouble falling asleep? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) More than 7 (8) |
2019AQ | | | In the PAST WEEK, how many times did you have trouble staying asleep? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) More than 7 (8) |
2019AQ | | | In the PAST WEEK, how many times did you take medication to help you fall asleep or stay asleep? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) More than 7 (8) |
2019AQ | | | In the PAST WEEK, on how many days did you wake up feeling well rested? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2019AQ | | | I worried whether my food would run out before I got money to buy more. Was that often true, sometimes true, or never true for you in the LAST 12 MONTHS? | Often true (2) Sometimes true (1) Never true (0) I dont know (88) |
2019AQ | | | The food that I bought just didn't last, and I didn't have money to get more. Was that often, sometimes, or never true for you in the LAST 12 MONTHS? | Often true (2) Sometimes true (1) Never true (0) I dont know (88) |
2019AQ | | | I couldn't afford to eat balanced meals. Was that often, sometimes, or never true for you in the LAST 12 MONTHS? | Often true (2) Sometimes true (1) Never true (0) I dont know (88) |
2019AQ | | USDA_HH2 | In the LAST 12 MONTHS, did you ever cut the size of your meals or skip meals because there wasn't enough money for food? | Yes (1) No (0) I dont know (88) |
2019AQ | | USDA_AD1 | How often did this happen—almost every month, some months but not every month, or in only 1 or 2 months? | Almost every month (1) Some months but not every month (0) Only 1 or 2 months (88) I dont know (89) |
2019AQ | | USDA_HH2 | In the LAST 12 MONTHS, did you ever eat less than you felt you should because there wasn't enough money for food? | Yes (1) No (0) I dont know (88) |
2019AQ | | USDA_HH2 | In the LAST 12 MONTHS, were you every hungry but didn't eat because there wasn't enough money for food? | Yes (1) No (0) I dont know (88) |
2019AQ | | USDA_HH2 | In the LAST 12 MONTHS, did you lose weight because there wasn't enough money for food? | Yes (1) No (0) I dont know (88) |
2019AQ | | USDA_AD1 | In the LAST 12 MONTHS, did you ever not eat for a whole day because there wasn't enough money for food? | Yes (1) No (0) I dont know (88) |
2019AQ | | USDA_AD5 | How often did this happen—almost every month, some months but not every month, or in only 1 or 2 months? | Almost every month (1) Some months but not every month (0) Only 1 or 2 months (88) I dont know (89) |
2019AQ | | ORGANS_BORN | Reproductive History | No Answers |
2019AQ | | SAAB | In the PAST 12 MONTHS, has your sperm (also known as semen, cum, nut, ejaculate) resulted in a pregnancy | Yes (1) No (0) I dont know (88) |
2019AQ | | PREGNANT_SPERM | How many pregnancies in the PAST 12 MONTHS resulted from your sperm? (If you are unsure, please estimate.) | Text Entry (-) |
2019AQ | | ORGANS_BORN | Have you had at least one menstrual period in the PAST 12 MONTHS? Please do not include bleedings caused by medical conditions, hormone therapy, or surgeries. | Yes (1) No (0) I dont know (88) |
2019AQ | | MENSES_YEAR | What is the reason(s) that you have not had a period in the PAST 12 MONTHS? (Check all that apply.) | Pregnancy (1) Breastfeeding/chestfeeding (2) Hysterectomy (removal of the uterus) (3) Menopause/change of life (4) Hormones, medications, or devices (like an IUD) to stop my periods (5) Other (please specify) (6) Other (please specify) (TEXT) I dont know (88) |
2019AQ | | MENSES_NOYEAR | About how old were you when you had your last menstrual period? (Please enter “88” if you don't know.) | Text Entry (-) |
2019AQ | | ORGANS_NOW MENSES_NOYEAR | Are you personally planning to be pregnant in the next year? | Yes (1) No (0) I dont know (88) |
2019AQ | | ORGANS_BORN | Have you been trying to personally become pregnant over the PAST 12 MONTHS? | Yes (1) No (0) I dont know (88) |
2019AQ | | ORGANS_BORN | In the PAST 12 MONTHS, have you been to a doctor or other medical provider because you have been unable to become pregnant? | Yes (1) No (0) I dont know (88) |
2019AQ | | ORGANS_BORN | Have you been pregnant in the PAST 12 MONTHS? | Yes (1) No (0) I dont know (88) |
2019AQ | | ORGANS_NOW PREG_YR MENSES_NOYEAR | Are you pregnant now? | Yes (1) No (0) I dont know (88) |
2019AQ | | PREG_YR | How many times have you been pregnant in the PAST 12 MONTHS? (Please count all your pregnancies including current pregnancy, live births, miscarriages, stillbirths, tubal pregnancies, and abortions.) (Please enter "88" if you don't know.) | Text Entry (-) |
2019AQ | | PREG_TIMES | Did any of your pregnancies the PAST 12 MONTHS result in a delivery? | Yes (1) No (0) |
2019AQ | | PREG_DEL | How many vaginal deliveries have you had in the PAST 12 MONTHS? (Please count the number of deliveries [for example, twins count as 1 delivery] and please include stillbirths and live births.) (Please enter “88” if you don't know.) | Text Entry (-) |
2019AQ | | PREG_DEL | How many frontal genital opening deliveries have you had in the PAST 12 MONTHS? (Please count the number of deliveries [for example, twins count as 1 delivery] and please include stillbirths and live births.) (Please enter “88” if you don't know.) | Text Entry (-) |
2019AQ | | PREG_DEL | How many cesarean deliveries, also known as C-sections, have you had in the PAST 12 MONTHS? (Please count the number of deliveries [for example, twins count as 1 delivery] and please include stillbirths and live births.) (Please enter “88” if you don't know.) | Text Entry (-) |
2019AQ | | PREG_DEL | How many of your deliveries resulted in a live birth in the PAST 12 MONTHS? (Please count the number of deliveries [for example, twins count as 1 delivery].) (Please enter “88” if you don't know.) | Text Entry (-) |
2019AQ | | PREG_YR | How many miscarriages have you had in the PAST 12 MONTHS? (A miscarriage is a pregnancy that ends naturally during the first 20 weeks of pregnancy.) (Please enter “88” if you don't know.) | Text Entry (-) |
2019AQ | | PREG_YR | How many tubal pregnancies have you had in the PAST 12 MONTHS? (A tubal pregnancy also known as an 'ectopic pregnancy' is a pregnancy that occurs in the fallopian tube.) (Please enter “88” if you don't know.) | Text Entry (-) |
2019AQ | | PREG_YR | How many abortions have you had in the PAST 12 MONTHS? (An abortion is a pregnancy that is ended during the first 6 months using medications, D&C, vacuum extraction, suction, and saline injections.) (Please enter “88” if you don't know.) | Text Entry (-) |
2019AQ | | LIVE_BIRTH | Please tell us the month and year of your FIRST live birth in the PAST 12 MONTHS. | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | LIVE_BIRTH | Please tell us the month and year of your MOST RECENT live birth in the PAST 12 MONTHS. | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | ORGANS_NOW | Have you breast/chest fed a child in the PAST 12 MONTHS? | Yes (1) No (0) |
2019AQ | | BREASTFED | Were the children that you breast/chest fed in the PAST 12 MONTHS born as a result of…? | My own pregnancy and delivery (1) Another persons pregnancy and delivery (2) Both, I have breast/chest fed both a child that I have delivered as well as a child that another person delivered (3) |
2019AQ | | ORGANS_BORN MENSES_NOYEAR | In the PAST 12 MONTHS, have you used any type of birth control method for the prevention of pregnancy? | Yes (1) No (0) I dont know (88) |
2019AQ | | BIRTHCONTROL_YR | Please select the birth control method(s) you have used for the prevention of pregnancy in the PAST 12 MONTHS. (Check all that apply.) | Abstinence (no sex with a person who produces sperm that could result in pregnancy) (1) Condoms (2) Diaphragm (3) Arm implant (4) Injection (5) Intrauterine Device (IUD) -- Copper -- has no hormones (6) Intrauterine Device (IUD) -- Mirena, Skyla, or Liletta -- has hormones (7) Intrauterine Device (IUD) -- Im not sure what type (8) Menopause (9) Pill (10) Rhythm method (11) Spermicide (12) Sponge (13) Surgical (permanent) sterilization (e.g., tubal ligation, tubes tied) (14) Surgical (permanent) sterilization of your partner (e.g., vasectomy) (15) Patch/transdermal (16) Vaginal ring (17) Withdrawal (18) Another method not listed here (please specify) (19) Another method not listed here (please specify) (TEXT) None of these (0) |
2019AQ | | ORGANS_BORN | In the PAST 12 MONTHS, have you used any birth control method(s) for ANY reason OTHER THAN prevention of pregnancy? | Yes (1) No (0) I dont know (88) |
2019AQ | | BIRTHCTRL_YR_NONCON | What are the reasons that you have used birth control (OTHER THAN pregnancy prevention) in the PAST 12 MONTHS? (Check all that apply.) | To affirm my gender (1) To avoid getting a sexually-transmitted infection (STI) from someone else (2) To avoid spreading a sexually-transmitted infection (STI) that I have (3) To avoid symptoms associated with my period like: chest tenderness, bloating, acne, pain from cramping, heavy bleeding (sometimes referred to as pre-menstrual syndrome or PMS) (4) To stop having a period/reduce the amount of bleeding (5) Prevent hair growth (hirsutism) (6) To reduce chronic pelvic pain (including endometriosis) (7) To treat another medical condition (8) Not listed (please specify) (9) Not listed (please specify) (TEXT) None of these (0) |
2019AQ | | BIRTHCTRL_YR_NONCON | Please select the birth control method(s) you have used for any reason OTHER THAN prevention of pregnancy in the PAST 12 MONTHS. (Check all that apply.) | Abstinence (no sex with a person who produces sperm that could result in pregnancy) (1) Condoms (2) Diaphragm (3) Arm implant (4) Injection (5) Intrauterine Device (IUD) -- Copper -- has no hormones (6) Intrauterine Device (IUD) -- Mirena, Skyla, Liletta -- has hormones (7) Intrauterine Device (IUD) -- Im not sure what type (8) Menopause (9) Pill (10) Rhythm method (11) Spermicide (12) Sponge (13) Surgical (permanent) sterilization (e.g., tubal ligation, tubes tied) (14) Surgical (permanent) sterilization of your partner (e.g., vasectomy) (15) Patch/transdermal (16) Vaginal ring (17) Withdrawal (18) Another method not listed here (please specify) (19) Another method not listed here (please specify) (TEXT) None of these (0) |
2019AQ | | | In the PAST 30 DAYS, how interested have you been in sexual activity? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very (5) |
2019AQ | | | In the PAST 30 DAYS, how often have you felt like you wanted to have sexual activity? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2019AQ | | | In the PAST 30 DAYS, did you have any type of sexual activity? (This means ANY kind of sexual activity including masturbation.) | No (0) Yes (1) |
2019AQ | | SFSCR202 VAGINA_BRANCH | There are many reasons why people may not have had sexual activity during the month. What are the reasons why you did not have sexual activity in the past 30 days? Please read the list carefully and check every reason that applies to you, even if it happened only one time during the PAST 30 DAYS. | Was not interested in having sexual activity (1) Dryness or pain in or around my vagina (2) Difficulties with orgasm/climax (3) Dont enjoy sexual activity (4) Health condition (5) No partner(s) (6) Partner(s) was away (7) Partner(s) was not interested in sexual activity (8) Health condition of my partner(s) (9) Some other reason (please specify) (10) Some other reason (please specify) (TEXT) |
2019AQ | | SFSCR202 VAGINA_BRANCH | There are many reasons why people may not have had sexual activity during the month. What are the reasons why you did not have sexual activity in the past 30 days? Please read the list carefully and check every reason that applies to you, even if it happened only one time during the PAST 30 DAYS. | Was not interested in having sexual activity (1) Dryness or pain in or around my frontal genital opening (2) Difficulties with orgasm/climax (3) Dont enjoy sexual activity (4) Health condition (5) No partner(s) (6) Partner(s) was away (7) Partner(s) was not interested in sexual activity (8) Health condition of my partner(s) (9) Some other reason (please specify) (10) Some other reason (please specify) (TEXT) |
2019AQ | | SFSCR202 | In the PAST 30 DAYS, how often did you become lubricated ("wet") during sexual activity? (Note here lubrication or wetness refers to spontaneous lubrication or wetness without the use of lubricants, gels, creams, oils, etc.) | Almost always or always (1) Most times (more than half the time) (2) Sometimes (about half the time) (3) A few times (less than half the time) (4) Almost never or never (5) |
2019AQ | | SFSCR202 | In the PAST 30 DAYS, how difficult was it to become lubricated ("wet") during sexual activity? (Note here lubrication or wetness refers to spontaneous lubrication or wetness without the use of lubricants, gels, creams, oils, etc.) | Extremely difficult or impossible (1) Very difficult (2) Difficult (3) Slightly difficult (4) Not difficult (5) |
2019AQ | | SFSCR202 | In the PAST 30 DAYS, how difficult was it to maintain your lubrication ("wetness") until completion of sexual activity? (Note here lubrication or wetness refers to spontaneous lubrication or wetness without the use of lubricants, gels, creams, oils, etc.) | Extremely difficult or impossible (1) Very difficult (2) Difficult (3) Slightly difficult (4) Not difficult (5) |
2019AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you felt inside your vagina? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2019AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you felt inside your frontal genital opening? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2019AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you felt inside your vagina? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2019AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you felt inside your frontal genital opening? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2019AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you had in your labia (lips around the opening of the vagina)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have labia (6) |
2019AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you had in your labia (lips around the opening of the frontal genital opening)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have labia (6) |
2019AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you had in your labia (lips around the opening of the vagina)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have labia (6) |
2019AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you had in your labia (lips around the opening of the frontal genital opening)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have labia (6) |
2019AQ | | SFSCR202 | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you had in your clitoris (clit)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have a clitoris (6) |
2019AQ | | SFSCR202 | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you had in your clitoris (clit)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have a clitoris (6) |
2019AQ | | SFSCR202 | There are many reasons why people may not have had sexual activity during the month. What are the reasons why you did not have sexual activity in the past 30 days? Please read the list carefully and check every reason that applies to you, even if it happened only one time during the PAST 30 DAYS. | Was not interested in having sexual activity (1) Difficulties with my erections (penis not hard or is painful) (2) Difficulties with orgasm/climax (3) Dont enjoy sexual activity (4) Health condition (5) No partner(s) (6) Partner(s) was away (7) Partner(s) was not interested in sexual activity (8) Health condition of my partner(s) (9) Some other reason (please specify) (10) Some other reason (please specify) (TEXT) |
2019AQ | | | In the PAST 30 DAYS, how often were you able to get an erection (get hard) during sexual activity? | Almost never/never (1) A few times (much less than half the time) (2) Sometimes (about half the time) (3) Most times (much more than half the time) (4) Almost always/always (5) |
2019AQ | | | In the PAST 30 DAYS, when you had erections with sexual stimulation how often were your erections hard enough for penetration? | I was not attempting to penetrate a partner (0) Almost never/never (1) A few times (much less than half the time) (2) Sometimes (about half the time) (3) Most times (much more than half the time) (4) Almost always/always (5) |
2019AQ | | | In the PAST 30 DAYS, during sexual intercourse how often were you able to maintain your erection (stay hard) after you had penetrated (entered) your partner? | I was not attempting to penetrate a partner (0) Almost never/never (1) A few times (much less than half the time) (2) Sometimes (about half the time) (3) Most times (much more than half the time) (4) Almost always/always (5) |
2019AQ | | SFSCR202 | In the PAST 30 DAYS, how often have you been able to have an orgasm/climax when you wanted to? | Have not tried to have an orgasm/climax in the past 30 days (0) Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2019AQ | | SFSCR202 | In the PAST 30 DAYS, how satisfying have your orgasms or climaxes been? | Have not had an orgasm/climax in the past 30 days (0) Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very (5) |
2019AQ | | SFSCR202 | In the PAST 30 DAYS, how much pleasure have your orgasms or climaxes given you? | Have not had an orgasm/climax in the past 30 days (0) None (1) A little bit (2) Some (3) Quite a bit (4) Very much (5) |
2019AQ | | SFSCR202 | In the PAST 30 DAYS, how often have you had discomfort in your mouth during sexual activity? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2019AQ | | SFSCR202 | In the PAST 30 DAYS, how often have you had pain in your mouth during sexual activity? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2019AQ | | SFSCR202 | In the PAST 30 DAYS, how often have you had dryness in your mouth during sexual activity? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2019AQ | | SFSCR202 | In the PAST 30 DAYS, when you have had sexual activity, how dry has your mouth been? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very (5) |
2019AQ | | SFSCR202 | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you had in or around your anus or rectum (butt)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2019AQ | | SFSCR202 | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you had in or around your anus or rectum (butt)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2019AQ | | SFSCR202 | In the PAST 30 DAYS, how satisfied have you been with your sex life? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very (5) |
2019AQ | | SFSCR202 | In the PAST 30 DAYS, how much pleasure has your sex life given you? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2019AQ | | SFSCR202 | In the PAST 30 DAYS, how often have you thought that your sex life is wonderful? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2019AQ | | SFSCR202 | In the PAST 30 DAYS, how satisfied have you been with your sexual relationship(s)? | Have not had a sexual relationship with another person in the past 30 days (0) Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very (5) |
2019AQ | | | Sexual Health and Activities The next questions will ask you about your sexual activities including specific sexual behaviors and acts. If you wish to opt out of this section because of this, please indicate below. | I wish to answer this section. (1) I wish to skip this section. (0) |
2019AQ | | | In the PAST 12 MONTHS, have you masturbated? Masturbation is touching yourself for sexual pleasure. | Yes (1) No (0) |
2019AQ | | MASTURBATE_YR | How often do you masturbate? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2019AQ | | MASTURBATE_YR | Do you ever masturbate in the presence of an intimate or romantic partner? | Yes (1) No (0) |
2019AQ | | | Have you engaged in any kind of sexual activity with another person in the PAST 12 MONTHS? | Yes (1) No (0) |
2019AQ | | SEX_PASTYR | In the PAST 12 MONTHS, what are the gender identities of the people that you had any sexual activity with? (Check all that apply.) | Cisgender man (identifies as a man and was assigned male sex at birth) (1) Cisgender woman (identifies as a woman and was assigned female sex at birth) (2) Transgender man (identifies as a man and was assigned female sex at birth) (3) Transgender woman (identifies as a woman and was assigned male sex at birth) (4) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned female sex at birth (5) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned male sex at birth (6) Person of another gender(s) (please specify) (7) Person of another gender(s) (please specify) (TEXT) I dont know (88) Decline to state (99) |
2019AQ | | SEX_PASTYR VAGINA_BRANCH | In the PAST 12 MONTHS, have you had receptive vaginal sex? This means a penis/phallus (not including a prosthetic) in your vagina. | Yes (1) No (0) |
2019AQ | | SEX_PASTYR VAGINA_BRANCH | In the PAST 12 MONTHS, have you had receptive frontal genital opening sex? This means a penis/phallus (not including a prosthetic) in your frontal genital opening. | Yes (1) No (0) |
2019AQ | | VAGSEX_VAG_YR_V | How often do you have receptive vaginal sex? This means a penis/phallus (not including a prosthetic) in your vagina. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2019AQ | | VAGSEX_VAG_YR_FGO | How often do you have receptive frontal genital opening sex? This means a penis/phallus (not including a prosthetic) in your frontal genital opening. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2019AQ | | SEX_PASTYR | In the PAST 12 MONTHS, have you had insertive vaginal sex? This means putting your penis/phallus (not including a prosthetic) in someone's vagina. | Yes (1) No (0) |
2019AQ | | VAGSEX_PEN_YR_V | How often do you have insertive vaginal sex? This means putting your penis/phallus (not including a prosthetic) in someone's vagina. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2019AQ | | SEX_PASTYR | In the PAST 12 MONTHS, have you had insertive frontal genital opening sex? This means putting your penis/phallus (not including a prosthetic) in someone's frontal genital opening. | Yes (1) No (0) |
2019AQ | | VAGSEX_PEN_YR_FGO | How often do you have insertive frontal genital opening sex? This means putting your penis/phallus (not including a prosthetic) in someone's frontal genital opening. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2019AQ | | SEX_PASTYR VAGINA_BRANCH | In the PAST 12 MONTHS, have you had sex where your vagina is touching another person's vagina? | Yes (1) No (0) |
2019AQ | | SEX_PASTYR VAGINA_BRANCH | In the PAST 12 MONTHS, have you had sex where your frontal genital opening is touching another person's frontal genital opening? | Yes (1) No (0) |
2019AQ | | VAG2VAG_YR_V | How often do you have sex where your vagina is touching another person's vagina? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2019AQ | | VAG2VAG_YR_FGO | How often do you have sex where your frontal genital opening is touching another person's frontal genital opening? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2019AQ | | SEX_PASTYR | Have you performed oral sex in the PAST 12 MONTHS? This means putting your mouth on another person's genitals. (Check all that apply.) | Yes, on a person with a penis/phallus (not a prosthetic) (1) Yes, on a person with a vagina (2) No (0) |
2019AQ | | SEX_PASTYR | Have you performed oral sex in the PAST 12 MONTHS? This means putting your mouth on another person's genitals. (Check all that apply.) | Yes, on a person with a penis/phallus (not a prosthetic) (1) Yes, on a person with a frontal genital opening (2) No (0) |
2019AQ | | ORAL_GIVE_PASTYR_V | How often do you perform oral sex on a person with a penis/phallus (not a prosthetic)? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2019AQ | | ORAL_GIVE_PASTYR_V | How often do you perform oral sex on a person with a vagina? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2019AQ | | ORAL_GIVE_PASTYR_FGO | How often do you perform oral sex on a person with a frontal genital opening? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2019AQ | | SEX_PASTYR | Have you received oral sex in the PAST 12 MONTHS? This means someone put their mouth on your genitals. | Yes (1) No (0) |
2019AQ | | ORAL_GET_PASTYR | How often have you received oral sex? This means someone put their mouth on your genitals. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2019AQ | | SEX_PASTYR | Have you performed oral-anal sex (also called "rimming") in the PAST 12 MONTHS? This means contact between your mouth and someone's anus or butt. | Yes (1) No (0) |
2019AQ | | RIM_PASTYR | How often do you perform oral-anal sex (also called "rimming")? This means contact between your mouth and someone's anus or butt. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2019AQ | | SEX_PASTYR | Have you performed digital penetration (also called "fingering") in the PAST 12 MONTHS? This means putting your fingers into someone's vagina or someone's anus or butt. (Check all that apply.) | Yes, I have had contact between my finger(s) and someones vagina (1) Yes, I have had contact between my finger(s) and someones anus or butt (2) No (0) |
2019AQ | | SEX_PASTYR | Have you performed digital penetration (also called "fingering") in the PAST 12 MONTHS? This means putting your fingers into someone's frontal genital opening or someone's anus or butt. (Check all that apply.) | Yes, I have had contact between my finger(s) and someones frontal genital opening (1) Yes, I have had contact between my finger(s) and someones anus or butt (2) No (0) |
2019AQ | | FINGER_PASTYR_V | How often do you perform digital penetration (also called "fingering") by putting your fingers into someone's vagina? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2019AQ | | FINGER_PASTYR_FGO | How often do you perform digital penetration (also called "fingering") by putting your fingers into someone's frontal genital opening? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2019AQ | | FINGER_PASTYR_V | How often do you perform digital penetration (also called "fingering") by putting your fingers into someone's anus or butt? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2019AQ | | SEX_PASTYR | Have you used sex toys (such as dildos) with a sexual partner in the PAST 12 MONTHS? (Check all that apply.) | Yes, I inserted the sex toy into someones body (1) Yes, I received the sex toy into my body (2) No (0) |
2019AQ | | SEXTOY_PASTYR | How often do you insert a sex toy into someone's body? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2019AQ | | SEXTOY_PASTYR | How often do you receive a sex toy into your body? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2019AQ | | SEX_PASTYR | In the PAST 12 MONTHS, have you had anal sex? This means contact between a penis/phallus (not including a prosthetic) and your anus or butt. | Yes (1) No (0) |
2019AQ | | ANAL_VAG_YR | How often do you have anal sex? This means contact between a penis/phallus (not including a prosthetic) and your anus or butt. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2019AQ | | SEX_PASTYR | Have you had anal sex in the PAST 12 MONTHS? (Check all that apply.) | Yes, I have had contact between my penis/phallus (not including a prosthetic) and someones anus or butt (also known as insertive anal sex or topping) (1) Yes, I have had contact between someones penis/phallus (not including a prosthetic) and my anus or butt (also known as receptive anal sex or bottoming) (2) No (0) |
2019AQ | | ANAL_PEN_PASTYR | How often do you have contact between your penis/phallus (not including a prosthetic) and someone's anus or butt (also known as insertive anal sex or "topping")? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2019AQ | | ANAL_PEN_PASTYR | How often do you have contact between someone's penis/phallus (not including a prosthetic) and your anus or butt (also known as receptive anal sex or "bottoming")? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2019AQ | | SEX_PASTYR | In the PAST 12 MONTHS, with how many different people have you had any kind of sex? (If you are unsure, please estimate as best you can.) | Text Entry (-) |
2019AQ | | VAG2VAG_YR_V | In the PAST 12 MONTHS, with how many people have you had sex where your vagina touches another person's vagina? | Text Entry (-) |
2019AQ | | VAG2VAG_YR_FGO | In the PAST 12 MONTHS, with how many people have you had sex where your frontal genital opening touches another person's frontal genital opening? | Text Entry (-) |
2019AQ | | VAG2VAG_YR_V | In the PAST 12 MONTHS, about how often have you had sex where your vagina touches another person's vagina without protection from sexually transmitted infections like a dental dam, plastic wrap, latex gloves etc.? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2019AQ | | VAG2VAG_YR_FGO | In the PAST 12 MONTHS, about how often have you had sex where your frontal genital opening touches another person's frontal genital opening without protection from sexually transmitted infections like a dental dam, plastic wrap, latex gloves etc.? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2019AQ | | VAGSEX_PEN_YR_V | In the PAST 12 MONTHS, with how many people have you had insertive vaginal sex? (This means you put your penis/phallus (not including a prosthetic) in someone's vagina.) | Text Entry (-) |
2019AQ | | VAGSEX_PEN_YR_V | In the PAST 12 MONTHS, about how often have you had insertive vaginal sex without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2019AQ | | VAGSEX_INS_NOCON_V | In the PAST 12 MONTHS, with how many different people have you had insertive vaginal sex without a condom? | Text Entry (-) |
2019AQ | | VAGSEX_PEN_YR_FGO | In the PAST 12 MONTHS, with how many people have you had insertive frontal genital opening sex? (This means you put your penis/phallus (not including a prosthetic) in someone's frontal genital opening.) | Text Entry (-) |
2019AQ | | VAGSEX_PEN_YR_FGO | In the PAST 12 MONTHS, about how often have you had insertive frontal genital opening sex without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2019AQ | | VAGSEX_INS_NOCON_FGO | In the PAST 12 MONTHS, with how many different people have you had insertive frontal genital opening sex without a condom? | Text Entry (-) |
2019AQ | | VAGSEX_VAG_YR_V | In the PAST 12 MONTHS, with how many people have you had receptive vaginal sex? (This means someone put their penis/phallus (not including a prosthetic) in your vagina.) | Text Entry (-) |
2019AQ | | VAGSEX_VAG_YR_FGO | In the PAST 12 MONTHS, with how many people have you had receptive frontal genital opening sex? (This means someone put their penis/phallus (not including a prosthetic) in your frontal genital opening.) | Text Entry (-) |
2019AQ | | VAGSEX_VAG_YR_V | In the PAST 12 MONTHS, about how often have you had receptive vaginal sex without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2019AQ | | VAGSEX_VAG_YR_FGO | In the PAST 12 MONTHS, about how often have you had receptive frontal genital opening sex without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2019AQ | | VAGSEX_RECEP_NOCON_V | In the PAST 12 MONTHS, with how many different people have you had receptive vaginal sex without a condom? | Text Entry (-) |
2019AQ | | VAGSEX_RECEP_NOCON_F | In the PAST 12 MONTHS, with how many different people have you had receptive frontal genital opening sex without a condom? | Text Entry (-) |
2019AQ | | ANAL_PEN_PASTYR | In the PAST 12 MONTHS, with how many people have you "bottomed" or had receptive anal sex? (This means contact between a penis/phallus (not including a prosthetic) and your anus or butt.) (If you are unsure, please estimate as best you can.) | Text Entry (-) |
2019AQ | | ANAL_PEN_PASTYR | In the PAST 12 MONTHS, about how often have you "bottomed" or had receptive anal sex without using a condom? (This means contact between a penis/phallus (not including a prosthetic) and your anus or butt.) | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2019AQ | | ANALSEX_NOCON | In the PAST 12 MONTHS, with how many different people have you "bottomed" or had receptive anal sex without a condom? (This means contact between a penis/phallus (not including a prosthetic) and your anus or butt.) | Text Entry (-) |
2019AQ | | | In the PAST 12 MONTHS, with how many people have you "topped" or had insertive anal sex? (This means contact between your penis/phallus (not including a prosthetic) and someone's anus or butt.) | Text Entry (-) |
2019AQ | | ANAL_PEN_PASTYR | In the PAST 12 MONTHS, about how often have you "topped" or had insertive anal sex without using a condom? (This means contact between your penis/phallus (not including a prosthetic) and someone's anus or butt.) | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2019AQ | | TOP_NOCON | In the PAST 12 MONTHS, with how many different people have you "topped" or had insertive anal sex without a condom? (This means contact between your penis/phallus (not including a prosthetic) and someone's anus or butt.) (If you are unsure, please estimate as best you can.) | Text Entry (-) |
2019AQ | | MASTURBATE_YR | Do you use lubrication (also called "lube") when you masturbate? | Always (3) Sometimes (2) Never (1) |
2019AQ | | VAGSEX_VAG_YR_V | Do you use lubrication (also called "lube") when you have vaginal sex? | Always (3) Sometimes (2) Never (1) I do not engage in this type of sex (0) |
2019AQ | | VAGSEX_VAG_YR_FGO | Do you use lubrication (also called "lube") when you have frontal genital opening sex? | Always (3) Sometimes (2) Never (1) I do not engage in this type of sex (0) |
2019AQ | | | Do you use lubrication (also called "lube") when you have anal sex? | Always (3) Sometimes (2) Never (1) I do not engage in this type of sex (0) |
2019AQ | | | In the PAST 12 MONTHS, have you had any of these of types of sex that we haven't already asked about? (Check all that apply.) | None of these (0) BDSM (1) Chemsex / Party and Play (PNP) (2) Electrical stimulation (e-stim) (3) Erotic asphyxiation (i.e., restricting breathing) (4) Fisting (e.g., hand/fist inserted into a person) (5) Latex/rubber play (6) Phone/video sex (7) Rubbing through clothing (8) Rubbing with clothing off (9) Sex toys (e.g., dildos, butt plugs) (10) Sounding (i.e., inserting something into urethra/pee hole) (11) Urine play (e.g., golden showers, watersports) (12) Voyeurism (13) Another type(s) of sex (please specify) (14) Another type(s) of sex (please specify) (TEXT) |
2019AQ | | | Please tell us about other kinds of sex that you have. | Text Entry (-) |
2019AQ | | | Do you consider yourself a member of any of the following communities? (Check all that apply.) | None of these (1) BDSM (2) Celibate (3) Kink (4) Leather (5) Puppy pack (6) Faeries (7) Bear (8) Furry (9) Polyamorous (10) Another community (please specify) (11) Another community (please specify) (TEXT) |
2019AQ | | | Sexual Health and Infections | No Answers |
2019AQ | | ORGANS_BORN | In the PAST 12 MONTHS, have you been treated for an infection in your fallopian tubes, uterus or ovaries, also called a pelvic infection, pelvic inflammatory disease, or PID? | Yes (1) No (0) I dont know (88) |
2019AQ | | | In the PAST 12 MONTHS, has a doctor or other health care professional told you that you had any of the following? (Check all that apply.) | Chlamydia (1) Genital herpes (2) Genital warts (3) Gonorrhea, sometimes called GC or the clap (4) Human papillomavirus or HPV (5) Syphilis (6) None of these (0) |
2019AQ | | | Regardless of your current HIV status, in the LAST 12 MONTHS, have you taken anti-HIV medications (post-exposure prophylaxis or “PEP”) after potentially being exposed to HIV? | Yes (1) No (0) |
2019AQ | | MEDHX2 | Have you been tested for HIV in the PAST 12 MONTHS? | Yes (1) No (0) I dont know (88) |
2019AQ | | MEDHX2 | What is your HIV status? | Positive (I have HIV.) (1) Negative (I do not have HIV.) (0) I dont know (I dont know whether or not I have HIV.) (88) |
2019AQ | | HIVSTATUS | Do you have a doctor or other health care provider who manages your HIV care? This person may be the same as your primary care provider or it may be another provider, such as a HIV specialist. | Yes (1) No (0) I dont know (88) |
2019AQ | | HIVDOC | How frequently do you see this health care provider? | Monthly (0) Every 1-3 months (1) Every 4-6 months (2) Every 7-12 months (3) Less than every 12 months (4) |
2019AQ | | MEDHX2 | How frequently do you have HIV blood work (lab tests) done? | Monthly (1) Every 1-3 months (2) Every 4-6 months (3) Every 7-12 months (4) Less than every 12 months (5) I dont know (88) I have never had these lab tests done (0) |
2019AQ | | HIVSTATUS | Are you on HIV medications, sometimes call anti-retrovirals (ARVs) or anti-retroviral therapy (ART)? | Yes (1) No (0) I dont know (88) |
2019AQ | | HIVSTATUS | When was the last time that you had your HIV viral load checked? A viral load test is a lab test that measures the number of HIV virus particles in a milliliter of your blood. These particles are called “copies.” | Within the last month (1) 1-3 months ago (2) 4-6 months ago (3) 7-12 months ago (4) More than 1 year ago (5) I dont know (88) I have never had my HIV viral load checked (0) |
2019AQ | | HIVSTATUS | Is your HIV viral load “suppressed” or “undetectable”? This means that the number of copies of the HIV virus in your blood is at a very low level or not detectable by modern medical tests. This does not mean that your HIV is cured. | Yes (1) No (0) I dont know (88) |
2019AQ | | HIVSTATUS | PrEP (pre-exposure prophylaxis) is when HIV-negative people take anti-HIV medications (like Truvada) on a regular basis to prevent HIV infection. Are you CURRENTLY on PrEP to prevent HIV infection? | Yes (1) No (0) |
2019AQ | | PREP_NOW | In the PAST 7 DAYS, how many days did you take your daily PrEP pill? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2019AQ | | PREP_NOW | Are you currently on PrEP as part of a clinical or research study? | Yes (1) No (0) |
2019AQ | | PREP_NOW | In the PAST 12 MONTHS, were you previously on PrEP, but had to stop taking it? | Yes (1) No (0) |
2019AQ | | PREP_STOP_YR | Why are you no longer on PrEP? (Check all that apply.) | My risk of getting HIV is now less because I am in a relationship and/or having less risky sexual activity. (1) PrEP is too expensive. (2) My insurance coverage has changed or I have lost insurance coverage. (3) I forgot to take it most of the time so I decided to stop. (4) It is too much of a hassle to get labs every 3 months. (5) I was having side effects so I decided to stop. (6) My doctor or health care provider said that I needed to stop the medication because of my lab results. (7) I feel discriminated against or stigmatized because I am on PrEP. (8) I became infected with HIV. (9) Something else (10) Something else (TEXT) |
2019AQ | | HIVSTATUS | If you are interested in learning more about PrEP, we encourage you to check out the following resources and talk with your medical provider. For information about PrEP from the Centers for Disease Control and Prevention, please visit: cdc.gov/hiv/risk/prep/ To find a PrEP provider near you, please visit: pleaseprepme.org For information on programs to help pay for PrEP, please visit: gilead.com/responsibility/us-patient-access | No Answers |
2019AQ | | HIVSTATUS | Although PrEP is for individuals who are HIV negative, we want to share more information about PrEP with individuals who are living with HIV in case they wish to pass this along to other individuals close to them. PrEP (pre-exposure prophylaxis) is when HIV-negative people take anti-HIV medications (like Truvada) on a regular basis to prevent HIV infection For information about PrEP from the Centers for Disease Control and Prevention, please visit: cdc.gov/hiv/risk/prep/ To find a PrEP provider near you, please visit: pleaseprepme.org For information on programs to help pay for PrEP, please visit: gilead.com/responsibility/us-patient-access | No Answers |
2019AQ | | | Have you donated blood in the PAST 12 MONTHS? | Yes (1) No (0) |
2019AQ | | DONATE | We are trying to learn more about blood donation in our communities. Can you tell us more about why you donated blood? | Text Entry (-) |
2019AQ | | DONATE | We are trying to learn more about blood donation in our communities. Can you tell us more about why you did not donate blood? | Text Entry (-) |
2019AQ | | | In the PAST 12 MONTHS, have you used “binding”? (Binding refers to flattening your chest using materials such as bandages, cloth strips, layering of shirts, etc.) | Yes (1) No (0) |
2019AQ | | BINDING | Please indicate below which of the following health problems you have had in the PAST 12 MONTHS, and you believe that they were caused by binding. (Check all that apply) | Pain (abdominal, back, chest, breast, shoulder) (1) Headache (2) Breast tenderness (3) Bad Posture (4) Rib or spine changes (5) Bone or joint issues (popping joints, rib fractures) (6) Fatigue and Weakness (7) Feeling lightheaded or dizzy (8) Numbness (9) Chest/Breast changes (muscle wasting, scarring, swelling) (10) Digestive issues or heartburn (11) Respiratory Issues (cough, shortness of breath, respiratory infections, collapsed lung/pneumothorax) (12) Skin Changes (itch, rash, acne, infections) (13) Another health problem not listed here (please describe) (14) Another health problem not listed here (please describe) (TEXT) None or no health problems from binding (0) |
2019AQ | | | In the PAST 12 MONTHS, have you used “packing”? (Packing refers to placing an object in one's underwear to resemble the appearance of a penis/phallus.) | Yes (1) No (0) |
2019AQ | | PACKING | Please indicate below which of the following health problems you have had in the PAST 12 MONTHS, and you believe that they were caused by packing. (Check all that apply) | Skin rashes (1) Skin infections (2) Other skin changes (thickening, color changes, pubic hair changes, scars, etc.) (3) Urinary tract or bladder infections (4) Pain/numbness in the groin area (5) Another health problem not listed here (please describe) (6) Another health problem not listed here (please describe) (TEXT) None or no health problems from packing (0) |
2019AQ | | | In the PAST 12 MONTHS, have you used “stuffing”? (Stuffing refers to changing the appearance of your chest/breasts using materials such as push-up bras, gel pads, cloth strips, cotton gauze, tape, etc.) | Yes (1) No (0) |
2019AQ | | | In the PAST 12 MONTHS, have you used “tucking”? (Tucking refers to concealing one's genitals by placing them between and behind one's legs, and/or by pushing them inside your groin/abdomen.) | Yes (1) No (0) |
2019AQ | | TUCKING | Please indicate below which of the following health problems you have had in the PAST 12 MONTHS, and you believe that they were caused by tucking. (Check all that apply) | Skin rashes (1) Skin infections (2) Other skin changes (thickening, color changes, pubic hair changes, scars, etc.) (3) Itching (4) Urinary tract or bladder infection(s) (5) Problems ejaculating (6) Problems urinating (7) Pain in penis (8) Pain in testicles (9) Numbness in the penis or testicles (10) Another health problem not listed here (please describe) (11) Another health problem not listed here (please describe) (TEXT) None or no health problems from tucking (0) |
2019AQ | | | In the PAST 12 MONTHS, have you injected a substance (fillers) to fill out your face or make your figure more curvy (for example, silicone)? | Yes (1) No (0) |
2019AQ | | SILICONE | Please indicate below which of the following health problems you have had in the PAST 12 MONTHS, and you believe that they were caused by the injections. (Check all that apply) | Skin rashes (1) Skin infections (2) Other skin changes (thickening, color changes, scars, swelling etc.) (3) Whole body infections (e.g., blood bacterial infection, HIV, Hepatitis C) (4) Breathing problems (5) Pain in the areas of injection (6) Another health problem not listed here (please describe) (7) Another health problem not listed here (please describe) (TEXT) None or no health problems from silicone/other substance injections (0) |
2019AQ | | SILICONE | Where did you get your injections? (Check all that apply.) | Injections from a licensed medical provider (1) Injections during a group session (e.g., pumping party) (2) Individual injections from someone who is not a medical provider (3) Another place (please describe) (4) Another place (please describe) (TEXT) |
2019AQ | | | In the PAST 12 MONTHS, have you used “stand-to-pee” or STP device to stand up to pee? | Yes (1) No (0) |
2019AQ | | STP | Please indicate below which of the following health problems you have had in the PAST 12 MONTHS, and you believe that they were caused by using a “stand-to-pee” (STP) device. (Check all that apply) | Skin rashes (1) Skin infections (2) Other skin changes (thickening, color changes, pubic hair changes, scars, etc.) (3) Urinary tract or bladder infections (4) Pain/numbness in the groin area (5) Another health problem not listed here (please describe) (6) Another health problem not listed here (please describe) (TEXT) None or no health problems from using an STP device (0) |
2019AQ | | | Medical Marijuana | No Answers |
2019AQ | | | Do you currently use medical cannabis/marijuana to manage any physical or mental health conditions? | Yes, it is legal in my state and/or I have a health care providers recommendation to do so (2) Yes, but it is not legal in my state and/or I do not have a health care providers recommendation to do so (1) No (0) |
2019AQ | | | You have completed the Physical Health Block! This is one of 4 blocks! WOOHOO - another one done! Each block you will out helps us understand LGBTQ people's unique lives and health experiences as we work towards helping LGBTQ people thrive. Thank you for bringing us closer to health equity for LGBTQ people. | No Answers |
2019AQ | | | More About Me | No Answers |
2019AQ | | | On average, which best describes the amount of time you spend on dating sites/apps? | Zero. I do not visit or use dating sites/apps. (0) Less than 1 hour a week (1) 1-6 hours per week (2) 1 hour per day (3) 2 hours per day (4) 3 or more hours per day (5) |
2019AQ | | APPTIME | How often do you meet up with someone from a dating site/app? | Never (0) Almost never (1) About once per month (2) A couple of times per month (3) About once per week (4) Several times per week (5) Daily (6) |
2019AQ | | | Military Service | No Answers |
2019AQ | | | In the PAST 12 MONTHS, have you served at any time in the U.S. Armed Forces, Reserves, or National Guard? As a reminder, your answers are confidential and cannot be used against you. To protect your privacy, we have obtained a Certificate of Confidentiality from the National Institutes of Health. We can use this Certificate to legally refuse to disclose information that may identify you in any federal, state, or local civil, criminal, administrative, legislative, or other proceedings (for example, if there is a court subpoena). | Now on active duty (1) Only on active duty for training in the Reserves or National Guard (2) On active duty in the past but not now (3) Never served in the military (0) |
2019AQ | | MIL_YR | In the PAST 12 MONTHS, did you join or leave the military? | Yes, I joined the military in the PAST 12 MONTHS. (1) Yes, I left the military in the PAST 12 MONTHS. (2) No, I left the military before the PAST 12 MONTHS. (3) No, I am currently still serving in the military. (0) |
2019AQ | | | What is your current or most recent branch of service? | Air Force (1) Air Force Reserve (2) Air National Guard (3) Army (4) Army Reserve (5) Army National Guard (6) Coast Guard (7) Coast Guard Reserve (8) Marine Corps (9) Marine Corps Reserve (10) Navy (11) Navy Reserve (12) |
2019AQ | | MIL_NOW | What was your character of discharge? | Entry level separation (1) Honorable (2) General (3) Medical (4) Other-than-honorable (5) Bad conduct (6) Dishonorable (7) None of these (please specify) (8) None of these (please specify) (TEXT) |
2019AQ | | MIL_NOW | When did you begin your military service? (If you can't recall precisely, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | MIL_NOW | When did you separate from military service? (If you can't recall precisely, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | | In the PAST 12 MONTHS, did you get any type of health care through the Department of Veterans Affairs (VA)? | Yes (1) No (0) |
2019AQ | | | Is there anything else you would like to share with us about your health or well-being? | Text Entry (-) |
2019AQ | | | YOU ARE ALMOST DONE WITH THIS SURVEY - PLEASE READ BELOW AND THEN CLICK NEXT This is required in order for the system to mark your survey as "Complete." Thank you for completing the 2019 Annual Questionnaire and for advancing scientific knowledge about the health of LGBTQ people! In addition to our commitment to communicating findings from the study back to our community in the future, we also want to connect our participants with some resources that may be helpful to them now. Please find below a list of websites, organizations, and hotlines that may be helpful in promoting LGBTQ people's health, safety, and wellbeing. - Find an LGBTQ center near you with Centerlink, The Community of LGBT Centers: lgbtcenters.org - Find free HIV testing in your area through the Centers for Disease Control's GetTested program: https://gettested.cdc.gov/ - Find an LGBTQ -friendly doctor through GLMA: Health Professionals Advancing LGBT Equality: https://glmaimpak.networkats.com/members_online_new/members/dir_provider.asp - Talk with someone 24/7 if you are in crisis or thinking of suicide: National Suicide Prevention Lifeline: 1-800-273-8255 - Talk with someone 24/7 if you need support related to being a survivor of sexual assault: National Sexual Assault Hotline: 1-800-656-4673 Thank you again for completing the 2019 Annual Questionnaire. We deeply appreciate for your time, your interest in The PRIDE Study, and your investment in research that will help our communities understand how the experience of being LGBTQ is related to all aspects of health and life. TO LOG YOUR SURVEY AS COMPLETE, PLEASE ADVANCE TO THE NEXT SCREEN and then select "Back to Dashboard | No Answers |
2020AQ | | | What is your current gender identity? (Check all that apply.) | Agender (1) Cisgender man (2) Cisgender woman (3) Genderqueer (4) Man (5) Non-binary (6) Questioning (7) Transgender man (8) Transgender woman (9) Two-spirit (10) Woman (11) Another gender identity (please specify) (12) Another gender identity (please specify) (TEXT) |
2020AQ | | | What was the sex assigned to you at birth, for example on your original birth certificate? | Female (2) Male (1) |
2020AQ | | | Do you identify as intersex? | Yes (1) No (0) |
2020AQ | | INTERSEX | What does being intersex mean to you? | Text Entry (-) |
2020AQ | | | What is your current sexual orientation? (Check all that apply.) | Asexual (1) Bisexual (2) Gay (3) Lesbian (4) Pansexual (5) Queer (6) Questioning (7) Same-gender loving (8) Straight/Heterosexual (9) Two-spirit (10) Another sexual orientation (please specify) (11) Another sexual orientation (please specify) (TEXT) |
2020AQ | | | To understand your health and customize this survey for you, we need to know what organs you were born with. People have a wide range of language or terms for their physical anatomy (not all of which are listed here). Which of the following organs were you born with? (Check all that apply.) | Cervix (you likely have/had this if you were assigned female sex at birth) (1) Ovaries (2) Penis/Phallus (not including a prosthetic) (3) Prostate (you likely have/had this if you were assigned male sex at birth) (4) Testicles (5) Uterus/Womb (6) Vagina/Frontal genital opening (7) |
2020AQ | | | Have you EVER had breasts or breast tissue? | Yes (1) No (0) I dont know (88) |
2020AQ | | | Which of the following organs do you have now? (Check all that apply.) | Breasts or breast tissue (1) Cervix (you likely have this if you have a uterus or womb) (2) Ovaries (3) Penis/Phallus (not including a prosthetic) (4) Prostate (you likely have this if you were assigned male sex at birth) (5) Testicles (6) Uterus/Womb (7) Vagina/Frontal genital opening (8) |
2020AQ | | ORGANS_NOW | You have indicated that you currently have a vagina/frontal genital opening. In order to customize the rest of this questionnaire, please select the term you would like us to use to describe your vagina/frontal genital opening. | Please use the term vagina. (1) Please use the term frontal genital opening. (2) |
2020AQ | | | What is your current height in feet and inches? If you don't know, please give your best estimate. | Text Entry (-) |
2020AQ | | | What is your current weight in pounds (lbs)? If you don't know, please give your best estimate. | Text Entry (-) |
2020AQ | | | What is your ZIP code? (This is the 5-digit code that helps direct U.S. Mail to you.) | Text Entry (-) |
2020AQ | | | I would like to complete a survey designed for: | Gender minority people (for example: genderqueer, non-binary, questioning ones gender identity, transgender, etc.) (1) Sexual minority people (for example: asexual, bisexual, gay, lesbian, queer, questioning ones sexual orientation, etc.) (2) People who identify as both a sexual AND gender minority (3) |
2020AQ | | | If you had to choose only one of the following terms, which best describes your current gender identity?("Cisgender" here means identifying with the sex assigned to you at birth. For example, a cisgender woman identifies as a woman and was assigned female sex at birth.) | Cisgender man (1) Cisgender woman (2) Non-binary (3) Transgender man (4) Transgender woman (5) Another gender identity (6) |
2020AQ | | | If you had to choose only one of the following terms, which best describes your current sexual orientation? | Asexual/Demisexual/Gray-Ace (1) Bisexual/Pansexual (2) Gay/Lesbian (3) Queer (4) Straight/Heterosexual (5) Another sexual orientation (6) |
2020AQ | | | We would like to know more about your current romantic feelings toward other people. Please select all of the people you have romantic feelings for: (Check all that apply.) | Cisgender men (identify as men and were assigned male sex at birth) (1) Cisgender women (identify as women and were assigned female sex at birth) (3) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned female sex at birth (5) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned male sex at birth (6) Transgender men (identify as men and were assigned female sex at birth) (2) Transgender women (identify as women and were assigned male sex at birth) (4) I am romantically attracted to people of another gender(s) (please specify) (7) I am romantically attracted to people of another gender(s) (please specify) (TEXT) I am not romantically attracted to people of any gender (0) I dont know (88) |
2020AQ | | | We would like to know more about your current sexual attractions to other people. Please select all of the people you are attracted to: (Check all that apply.) | Cisgender men (identify as men and were assigned male sex at birth) (1) Cisgender women (identify as women and were assigned female sex at birth) (3) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned female sex at birth (5) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned male sex at birth (6) Transgender men (identify as men and were assigned female sex at birth) (2) Transgender women (identify as women and were assigned male sex at birth) (4) I am sexually attracted to people of another gender(s) (please specify) (7) I am sexually attracted to people of another gender(s) (please specify) (TEXT) I am not sexually attracted to people of any gender (0) I dont know (88) |
2020AQ | | | People are often referred to by pronouns instead of their names, such as they/theirs, she/hers, he/his, ze/hirs. Which pronouns do you want people to use to refer to you? (Check all that apply.) | He, him, his (1) She, her, hers (2) They, them, theirs (3) Ze, hir, hirs (4) No pronouns. I want people to only use my name. (5) Any pronouns are fine. I dont have a preference. (6) Pronouns not listed above (please specify) (7) Pronouns not listed above (please specify) (TEXT) |
2020AQ | | | What percentage of time do people use the pronouns you selected above (considering all situations)? | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2020AQ | | | People often have a chosen name that is different than the name they were given at birth. Do you have a name like that? | Yes (1) No (0) |
2020AQ | | CHONAME | What percentage of time do people use your chosen name? | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2020AQ | | | Have you EVER changed how your name is listed on any IDs or records that list your name, such as your birth certificate, driver's license, insurance cards, passport, tribal ID, etc.? | Yes (1) No (0) |
2020AQ | | NAME_CHG_EV20 | Did you make any of these changes in the PAST 12 MONTHS? | Yes (1) No (0) |
2020AQ | | CHONAME | Think about how your name is listed on all of your IDs and records that list your name, such as your birth certificate, driver's license, passport, tribal ID, etc. Which of the statements below is most true? Note: For the purposes of this question, your chosen name is the name that is most affirming to you. | All of my IDs and records list my chosen name. (2) Some of my IDs and records list my chosen name. (1) None of my IDs and records list my chosen name. (0) |
2020AQ | | NAME_CORRECT | Please select which IDs and records show your chosen name. (Check all that apply.) Note: For the purposes of this question, your chosen name is the name that is most affirming to you. | Birth certificate (1) Drivers license (2) Health insurance card (3) Passport (4) School/work identification card (6) State identification card (7) Tribal identification card (8) Another record/card/document (9) Another record/card/document (TEXT) |
2020AQ | | | Have you EVER changed how your gender is listed on any IDs or records that list your gender, such as your birth certificate, driver's license, insurance cards, passport, tribal ID, etc.? | Yes (1) No (0) |
2020AQ | | MARKER_CHG_EV20 | Did you make any of these changes in the PAST 12 MONTHS? | Yes (1) No (0) |
2020AQ | | | Think about how your gender is listed on all of your IDs and records that list your gender, such as your birth certificate, driver's license, passport, tribal ID, etc. Which of the statements below is most true? Note: For the purposes of this question, your accurate gender is the gender that is most affirming to you. | All of my IDs and records list my accurate gender. (2) Some of my IDs and records list my accurate gender. (1) None of my IDs and records list my accurate gender. (0) |
2020AQ | | MARKER_ACCURATE | Please select which IDs and records show your accurate gender. (Check all that apply.) Note: For the purposes of this question, your accurate gender is the gender that is most affirming to you. | Birth certificate (1) Drivers license (2) Health insurance card (3) Passport (4) School/work identification card (6) State identification card (7) Tribal identification card (8) Another record/card/document (9) Another record/card/document (TEXT) |
2020AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Depression (1) Bipolar Disorder (2) Any anxiety disorder (3) Generalized Anxiety Disorder (4) Post-Traumatic Stress Disorder (PTSD) (5) None of the above (0) |
2020AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Agoraphobia or Panic Disorder (1) Social Phobia or Social Anxiety Disorder (2) Schizophrenia or a psychotic disorder or that you had a psychotic episode or psychotic break (3) Obsessive Compulsive Disorder (OCD) (4) Chronic Tic Disorder or Tourette Syndrome (5) None of the above (0) |
2020AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Trichotillomania (hair pulling disorder) (1) Chronic skin picking or Excoriation Disorder (2) Body Dysmorphic Disorder (BDD) (3) Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD) (4) Any personality disorder (such as Borderline Personality Disorder or Narcissistic Personality Disorder) (5) None of the above (0) |
2020AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Alcoholism or Alcohol Use Disorder (1) Drug or Substance Use Disorder (2) Any eating disorder (such as anorexia or bulimia) (3) Insomnia or another sleep disorder (4) Hypochondriasis or Illness Anxiety Disorder (5) Dissociative Identity Disorder or another dissociative disorder (6) None of the above (0) |
2020AQ | | | Were any of these conditions diagnosed within the PAST 12 MONTHS? (Check all that apply.) | None of these were diagnosed in the past 12 months. (0) Depression (1) Bipolar Disorder (2) Any anxiety disorder (3) Generalized Anxiety Disorder (4) Post-Traumatic Stress Disorder (PTSD) (5) Agoraphobia or Panic Disorder (6) Social Phobia or Social Anxiety Disorder (7) Schizophrenia or a psychotic disorder or that you had a psychotic episode or psychotic break (8) Obsessive Compulsive Disorder (OCD) (9) Chronic Tic Disorder or Tourette Syndrome (10) Trichotillomania (hair pulling disorder) (11) Chronic skin picking or Excoriation Disorder (12) Body Dysmorphic Disorder (BDD) (13) Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD) (14) Any personality disorder (such as Borderline Personality Disorder or Narcissistic Personality Disorder) (15) Alcoholism or Alcohol Use Disorder (16) Drug or Substance Use Disorder (17) Any eating disorder (such as anorexia or bulimia) (18) Insomnia or another sleep disorder (19) Hypochondriasis or Illness Anxiety Disorder (20) Dissociative Identity Disorder or another dissociative disorder (21) |
2020AQ | | | Problems You May Have Had | No Answers |
2020AQ | | | In the PAST 12 MONTHS, do you think that you had depression? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2020AQ | | | In the PAST 12 MONTHS, do you think that you had a problem with anxiety? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2020AQ | | | In the PAST 12 MONTHS, do you think that you had a problem with alcohol use? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2020AQ | | | In the PAST 12 MONTHS, do you think that you had a problem with drug or substance use (other than alcohol)? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2020AQ | | | In the PAST 12 MONTHS, do you think that you had an eating disorder or a problem with eating? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2020AQ | | | In the PAST 12 MONTHS, have you purposefully physically harmed or injured yourself (for example, cutting or burning yourself)? | Yes (1) No (0) |
2020AQ | | | Which of the following best describes your use of medications for stress or mental health problems in the PAST 12 MONTHS? | I have not taken medication for these reasons in the past 12 months (0) I took medication for at least one of these reasons in the past 12 months, but not now (1) I currently take medication for at least one of these reasons (2) |
2020AQ | | MED_MENTAL | Which of the following best describes your use of medications for stress or mental health problems in the PAST 12 MONTHS? | All of the medications I took for stress or mental health problems were prescribed to me (0) Some of the medications I took for stress or mental health problems were prescribed to me (1) None of the medications I took for stress or mental health problems were prescribed to me (2) |
2020AQ | | PROB_SUBST | Which of the following best describes your use of medications for substance use problems in the PAST 12 MONTHS? | I have not taken medication for this reason in the past 12 months (0) I took medication for this reason in the past 12 months, but not now (1) I currently take medication for this reason (2) |
2020AQ | | | Which of the following best describes your use of psychotherapy/counseling for stress or mental health problems in the PAST 12 MONTHS? | I have not been in psychotherapy/counseling for these reasons in the past 12 months (0) I was in psychotherapy/counseling for at least one of these reasons in the past 12 months, but not now (1) I am currently in psychotherapy/counseling for at least one of these reasons (2) |
2020AQ | | PROB_SUBST | Which of the following best describes your use of psychotherapy/counseling for substance use problems in the PAST 12 MONTHS? | I have not been in psychotherapy/counseling for this reason in the past 12 months (0) I was in psychotherapy/counseling for this reason in the past 12 months, but not now (1) I am currently in psychotherapy/counseling for this reason (2) |
2020AQ | | | Have you EVER tried cigarette smoking, even one or two puffs? | Yes (1) No (0) |
2020AQ | | SMOKE_EVER | Have you smoked at least 100 cigarettes in YOUR ENTIRE LIFE? | Yes (1) No (0) |
2020AQ | | SMOKER | Do you now smoke cigarettes every day, some days, or not at all? | Every day (2) Some days (1) Not at all (0) |
2020AQ | | SMOKE_EVER | When was the last time you smoked a cigarette, even one or two puffs? | Within the past 24 hours (8) Within the past 7 days (7) Within the past 30 days (6) Within the past 3 months (5) Within the past 6 months (4) Within the past 1 year (3) Within the past 5 years (2) Within the past 15 years (1) More than 15 years ago (0) |
2020AQ | | SMOKE_NOW | On average, about how many cigarettes a day do you now smoke? | Text Entry (-) |
2020AQ | | | In the PAST MONTH, have you used any tobacco or nicotine products other than cigarettes? (Check all that apply.) | Blunt (with another substance) (1) Blunt (without any other substance) (2) Bidi (3) Chewing tobacco (chew) (4) Other cigars with tobacco inside (e.g., cigarillos, little cigars, bidis) (5) Other cigars with another substance (e.g., cigarillos, little cigars, bidis) (6) Dip (7) E-cigarette or vape device with nicotine (8) E-cigarette or vape device without nicotine (9) Nicotine replacement products (e.g., patch, gum, lozenge) (10) Snuff (11) Snus (12) Other tobacco or nicotine containing product (please specify) (13) Other tobacco or nicotine containing product (please specify) (TEXT) I have not used any tobacco product other than cigarettes in the past month (14) I have not used any tobacco- or nicotine-containing products in the past month (0) |
2020AQ | | | How long has it been since you last had 5 or more drinks containing alcohol on one occasion? | Within the past 30 days (3) More than 30 days ago but within the past 12 months (2) More than 12 months ago (1) Never had 5 or more drinks on one occasion (0) |
2020AQ | | ALC5 | In the PAST 30 DAYS, on how many days have you had 5 or more drinks containing alcohol on one occasion? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2020AQ | | | How long has it been since you last had 4 or more drinks containing alcohol on one occasion? | Within the past 30 days (3) More than 30 days ago but within the past 12 months (2) More than 12 months ago (1) Never had 4 or more drinks on one occasion (0) |
2020AQ | | ALC4 | In the PAST 30 DAYS, on how many days have you had 4 or more drinks containing alcohol on one occasion? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2020AQ | | | How often did you have a drink containing alcohol in the PAST YEAR? | Never (0) Monthly or less (1) 2-4 times a month (2) 2-3 times a week (3) 4 or more times a week (4) |
2020AQ | | AUDIT1 | How many drinks containing alcohol did you have on a typical day when you were drinking in the PAST YEAR? | 1 or 2 (0) 3 or 4 (1) 5 or 6 (2) 7 to 9 (3) 10 or more (4) |
2020AQ | | AUDIT1 | How often do you have six or more drinks on one occasion? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2020AQ | | AUDIT1 | How often during the LAST YEAR have you found that you were not able to stop drinking once you had started? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2020AQ | | AUDIT1 | How often during the LAST YEAR have you failed to do what was normally expected from you because of drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2020AQ | | AUDIT1 | How often during the LAST YEAR have you needed a first drink in the morning to get yourself going after a heavy drinking session? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2020AQ | | AUDIT1 | How often during the LAST YEAR have you had a feeling of guilt or remorse after drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2020AQ | | AUDIT1 | How often during the LAST YEAR have you been unable to remember what happened the night before because you had been drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2020AQ | | | Have you or someone else been injured as a result of your drinking? | No (0) Yes, but not in the last year (2) Yes, during the last year (4) |
2020AQ | | | Has a relative or friend or a doctor or another health worker been concerned about your drinking or suggested you cut down? | No (0) Yes, but not in the last year (2) Yes, during the last year (4) |
2020AQ | | | Have you thought about or attempted to kill yourself? | Never (0) It was just a brief passing thought. (1) I have had a plan at least once to kill myself but did not try to do it. (2) I have had a plan at least once to kill myself and really wanted to die. (3) I have attempted to kill myself, but did not want to die. (4) I have attempted to kill myself, and really hoped to die. (5) |
2020AQ | | SBQ1 | How often have you thought about killing yourself? | Never (0) Rarely (1 time) (1) Sometimes (2 times) (2) Often (3-4 times) (3) Very often (5 or more times) (4) |
2020AQ | | | Have you told someone that you were going to commit suicide, or that you might do it? | No. (0) Yes, at one time, but did not really want to die. (1) Yes, at one time, and really wanted to die. (2) Yes, more than once, but did not want to do it. (3) Yes, more than once, and really wanted to do it. (4) |
2020AQ | | SBQ1 | When was the last time you attempted to kill yourself? | Within the past year (2) 1-5 years ago (1) More than 5 years ago (0) |
2020AQ | | | How likely is it that you will attempt suicide someday? | Never (0) No chance at all (1) Rather unlikely (2) Unlikely (3) Likely (4) Rather likely (5) Very likely (6) |
2020AQ | | SBQ1 SBQ5 | We at The PRIDE Study value the health and mental health of sexual and gender minority people like you. Suicide has taken too many of us. We sincerely urge you to get help, as we know that things can get better with help. Please consider reaching out for services in your area, and also consider calling 1-800-273-8255 (National Suicide Prevention Lifeline) or 1-888-843-4564 (LGBT National Hotline) to talk with someone. You can connect to a Crisis Text Line counselor by texting HOME to 741741. Go to the emergency room or call 911 if you are in crisis and don't know where to get help. The PRIDE Study team cares about you and the health of our community. | No Answers |
2020AQ | | | I tend to bounce back quickly after hard times. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2020AQ | | | I have a hard time making it through stressful events. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2020AQ | | | It does not take me long to recover from a stressful event. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2020AQ | | | It is hard for me to snap back when something bad happens. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2020AQ | | | I usually come through difficult times with little trouble. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2020AQ | | | I tend to take a long time to get over set-backs in my life. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2020AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Repeated, disturbing memories, thoughts, or images of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2020AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Feeling very upset when something reminded you of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2020AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Avoided activities or situations because they reminded you of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2020AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Feeling distant or cut off from other people? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2020AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Feeling irritable or having angry outbursts? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2020AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Having difficulty concentrating? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2020AQ | | | Sometimes things happen to people that are unusually or especially frightening, horrible, or traumatic. For example: a serious accident or fire, a physical or sexual assault or abuse, an earthquake or flood, a war, seeing someone be killed or seriously injured, having a loved one die through homicide or suicide.Have you experienced this kind of event? | Yes, in the PAST 12 MONTHS (2) Yes, more than 12 months ago (1) No (0) |
2020AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Little interest or pleasure in doing things | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2020AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling down, depressed, or hopeless | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2020AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Trouble falling or staying asleep, or sleeping too much | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2020AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling tired or having little energy | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2020AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Poor appetite or overeating | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2020AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling bad about yourself - or that you are a failure or have let yourself or your family down | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2020AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Trouble concentrating on things, such as reading the newspaper or watching television | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2020AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2020AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Thoughts that you would be better off dead or of hurting yourself in some way | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2020AQ | | PHQ9 | We at The PRIDE Study value the health and mental health of sexual and gender minority people like you. Suicide has taken too many of us. We sincerely urge you to get help, as we know that things can get better with help. Please consider reaching out for services in your area, and also consider calling 1-800-273-8255 (National Suicide Prevention Lifeline) or 1-888-843-4564 (LGBT National Hotline) to talk with someone. Go to the emergency room or call 911 if you are in crisis and don't know where to get help. The PRIDE Study team cares about you and the health of our community. | No Answers |
2020AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling nervous, anxious or on edge | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2020AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Not being able to stop or control worrying | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2020AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Worrying too much about different things | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2020AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Trouble relaxing | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2020AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Being so restless that it is hard to sit still | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2020AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Becoming easily annoyed or irritable | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2020AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling afraid as if something awful might happen | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2020AQ | | | How satisfied or dissatisfied are you with the amount of body fat you have? | Very dissatisfied (1) Somewhat dissatisfied (2) Neither satisfied nor dissatisfied (3) Somewhat satisfied (4) Very satisfied (5) |
2020AQ | | BSAT_FAT | Would you prefer to have more body fat, or less body fat? | More body fat (1) Less body fat (2) |
2020AQ | | | How satisfied or dissatisfied are you with the amount of muscle mass you have? | Very dissatisfied (1) Somewhat dissatisfied (2) Neither satisfied nor dissatisfied (3) Somewhat satisfied (4) Very satisfied (5) |
2020AQ | | BSAT_MUSC | Would you prefer to have more muscle mass, or less muscle mass? | More muscle mass (1) Less muscle mass (2) |
2020AQ | | | Are you worried about how you look? | Yes (1) No (0) |
2020AQ | | BDDQ_1A | Do you think about your appearance problems a lot and wish you could think about them less? | Yes (1) No (0) |
2020AQ | | BDDQ_1B | Please list the areas of your body you don't like. Examples of disliked body areas include: your skin (for example, acne, scars, wrinkles, paleness, redness); hair; the shape or size of your nose, mouth, jaw, lips, stomach, hips, etc.; or defects of your hands, genitals, breasts, or any other body part. | Text Entry (-) |
2020AQ | | BDDQ_1A | Is your main concern with how you look is that you aren't thin enough or that you might get too fat? | Yes (1) No (0) |
2020AQ | | BDDQ_1A | Is your main concern with how you look that you aren't muscular enough? | Yes (1) No (0) |
2020AQ | | BDDQ_1A | Has it often upset you a lot? | Yes (1) No (0) |
2020AQ | | BDDQ_1A | Has it often gotten in the way of doing things with friends, dating, your relationships with people, or your social activities? | Yes (1) No (0) |
2020AQ | | BDDQ_3B | Please describe how. | Text Entry (-) |
2020AQ | | BDDQ_1A | Has it caused you any problems with school, work, or other activities? | Yes (1) No (0) |
2020AQ | | BDDQ_3C | What are they? | Text Entry (-) |
2020AQ | | BDDQ_1A | Are there things you avoid because of how you look? | Yes (1) No (0) |
2020AQ | | BDDQ_3C | What are they? | Text Entry (-) |
2020AQ | | BDDQ_1A | On an average day, how much time do you usually spend thinking about how you look? (Add up all the time you spend in total in a day then select one.) | Less than 1 hour a day (1) 1-3 hours a day (2) More than 3 hours a day (3) |
2020AQ | | | In your LIFETIME, which of the following substances have you ever used - either prescribed or not prescribed by a health care provider? (Check all that apply.) | Cannabis (marijuana, pot, grass, hash, etc.) (1) Cocaine (coke, crack, etc.) (2) Prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) (3) Methamphetamine (speed, crystal meth, tina, ice, etc.) (4) Inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers) (5) Inhaled nitrates (poppers) (6) Sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) (7) GHB (G, gamma-hydroxybutyric acid) (8) Hallucinogens (LSD, acid, mushrooms, PCP, ketamine, etc.) (9) Street opioids (heroin, opium, etc.) (10) Prescription opioids (fentanyl, oxycodone OxyContin, Percocet, hydrocodone Vicodin, methadone, buprenorphine, etc.) (11) MDMA (Ecstasy or Molly) (12) Other 1 (please list only 1 drug) (13) Other 1 (please list only 1 drug) (TEXT) Other 2 (please list only 1 drug) (14) Other 2 (please list only 1 drug) (TEXT) I have never used any substances (0) |
2020AQ | | DRUGS | How long has it been since you last used cannabis (marijuana, pot, grass, hash, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2020AQ | | CAN_LASTUSE | In the PAST 30 DAYS, on how many days have you used cannabis (marijuana, pot, grass, hash, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2020AQ | | CAN_LASTUSE | In the PAST 3 MONTHS, how often have you used cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | CAN_FREQ | Was any of your cannabis (marijuana, pot, grass, hash, etc.) use in the past three months recommended or prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | CAN_ANYMD | Was all of your cannabis (marijuana, pot, grass, hash, etc.) use in the past three months used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | CAN_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | CAN_FREQ | During the PAST 3 MONTHS, how often has your use of cannabis (marijuana, pot, grass, hash, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | CAN_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of cannabis (marijuana, pot, grass, hash, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using cannabis (marijuana, pot, grass, hash, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | How long has it been since you last used cocaine (coke, crack, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2020AQ | | COKE_LASTUSE | In the PAST 30 DAYS, on how many days have you used cocaine (coke, crack, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2020AQ | | COKE_LASTUSE | In the PAST 3 MONTHS, how often have you used cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | COKE_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | COKE_FREQ | During the PAST 3 MONTHS, how often has your use of cocaine (coke, crack, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | COKE_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of cocaine (coke, crack, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using cocaine (coke, crack, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | Have you EVER used cocaine (coke, crack, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | How long has it been since you last used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2020AQ | | STIM_LASTUSE | In the PAST 30 DAYS, on how many days have you used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2020AQ | | STIM_LASTUSE | In the PAST 3 MONTHS, how often have you used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | STIM_FREQ | Was any of your prescription stimulant (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | STIM_ANYMD | Was all of your prescription stimulant (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | STIM_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | STIM_FREQ | During the PAST 3 MONTHS, how often has your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | STIM_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | Have you EVER used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | How long has it been since you last used methamphetamine (speed, crystal meth, tina, ice, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2020AQ | | METH_LASTUSE | In the PAST 30 DAYS, on how many days have you used methamphetamine (speed, crystal meth, tina, ice, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2020AQ | | METH_LASTUSE | In the PAST 3 MONTHS, how often have you used methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | METH_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | METH_FREQ | During the PAST 3 MONTHS, how often has your use of methamphetamine (speed, crystal meth, tina, ice, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | METH_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of methamphetamine (speed, crystal meth, tina, ice, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using methamphetamine (speed, crystal meth, tina, ice, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | Have you EVER used methamphetamine (speed, crystal meth, tina, ice, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | How long has it been since you last used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2020AQ | | INHALE_LASTUSE | In the PAST 30 DAYS, on how many days have you used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2020AQ | | INHALE_LASTUSE | In the PAST 3 MONTHS, how often have you used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | INHALE_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | INHALE_FREQ | During the PAST 3 MONTHS, how often has your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | INHALE_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | How long has it been since you last used inhaled nitrates (poppers)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2020AQ | | POP_LASTUSE | In the PAST 30 DAYS, on how many days have you used inhaled nitrates (poppers)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2020AQ | | POP_LASTUSE | In the PAST 3 MONTHS, how often have you used inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | POP_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | POP_FREQ | During the PAST 3 MONTHS, how often has your use of inhaled nitrates (poppers) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | POP_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | POP_FREQ | During the PAST 3 MONTHS, during what activities have you used inhaled nitrates (poppers)? (Check all that apply.) | Sexual activity with yourself (for example, masturbation) (0) Sexual activity with another person (1) Dancing or clubbing (2) Other activities (3) |
2020AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | Have you EVER used inhaled nitrates (poppers) in the 24 hours after you took a medication intended to give people stronger erections (for example, Viagra, Cialis, or Levitra)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | WARNING: Using inhaled nitrates (poppers) in combination with medications that help with sexual activity like Viagra, Cialis, or Levitra can kill you by causing a lethal drop in blood pressure with even one use. We are aware that this information may not be widely known among our communities. If you use inhaled nitrates (poppers) in combination with medications that help with sexual activity like Viagra, Cialis, or Levitra, please contact a health care provider to get more information right away. | No Answers |
2020AQ | | DRUGS | How long has it been since you last used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2020AQ | | SED_LASTUSE | In the PAST 30 DAYS, on how many days have you used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2020AQ | | SED_LASTUSE | In the PAST 3 MONTHS, how often have you used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | SED_FREQ | Was any of your sedative or sleeping pill (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | SED_ANYMD | Was all of your sedative or sleeping pill (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | SED_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | SED_FREQ | During the PAST 3 MONTHS, how often has your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | SED_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | Have you EVER used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | How long has it been since you last used GHB (G, gamma-hydroxybutyric acid)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2020AQ | | GHB_LASTUSE | In the PAST 30 DAYS, on how many days have you used GHB (G, gamma-hydroxybutyric acid)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2020AQ | | GHB_LASTUSE | In the PAST 3 MONTHS, how often have you used GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | GHB_FREQ | Was any of your GHB (G, gamma-hydroxybutyric acid) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | GHB_ANYMD | Was all of your GHB (G, gamma-hydroxybutyric acid) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | GHB_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | GHB_FREQ | During the PAST 3 MONTHS, how often has your use of GHB (G, gamma-hydroxybutyric acid) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | GHB_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of GHB (G, gamma-hydroxybutyric acid)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using GHB (G, gamma-hydroxybutyric acid)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | How long has it been since you last used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2020AQ | | HALL_LASTUSE | In the PAST 30 DAYS, on how many days have you used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2020AQ | | HALL_LASTUSE | In the PAST 3 MONTHS, how often have you used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | HALL_FREQ | Was any of your hallucinogen (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) use in the past three months prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2020AQ | | HALL_ANYMD | Was all of your hallucinogen (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) use in the past three months used exactly as prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2020AQ | | HALL_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | HALL_FREQ | During the PAST 3 MONTHS, how often has your use of hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | HALL_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | Have you EVER used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | How long has it been since you last used street opioids (heroin, opium, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2020AQ | | HEROIN_LASTUSE | In the PAST 30 DAYS, on how many days have you used street opioids (heroin, opium, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2020AQ | | HEROIN_LASTUSE | In the PAST 3 MONTHS, how often have you used street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | HEROIN_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | HEROIN_FREQ | During the PAST 3 MONTHS, how often has your use of street opioids (heroin, opium, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | HEROIN_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of street opioids (heroin, opium, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using street opioids (heroin, opium, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | Have you EVER used street opioids (heroin, opium, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | How long has it been since you last used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2020AQ | | NARC_LASTUSE | In the PAST 30 DAYS, on how many days have you used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2020AQ | | NARC_LASTUSE | In the PAST 3 MONTHS, how often have you used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | NARC_FREQ | Was any of your prescription opioid (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | NARC_ANYMD | Was all of your prescription opioid (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | NARC_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | NARC_FREQ | During the PAST 3 MONTHS, how often has your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | NARC_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | Have you EVER used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | How long has it been since you last used MDMA (Molly or ecstasy)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2020AQ | | MDMA_LASTUSE | In the PAST 30 DAYS, on how many days have you used MDMA (Molly or ecstasy)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2020AQ | | MDMA_LASTUSE | In the PAST 3 MONTHS, how often have you used MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | MDMA_FREQ | Was any of your MDMA (Molly or ecstasy) use in the past three months recommended or prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | MDMA_ANYMD | Was all of your MDMA (Molly or ecstasy) use in the past three months used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | MDMA_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | MDMA_FREQ | During the PAST 3 MONTHS, how often has your use of MDMA (Molly or ecstasy) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | MDMA_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of MDMA (Molly or ecstasy)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using MDMA (Molly or ecstasy)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | | Have you EVER used MDMA (Molly or ecstasy) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | How long has it been since you last used ${q://QID1903/ChoiceTextEntryValue/11}? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2020AQ | | OTDRUG1_LASTUSE | In the PAST 30 DAYS, on how many days have you used ${q://QID1903/ChoiceTextEntryValue/11}? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2020AQ | | OTDRUG1_LASTUSE | In the PAST 3 MONTHS, how often have you used ${q://QID1903/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | OTDRUG1_FREQ | Was any of your ${q://QID1903/ChoiceTextEntryValue/11} use in the past three months recommended or prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | OTDRUG1_ANYMD | Was all of your ${q://QID1903/ChoiceTextEntryValue/11} use in the past three months used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | OTDRUG1_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use ${q://QID1903/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | OTDRUG1_FREQ | During the PAST 3 MONTHS, how often has your use of ${q://QID1903/ChoiceTextEntryValue/11} led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | OTDRUG1_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of ${q://QID1903/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of ${q://QID1903/ChoiceTextEntryValue/11}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using ${q://QID1903/ChoiceTextEntryValue/11}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | Have you EVER used ${q://QID1903/ChoiceTextEntryValue/11} by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | How long has it been since you last used ${q://QID1903/ChoiceTextEntryValue/12}? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2020AQ | | OTDRUG2_LASTUSE | In the PAST 30 DAYS, on how many days have you used ${q://QID1903/ChoiceTextEntryValue/12}? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2020AQ | | OTDRUG2_LASTUSE | In the PAST 3 MONTHS, how often have you used ${q://QID1903/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | OTDRUG2_FREQ | Was any of your ${q://QID1903/ChoiceTextEntryValue/12} use in the past three months recommended or prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2020AQ | | OTDRUG2_ANYMD | Was all of your ${q://QID1903/ChoiceTextEntryValue/12} use in the past three months used exactly as prescribed or recommended by a doctor or other health care professional? | Yes (1) No (0) |
2020AQ | | OTDRUG2_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use ${q://QID1903/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | OTDRUG2_FREQ | During the PAST 3 MONTHS, how often has your use of ${q://QID1903/ChoiceTextEntryValue/12} led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | OTDRUG2_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of ${q://QID1903/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2020AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of ${q://QID1903/ChoiceTextEntryValue/12}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using ${q://QID1903/ChoiceTextEntryValue/12}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | DRUGS | Have you EVER used ${q://QID1903/ChoiceTextEntryValue/12} by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2020AQ | | | Which of the following substances did you use during sexual activity with another person within the PAST 12 MONTHS? (Check all that apply.) | Cannabis (marijuana, pot, grass, hash, etc.) (1) Cocaine (coke, crack, etc.) (2) Prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) (3) Methamphetamine (speed, crystal meth, tina, ice, etc.) (4) Inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers) (5) Inhaled nitrates (poppers) (6) Sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) (7) GHB (G, gamma-hydroxybutyric acid) (8) Hallucinogens (LSD, acid, mushrooms, PCP, ketamine, etc.) (9) Street opioids (heroin, opium, etc.) (10) Prescription opioids (fentanyl, oxycodone OxyContin, Percocet, hydrocodone Vicodin, methadone, buprenorphine, etc.) (11) MDMA (Ecstasy or Molly) (12) q://QID1903/ChoiceTextEntryValueቧ (13) q://QID1903/ChoiceTextEntryValueቨ (14) I did not use any of these substances during sexual activity with another person. (15) |
2020AQ | | | You have completed the Mental Health section! This is one of 4 sections! Thank you for the time and energy you have put into helping us understand LGBTQ people's diverse and vibrant lives as we work towards helping LGBTQ people thrive! Your answers are bringing us closer to health equity for LGBTQ people. Thank you! | No Answers |
2020AQ | | | Do you currently identify as a person with a disability? | Yes (1) No (0) |
2020AQ | | DIS_SELFID | What condition(s) or problem(s) are related to your disability identity? (Check all that apply.) | Arthritis/rheumatism (1) Autism (2) Back or neck problem (3) Benign tumors, cysts (4) Birth defect (5) Cancer (6) Circulation problems (including blood clots) (7) Depression/anxiety/emotional problem (8) Diabetes (9) Epilepsy, seizures (10) Fibromyalgia, lupus (11) Fracture, bone/joint injury (12) Hearing problem (13) Heart problem (14) Hernia (15) Hypertension/high blood pressure (16) Intellectual/developmental disability (17) Kidney, bladder or renal problems (18) Knee problems (not arthritis, not joint injury) (19) Lung/breathing problem (for example, asthma and emphysema) (20) Memory (21) Migraine headaches (not just headaches) (22) Missing limbs (fingers, toes or digits), amputee (23) Multiple Sclerosis (MS), Muscular Dystrophy (MD) (24) Osteoporosis, tendinitis (25) Other developmental problem (for example cerebral palsy) (26) Other injury (27) Other nerve damage, including carpal tunnel syndrome (28) Parkinsons disease, other tremors (29) Polio (myelitis), paralysis, para/quadriplegia (30) Stroke problem (31) Thyroid problems, Graves disease, gout (32) Ulcer (33) Varicose veins, hemorrhoids (34) Vision/problem seeing (35) Weight problem (36) Other impairment/problem (please specify one) (37) Other impairment/problem (please specify one) (TEXT) Other impairment/problem (please specify one) (38) Other impairment/problem (please specify one) (TEXT) |
2020AQ | | | In the PAST 12 MONTHS, have you been unable to work due to a disability? | Yes (1) No (0) |
2020AQ | | | In the PAST 12 MONTHS, have you received Supplemental Security Income (SSI) or other government disability assistance related to a disability status? | Yes (1) No (0) |
2020AQ | | | Are you deaf or do you have serious difficulty hearing? | Yes (1) No (0) |
2020AQ | | | Are you blind or do you have serious difficulty seeing, even when wearing glasses? | Yes (1) No (0) |
2020AQ | | | Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions? | Yes (1) No (0) |
2020AQ | | | Do you have serious difficulty walking or climbing stairs? | Yes (1) No (0) |
2020AQ | | | Do you have difficulty dressing or bathing? | Yes (1) No (0) |
2020AQ | | | Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor's office or shopping? | Yes (1) No (0) |
2020AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Standing for long periods such as 30 minutes? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2020AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Taking care of your household responsibilities? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2020AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Learning a new task, for example, learning how to get to a new place? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2020AQ | | | In the PAST 30 DAYS, how much of a problem did you have joining in community activities (for example, festivities, religious or other activities) as fully as someone who doesn't experience your health conditions? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2020AQ | | | In the PAST 30 DAYS, how much have you been emotionally affected by your health problems? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2020AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Concentrating on doing something for ten minutes? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2020AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Walking a long distance such as a kilometer [or approximately 0.6 miles]? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2020AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Washing your whole body? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2020AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Getting dressed? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2020AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Dealing with people you do not know? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2020AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Maintaining a friendship? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2020AQ | | | In the PAST 30 DAYS, how much difficulty did you have with: Your day-to-day work? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2020AQ | | WHODAS_S1 | Overall, in the PAST 30 DAYS, how many days were these difficulties present? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2020AQ | | | In the PAST 30 DAYS, for how many days were you totally unable to carry out your usual activities or work because of any health condition? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2020AQ | | | In the PAST 30 DAYS, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2020AQ | | | Did you live with anyone who was depressed, mentally ill, or suicidal? | Yes (1) No (0) I dont know (88) |
2020AQ | | | Did you live with anyone who was a problem drinker or alcoholic? | Yes (1) No (0) I dont know (88) |
2020AQ | | | Did you live with anyone who used illegal street drugs or who abused prescription medications? | Yes (1) No (0) I dont know (88) |
2020AQ | | | Did you live with anyone who served time or was sentenced to serve time in a prison, jail, or other correctional facility? | Yes (1) No (0) I dont know (88) |
2020AQ | | | Were your parents separated or divorced? | Yes (1) No (0) Parents not married or together (2) I dont know (88) |
2020AQ | | | How often did your parents or adults in your home ever slap, hit, kick, punch or beat each other up? | Never (0) Once (1) More than once (2) I dont know (88) |
2020AQ | | | Before age 18, how often did a parent or adult in your home ever hit, beat, kick, or physically hurt you in any way? Do not include spanking. Would you say— | Never (0) Once (1) More than once (2) I dont know (88) |
2020AQ | | | How often did a parent or adult in your home ever swear at you, insult you, or put you down? | Never (0) Once (1) More than once (2) I dont know (88) |
2020AQ | | | How often did anyone at least 5 years older than you or an adult, ever touch you sexually? | Never (0) Once (1) More than once (2) I dont know (88) |
2020AQ | | | How often did anyone at least 5 years older than you or an adult, try to make you touch them sexually? | Never (0) Once (1) More than once (2) I dont know (88) |
2020AQ | | | How often did anyone at least 5 years older than you or an adult, force you to have sex? | Never (0) Once (1) More than once (2) I dont know (88) |
2020AQ | | ACES9 | Thank you for answering these questions to better our understanding of LGBTQ people's experiences with sexual violence. We realize that recalling past experiences with sexual violence can be difficult. If you'd like to talk with someone about these experiences, please consider reaching out to the National Sexual Assault Hotline (800-656-4673), operated by Rape, Abuse, & Incest National Network (RAINN; rainn.org). | No Answers |
2020AQ | | | How do you think novel coronavirus is impacting or has impacted your life? (Check all that apply.) | I became sick (1) I believe I may have had the virus (2) It was medically confirmed that I had the virus (3) I experienced financial hardship (4) A close friend or family member may have had the virus (5) It was medically confirmed that a close friend or family member had the virus (6) An acquaintance may have had the virus (7) It was medically confirmed that an acquaintance had the virus (8) I was a caregiver for someone that may have had the virus (9) I was a caregiver for someone that was medically confirmed to have the virus (10) I heard about the virus on the news (11) My work changed my working conditions (such as working from home, reducing my hours) (12) My business or employer closed (13) My school was completely cancelled (14) My school moved to an online format (15) A close friend or family member died from the virus (16) An acquaintance died from the virus (17) Childcare for my child was canceled or disrupted (18) The industry that I work in has suffered (19) My other existing health conditions worsened (20) I or a member of my household experienced physical violence from my romantic or sexual partner for the first time (21) I or a member or my household experience increased physical violence from my romantic or sexual partner (22) I experienced a change in relationship status (loss or start of a relationship) (23) I was impacted in some other way (please specify) (24) I was impacted in some other way (please specify) (TEXT) It has not impacted my life (0) |
2020AQ | | | How has the novel coronavirus impacted your finances? (Check all that apply.) | I dont have enough money for food and basic supplies (1) I am unable to pay my rent (2) I am unable to pay my mortgage (3) I am unable to pay ongoing bills (for example, cell phone, power, water) (4) I am making less money from my job (5) I am no longer making any money from my job (6) I lost my job (7) I have lost money due to the stock market (8) My business is making less money (9) I have extra costs now (please specify) (10) I have extra costs now (please specify) (TEXT) Some other way (please specify) (11) Some other way (please specify) (TEXT) My finances have not been impacted (0) |
2020AQ | | | Which changes have you made since hearing about the novel coronavirus? (Check all that apply.) | Looked at a website for information about the novel coronavirus (1) Watched or read the news for information about the novel coronavirus (2) I got a flu shot (3) I purchased extra supplies for my home (4) I began washing my hands more regularly (5) I began wearing a mask (6) I stopped leaving the house completely (7) I reduced the number of times I leave the house (8) I stopped gathering in crowds (9) I reduced the number of times I gather in crowds (10) I stopped eating at restaurants (11) I reduced how much I eat at restaurants (12) I began taking vitamins or supplements (13) I reduced the number of trips to the store (14) I stopped going to the store (15) I changed a plan for travel (16) I avoided people who sneeze or cough (17) I avoided hospitals or healthcare facilities (18) I kept my children home from school (19) I wipe surfaces more regularly (20) I began using tissues (21) I reduced the number of times I touch my face (22) I began talking to family more frequently (23) I started saving more money (24) I avoided public transit (25) I went to my health care provider (26) I contacted my health care provider (27) I changed or cancelled plans to see friends (28) I changed or cancelled plans to see family (29) I made a different change (please specify) (30) I made a different change (please specify) (TEXT) I didnt make any changes (0) |
2020AQ | | | Which of the following describes your current occupation or employment status? (Check all that apply.) | Employed, working 40 or more hours per week (1) Employed, working 1-39 hours per week (2) Temporarily employed (3) Self-employed (4) Not employed, looking for work (5) Not employed, not looking for work (6) Homemaker (7) Student (Full time) (8) Student (Part time) (9) Disabled, not able to work (10) Retired (11) |
2020AQ | | | Do you currently work one or more paid jobs? | Yes (1) No (0) |
2020AQ | | WORK | In a typical week, how many hours do you work at your paid job(s)? | 1-10 (0) 11-20 (1) 21-30 (2) 31-40 (3) 41-50 (4) 51-60 (5) 61 (6) |
2020AQ | | WORK | What is the main reason you do not currently work? | Taking care of house or family (1) Going to school (2) Retired (3) On a planned vacation from work (4) On family or parental leave (5) Temporarily unable to work for health reasons (6) Have job or contract and off-season (7) On layoff (8) Disabled (9) Other (please specify) (10) Other (please specify) (TEXT) I dont know (88) |
2020AQ | | | In the PAST 12 MONTHS, have you engaged in sex or sexual activity in exchange for money (sex work) or worked in the sex industry (such as erotic dancing, webcam work, or porn films)? | Yes (1) No (0) |
2020AQ | | SEXWORK | In the PAST 12 MONTHS, what type of sex work or work in the sex industry have you done? (Check all that apply.) | SEXWORK1 (1) SEXWORK2 (2) SEXWORK3 (3) SEXWORK4 (4) SEXWORK5 (5) SEXWORK6 (6) SEXWORK7 (7) SEXWORK8 (8) SEXWORK9 (9) SEXWORK10 (10) SEXWORK11 (11) SEXWORK11 (TEXT) |
2020AQ | | | In the PAST 12 MONTHS, have you engaged in sex or sexual activity in exchange for food? | Yes (1) No (0) |
2020AQ | | | In the PAST 12 MONTHS, have you engaged in sex or sexual activity in exchange for a place to sleep? | Yes (1) No (0) |
2020AQ | | | In the PAST 12 MONTHS, have you engaged in sex or sexual activity in exchange for drugs? | Yes (1) No (0) |
2020AQ | | | What were your individual earnings (in US Dollars) before taxes and deductions from ALL sources (including jobs, businesses, welfare, child support, disability, social security, etc.) in the 2019 tax year? | 0 (0) 1 - 10,000 (1) 10,001 - 20,000 (2) 20,001 - 30,000 (3) 30,001 - 40,000 (4) 40,001 - 50,000 (5) 50,001 - 60,000 (6) 60,001 - 70,000 (7) 70,001 - 80,000 (8) 80,001 - 90,000 (9) 90,001 - 100,000 (10) 100,001 - 110,000 (11) 110,001 - 120,000 (12) 120,001 - 130,000 (13) 130,001 - 140,000 (14) 140,001 - 150,000 (15) 150,001 - 175,000 (16) 175,001 - 200,000 (17) 200,001 (18) |
2020AQ | | | What is your best estimate (in US dollars) of your household earnings before taxes and deductions from ALL sources (including jobs, businesses, welfare, child support, disability, social security, etc.) in the 2019 tax year? | 0 (0) 1 - 10,000 (1) 10,001 - 20,000 (2) 20,001 - 30,000 (3) 30,001 - 40,000 (4) 40,001 - 50,000 (5) 50,001 - 60,000 (6) 60,001 - 70,000 (7) 70,001 - 80,000 (8) 80,001 - 90,000 (9) 90,001 - 100,000 (10) 100,001 - 110,000 (11) 110,001 - 120,000 (12) 120,001 - 130,000 (13) 130,001 - 140,000 (14) 140,001 - 150,000 (15) 150,001 - 175,000 (16) 175,001 - 200,000 (17) 200,001 (18) |
2020AQ | | | How many individuals are dependent upon the household income you just described? Please enter 1 for yourself. | Text Entry (-) |
2020AQ | | | What is your highest education level completed? | No schooling (1) Nursery school to high school, no diploma (2) High school graduate or equivalent (e.g., GED) (3) Trade/Technical/Vocational training (4) Some college (5) 2-year college degree (6) 4-year college degree (7) Masters degree (8) Doctoral degree (9) Professional degree (e.g., M.D., J.D., M.B.A.) (10) |
2020AQ | | | In the PAST 12 MONTHS, at any time, were you held in jail, prison, or juvenile detention? | Yes (1) No (0) |
2020AQ | | | In the PAST 12 MONTHS, have you spent any nights sleeping in a shelter or public place including buildings, cars, stairwells, streets, parks, or other outside areas? Please do not include recreational camping. | Yes (1) No (0) |
2020AQ | | HMLS_YR | Approximately how many nights in the PAST 12 MONTHS have you spent sleeping in a shelter or public place including buildings, cars, stairwells, streets, parks, or other outside areas? Please do not include recreational camping. | Text Entry (-) |
2020AQ | | | In the PAST 12 MONTHS, have you spent any nights living temporarily doubled up with others, where you were in a transitional or transitory setting, or you had no fixed address? | Yes (1) No (0) |
2020AQ | | UNSTB_YR | Approximately how many nights in the PAST 12 MONTHS have you been living temporarily doubled up with others, where you were in a transitional or transitory setting, or you had no fixed address? | Text Entry (-) |
2020AQ | | | What are your current living arrangements? | Living in house/apartment/condo I own alone or with others (with a mortgage or that you own free and clear) (1) Living in house/apartment/condo I rent alone or with others (2) Living with a partner, spouse, or other person who pays for the housing (3) Living with parents or family I grew up with (4) Living in campus/university housing (5) Living in military barracks (6) Living in a foster group home or other foster care (7) Living in a nursing home or other adult care facility (8) Living in a hospital (9) Living in a hotel or motel that I pay for myself (10) Living in a hotel or motel with an emergency shelter voucher (11) Living temporarily with friends or family because I cannot afford my own housing (12) Living in transitional housing/halfway house (13) Living on the street, in a car, in an abandoned building, in a park, or a place that is NOT a house, apartment, shelter, or other housing (14) Living in a homeless shelter (15) Living in a domestic violence shelter (16) Living in a shelter that is not a homeless shelter or domestic violence shelter (17) A living arrangement not listed above (please describe) (18) A living arrangement not listed above (please describe) (TEXT) |
2020AQ | | | How many people, including yourself, live in your household who are 18 years of age or older? | Text Entry (-) |
2020AQ | | | How many people live in your household who are younger than 18 years of age? | Text Entry (-) |
2020AQ | | | In the PAST 12 MONTHS, have you experienced harassment or name calling from strangers in public? | Yes (1) No (0) |
2020AQ | | YRHARASS | Do you think you were targeted for this harassment or name calling that occurred in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2020AQ | | | In the PAST 12 MONTHS, have you been physically attacked or deliberately injured? | Yes (1) No (0) |
2020AQ | | YRATTACK | Do you think you were targeted for these physical attacks or injuries that occurred in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2020AQ | | | In the PAST 12 MONTHS, have you experienced physical violence from a romantic or sexual partner? | Yes (1) No (0) |
2020AQ | | YRDV | Do you think you were targeted for this physical violence from a romantic or sexual partner that occurred in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2020AQ | | | In the PAST 12 MONTHS, have you been treated unfairly at work or when applying/interviewing for a job? | Yes (1) No (0) Not applicable, I have not worked and have not applied for jobs in the past 12 months (99) |
2020AQ | | YRJOBDISC | Do you think you were targeted for this unfair treatment at work or while applying for jobs in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2020AQ | | | In the PAST 12 MONTHS, have you been treated unfairly while trying to rent an apartment or buy a home, or been unfairly evicted from your residence? | Yes (1) No (0) |
2020AQ | | YRHOUSDISC | Do you think you were targeted for this unfair treatment in housing/eviction in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2020AQ | | | In the PAST 12 MONTHS, have you received poorer service than other people in restaurants, stores, other businesses or agencies? | Yes (1) No (0) |
2020AQ | | YRSERVDISC | Do you think you were targeted for this poorer service in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2020AQ | | | In the PAST 12 MONTHS, have you been treated unfairly while you were a student at school or in another educational setting? | Yes (1) No (0) Not applicable, I have not been in an educational setting in the past 12 months (99) |
2020AQ | | YRSCHDISC | Do you think you were targeted for this unfair treatment in educational settings in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2020AQ | | | In the PAST 12 MONTHS, have you been denied or given lower quality medical care? | Yes (1) No (0) Not applicable, I have not received or tried to receive medical care in the past 12 months (99) |
2020AQ | | YRMED | Do you think you were targeted for this discrimination in a medical setting in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2020AQ | | | Was there a time in the PAST 12 MONTHS when you needed to see a health care provider but did not because you thought you would be disrespected or mistreated? | Yes (1) No (0) |
2020AQ | | ANTMEDDISC | When you put off seeing a health care provider in the PAST 12 MONTHS because you thought you were going to be disrespected or mistreated, were you concerned you would be disrespected or mistreated because of your... (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2020AQ | | | In the PAST 12 MONTHS, have you been denied or given lower quality mental health care? | Yes (1) No (0) Not applicable, I have not received or tried to receive mental health care in the past 12 months (99) |
2020AQ | | YRMENTAL | Do you think you were targeted for this discrimination in a mental health setting in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2020AQ | | | In the PAST 12 MONTHS, have you experienced unfair treatment or harassment from the police or another law enforcement officer? | Yes (1) No (0) |
2020AQ | | YRPOLICE | Do you think you were targeted for this unfair treatment or harassment from a law enforcement officer in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2020AQ | | | In the PAST 12 MONTHS, have you experienced unwanted sexual contact? | Yes (1) No (0) |
2020AQ | | YRSA | Do you think you were targeted for this unwanted sexual contact that occurred in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2020AQ | | | Thank you for answering these questions to better our understanding of LGBTQ people's experiences with sexual violence. We realize that answering questions about sexual violence can be difficult. If you'd like to talk with someone about these experiences, please consider reaching out to the National Sexual Assault Hotline (800-656-4673), operated by Rape, Abuse, & Incest National Network (RAINN; rainn.org). | No Answers |
2020AQ | | | I have someone who will listen to me when I need to talk. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2020AQ | | | I have someone to confide in or talk to about myself or my problems. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2020AQ | | | I have someone who makes me feel appreciated. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2020AQ | | | I have someone to talk with when I have a bad day. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2020AQ | | | I feel left out. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2020AQ | | | I feel that people barely know me. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2020AQ | | | I feel isolated from others. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2020AQ | | | I feel that people are around me but not with me. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2020AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? Members of your immediate family (for example, parents and siblings) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2020AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2020AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? People you socialize with (for example, friends and acquaintances) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2020AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) Not applicable. I do not work or go to school. (11) |
2020AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2020AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? Your health care providers | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2020AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Members of your immediate family (for example, parents and siblings) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2020AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2020AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? People you socialize with (for example, friends and acquaintances) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2020AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) Not applicable. I do not work or go to school. (11) |
2020AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2020AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Your health care providers | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2020AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? Members of your immediate family (for example, parents and siblings) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2020AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2020AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? People you socialize with (for example, friends and acquaintances) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2020AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) Not applicable. I do not work or go to school. (11) |
2020AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)?Strangers (for example, someone you have a casual conversation with in line at the store) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2020AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? Your health care providers | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2020AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Members of your immediate family (for example, parents and siblings) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2020AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2020AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? People you socialize with (for example, friends and acquaintances) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2020AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) Not applicable. I do not work or go to school. (11) |
2020AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2020AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Your health care providers | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2020AQ | | | The following questions concern types of unwanted sexual experiences that you may have had. Your responses to these questions help us better understand the unwanted sexual experiences of LGBTQ people. We understand that responding to these questions may bring up memories of very difficult experiences. Please indicate if you would like to complete these questions, or if you would like to skip these questions and move on to the next topic. | Yes, I would like to complete these questions (1) No, I would like to skip these questions (0) |
2020AQ | | | How many times has this happened in the PAST 12 MONTHS?Someone fondled, kissed, or rubbed up against the private areas of my body (lips, breast/chest, crotch, or butt) or removed some of my clothes without my consent (but DID NOT attempt sexual penetration) | 0 (0) 1 (1) 2 (2) 3 (3) |
2020AQ | | | How many times has this happened in the PAST 12 MONTHS? Someone had oral sex with me or made me have oral sex with them without my consent. | 0 (0) 1 (1) 2 (2) 3 (3) |
2020AQ | | VAGINA_BRANCH | How many times has this happened in the PAST 12 MONTHS? Someone put their penis, fingers, or objects into my butt and/or vagina without my consent. | 0 (0) 1 (1) 2 (2) 3 (3) |
2020AQ | | VAGINA_BRANCH | How many times has this happened in the PAST 12 MONTHS? Someone put their penis, fingers, or objects into my butt and/or frontal genital opening without my consent. | 0 (0) 1 (1) 2 (2) 3 (3) |
2020AQ | | VAGINA_BRANCH | How many times has this happened in the PAST 12 MONTHS? Even though it didn't happen, someone TRIED to make me have oral sex with them, or TRIED to put fingers, objects, or a penis into my butt and/or vagina. | 0 (0) 1 (1) 2 (2) 3 (3) |
2020AQ | | VAGINA_BRANCH | How many times has this happened in the PAST 12 MONTHS? Even though it didn't happen, someone TRIED to make me have oral sex with them, or TRIED to put fingers, objects, or a penis into my butt and/or frontal genital opening. | 0 (0) 1 (1) 2 (2) 3 (3) |
2020AQ | | | Have you been sexually assaulted and/or raped in the PAST 12 MONTHS? | Yes (1) No (0) |
2020AQ | | SES1_YR | Thank you for answering these questions to better our understanding of LGBTQ people's experiences with sexual violence. We realize that recalling past experiences with sexual violence can be difficult. If you'd like to talk with someone about these experiences, please consider reaching out to the National Sexual Assault Hotline (800-656-4673), operated by Rape, Abuse, & Incest National Network (RAINN; rainn.org). | No Answers |
2020AQ | | CYOA | I wish I weren't genderqueer, transgender, or gender minority. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2020AQ | | CYOA | In general, I have tried to stop identifying with a gender that differs from my assigned sex at birth. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2020AQ | | CYOA | If someone offered me the chance to have a gender that conformed with my sex assigned at birth, I would accept the chance. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2020AQ | | CYOA | I feel that being genderqueer, transgender, or gender minority is a personal shortcoming for me. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2020AQ | | CYOA | I would like to get professional help in order to have a gender that conforms with my sex assigned at birth. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2020AQ | | CYOA | I am proud of my gender. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2020AQ | | CYOA | I think my life is better because I am genderqueer, transgender, or gender minority. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2020AQ | | CYOA | To what extent do you think about your identity as a gender minority (for example: genderqueer, non-binary, questioning one's gender identity, transgender) person? (Choose one.) | Almost never (0) Several times a year (1) Once a month (2) Once a week (3) A few times a week (4) Once a day (5) Many times a day (6) |
2020AQ | | CYOA | I wish I weren't lesbian/gay/bisexual/asexual/sexual minority. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2020AQ | | CYOA | I have tried to stop being attracted to people of the same gender in general. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) Not applicable because I am not attracted to people of my gender (0) |
2020AQ | | CYOA | If someone offered me the chance to be completely heterosexual, I would accept the chance. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2020AQ | | ORIENTATION CYOA | If someone offered me the chance to be completely gay/lesbian, I would accept the chance. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2020AQ | | CYOA | I feel that being lesbian/gay/bisexual/asexual/sexual minority is a personal shortcoming for me. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2020AQ | | CYOA | I would like to get professional help in order to change my sexual orientation from lesbian/gay/bisexual/asexual/sexual minority to heterosexual. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2020AQ | | CYOA | I am proud of my sexual orientation. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2020AQ | | CYOA | I think my life is better because of my sexual orientation. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2020AQ | | CYOA | To what extent do you think about your identity as a sexual minority (for example: asexual, bisexual, gay, lesbian, queer, questioning one's sexual orientation) person? (Choose one.) | Almost never (0) Several times a year (1) Once a month (2) Once a week (3) A few times a week (4) Once a day (5) Many times a day (6) |
2020AQ | | | Did you become a parent in the PAST 12 MONTHS? | Yes (1) No (0) |
2020AQ | | PARENT | To how many children did you become a parent in the PAST 12 MONTHS? | Text Entry (-) |
2020AQ | | | We are going to ask you a question about the children who you became a parent to in the PAST 12 MONTHS. To help you remember which child we are asking a question about, please type in the child's first name, initials, or nickname. We will use these names in the following questions. | Text Entry (-) |
2020AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/1}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2020AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/2}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2020AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/3}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2020AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/4}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2020AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/5}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2020AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/6}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2020AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/7}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2020AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/8}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2020AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/9}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2020AQ | | | In the PAST 12 MONTHS, have you been in therapy or been part of a program or group intended to change your gender or gender identity to be consistent with the sex assigned to you at birth? (This is sometimes called "conversion therapy.") | Yes (1) No (0) |
2020AQ | | GICONVTX | Who provided the therapy, program, or group intended to change your gender or gender identity to be consistent with the sex assigned to you at birth? (Check all that apply.) | A licensed mental health provider (1) A religious group or leader (2) Someone or something else (please specify) (3) Someone or something else (please specify) (TEXT) |
2020AQ | | | In the PAST 12 MONTHS, have you been in therapy or been part of a program or group intended to change your sexual orientation to heterosexual/straight? (This is sometimes called "conversion therapy.") | Yes (1) No (0) |
2020AQ | | SOCONVTX | Who provided the therapy, program, or group intended to change your sexual orientation to heterosexual/straight? (Check all that apply.) | A licensed mental health provider (1) A religious group or leader (2) Someone or something else (please specify) (3) Someone or something else (please specify) (TEXT) |
2020AQ | | CYOA | Overall, how accepting of gender minority people is the community in which you currently live? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
2020AQ | | CYOA | Overall, how accepting of sexual minority people is the community in which you currently live? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
2020AQ | | | How welcomed and accepted do you feel in LGBTQ spaces (including community groups, social clubs, bars, etc.)? | Unaccepted/unwelcomed in all of these spaces (1) Unaccepted/unwelcomed in most of these spaces (but accepted/welcomed in at least one) (2) Accepted/welcomed in about half of these spaces (3) Accepted/welcomed in most, but not all, of these spaces (4) Accepted/welcomed in all of these spaces (5) |
2020AQ | | WELCOME | You mentioned feeling unaccepted/unwelcomed in some or all LGBTQ spaces. People sometimes feel that these spaces are not welcoming towards them due to various aspects of their identities. Please select aspects of your identity that feel unwelcome in these spaces. (Check all that apply.) | My ability/disability status (1) My age (2) My body size, weight, or shape (3) My gender expression (4) My gender identity (5) The language I speak or sign (6) My participation in BDSM, kink, or other sexual activities (7) My political views (8) My race and/or ethnicity (9) My sexual orientation (10) My skin color (11) My spiritual/religious affiliation (12) Another reason (please specify) (13) Another reason (please specify) (TEXT) None of the above (0) |
2020AQ | | | Is there at least one LGBTQ space (e.g., social club, group, bar, etc.) in which you feel safe? | Yes (1) No (0) |
2020AQ | | | Overall, how safe do you feel LGBTQ spaces are for you? | Very unsafe (4) Somewhat unsafe (3) Neither safe nor unsafe (2) Mostly safe (1) Completely safe (0) |
2020AQ | | | Overall, how safe for gender minority people is the community in which you currently live? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
2020AQ | | CYOA | Overall, how safe for sexual minority people is the community in which you currently live? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
2020AQ | | | Are you currently in a relationship? | Yes (1) No (0) |
2020AQ | | RELATIONSHIP | Which of the following best describes your current romantic relationship(s)? | I am in a romantic relationship with one person (1) I am in a romantic relationship with two or more people (polyamorous) (2) Other (please specify) (3) Other (please specify) (TEXT) |
2020AQ | | REL_TYPE | How many people are you currently in romantic relationships with? | 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 or more (6) |
2020AQ | | RELATIONSHIP | In general, how satisfied are you with your current romantic relationship(s)? | Very dissatisfied (0) Dissatisfied (1) Neutral (2) Satisfied (3) Very satisfied (4) |
2020AQ | | RELATIONSHIP | Which of the following scenarios best describes the current agreement that you have with your romantic partner(s)? | We cannot have any sex with an outside partner (0) We can have sex with outside partners but with some restrictions (1) We can have sex with outside partners without any restrictions (2) We do not have an agreement (3) I have different agreements with different partners (4) My romantic partner(s) and I do not engage in sexual activity (5) |
2020AQ | | | Do you live with your partner(s)? | Yes, I live with 1 partner (0) Yes, I live with 2 or more partners (1) No, I do not live with a partner (2) Something else (please specify) (3) Something else (please specify) (TEXT) |
2020AQ | | | What is your current legal marital status? | Married (1) Legally recognized civil union (2) Registered domestic partnership (3) Widowed (4) Divorced (5) Separated (6) Single, never married (7) |
2020AQ | | | What gender do you currently live in on a day-to-day basis? | Man (1) Woman (2) Genderqueer/Non-binary/neither man nor woman (3) Part time one gender/part time another gender (4) |
2020AQ | | | For people in your life who do not know you, what gender do they USUALLY think you are? (Choose one.) | Man (1) Non-binary/Genderqueer (2) Transgender Man (3) Transgender Woman (4) Two-spirit (5) Woman (6) Another gender (7) It varies (8) They cannot tell (9) I dont know what they think (88) |
2020AQ | | CYOA | There are many ways people can feel supported and affirmed as a gender minority person. Did any of your immediate family members who you grew up with (parents, siblings, grandparents, people who raised you, etc.) do any of these things to support you about your gender? (Check all that apply.) | Told you that they respect and/or support you (1) Used your preferred name even if it was not your legal name (2) Used your correct pronouns (such as he/she/they) (3) Provided financial support to help with any part of your gender transition (4) Helped you change your name and/or gender on your identity documents (ID), like your drivers license (such as doing things like filling out papers or going with you to court) (5) Did research to learn how to best support you (such as reading books, using online information, or attending a conference) (6) Stood up for you with family, friends, or others (7) Supported you in another way not listed above (please specify) (8) Supported you in another way not listed above (please specify) (TEXT) None of the above (0) |
2020AQ | | | For people in your life who do not know you, what sexual orientation do they USUALLY think you are? (Choose one.) | Asexual (1) Bisexual (2) Gay (3) Lesbian (4) Pansexual (5) Queer (6) Same-gender loving (7) Straight/Heterosexual (8) Two-spirit (9) They cannot tell (10) It varies (11) Another sexual orientation (12) I dont know what they think (88) |
2020AQ | | CYOA | There are many ways people can feel supported and affirmed as a sexual minority person. Did any of your immediate family members who you grew up with (parents, siblings, grandparents, people who raised you, etc.) do any of these things to support you about your sexual orientation? (Check all that apply.) | Told you that they respect and/or support you (1) Positively acknowledged your relationship to your partner(s) (2) Positively acknowledged your sexual and/or romantic orientation (3) Welcomed your partner(s) to a family event (4) Provided financial support related to your relationship(s) (e.g., first date, family building, moving in together) (5) Attended an event that you hosted with a partner(s) (6) Researched how to best support you (such as reading books, using online information, or attending a conference) (7) Stood up for you with family, friends, or others (8) Supported you in another way not listed above (please specify) (9) Supported you in another way not listed above (please specify) (TEXT) None of the above (0) |
2020AQ | | | In the PAST 12 MONTHS, has a mental health professional or health care provider told you that you have Autism Spectrum Disorder or Asperger's Syndrome? | Yes (1) No (0) I dont know (88) |
2020AQ | | | Do you identify as "neurodivergent" or with any associated term that people sometimes use within the neurodiversity movement (aspie, autistic, etc.)? | Yes (1) No (0) |
2020AQ | | | Coming out about one's sexual orientation or gender is a process. People do not always come out to everyone at the same time. In the PAST 12 MONTHS, have you come out to any of the people who raised you? (Check all that apply.) | Yes, I came out about my sexual orientation (e.g., asexual, bisexual, gay, lesbian, queer, questioning ones sexual orientation, etc.) to someone who raised me (1) Yes, I came out about my gender identity (e.g., genderqueer, non-binary, questioning ones gender identity, transgender, etc.) to someone who raised me (2) No, I did not come out in the past 12 months to anyone who raised me (0) |
2020AQ | | COMEOUT_PSTYR | We are going to ask you follow-up questions about coming out about your sexual orientation (e.g., asexual, bisexual, gay, lesbian, queer, questioning one's sexual orientation, etc.) in the PAST 12 MONTHS to someone who raised you. To help you remember who we are asking about, please list the first names, initials, or nicknames of the person/people you came out to. We will use these names in questions that follow. | Text Entry (-) |
2020AQ | | COMEOUTSO_NAMES | How is ${q://QID622/ChoiceTextEntryValue/1} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2020AQ | | COMEOUTSO_NAMES | When ${q://QID622/ChoiceTextEntryValue/1} initially learned about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2020AQ | | COMEOUTSO_NAMES | In your most recent interactions with ${q://QID622/ChoiceTextEntryValue/1}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2020AQ | | COMEOUTSO_NAMES | How did your communication with ${q://QID622/ChoiceTextEntryValue/1} change after they learned about your sexual orientation? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2020AQ | | COMEOUTSO_NAMES | How is ${q://QID622/ChoiceTextEntryValue/2} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2020AQ | | COMEOUTSO_NAMES | When ${q://QID622/ChoiceTextEntryValue/2} initially learned about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2020AQ | | COMEOUTSO_NAMES | In your most recent interactions with ${q://QID622/ChoiceTextEntryValue/2}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2020AQ | | COMEOUTSO_NAMES | How did your communication with ${q://QID622/ChoiceTextEntryValue/2} change after they learned about your sexual orientation? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2020AQ | | COMEOUTSO_NAMES | How is ${q://QID622/ChoiceTextEntryValue/3} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2020AQ | | COMEOUTSO_NAMES | When ${q://QID622/ChoiceTextEntryValue/3} initially learned about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2020AQ | | COMEOUTSO_NAMES | In your most recent interactions with ${q://QID622/ChoiceTextEntryValue/3}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2020AQ | | COMEOUTSO_NAMES | How did your communication with ${q://QID622/ChoiceTextEntryValue/3} change after they learned about your sexual orientation? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2020AQ | | COMEOUTSO_NAMES | How is ${q://QID622/ChoiceTextEntryValue/4} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2020AQ | | COMEOUTSO_NAMES | When ${q://QID622/ChoiceTextEntryValue/4} initially learned about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2020AQ | | COMEOUTSO_NAMES | In your most recent interactions with ${q://QID622/ChoiceTextEntryValue/4}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2020AQ | | COMEOUTSO_NAMES | How did your communication with ${q://QID622/ChoiceTextEntryValue/4} change after they learned about your sexual orientation? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2020AQ | | | We are going to ask you follow-up questions about coming out about your gender identity (e.g., genderqueer, non-binary, questioning one's gender identity, transgender, etc.) in the PAST 12 MONTHS to someone who raised you. To help you remember who we are asking about, please list the first names, initials, or nicknames of the person/people you came out to. We will use these names in questions that follow. | Text Entry (-) |
2020AQ | | COMEOUTGI_NAMES | How is ${q://QID2154/ChoiceTextEntryValue/1} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2020AQ | | COMEOUTGI_NAMES | When ${q://QID2154/ChoiceTextEntryValue/1} initially learned about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2020AQ | | COMEOUTGI_NAMES | In your most recent interactions with ${q://QID2154/ChoiceTextEntryValue/1}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2020AQ | | COMEOUTGI_NAMES | How did your communication with ${q://QID2154/ChoiceTextEntryValue/1} change after they learned about your gender identity? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2020AQ | | COMEOUTGI_NAMES | How is ${q://QID2154/ChoiceTextEntryValue/2} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2020AQ | | COMEOUTGI_NAMES | When ${q://QID2154/ChoiceTextEntryValue/2} initially learned about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2020AQ | | COMEOUTGI_NAMES | In your most recent interactions with ${q://QID2154/ChoiceTextEntryValue/2}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2020AQ | | COMEOUTGI_NAMES | How did your communication with ${q://QID2154/ChoiceTextEntryValue/2} change after they learned about your gender identity? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2020AQ | | COMEOUTGI_NAMES | How is ${q://QID2154/ChoiceTextEntryValue/3} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2020AQ | | COMEOUTGI_NAMES | When ${q://QID2154/ChoiceTextEntryValue/3} initially learned about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2020AQ | | COMEOUTGI_NAMES | In your most recent interactions with ${q://QID2154/ChoiceTextEntryValue/3}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2020AQ | | COMEOUTGI_NAMES | How did your communication with ${q://QID2154/ChoiceTextEntryValue/3} change after they learned about your gender identity? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2020AQ | | COMEOUTGI_NAMES | How is ${q://QID2154/ChoiceTextEntryValue/4} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2020AQ | | COMEOUTGI_NAMES | When ${q://QID2154/ChoiceTextEntryValue/4} initially learned about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2020AQ | | COMEOUTGI_NAMES | In your most recent interactions with ${q://QID2154/ChoiceTextEntryValue/4}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2020AQ | | COMEOUTGI_NAMES | How did your communication with ${q://QID2154/ChoiceTextEntryValue/4} change after they learned about your gender identity? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2020AQ | | | Please choose the response that best applies to you. | No Answers |
2020AQ | | CYOA | The decision to hide or reveal my sexual orientation to others causes me significant distress. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2020AQ | | | Because of my sexual orientation, no one understands my pain or distress. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2020AQ | | | I was rejected by a family member or friend after telling them my sexual orientation. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2020AQ | | | I feel confused or conflicted by my sexual orientation. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2020AQ | | | I feel comfortable revealing my sexual attractions and/or behavior. | Strongly Disagree (6) Moderately Disagree (5) Slightly Disagree (4) Slightly Agree (3) Moderately Agree (2) Strongly Agree (1) |
2020AQ | | | The decision to hide or reveal my gender identity or that I am a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.) to others causes me significant distress. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2020AQ | | | Because of my gender identity, no one understands my pain or distress. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2020AQ | | | I was rejected by a family member or friend after telling them my gender identity. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2020AQ | | | I feel confused or conflicted by my gender identity. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2020AQ | | | I feel comfortable revealing my gender identity and/or expression and/or status as a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.). | Strongly Disagree (6) Moderately Disagree (5) Slightly Disagree (4) Slightly Agree (3) Moderately Agree (2) Strongly Agree (1) |
2020AQ | | | People treat me unfairly because of my race, ethnicity, sexual, and/or gender identity. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2020AQ | | | At times, I feel I stick out because of my race, ethnicity, sexual orientation, and/or gender identity. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2020AQ | | | Stereotypes about racial, ethnic, sexual, and gender minority people hurt my self-esteem or the way I see myself. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2020AQ | | | I believe the world is a dangerous place to be a racial, ethnic, sexual, and/or gender minority person. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2020AQ | | | You have completed the Social Health section! This is one of 4 sections! Phew! We know this survey is long and we thank you for the time and energy you have put into helping us advance our collective understanding of LGBTQ health. Your answers are bringing us one step closer to LGBTQ health equity! | No Answers |
2020AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Acid reflux (heartburn) (1) Anemia (2) Angina pectoris (angina) (3) Anxiety (4) Arthritis (13) Asthma (5) Atrial fibrillation (Afib) (6) Benign prostatic hypertrophy (BPH, enlarged prostate) (7) Bipolar disorder (8) Cancer (9) Cataracts (10) Chronic kidney disease (11) Chronic obstructive pulmonary disease (COPD) (12) None of these (0) |
2020AQ | | MEDHX1 | With what type(s) of cancer have you been diagnosed? (Check all that apply.) | Anal (1) Breast (2) Colon (3) Kidney (4) Lung (5) Leukemia/Lymphoma (6) Ovary (7) Pancreas (8) Prostate (9) Skin (melanoma) (10) Skin (non-melanoma) (11) Uterus (13) Other (please specify) (12) Other (please specify) (TEXT) |
2020AQ | | | How about any of these? Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Coagulation (bleeding or clotting) problem (1) Congestive heart failure (CHF) (2) Coronary artery disease (3) Depression (4) Diabetes mellitus (diabetes, sugar diabetes) (5) Diabetes (borderline) (6) Erectile dysfunction (7) Glaucoma (8) Heart attack (9) Heart murmur (10) Hepatitis B virus (HBV) (13) Hepatitis C virus (HCV) (14) High cholesterol (11) HIV (12) None of these (0) |
2020AQ | | | Here's the last set! Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Hypertension (high blood pressure) (1) Inflammatory bowel disease (Crohns disease, ulcerative colitis) (2) Irritable bowel syndrome (IBS) (3) Kidney stone (nephrolithiasis) (4) Liver disease (5) Lupus (systemic lupus erythematous, SLE) (6) Menopause (7) Migraine headache (8) Obstructive sleep apnea (OSA) (9) Osteoporosis (19) Peripheral vascular disease (PVD) (10) Polycystic ovarian syndrome (PCOS) (11) Psoriasis (12) Pulmonary embolism (PE) (13) Seizure disorder (epilepsy) (14) Stroke (cerebrovascular accident, CVA) (15) Thyroid problem (hyperthyroidism, hypothyroidism) (16) Ulcer (stomach/peptic, duodenal) (17) Uterine fibroids (18) None of these (0) |
2020AQ | | | Please list up to five additional medical conditions that a doctor or other health care provider told you that you have. (One condition per line.) If no additional conditions, please click next. | Text Entry (-) |
2020AQ | | | Were any of these conditions diagnosed within the PAST 12 MONTHS? (Check all that apply.) | None of these were diagnosed in the past 12 months. (0) Acid reflux (heartburn) (1) Anemia (2) Angina pectoris (angina) (3) Anxiety (4) Arthritis (60) Asthma (5) Atrial fibrillation (Afib) (6) Benign prostatic hypertrophy (BPH, enlarged prostate) (7) Bipolar disorder (8) Cataracts (9) Chronic kidney disease (10) Chronic obstructive pulmonary disease (COPD) (11) Anal cancer (12) Breast cancer (13) Colon cancer (14) Kidney cancer (15) Lung cancer (16) Leukemia/Lymphoma (17) Ovarian cancer (18) Pancreatic cancer (19) Prostate cancer (20) Skin cancer (melanoma) (21) Skin cancer (non-melanoma) (22) Uterine cancer (23) q://QID901/ChoiceTextEntryValueቨ cancer (24) Coagulation (bleeding or clotting) problem (25) Congestive heart failure (CHF) (26) Coronary artery disease (27) Depression (28) Diabetes mellitus (diabetes, sugar diabetes) (29) Diabetes (borderline) (30) Erectile dysfunction (31) Glaucoma (32) Heart attack (33) Heart murmur (34) Hepatitis B virus (HBV) (61) Hepatitis C virus (HCV) (62) High cholesterol (35) HIV (36) Hypertension (high blood pressure) (37) Inflammatory bowel disease (Crohns disease, ulcerative colitis) (38) Irritable bowel syndrome (IBS) (39) Kidney stone (nephrolithiasis) (40) Liver disease (41) Lupus (systemic lupus erythematous, SLE) (42) Menopause (43) Migraine headache (44) Obstructive sleep apnea (OSA) (45) Osteoporosis (63) Peripheral vascular disease (PVD) (46) Polycystic ovarian syndrome (PCOS) (47) Psoriasis (48) Pulmonary embolism (PE) (49) Seizure disorder (epilepsy) (50) Stroke (cerebrovascular accident, CVA) (51) Thyroid problem (hyperthyroidism, hypothyroidism) (52) Ulcer (stomach/peptic, duodenal) (53) Uterine fibroids (54) q://QID895/ChoiceTextEntryValueǗ (55) q://QID895/ChoiceTextEntryValueǘ (56) q://QID895/ChoiceTextEntryValueǙ (57) q://QID895/ChoiceTextEntryValueǚ (58) q://QID895/ChoiceTextEntryValueǛ (59) |
2020AQ | | | In the PAST 12 MONTHS, have you had the following surgeries or procedures? (Check all that apply.) (Gender-affirming or transition-related surgeries and procedures are asked about later.) | Coronary stent placement (1) Coronary artery bypass graft (CABG, bypass surgery) (2) Heart valve replacement (3) Pacemaker implantation (4) Implantable cardiac defibrillator (ICD) implantation (5) Bone marrow transplant (6) Organ transplant (7) Gallbladder removal (cholecystectomy) (8) Appendix removal (appendectomy) (9) C section (cesarean section) (10) Uterus removal with cervix retained (supracervical hysterectomy) (11) Uterus removal with cervix removed (total hysterectomy) (12) Ovary removal (oophorectomy) (13) None of these (0) |
2020AQ | | SURGHX | Which organ(s) have you received through a transplant? (Check all that apply.) | Heart (1) Lung (2) Liver (3) Pancreas (4) Kidney (5) Small intestine (6) Other (please specify) (7) Other (please specify) (TEXT) |
2020AQ | | | In the PAST 12 MONTHS, have you had any of the following procedures for any reason (including gender affirmation or transition)? (Check all that apply.) | Electrolysis (long-term hair removal) (1) Fat grafting (e.g., face, hips, buttocks, breasts/chest) (2) None of these (3) |
2020AQ | | | Please list up to five additional general surgeries/procedures that you had in the PAST 12 MONTHS (not including gender-affirming or transition-related surgeries or procedures, which we ask about later). Please write in one surgery/procedure per line. If no additional surgeries/procedures, please click next. | Text Entry (-) |
2020AQ | | | Have you had any gender-affirming or transition-related surgeries or procedures in the PAST 12 MONTHS? | Yes (1) No (0) |
2020AQ | | GAS_AQ | In the PAST 12 MONTHS, have you had any of the following gender-affirming or transition-related surgeries or procedures that involve your head or neck? (Check all that apply.) | Brow lift (1) Chin augmentation (genioplasty) (2) Forehead reconstruction/contouring (3) Jaw bone revision (mandible contouring) (4) Lip lift (5) Nose reconstruction (rhinoplasty) (6) Scalp advancement (7) Tracheal shave (reduction thyrochondroplasty) (8) Vocal cord/voice surgery (9) None of these (0) |
2020AQ | | GAS_AQ | In the PAST 12 MONTHS, have you had any of the following gender-affirming or transition-related surgeries or procedures that involve your chest? (Check all that apply.) | Breast augmentation (1) Breast/chest reduction (reduction mammoplasty) (2) Top surgery/chest reconstruction/mastectomy (scars under the chest, double incision) (3) Top surgery/chest reconstruction/mastectomy (keyhole, through the areola, periareolar) (4) None of these (0) |
2020AQ | | GAS_AQ | In the PAST 12 MONTHS, have you had any of the following gender-affirming or transition-related surgeries or procedures that involve your abdomen or pelvis? (Check all that apply.) | Creation of a new vagina using colon graft (vaginoplasty, colon graft) (1) Creation of a new vagina using penile tissue (vaginoplasty, penile inversion) (2) Creation of new labia without creation of new vagina (labiaplasty) (3) Creation of new scrotum (scrotoplasty) (4) Fallopian tube removal (salpingectomy) (5) Meta/meto or clitoral release (metoidioplasty) (6) Ovary removal (oophorectomy) (7) Penile implant insertion (8) Phallo/creation of a new penis (phalloplasty) (9) Removal of penis (penectomy) (10) Removal of testes (orchiectomy) (11) Removal of vaginal tissue (vaginectomy) (12) Testicular implant insertion (13) Uterus removal with cervix retained (supracervical hysterectomy) (14) Uterus removal with cervix removed (total hysterectomy) (15) None of these (0) |
2020AQ | | GAS_AQ | Please list up to five additional gender-affirming surgeries/procedures that you had in the PAST 12 MONTHS. (One surgery/procedure per line.) If no additional surgeries/procedures, please click next. | Text Entry (-) |
2020AQ | | | Have you EVER taken a medication meant to stop or delay puberty? | Yes (1) No (0) |
2020AQ | | PUB_SUPP_EV20 | How old were you when you first took a medication meant to stop or delay puberty? | 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) |
2020AQ | | | Are you CURRENTLY taking hormones or medications for the purposes of gender affirmation (also called gender transition)? | Yes (1) No (0) |
2020AQ | | GAHORMONE_AN | Which hormones or medications for the purposes of gender affirmation (also called gender transition) are you CURRENTLY taking? (Check all that apply.) | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histarelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium or Provera) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) Another hormone/medication not listed here (please specify) (17) Another hormone/medication not listed here (please specify) (TEXT) I have (also) taken some other hormone(s)/medication(s), but I am not sure what it is called. (18) |
2020AQ | | | Were any of the following hormones or medications that you used in the PAST 12 MONTHS for the purposes of gender affirmation (also called gender transition) prescribed by a doctor or health care provider? | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histarelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium or Provera) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) q://QID2316/ChoiceTextEntryValueቭ (17) I have (also) taken some other hormone(s)/medication(s), but I am not sure what it is called. (18) None of these were prescribed by a doctor or health care provider. (0) |
2020AQ | | GAHORMONE_ANYRX | Was all of the cyproterone acetate (sometimes called: CPA or Cyprostat) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | GAHORMONE_ANYRX | Was all of the dutasteride (sometimes called: Avodart) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | GAHORMONE_ANYRX | Was all of the depo leuprolide or leuprolide acetate (sometimes called: Lupron) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | GAHORMONE_ANYRX | Was all of the depo (Injection) provera (sometimes called: “Depo” or medroxyprogesterone acetate) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | GAHORMONE_ANYRX | Was all of the estrogen (any type in any formulation such as: gel, injection, patch, pill) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | GAHORMONE_ANYRX | Was all of the estradiol valerate (a specific type of estrogen) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | GAHORMONE_ANYRX | Was all of the estradiol cypionate (a specific type of estrogen) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | GAHORMONE_ANYRX | Was all of the finasteride (sometimes called: Proscar or Propecia) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | GAHORMONE_ANYRX | Was all of the histarelin acetate (sometimes called: Vantas or Supprelin) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | GAHORMONE_ANYRX | Was all of the progesterone (sometimes called: progestagen or progestins) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | GAHORMONE_ANYRX | Was all of the micronized progesterone (sometimes called: Prometrium or Provera) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | GAHORMONE_ANYRX | Was all of the spironolactone (sometimes called: “Spiro” or Aldactone) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | GAHORMONE_ANYRX | Was all of the testosterone (any type in any formulation such as: gel, injection, patch) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | GAHORMONE_ANYRX | Was all of the testosterone cypionate (a specific type of testosterone) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | GAHORMONE_ANYRX | Was all of the testosterone enanthate (a specific type of testosterone) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | GAHORMONE_ANYRX | Was all of the testosterone undecanoate (a specific type of testosterone) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | GAHORMONE_ANYRX | Was all of the ${q://QID2316/ChoiceTextEntryValue/17} used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2020AQ | | | In the PAST 12 MONTHS, did you start or stop taking any hormones or medications for the purposes of gender affirmation (also called gender transition)? (Check all that apply.) | Yes, I started taking some hormones/medications for gender affirmation in the PAST 12 MONTHS. (1) Yes, I stopped taking some hormones/medications for gender affirmation in the PAST 12 MONTHS. (0) No, I did not start or stop taking hormones/medications for gender affirmation in the PAST 12 MONTHS. (2) |
2020AQ | | GAHORMONE_CHANGE_YR | Which hormones or medications for the purposes of gender affirmation (also called gender transition) did you START in the PAST 12 MONTHS? (Check all that apply.) | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histarelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium or Provera) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) Another hormone/medication not listed here (please specify) (17) Another hormone/medication not listed here (please specify) (TEXT) I have (also) taken some other hormone(s)/medication(s), but I am not sure what it is called. (18) |
2020AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking cyproterone acetate (sometimes called: CPA or Cyprostat) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking dutasteride (sometimes called: Avodart) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking depo leuprolide or leuprolide acetate (sometimes called: Lupron) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking depo (injection) provera (sometimes called: “Depo” or medroxyprogesterone acetate) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking estrogen (any type in any formulation such as: gel, injection, patch, pill) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking estradiol valerate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking estradiol cypionate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking finasteride (sometimes called: Proscar or Propecia) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking histarelin acetate (sometimes called: Vantas or Supprelin) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking progesterone (sometimes called: progestagen or progestins) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking micronized progesterone (sometimes called: Prometrium or Provera) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking spironolactone (sometimes called: "Spiro" or Aldactone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking testosterone (any type in any formulation such as: gel, injection, patch) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking testosterone cypionate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking testosterone enanthate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking testosterone undecanoate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking ${q://QID2317/ChoiceTextEntryValue/17} for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_CHANGE_YR | Which hormones or medications for the purposes of gender affirmation (also called gender transition) did you STOP in the PAST 12 MONTHS? (Check all that apply.) | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histarelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium or Provera) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) Another hormone/medication not listed here (please specify) (17) Another hormone/medication not listed here (please specify) (TEXT) I have (also) taken some other hormone(s)/medication(s), but I am not sure what it is called. (18) |
2020AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking cyproterone acetate (sometimes called: CPA or Cyprostat) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking cyproterone acetate (sometimes called CPA or Cyprostat), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2020AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking dutasteride (sometimes called: Avodart) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking dutasteride (sometimes called: Avodart), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2020AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking depo leuprolide or leuprolide acetate (sometimes called: Lupron) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking depo leuprolide or leuprolide acetate (sometimes called: Lupron), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2020AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking depo (injection) provera (sometimes called: "Depo" or medroxyprogesterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking depo (Injection) provera (sometimes called: “Depo” or medroxyprogesterone acetate), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2020AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking estrogen (any type in any formulation such as: gel, injection, patch, pill) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking estrogen (any type in any formulation such as: gel, injection, patch, pill), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2020AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking estradiol valerate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking estradiol valerate (a specific type of estrogen), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2020AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking estradiol cypionate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking estradiol cypionate (a specific type of estrogen), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2020AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking finasteride (sometimes called: Proscar or Propecia) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking finasteride (sometimes called: Proscar or Propecia), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2020AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking histarelin acetate (sometimes called: Vantas or Supprelin) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking histarelin acetate (sometimes called: Vantas or Supprelin), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2020AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking micronized progesterone (sometimes called: Prometrium or Provera) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking micronized progesterone (sometimes called: Prometrium or Provera), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2020AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking progesterone (sometimes called: progestagen or progestins) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking progesterone (sometimes called: progestagen or progestins), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2020AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking spironolactone (sometimes called: "Spiro" or Aldactone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking spironolactone (sometimes called: “Spiro” or Aldactone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2020AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking testosterone (any type in any formulation such as: gel, injection, patch) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking testosterone (any type in any formulation such as: gel, injection, patch), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2020AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking testosterone cypionate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking testosterone cypionate (a specific type of testosterone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2020AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking testosterone enanthate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking testosterone enanthate (a specific type of testosterone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2020AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking testosterone undecanoate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking testosterone undecanoate (a specific type of testosterone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2020AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking ${q://QID2317/ChoiceTextEntryValue/17} for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking ${q://QID2317/ChoiceTextEntryValue/17}, please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2020AQ | | | Have you experienced any respiratory (lung, breathing) illness since January 1, 2020? (If you had more than one illness, please think about the most recent respiratory illness you had since January 1, 2020.) These symptoms include: Cough (either a dry cough or with phlegm/crud) Shortness of breath or difficulty breathing Stuffy or runny nose Sinus pain/pressure Sore throat These symptoms do not include seasonal allergies. | Yes (1) No (2) |
2020AQ | | ILLNESS | You indicated you have had a respiratory illness since January 1, 2020. The PRIDE Study is tracking respiratory illnesses among LGBTQ people. Please take the time to complete the Recent Respiratory Illness Survey if it is on your dashboard after you complete this Annual Questionnaire. | No Answers |
2020AQ | | | Were you tested for the novel coronavirus (officially called SARS-CoV-2) that causes COVID-19 disease with the swab test in your nose? We are asking this question to everyone even if they did not have symptoms. | Yes (1) No (0) I dont know (88) |
2020AQ | | SARSCOV2_TEST | What was the result of your testing (with a swab) for the novel coronavirus (officially called SARS-CoV-2) that causes COVID-19 disease? | Negative (0) Positive (1) I dont know (88) |
2020AQ | | SARSCOV2_TEST | Were you refused testing for the novel coronavirus when you asked your doctor or health care provider? | Yes (1) No (0) I did not try to get tested for the novel coronavirus (2) |
2020AQ | | SARSCOV2_TEST_REFUSE | What reason(s) were you given for not being tested for the novel coronavirus? (Check all that apply.) | I did not meet testing criteria (1) I had not traveled to a foreign country (2) No tests were available (3) I did not have the symptoms of coronavirus disease (COVID-19) (4) I was not in a high-risk group (5) Something else (please specify) (6) Something else (please specify) (TEXT) |
2020AQ | | | Did you have antibody testing (using a blood sample) for the novel coronavirus (officially called SARS-CoV-2) that causes COVID-19 disease? | Yes (1) No (0) I dont know (88) |
2020AQ | | ANTIBODY_TEST | What was the result of your antibody testing for the novel coronavirus (officially called SARS-CoV-2) that causes COVID-19 disease? | Negative (0) Positive (1) I dont know (88) |
2020AQ | | | In general, would you say your health is... | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2020AQ | | | In general, would you say your quality of life is... | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2020AQ | | | In general, how would you rate your physical health? | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2020AQ | | | In general, how would you rate your mental health, including your mood and your ability to think? | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2020AQ | | | In general, how would you rate your satisfaction with your social activities and relationships? | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2020AQ | | | In general, please rate how well you carry out your usual social activities and roles. (This includes activities at home, at work and in your community, and responsibilities as a parent, child, spouse, employee, friend, etc.) | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2020AQ | | | To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair? | Completely (5) Mostly (4) Moderately (3) A little (2) Not at all (1) |
2020AQ | | | In the PAST 7 DAYS, how often have you been bothered by emotional problems, such as feeling anxious, depressed or irritable? | Never (5) Rarely (4) Sometimes (3) Often (2) Always (1) |
2020AQ | | | In the PAST 7 DAYS, how would you rate your fatigue on average? | None (5) Mild (4) Moderate (3) Severe (2) Very severe (1) |
2020AQ | | | In the PAST 7 DAYS, how would you rate your pain on average? | 0 No pain (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Worst imaginable pain (10) |
2020AQ | | PROMIS10 | In the PAST 7 DAYS, how much did pain interfere with your enjoyment of life? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very much (5) |
2020AQ | | PROMIS10 | In the PAST 7 DAYS, how much did pain interfere with your ability to concentrate? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very much (5) |
2020AQ | | PROMIS10 | In the PAST 7 DAYS, how much did pain interfere with your day to day activities? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very much (5) |
2020AQ | | PROMIS10 | In the PAST 7 DAYS, how much did pain interfere with your enjoyment of recreational activities? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very much (5) |
2020AQ | | PROMIS10 | In the PAST 7 DAYS, how much did pain interfere with doing your tasks away from home (e.g., getting groceries, running errands)? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very much (5) |
2020AQ | | PROMIS10 | In the PAST 7 DAYS, how often did pain keep you from socializing with others? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2020AQ | | | On the images below, CHECK ALL areas of your body where you have felt persistent or recurrent pain present for the last 3 months or longer (chronic pain). If you do not have ANY chronic pain anywhere in your body, please select "No Chronic Pain" and advance to the next screen. | No Chronic Pain (1) |
2020AQ | | CHRONIC_PAIN | In the list below, CHECK ALL areas of your body where you have felt persistent or recurrent pain present for the last 3 months or longer (chronic pain). If you do not have chronic pain in any of these body areas, check the "No Chronic Pain" box. | No chronic pain in this any of these body areas (0) Face (1) Right jaw (2) Left jaw (3) Right chest/breast (4) Left chest/breast (5) Abdomen (6) Pelvis (7) Right groin (8) Left groin (9) Genitals (10) Right upper arm (11) Right elbow (12) Right lower arm (13) Right wrist/hand (14) Left upper arm (15) Left elbow (16) Left lower arm (17) Left wrist/hand (18) Right upper leg (19) Right knee (20) Right lower leg (21) Right ankle/foot (22) Left upper leg (23) Left knee (24) Left lower leg (25) Left ankle/foot (26) |
2020AQ | | CHRONIC_PAIN | In the list below, CHECK ALL areas of your body where you have felt persistent or recurrent pain present for the last 3 months or longer (chronic pain). If you do not have chronic pain in any of these body areas, check the "No Chronic Pain" box. | No chronic pain in this any of these body areas (0) Head (1) Neck (2) Left shoulder (3) Right shoulder (4) Upper back (5) Lower back (6) Left hip (7) Right hip (8) Left buttocks (9) Right buttocks (10) Anus (11) |
2020AQ | | | Cancer Screening | No Answers |
2020AQ | | ORGANS_BORN VAGINA_BRANCH | In the PAST 12 MONTHS, have you had a Pap smear or Pap test? (A Pap smear or Pap test is a routine test in which a health care provider places an instrument inside the vagina, examines the cervix, and takes a few cells from the cervix with a small stick or brush to look for abnormal or cancer cells.) | Yes (1) No (0) I dont know (88) |
2020AQ | | ORGANS_BORN VAGINA_BRANCH | In the PAST 12 MONTHS, have you had a Pap smear or Pap test? (A Pap smear or Pap test is a routine test in which a health care provider places an instrument inside the frontal genital opening, examines the cervix, and takes a few cells from the cervix with a small stick or brush to look for abnormal or cancer cells.) | Yes (1) No (0) I dont know (88) |
2020AQ | | PAP_YR_V | Have you had a Pap smear or Pap test in the PAST 12 MONTHS where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2020AQ | | PAP_YR_V | An HPV test is sometimes added to the Pap test for cervical cancer screening. Did you have an HPV test with a Pap test in the PAST 12 MONTHS? | Yes (1) No (0) I dont know (88) |
2020AQ | | HPV_RECENTPAP | Have you had a cervical HPV test in the PAST 12 MONTHS where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2020AQ | | ORGANS_NOW | In the PAST 12 MONTHS, have you had a mammogram? A mammogram is when breast/chest tissue is squeezed between two firm surfaces to obtain X-rays/pictures of the breast/chest tissue. | Yes (1) No (0) I dont know (88) |
2020AQ | | MAMMO_YR | Have you had a mammogram in the PAST 12 MONTHS where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2020AQ | | ORGANS_BORN | In the PAST 12 MONTHS, have you had a PSA test? A PSA test is a blood test to detect prostate cancer. It is also called a prostate-specific antigen test. | Yes (1) No (0) I dont know (88) |
2020AQ | | PSA_YR | Have you had a PSA test in the PAST 12 MONTHS where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2020AQ | | | Colon or rectal cancer tests include blood stool tests, colonoscopy, and sigmoidoscopy. A blood stool test or occult blood test, also known as the fecal immunochemical (FIT) test, determines whether you have blood in your stool or bowel movement. These tests can be done at home using a kit. You use a stick or brush to obtain a small amount of stool at home and send it back to the doctor or lab. A sigmoidoscopy and colonoscopy are exams in which a tube is inserted in the rectum to view the colon for signs of cancer or other health problems. For a sigmoidoscopy, the doctor checks only part of the colon and you are fully awake. For a colonoscopy, the doctor checks the entire colon, and you are given medication through a needle in your arm to make you sleepy, and told to have someone drive you home. Before a sigmoidoscopy or colonoscopy, you are asked to take a medication that causes diarrhea. In the PAST 12 MONTHS, have you had any of these tests for colon or rectal cancer? (Check all that apply.) | None of these (0) Blood stool test (FIT test) (1) Sigmoidoscopy (2) Colonoscopy (3) |
2020AQ | | COLON_TEST | In the PAST 12 MONTHS, have you had a blood stool test (FIT) where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2020AQ | | COLON_TEST | In the PAST 12 MONTHS, have you had a sigmoidoscopy where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2020AQ | | COLON_TEST | In the PAST 12 MONTHS, have you had a colonoscopy where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2020AQ | | | In the PAST 12 MONTHS, have you had any of the following tests as an evaluation for anal or rectal cancer? (Check all that apply.) | Digital anal rectal exam (an examination where a doctor or health care provider inserts their finger into your anus (butt)) (1) Anal HPV test (a routine test with a swab that tests for human papillomavirus, HPV) (2) Anal Pap smear (a routine test in which a health care provider takes a few cells from the anus using a swab to look for abnormal or cancer cells) (3) High-Resolution Anoscopy (HRA) (an exam with a microscope of the rectum and anus) (4) I dont know (88) None of these (0) |
2020AQ | | ANORECTCA_SCREEN_YR | In the PAST 12 MONTHS, have you had a digital anal/rectal examination where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2020AQ | | ANORECTCA_SCREEN_YR | In the PAST 12 MONTHS, have you had an anal HPV examination where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2020AQ | | ANORECTCA_SCREEN_YR | In the PAST 12 MONTHS, have you had an anal Pap smear where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2020AQ | | ANORECTCA_SCREEN_YR | In the PAST 12 MONTHS, have you had a high-resolution anoscopy (HRA) where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2020AQ | | | Physical Activity | No Answers |
2020AQ | | | How many DAYS PER WEEK do you do LIGHT OR MODERATE leisure-time physical activities for AT LEAST 10 MINUTES that cause ONLY LIGHT sweating or a SLIGHT to MODERATE increase in breathing or heart rate? Examples include walking, golf, moving boxes, and gardening. | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2020AQ | | MOD_DAYS | About how long (in minutes) do you do these light or moderate leisure-time physical activities each time? | Text Entry (-) |
2020AQ | | | How many DAYS PER WEEK do you do VIGOROUS leisure-time physical activities for AT LEAST 10 MINUTES that cause HEAVY sweating or LARGE increases in breathing or heart rate? Examples include aerobics, tennis, bicycling up hills, and running. | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2020AQ | | VIG_DAYS | About how long (in minutes) do you do these vigorous leisure-time physical activities each time? | Text Entry (-) |
2020AQ | | | How many DAYS PER WEEK do you do leisure-time physical activities specifically designed to STRENGTHEN your muscles such as lifting weights or doing calisthenics? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2020AQ | | | Healthcare Access | No Answers |
2020AQ | | | During the PAST 12 MONTHS, have you had a flu vaccine - usually a shot in your arm or sprayed in your nose by a doctor or other health professional? These are usually given in the fall and protect against influenza for the flu season. | Yes (1) No (0) I dont know (88) |
2020AQ | | | Is there a place that you USUALLY go to when you are sick or need advice about your health? | Yes (1) There is NO place (2) There is MORE THAN ONE place (3) I dont know (88) |
2020AQ | | PLACESICK | What kind of place do you go to MOST often – a clinic, doctor's office, emergency room, or some other place? | Clinic or health center (1) Doctors office or HMO (2) Hospital emergency room (3) Hospital outpatient department (4) Some other place (5) I dont go to one place most often (6) I dont know (88) |
2020AQ | | PLACESICK | Is that the same place you USUALLY go when you need routine or preventive care, such as a physical examination or check up? | Yes (1) No (0) I dont know (88) |
2020AQ | | PLACEROUTINE | What kind of place do you USUALLY go to when you need routine or preventive care, such as a physical examination or check-up? | I dont get routine or preventative care anywhere (0) Clinic or health center (1) Doctors office or HMO (2) Hospital emergency room (3) Hospital outpatient department (4) Some other place (5) I dont go to one place most often (6) I dont know (88) |
2020AQ | | | During the PAST 12 MONTHS, did you have any trouble finding a general doctor or health care provider who would see you? | Yes (1) No (0) I havent tried to see a doctor or health care provider in the past 12 months. (2) I dont know (88) |
2020AQ | | | In the PAST 12 MONTHS, have you seen or talked to any of the following health care providers about your own health? (Check all that apply.) | A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker (1) An optometrist, ophthalmologist, or eye doctor (someone who prescribes eye glasses) (2) A foot doctor (a podiatrist) (3) A chiropractor (4) A physical therapist, speech therapist, respiratory therapist, audiologist, or occupational therapist (5) A nurse practitioner, physician assistant, or midwife (6) A doctor who specializes in reproductive, genital, and sexual health (an obstetrician/gynecologist) (7) A medical doctor who specializes in a particular medical disease or problem (other than obstetrician/gynecologist, psychiatrist, or ophthalmologist) (8) A general doctor who treats a variety of illnesses (a doctor in general practice, family medicine, or internal medicine) (9) I have not seen or talked to any of these providers. (0) |
2020AQ | | | A primary care provider is a health care provider who takes care of your overall general health and may coordinate your care with other medical specialists. Do you have a primary care provider (PCP)? | Yes (1) No (0) I dont know (88) |
2020AQ | | PCP | Have you seen your primary care provider in the PAST 12 MONTHS? | Yes (1) No (0) I dont know (88) |
2020AQ | | CYOA | In the PAST 12 MONTHS, have you gone to a doctor, health care provider, or clinic for transgender-related health care (such as hormone treatment)? | Yes (1) No (0) I dont know (88) |
2020AQ | | TRANS_DOC | Does the person or place who provides your transgender-related health care also take care of your overall general health? | Yes (1) No (0) I dont know (88) |
2020AQ | | | In the PAST 12 MONTHS, have you visited a doctor, health care provider, or clinic that focuses on sexual or reproductive health (such as sexually transmitted infections, PrEP, birth control, abortion, etc.)? | Yes (1) No (0) I dont know (88) |
2020AQ | | SEX_DOC | Does the person or place who provides your sexual or reproductive health care also take care of your overall general health? | Yes (1) No (0) I dont know (88) |
2020AQ | | | During the PAST 12 MONTHS, how many times have you gone to a hospital emergency room about your health? (If you are not sure exactly how many times, please estimate.) | Text Entry (-) |
2020AQ | | ER | For what reason(s) did you go the emergency room? | Text Entry (-) |
2020AQ | | | During the PAST 12 MONTHS, have you been hospitalized overnight? | Yes (1) No (2) |
2020AQ | | HOSP | How many different times in the PAST 12 MONTHS have you been hospitalized overnight? | Text Entry (-) |
2020AQ | | HOSP | For what reason(s) were you hospitalized (e.g., shortness of breath, heart attack, chest pain, depression)? | Text Entry (-) |
2020AQ | | HOSP | How many days total were you hospitalized in the PAST 12 MONTHS? (If you are not sure exactly how many days, please estimate.) | Text Entry (-) |
2020AQ | | | In the PAST 12 MONTHS, was there any time when you did NOT have ANY health insurance or coverage? In other words, were you uninsured for any time during the previous 12 months? | Yes (1) No (0) I dont know (88) |
2020AQ | | UNINSUR | In the PAST 12 MONTHS, about how many months were you without coverage? | Less than one month (0) 1 month (1) 2 months (2) 3 months (3) 4 months (4) 5 months (5) 6 months (6) 7 months (7) 8 months (8) 9 months (9) 10 months (10) 11 months (11) 12 months (12) |
2020AQ | | | Are you CURRENTLY covered by any health insurance or health coverage plan? | Yes (1) No (0) I dont know (88) |
2020AQ | | INSURANCE | Are you CURRENTLY covered by any of the following types of health insurance or health coverage plans? (If you have more than one insurance/coverage plans, please select your primary insurance/coverage plan.) | Insurance through my current or former employer or union (1) Insurance through someone elses current or former employer or union (2) Insurance purchased through HealthCare.gov or another health insurance marketplace (sometimes called Obamacare or the Affordable Care Act) (3) Insurance purchased directly from an insurance company (4) Medicare (for people 65 and older or people with certain disabilities) (5) Medicaid (government-assistance plan for those with low incomes or a disability) (6) TRICARE or other military health care (7) Veterans Affairs (VA) (8) Indian Health Service (9) Other (10) Other (TEXT) |
2020AQ | | | In regard to your current health insurance or health care coverage, how does it compare to a year ago? Is it better, worse, or about the same? | Better (1) Worse (2) About the same (3) I dont know (4) |
2020AQ | | | In the PAST 12 MONTHS, were you delayed in getting medical care, tests, or treatments that you or a health care provider believed necessary? | Yes (1) No (0) |
2020AQ | | DELAYCARE | Which of these reasons describes why you were delayed in getting medical care, tests, or treatments you or a health care provider believed necessary? (Check all that apply.) | I couldnt afford care (0) My insurance company wouldnt approve, cover, or pay for care (1) Health care provider refused to accept the insurance plan (2) Problems getting to health care providers office (3) The health care provider could not schedule me in a timely fashion (4) I speak a different language (5) I couldnt get time off work or school (6) I dont know where to go to get care (7) I was refused services (8) I thought I would be mistreated or disrespected on the basis of my sexual orientation (9) I thought I would be mistreated or disrespected on the basis of my gender identity (10) I thought I would be mistreated or disrespected on the basis of my HIV status (11) I couldnt get child care (12) I didnt have time or took too long (13) Other (please specify) (14) Other (please specify) (TEXT) |
2020AQ | | | In the PAST 12 MONTHS, were you unable to obtain medical care, tests, or treatments that you or a health care provider believed necessary? | Yes (1) No (0) |
2020AQ | | NOCARE | Which of these best describes the reason(s) you were unable to get medical care, tests, or treatments you or a health care provider believed necessary? (Check all that apply.) | I couldnt afford care (0) My insurance company wouldnt approve, cover, or pay for care (1) Doctor refused to accept the insurance plan (2) Problems getting to doctors office (3) The health care provider could not schedule me in a timely fashion (4) I speak a different language (5) I couldnt get time off work or school (6) I dont know where to go to get care (7) I was refused services (8) I thought I would be mistreated or disrespected on the basis of my sexual orientation (9) I thought I would be mistreated or disrespected on the basis of my gender identity (10) I thought I would be mistreated or disrespected on the basis of my HIV status (11) I couldnt get child care (12) I didnt have time or took too long (13) Other (please specify) (14) Other (please specify) (TEXT) |
2020AQ | | | The next questions are about money that you have spent out of pocket on health care. | No Answers |
2020AQ | | | In the PAST 12 MONTHS, about how much did you spend in total for medical care and dental care? Please include copays, coinsurance, prescription medications, etc. Please do NOT include your monthly health insurance premiums, over-the-counter drugs, or costs that you will be reimbursed for. | Zero (0) 1 - 499 (1) 500 - 1,999 (2) 2,000 - 2,999 (3) 3,000 - 4,999 (4) 5,000 or more (5) I dont know (88) |
2020AQ | | | In the PAST 12 MONTHS, about how much did you spend for prescription medications? | Zero (0) 1 - 499 (1) 500 - 1,999 (2) 2,000 - 2,999 (3) 3,000 - 4,999 (4) 5,000 or more (5) I dont know (88) |
2020AQ | | | In the PAST 12 MONTHS, did you borrow money to pay for health care? Please do NOT count health insurance premiums, over the counter drugs, or costs that you will be reimbursed for. | Yes (1) No (0) |
2020AQ | | | Now we will ask you about your oral health and symptoms. | No Answers |
2020AQ | | | During the PAST 12 MONTHS, were you able to visit a dentist? Include all types of dentists, such as orthodontists, oral surgeons, and all other dental specialists, as well as dental hygienists. | Yes (1) No (0) |
2020AQ | | | During the PAST 12 MONTHS, was there a time when you needed dental care but could not get it at that time? | Yes (1) No (0) |
2020AQ | | DENTCARE_NO | What were the reasons that you could not get the dental care you needed? (Check all that apply.) | I could not afford the cost (0) I did not want to spend the money (1) Insurance did not cover recommended procedures (2) Dental office is too far away (3) Dental office is not open at convenient times (4) Another dentist recommended not doing it (5) I was afraid or do not like dentists (6) I was unable to take time off from work or school (7) I was too busy (8) I did not think anything serious was wrong/expected dental problems to go away (9) I thought I would be mistreated or disrespected on the basis of my sexual orientation (10) I thought I would be mistreated or disrespected on the basis of my gender identity (11) I thought I would be mistreated or disrespected on the basis of my HIV status (12) Other (13) Other (TEXT) |
2020AQ | | | During the PAST 12 MONTHS, have you had an exam for oral cancer in which the doctor or dentist pulls on your tongue, sometimes with gauze wrapped around it, and feels under the tongue and inside the cheeks? | Yes (1) No (0) |
2020AQ | | | How often during the PAST 12 MONTHS have you had painful aching anywhere in your mouth? Would you say…? | Very often (4) Fairly often (3) Occasionally (2) Hardly ever (1) Never (0) |
2020AQ | | | Sleep | No Answers |
2020AQ | | | On average, how many hours of sleep do you get in a 24-HOUR PERIOD? (Please round to the nearest whole hour.) | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) |
2020AQ | | | In the PAST WEEK, how many times did you have trouble falling asleep? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) More than 7 (8) |
2020AQ | | | In the PAST WEEK, how many times did you have trouble staying asleep? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) More than 7 (8) |
2020AQ | | | In the PAST WEEK, how many times did you take medication to help you fall asleep or stay asleep? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) More than 7 (8) |
2020AQ | | | In the PAST WEEK, on how many days did you wake up feeling well rested? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2020AQ | | | I worried whether my food would run out before I got money to buy more. Was that often true, sometimes true, or never true for you in the LAST 12 MONTHS? | Often true (2) Sometimes true (1) Never true (0) I dont know (88) |
2020AQ | | | The food that I bought just didn't last, and I didn't have money to get more. Was that often, sometimes, or never true for you in the LAST 12 MONTHS? | Often true (2) Sometimes true (1) Never true (0) I dont know (88) |
2020AQ | | | I couldn't afford to eat balanced meals. Was that often, sometimes, or never true for you in the LAST 12 MONTHS? | Often true (2) Sometimes true (1) Never true (0) I dont know (88) |
2020AQ | | USDA_HH2 | In the LAST 12 MONTHS, did you ever cut the size of your meals or skip meals because there wasn't enough money for food? | Yes (1) No (0) I dont know (88) |
2020AQ | | USDA_AD1 | How often did this happen—almost every month, some months but not every month, or in only 1 or 2 months? | Almost every month (1) Some months but not every month (0) Only 1 or 2 months (88) I dont know (89) |
2020AQ | | USDA_HH2 | In the LAST 12 MONTHS, did you ever eat less than you felt you should because there wasn't enough money for food? | Yes (1) No (0) I dont know (88) |
2020AQ | | USDA_HH2 | In the LAST 12 MONTHS, were you every hungry but didn't eat because there wasn't enough money for food? | Yes (1) No (0) I dont know (88) |
2020AQ | | USDA_HH2 | In the LAST 12 MONTHS, did you lose weight because there wasn't enough money for food? | Yes (1) No (0) I dont know (88) |
2020AQ | | USDA_AD1 | In the LAST 12 MONTHS, did you ever not eat for a whole day because there wasn't enough money for food? | Yes (1) No (0) I dont know (88) |
2020AQ | | USDA_AD5 | How often did this happen—almost every month, some months but not every month, or in only 1 or 2 months? | Almost every month (1) Some months but not every month (0) Only 1 or 2 months (2) I dont know (88) |
2020AQ | | SAAB | In the PAST 12 MONTHS, has your sperm (also known as semen, cum, nut, ejaculate) resulted in a pregnancy? | Yes (1) No (0) I dont know (88) |
2020AQ | | PREGNANT_SPERM | How many pregnancies in the PAST 12 MONTHS resulted from your sperm? (If you are unsure, please estimate.) | Text Entry (-) |
2020AQ | | ORGANS_BORN | Have you had at least one menstrual period in the PAST 12 MONTHS? Please do not include bleedings caused by medical conditions, hormone therapy, or surgeries. | Yes (1) No (0) I dont know (88) |
2020AQ | | MENSES_YEAR | What is the reason(s) that you have not had a period in the PAST 12 MONTHS? (Check all that apply.) | Pregnancy (1) Breastfeeding/chestfeeding (2) Hysterectomy (removal of the uterus) (3) Menopause/change of life (4) Hormones, medications, or devices (like an IUD) to stop my periods (5) Other (please specify) (6) Other (please specify) (TEXT) I dont know (88) |
2020AQ | | MENSES_NOYEAR | About how old were you when you had your last menstrual period? (Please enter “88” if you don't know.) | Text Entry (-) |
2020AQ | | ORGANS_NOW MENSES_NOYEAR | Are you personally planning to be pregnant in the next year? | Yes (1) No (0) I dont know (88) |
2020AQ | | ORGANS_BORN | Have you been trying to personally become pregnant over the PAST 12 MONTHS? | Yes (1) No (0) I dont know (88) |
2020AQ | | ORGANS_BORN | In the PAST 12 MONTHS, have you been to a doctor or other medical provider because you have been unable to become pregnant? | Yes (1) No (0) I dont know (88) |
2020AQ | | ORGANS_BORN | Have you been pregnant in the PAST 12 MONTHS? | Yes (1) No (0) I dont know (88) |
2020AQ | | ORGANS_NOW PREG_YR MENSES_NOYEAR | Are you pregnant now? | Yes (1) No (0) I dont know (88) |
2020AQ | | PREG_YR | How many times have you been pregnant in the PAST 12 MONTHS? (Please count all your pregnancies including current pregnancy, live births, miscarriages, stillbirths, tubal pregnancies, and abortions.) (Please enter "88" if you don't know.) | Text Entry (-) |
2020AQ | | PREG_TIMES | Did any of your pregnancies in the PAST 12 MONTHS result in a delivery? | Yes (1) No (0) |
2020AQ | | PREG_DEL | How many vaginal deliveries have you had in the PAST 12 MONTHS? (Please count the number of deliveries [for example, twins count as 1 delivery] and please include stillbirths and live births.) (Please enter “88” if you don't know.) | Text Entry (-) |
2020AQ | | PREG_DEL | How many frontal genital opening deliveries have you had in the PAST 12 MONTHS? (Please count the number of deliveries [for example, twins count as 1 delivery] and please include stillbirths and live births.) (Please enter “88” if you don't know.) | Text Entry (-) |
2020AQ | | PREG_DEL | How many cesarean deliveries, also known as C-sections, have you had in the PAST 12 MONTHS? (Please count the number of deliveries [for example, twins count as 1 delivery] and please include stillbirths and live births.) (Please enter “88” if you don't know.) | Text Entry (-) |
2020AQ | | PREG_DEL | How many of your deliveries resulted in a live birth in the PAST 12 MONTHS? (Please count the number of deliveries [for example, twins count as 1 delivery].) (Please enter “88” if you don't know.) | Text Entry (-) |
2020AQ | | PREG_YR | How many miscarriages have you had in the PAST 12 MONTHS? (A miscarriage is a pregnancy that ends naturally during the first 20 weeks of pregnancy.) (Please enter “88” if you don't know.) | Text Entry (-) |
2020AQ | | PREG_YR | How many tubal pregnancies have you had in the PAST 12 MONTHS? (A tubal pregnancy also known as an 'ectopic pregnancy' is a pregnancy that occurs in the fallopian tube.) (Please enter “88” if you don't know.) | Text Entry (-) |
2020AQ | | PREG_YR | How many abortions have you had in the PAST 12 MONTHS? (An abortion is a pregnancy that is ended during the first 6 months using any of the following: medications, D&C, vacuum extraction, suction, and saline injections.) (Please enter “88” if you don't know.) | Text Entry (-) |
2020AQ | | LIVE_BIRTH | Please tell us the month and year of your FIRST live birth in the PAST 12 MONTHS. | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | LIVE_BIRTH | Please tell us the month and year of your MOST RECENT live birth in the PAST 12 MONTHS. | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | ORGANS_NOW | Have you breast/chest fed a child in the PAST 12 MONTHS? | Yes (1) No (0) |
2020AQ | | BREASTFED | Were the children that you breast/chest fed in the PAST 12 MONTHS born as a result of…? | My own pregnancy and delivery (1) Another persons pregnancy and delivery (2) Both, I have breast/chest fed both a child that I have delivered as well as a child that another person delivered (3) |
2020AQ | | ORGANS_BORN MENSES_NOYEAR | In the PAST 12 MONTHS, have you used any type of birth control method for the prevention of pregnancy? | Yes (1) No (0) I dont know (88) |
2020AQ | | BIRTHCONTROL_YR | Please select the birth control method(s) you have used for the prevention of pregnancy in the PAST 12 MONTHS. (Check all that apply.) | Abstinence (no sex with a person who produces sperm that could result in pregnancy) (1) Condoms (2) Diaphragm (3) Arm implant (4) Injection (5) Intrauterine Device (IUD) -- Copper -- has no hormones (6) Intrauterine Device (IUD) -- Mirena, Skyla, or Liletta -- has hormones (7) Intrauterine Device (IUD) -- Im not sure what type (8) Menopause (9) Pill (10) Rhythm method (11) Spermicide (12) Sponge (13) Surgical (permanent) sterilization (e.g., tubal ligation, tubes tied) (14) Surgical (permanent) sterilization of your partner (e.g., vasectomy) (15) Patch/transdermal (16) Vaginal/frontal genital opening ring (17) Withdrawal (18) Another method not listed here (please specify) (19) Another method not listed here (please specify) (TEXT) None of these (0) |
2020AQ | | ORGANS_BORN | In the PAST 12 MONTHS, have you used any birth control method(s) for ANY reason OTHER THAN prevention of pregnancy? | Yes (1) No (0) I dont know (88) |
2020AQ | | BIRTHCTRL_YR_NONCON | What are the reasons that you have used birth control (OTHER THAN pregnancy prevention) in the PAST 12 MONTHS? (Check all that apply.) | To affirm my gender (1) To avoid getting a sexually-transmitted infection (STI) from someone else (2) To avoid spreading a sexually-transmitted infection (STI) that I have (3) To avoid symptoms associated with my period like: chest tenderness, bloating, acne, pain from cramping, heavy bleeding (sometimes referred to as pre-menstrual syndrome or PMS) (4) To stop having a period/reduce the amount of bleeding (5) Prevent hair growth (hirsutism) (6) To reduce chronic pelvic pain (including endometriosis) (7) To treat another medical condition (8) Not listed (please specify) (9) Not listed (please specify) (TEXT) None of these (0) |
2020AQ | | BIRTHCTRL_YR_NONCON | Please select the birth control method(s) you have used for any reason OTHER THAN prevention of pregnancy in the PAST 12 MONTHS. (Check all that apply.) | Abstinence (no sex with a person who produces sperm that could result in pregnancy) (1) Condoms (2) Diaphragm (3) Arm implant (4) Injection (5) Intrauterine Device (IUD) -- Copper -- has no hormones (6) Intrauterine Device (IUD) -- Mirena, Skyla, Liletta -- has hormones (7) Intrauterine Device (IUD) -- Im not sure what type (8) Menopause (9) Pill (10) Rhythm method (11) Spermicide (12) Sponge (13) Surgical (permanent) sterilization (e.g., tubal ligation, tubes tied) (14) Surgical (permanent) sterilization of your partner (e.g., vasectomy) (15) Patch/transdermal (16) Vaginal/frontal genital opening ring (17) Withdrawal (18) Another method not listed here (please specify) (19) Another method not listed here (please specify) (TEXT) None of these (0) |
2020AQ | | | In the PAST 30 DAYS, how interested have you been in sexual activity? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very (5) |
2020AQ | | | In the PAST 30 DAYS, how often have you felt like you wanted to have sexual activity? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2020AQ | | | In the PAST 30 DAYS, did you have any type of sexual activity? (This means ANY kind of sexual activity including masturbation.) | No (0) Yes (1) |
2020AQ | | SFSCR202 VAGINA_BRANCH | There are many reasons why people may not have had sexual activity during the month. What are the reasons why you did not have sexual activity in the past 30 days? Please read the list carefully and check every reason that applies to you, even if it happened only one time during the PAST 30 DAYS. | Was not interested in having sexual activity (1) Dryness or pain in or around my vagina (2) Difficulties with orgasm/climax (3) Dont enjoy sexual activity (4) Health condition (5) No partner(s) (6) Partner(s) was away (7) Partner(s) was not interested in sexual activity (8) Health condition of my partner(s) (9) Some other reason (please specify) (10) Some other reason (please specify) (TEXT) |
2020AQ | | SFSCR202 VAGINA_BRANCH | There are many reasons why people may not have had sexual activity during the month. What are the reasons why you did not have sexual activity in the past 30 days? Please read the list carefully and check every reason that applies to you, even if it happened only one time during the PAST 30 DAYS. | Was not interested in having sexual activity (1) Dryness or pain in or around my frontal genital opening (2) Difficulties with orgasm/climax (3) Dont enjoy sexual activity (4) Health condition (5) No partner(s) (6) Partner(s) was away (7) Partner(s) was not interested in sexual activity (8) Health condition of my partner(s) (9) Some other reason (please specify) (10) Some other reason (please specify) (TEXT) |
2020AQ | | SFSCR202 | In the PAST 30 DAYS, how often did you become lubricated ("wet") during sexual activity? (Note here lubrication or wetness refers to spontaneous lubrication or wetness without the use of lubricants, gels, creams, oils, etc.) | Almost always or always (1) Most times (more than half the time) (2) Sometimes (about half the time) (3) A few times (less than half the time) (4) Almost never or never (5) |
2020AQ | | SFSCR202 | In the PAST 30 DAYS, how difficult was it to become lubricated ("wet") during sexual activity? (Note here lubrication or wetness refers to spontaneous lubrication or wetness without the use of lubricants, gels, creams, oils, etc.) | Extremely difficult or impossible (1) Very difficult (2) Difficult (3) Slightly difficult (4) Not difficult (5) |
2020AQ | | SFSCR202 | In the PAST 30 DAYS, how difficult was it to maintain your lubrication ("wetness") until completion of sexual activity? (Note here lubrication or wetness refers to spontaneous lubrication or wetness without the use of lubricants, gels, creams, oils, etc.) | Extremely difficult or impossible (1) Very difficult (2) Difficult (3) Slightly difficult (4) Not difficult (5) |
2020AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you felt inside your vagina? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2020AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you felt inside your frontal genital opening? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2020AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you felt inside your vagina? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2020AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you felt inside your frontal genital opening? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2020AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you had in your labia (lips around the opening of the vagina)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have labia (6) |
2020AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you had in your labia (lips around the opening of the frontal genital opening)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have labia (6) |
2020AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you had in your labia (lips around the opening of the vagina)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have labia (6) |
2020AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you had in your labia (lips around the opening of the frontal genital opening)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have labia (6) |
2020AQ | | SFSCR202 | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you had in your clitoris (clit)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have a clitoris (6) |
2020AQ | | SFSCR202 | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you had in your clitoris (clit)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have a clitoris (6) |
2020AQ | | SFSCR202 | There are many reasons why people may not have had sexual activity during the month. What are the reasons why you did not have sexual activity in the past 30 days? Please read the list carefully and check every reason that applies to you, even if it happened only one time during the PAST 30 DAYS. | Was not interested in having sexual activity (1) Difficulties with my erections (penis not hard or is painful) (2) Difficulties with orgasm/climax (3) Dont enjoy sexual activity (4) Health condition (5) No partner(s) (6) Partner(s) was away (7) Partner(s) was not interested in sexual activity (8) Health condition of my partner(s) (9) Some other reason (please specify) (10) Some other reason (please specify) (TEXT) |
2020AQ | | | In the PAST 30 DAYS, how often were you able to get an erection (get hard) during sexual activity? | Almost never/never (1) A few times (much less than half the time) (2) Sometimes (about half the time) (3) Most times (much more than half the time) (4) Almost always/always (5) |
2020AQ | | | In the PAST 30 DAYS, when you had erections with sexual stimulation how often were your erections hard enough for penetration? | I was not attempting to penetrate a partner (0) Almost never/never (1) A few times (much less than half the time) (2) Sometimes (about half the time) (3) Most times (much more than half the time) (4) Almost always/always (5) |
2020AQ | | | In the PAST 30 DAYS, during sexual intercourse how often were you able to maintain your erection (stay hard) after you had penetrated (entered) your partner? | I was not attempting to penetrate a partner (0) Almost never/never (1) A few times (much less than half the time) (2) Sometimes (about half the time) (3) Most times (much more than half the time) (4) Almost always/always (5) |
2020AQ | | SFSCR202 | In the PAST 30 DAYS, how often have you been able to have an orgasm/climax when you wanted to? | Have not tried to have an orgasm/climax in the past 30 days (0) Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2020AQ | | SFSCR202 | In the PAST 30 DAYS, how satisfying have your orgasms or climaxes been? | Have not had an orgasm/climax in the past 30 days (0) Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very (5) |
2020AQ | | SFSCR202 | In the PAST 30 DAYS, how much pleasure have your orgasms or climaxes given you? | Have not had an orgasm/climax in the past 30 days (0) None (1) A little bit (2) Some (3) Quite a bit (4) Very much (5) |
2020AQ | | SFSCR202 | In the PAST 30 DAYS, how often have you had discomfort in your mouth during sexual activity? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2020AQ | | SFSCR202 | In the PAST 30 DAYS, how often have you had pain in your mouth during sexual activity? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2020AQ | | SFSCR202 | In the PAST 30 DAYS, how often have you had dryness in your mouth during sexual activity? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2020AQ | | SFSCR202 | In the PAST 30 DAYS, when you have had sexual activity, how dry has your mouth been? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very (5) |
2020AQ | | SFSCR202 | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you had in or around your anus or rectum (butt)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2020AQ | | SFSCR202 | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you had in or around your anus or rectum (butt)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2020AQ | | SFSCR202 | In the PAST 30 DAYS, how satisfied have you been with your sex life? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very (5) |
2020AQ | | SFSCR202 | In the PAST 30 DAYS, how much pleasure has your sex life given you? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2020AQ | | SFSCR202 | In the PAST 30 DAYS, how often have you thought that your sex life is wonderful? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2020AQ | | SFSCR202 | In the PAST 30 DAYS, how satisfied have you been with your sexual relationship(s)? | Have not had a sexual relationship with another person in the past 30 days (0) Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very (5) |
2020AQ | | | Sexual Health and Activities The next questions will ask you about your sexual activities including specific sexual behaviors and acts. If you wish to opt out of this section because of this, please indicate below. | I wish to answer this section. (1) I wish to skip this section. (0) |
2020AQ | | | In the PAST 12 MONTHS, have you masturbated? Masturbation is touching yourself for sexual pleasure. | Yes (1) No (0) |
2020AQ | | MASTURBATE_YR | How often do you masturbate? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2020AQ | | MASTURBATE_YR | Have you masturbated in the presence of an intimate or romantic partner in PAST 12 MONTHS? | Yes (1) No (0) |
2020AQ | | | Have you engaged in any kind of sexual activity with another person in the PAST 12 MONTHS? | Yes (1) No (0) |
2020AQ | | SEX_PASTYR | In the PAST 12 MONTHS, what are the gender identities of the people that you had any sexual activity with? (Check all that apply.) | Cisgender man (identifies as a man and was assigned male sex at birth) (1) Cisgender woman (identifies as a woman and was assigned female sex at birth) (2) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned female sex at birth (5) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned male sex at birth (6) Transgender man (identifies as a man and was assigned female sex at birth) (3) Transgender woman (identifies as a woman and was assigned male sex at birth) (4) Person of another gender(s) (please specify) (7) Person of another gender(s) (please specify) (TEXT) I dont know (88) Decline to state (99) |
2020AQ | | SEX_PASTYR VAGINA_BRANCH | In the PAST 12 MONTHS, have you had receptive vaginal sex? This means a penis/phallus (not including a prosthetic) in your vagina. | Yes (1) No (0) |
2020AQ | | SEX_PASTYR VAGINA_BRANCH | In the PAST 12 MONTHS, have you had receptive frontal genital opening sex? This means a penis/phallus (not including a prosthetic) in your frontal genital opening. | Yes (1) No (0) |
2020AQ | | VAGSEX_VAG_YR_V | How often do you have receptive vaginal sex? This means a penis/phallus (not including a prosthetic) in your vagina. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2020AQ | | VAGSEX_VAG_YR_FGO | How often do you have receptive frontal genital opening sex? This means a penis/phallus (not including a prosthetic) in your frontal genital opening. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2020AQ | | SEX_PASTYR | In the PAST 12 MONTHS, have you had insertive vaginal sex? This means putting your penis/phallus (not including a prosthetic) in someone's vagina. | Yes (1) No (0) |
2020AQ | | VAGSEX_PEN_YR_V | How often do you have insertive vaginal sex? This means putting your penis/phallus (not including a prosthetic) in someone's vagina. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2020AQ | | SEX_PASTYR | In the PAST 12 MONTHS, have you had insertive frontal genital opening sex? This means putting your penis/phallus (not including a prosthetic) in someone's frontal genital opening. | Yes (1) No (0) |
2020AQ | | VAGSEX_PEN_YR_FGO | How often do you have insertive frontal genital opening sex? This means putting your penis/phallus (not including a prosthetic) in someone's frontal genital opening. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2020AQ | | SEX_PASTYR VAGINA_BRANCH | In the PAST 12 MONTHS, have you had sex where your vagina is touching another person's vagina? | Yes (1) No (0) |
2020AQ | | SEX_PASTYR VAGINA_BRANCH | In the PAST 12 MONTHS, have you had sex where your frontal genital opening is touching another person's frontal genital opening? | Yes (1) No (0) |
2020AQ | | VAG2VAG_YR_V | How often do you have sex where your vagina is touching another person's vagina? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2020AQ | | VAG2VAG_YR_FGO | How often do you have sex where your frontal genital opening is touching another person's frontal genital opening? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2020AQ | | SEX_PASTYR | Have you performed oral sex in the PAST 12 MONTHS? This means putting your mouth on another person's genitals. (Check all that apply.) | Yes, on a person with a penis/phallus (not a prosthetic) (1) Yes, on a person with a vagina (2) No (0) |
2020AQ | | SEX_PASTYR | Have you performed oral sex in the PAST 12 MONTHS? This means putting your mouth on another person's genitals. (Check all that apply.) | Yes, on a person with a penis/phallus (not a prosthetic) (1) Yes, on a person with a frontal genital opening (2) No (0) |
2020AQ | | ORAL_GIVE_PASTYR_V | How often do you perform oral sex on a person with a penis/phallus (not a prosthetic)? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2020AQ | | ORAL_GIVE_PASTYR_V | How often do you perform oral sex on a person with a vagina? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2020AQ | | ORAL_GIVE_PASTYR_FGO | How often do you perform oral sex on a person with a frontal genital opening? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2020AQ | | SEX_PASTYR | Have you received oral sex in the PAST 12 MONTHS? This means someone put their mouth on your genitals. | Yes (1) No (0) |
2020AQ | | ORAL_GET_PASTYR | How often have you received oral sex? This means someone put their mouth on your genitals. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2020AQ | | SEX_PASTYR | Have you performed oral-anal sex (also called "rimming") in the PAST 12 MONTHS? This means contact between your mouth and someone's anus or butt. | Yes (1) No (0) |
2020AQ | | RIM_PASTYR | How often do you perform oral-anal sex (also called "rimming")? This means contact between your mouth and someone's anus or butt. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2020AQ | | SEX_PASTYR | Have you performed digital penetration (also called "fingering") in the PAST 12 MONTHS? This means putting your fingers into someone's vagina or someone's anus or butt. (Check all that apply.) | Yes, I have had contact between my finger(s) and someones vagina (1) Yes, I have had contact between my finger(s) and someones anus or butt (2) No (0) |
2020AQ | | SEX_PASTYR | Have you performed digital penetration (also called "fingering") in the PAST 12 MONTHS? This means putting your fingers into someone's frontal genital opening or someone's anus or butt. (Check all that apply.) | Yes, I have had contact between my finger(s) and someones frontal genital opening (1) Yes, I have had contact between my finger(s) and someones anus or butt (2) No (0) |
2020AQ | | FINGER_PASTYR_V | How often do you perform digital penetration (also called "fingering") by putting your fingers into someone's vagina? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2020AQ | | FINGER_PASTYR_FGO | How often do you perform digital penetration (also called "fingering") by putting your fingers into someone's frontal genital opening? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2020AQ | | FINGER_PASTYR_V | How often do you perform digital penetration (also called "fingering") by putting your fingers into someone's anus or butt? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2020AQ | | SEX_PASTYR | Have you used sex toys (such as dildos) with a sexual partner in the PAST 12 MONTHS? (Check all that apply.) | Yes, I inserted the sex toy into someones body (1) Yes, I received the sex toy into my body (2) No (0) |
2020AQ | | SEXTOY_PASTYR | How often do you insert a sex toy into someone's body? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2020AQ | | SEXTOY_PASTYR | How often do you receive a sex toy into your body? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2020AQ | | SEX_PASTYR | In the PAST 12 MONTHS, have you had anal sex? This means contact between a penis/phallus (not including a prosthetic) and your anus or butt. | Yes (1) No (0) |
2020AQ | | ANAL_VAG_YR | How often do you have anal sex? This means contact between a penis/phallus (not including a prosthetic) and your anus or butt. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2020AQ | | SEX_PASTYR | Have you had anal sex in the PAST 12 MONTHS? (Check all that apply.) | Yes, I have had contact between my penis/phallus (not including a prosthetic) and someones anus or butt (also known as insertive anal sex or topping) (1) Yes, I have had contact between someones penis/phallus (not including a prosthetic) and my anus or butt (also known as receptive anal sex or bottoming) (2) No (0) |
2020AQ | | ANAL_PEN_PASTYR | How often do you have contact between your penis/phallus (not including a prosthetic) and someone's anus or butt (also known as insertive anal sex or "topping")? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2020AQ | | ANAL_PEN_PASTYR | How often do you have contact between someone's penis/phallus (not including a prosthetic) and your anus or butt (also known as receptive anal sex or "bottoming")? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2020AQ | | SEX_PASTYR | In the PAST 12 MONTHS, with how many different people have you had any kind of sex? (If you are unsure, please estimate as best you can.) | Text Entry (-) |
2020AQ | | VAG2VAG_YR_V | In the PAST 12 MONTHS, with how many people have you had sex where your vagina touches another person's vagina? | Text Entry (-) |
2020AQ | | VAG2VAG_YR_FGO | In the PAST 12 MONTHS, with how many people have you had sex where your frontal genital opening touches another person's frontal genital opening? | Text Entry (-) |
2020AQ | | VAG2VAG_YR_V | In the PAST 12 MONTHS, about how often have you had sex where your vagina touches another person's vagina without protection from sexually transmitted infections like a dental dam, plastic wrap, latex gloves etc.? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2020AQ | | VAG2VAG_YR_FGO | In the PAST 12 MONTHS, about how often have you had sex where your frontal genital opening touches another person's frontal genital opening without protection from sexually transmitted infections like a dental dam, plastic wrap, latex gloves etc.? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2020AQ | | VAGSEX_PEN_YR_V | In the PAST 12 MONTHS, with how many people have you had insertive vaginal sex? (This means you put your penis/phallus (not including a prosthetic) in someone's vagina.) | Text Entry (-) |
2020AQ | | VAGSEX_PEN_YR_V | In the PAST 12 MONTHS, about how often have you had insertive vaginal sex without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2020AQ | | VAGSEX_INS_NOCON_V | In the PAST 12 MONTHS, with how many different people have you had insertive vaginal sex without a condom? | Text Entry (-) |
2020AQ | | VAGSEX_PEN_YR_FGO | In the PAST 12 MONTHS, with how many people have you had insertive frontal genital opening sex? (This means you put your penis/phallus (not including a prosthetic) in someone's frontal genital opening.) | Text Entry (-) |
2020AQ | | VAGSEX_PEN_YR_FGO | In the PAST 12 MONTHS, about how often have you had insertive frontal genital opening sex without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2020AQ | | VAGSEX_INS_NOCON_FGO | In the PAST 12 MONTHS, with how many different people have you had insertive frontal genital opening sex without a condom? | Text Entry (-) |
2020AQ | | VAGSEX_VAG_YR_V | In the PAST 12 MONTHS, with how many people have you had receptive vaginal sex? (This means someone put their penis/phallus (not including a prosthetic) in your vagina.) | Text Entry (-) |
2020AQ | | VAGSEX_VAG_YR_FGO | In the PAST 12 MONTHS, with how many people have you had receptive frontal genital opening sex? (This means someone put their penis/phallus (not including a prosthetic) in your frontal genital opening.) | Text Entry (-) |
2020AQ | | VAGSEX_VAG_YR_V | In the PAST 12 MONTHS, about how often have you had receptive vaginal sex without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2020AQ | | VAGSEX_VAG_YR_FGO | In the PAST 12 MONTHS, about how often have you had receptive frontal genital opening sex without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2020AQ | | VAGSEX_RECEP_NOCON_V | In the PAST 12 MONTHS, with how many different people have you had receptive vaginal sex without a condom? | Text Entry (-) |
2020AQ | | VAGSEX_RECEP_NOCON_F | In the PAST 12 MONTHS, with how many different people have you had receptive frontal genital opening sex without a condom? | Text Entry (-) |
2020AQ | | ANAL_PEN_PASTYR | In the PAST 12 MONTHS, with how many people have you "bottomed" or had receptive anal sex? (This means contact between a penis/phallus (not including a prosthetic) and your anus or butt.) (If you are unsure, please estimate as best you can.) | Text Entry (-) |
2020AQ | | ANAL_PEN_PASTYR | In the PAST 12 MONTHS, about how often have you "bottomed" or had receptive anal sex without using a condom? (This means contact between a penis/phallus (not including a prosthetic) and your anus or butt.) | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2020AQ | | ANALSEX_NOCON | In the PAST 12 MONTHS, with how many different people have you "bottomed" or had receptive anal sex without a condom? (This means contact between a penis/phallus (not including a prosthetic) and your anus or butt.) | Text Entry (-) |
2020AQ | | | In the PAST 12 MONTHS, with how many people have you "topped" or had insertive anal sex? (This means contact between your penis/phallus (not including a prosthetic) and someone's anus or butt.) | Text Entry (-) |
2020AQ | | ANAL_PEN_PASTYR | In the PAST 12 MONTHS, about how often have you "topped" or had insertive anal sex without using a condom? (This means contact between your penis/phallus (not including a prosthetic) and someone's anus or butt.) | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2020AQ | | TOP_NOCON | In the PAST 12 MONTHS, with how many different people have you "topped" or had insertive anal sex without a condom? (This means contact between your penis/phallus (not including a prosthetic) and someone's anus or butt.) (If you are unsure, please estimate as best you can.) | Text Entry (-) |
2020AQ | | MASTURBATE_YR | Do you use lubrication (also called "lube") when you masturbate? | Always (3) Sometimes (2) Never (1) |
2020AQ | | VAGSEX_VAG_YR_V | Do you use lubrication (also called "lube") when you have vaginal sex? | Always (3) Sometimes (2) Never (1) I do not engage in this type of sex (0) |
2020AQ | | VAGSEX_VAG_YR_FGO VAGINA_BRANCH | Do you use lubrication (also called "lube") when you have frontal genital opening sex? | Always (3) Sometimes (2) Never (1) I do not engage in this type of sex (0) |
2020AQ | | | Do you use lubrication (also called "lube") when you have anal sex? | Always (3) Sometimes (2) Never (1) I do not engage in this type of sex (0) |
2020AQ | | | In the PAST 12 MONTHS, have you had any of these of types of sex that we haven't already asked about? (Check all that apply.) | None of these (0) BDSM (1) Chemsex / Party and Play (PNP) (2) Electrical stimulation (e-stim) (3) Erotic asphyxiation (i.e., restricting breathing) (4) Fisting (e.g., hand/fist inserted into a person) (5) Latex/rubber play (6) Phone/video sex (7) Rubbing through clothing (8) Rubbing with clothing off (9) Sex toys (e.g., dildos, butt plugs) (10) Sounding (i.e., inserting something into urethra/pee hole) (11) Urine play (e.g., golden showers, watersports) (12) Voyeurism (13) Another type(s) of sex (please specify) (14) Another type(s) of sex (please specify) (TEXT) |
2020AQ | | | Please tell us about other kinds of sex that you have. | Text Entry (-) |
2020AQ | | | Sexual Health and Infections | No Answers |
2020AQ | | ORGANS_BORN | In the PAST 12 MONTHS, have you been treated for an infection in your fallopian tubes, uterus or ovaries, also called a pelvic infection, pelvic inflammatory disease, or PID? | Yes (1) No (0) I dont know (88) |
2020AQ | | | In the PAST 12 MONTHS, has a doctor or other health care professional told you that you had any of the following? (Check all that apply.) | Chlamydia (1) Genital herpes (2) Genital warts (3) Gonorrhea, sometimes called GC or the clap (4) Human papillomavirus or HPV (5) Syphilis (6) None of these (0) |
2020AQ | | | Regardless of your current HIV status, in the LAST 12 MONTHS, have you taken anti-HIV medications (post-exposure prophylaxis or “PEP”) after potentially being exposed to HIV? | Yes (1) No (0) |
2020AQ | | MEDHX2 | Have you been tested for HIV in the PAST 12 MONTHS? | Yes (1) No (0) I dont know (88) |
2020AQ | | MEDHX2 | What is your HIV status? | Positive (I have HIV.) (1) Negative (I do not have HIV.) (0) I dont know (I dont know whether or not I have HIV.) (88) |
2020AQ | | HIVSTATUS | Do you have a doctor or other health care provider who manages your HIV care? This person may be the same as your primary care provider or it may be another provider, such as a HIV specialist. | Yes (1) No (0) I dont know (88) |
2020AQ | | HIVDOC | How frequently do you see this health care provider? | Monthly (0) Every 1-3 months (1) Every 4-6 months (2) Every 7-12 months (3) Less than every 12 months (4) |
2020AQ | | MEDHX2 | How frequently do you have HIV blood work (lab tests) done? | Monthly (1) Every 1-3 months (2) Every 4-6 months (3) Every 7-12 months (4) Less than every 12 months (5) I dont know (88) I have never had these lab tests done (0) |
2020AQ | | HIVSTATUS | Are you on HIV medications, sometimes call anti-retrovirals (ARVs) or anti-retroviral therapy (ART)? | Yes (1) No (0) I dont know (88) |
2020AQ | | HIVSTATUS | When was the last time that you had your HIV viral load checked? A viral load test is a lab test that measures the number of HIV virus particles in a milliliter of your blood. These particles are called “copies.” | Within the last month (1) 1-3 months ago (2) 4-6 months ago (3) 7-12 months ago (4) More than 1 year ago (5) I dont know (88) I have never had my HIV viral load checked (0) |
2020AQ | | HIVSTATUS | Is your HIV viral load “suppressed” or “undetectable”? This means that the number of copies of the HIV virus in your blood is at a very low level or not detectable by modern medical tests. This does not mean that your HIV is cured. | Yes (1) No (0) I dont know (88) |
2020AQ | | MEDHX2 HIVSTATUS | PrEP (pre-exposure prophylaxis) is when HIV-negative people take anti-HIV medications (like Truvada or Descovy) on a regular basis to prevent HIV infection. Are you USING PrEP to prevent HIV infection? | Yes (1) No (0) |
2020AQ | | PREP_NOW | Which PrEP regimen do you currently use? | I take PrEP daily. (1) I take PrEP on demand. This is two pills 24 hours before sex, one pill 24 hours later, and another one pill 24 hours after that. (2) I take PrEP a different way (please specify) (4) I take PrEP a different way (please specify) (TEXT) I do not use a specific PrEP regimen. (3) |
2020AQ | | PREP_REGIMEN | In the PAST 7 DAYS, how many days did you take your daily PrEP pill? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2020AQ | | PREP_NOW | Are you using PrEP as part of a clinical or research study? | Yes (1) No (0) |
2020AQ | | PREP_NOW | In the PAST 12 MONTHS, were you previously on pre-exposure prophylaxis (PrEP) for HIV, but had to stop taking it? | Yes (1) No (0) |
2020AQ | | PREP_STOP_YR | Why are you no longer on PrEP? (Check all that apply.) | My risk of getting HIV is now less because I am in a relationship and/or having less risky sexual activity. (1) PrEP is too expensive. (2) My insurance coverage has changed or I have lost insurance coverage. (3) I forgot to take it most of the time so I decided to stop. (4) It is too much of a hassle to get labs every 3 months. (5) I was having side effects so I decided to stop. (6) My doctor or health care provider said that I needed to stop the medication because of my lab results. (7) I feel discriminated against or stigmatized because I am on PrEP. (8) I acquired HIV. (9) Something else (10) Something else (TEXT) |
2020AQ | | HIVSTATUS | If you are interested in learning more about PrEP, we encourage you to check out the following resources and talk with your medical provider. For information about PrEP from the Centers for Disease Control and Prevention, please visit: cdc.gov/hiv/risk/prep/ To find a PrEP provider near you, please visit: pleaseprepme.org For information on programs to help pay for PrEP, please visit: gilead.com/responsibility/us-patient-access | No Answers |
2020AQ | | HIVSTATUS | Although PrEP is for individuals who are HIV negative, we want to share more information about PrEP with individuals who are living with HIV in case they wish to pass this along to other individuals close to them. PrEP (pre-exposure prophylaxis) is when HIV-negative people take anti-HIV medications (like Truvada or Descovy) on a regular basis to prevent HIV infection For information about PrEP from the Centers for Disease Control and Prevention, please visit: cdc.gov/hiv/risk/prep/ To find a PrEP provider near you, please visit: pleaseprepme.org For information on programs to help pay for PrEP, please visit: gilead.com/responsibility/us-patient-access | No Answers |
2020AQ | | | Have you donated blood in the PAST 12 MONTHS? | Yes (1) No (0) |
2020AQ | | | In the PAST 12 MONTHS, have you used “binding”? (Binding refers to flattening your chest using materials such as bandages, cloth strips, layering of shirts, etc.) | Yes (1) No (0) |
2020AQ | | BINDING | Please indicate below which of the following health problems you have had in the PAST 12 MONTHS, and you believe that they were caused by binding. (Check all that apply.) | Pain (abdominal, back, chest, breast, shoulder) (1) Headache (2) Breast tenderness (3) Bad Posture (4) Rib or spine changes (5) Bone or joint issues (popping joints, rib fractures) (6) Fatigue and Weakness (7) Feeling lightheaded or dizzy (8) Numbness (9) Chest/Breast changes (muscle wasting, scarring, swelling) (10) Digestive issues or heartburn (11) Respiratory Issues (cough, shortness of breath, respiratory infections, collapsed lung/pneumothorax) (12) Skin Changes (itch, rash, acne, infections) (13) Another health problem not listed here (please describe) (14) Another health problem not listed here (please describe) (TEXT) None or no health problems from binding (0) |
2020AQ | | | In the PAST 12 MONTHS, have you used “packing”? (Packing refers to placing an object in one's underwear to resemble the appearance of a penis/phallus.) | Yes (1) No (0) |
2020AQ | | PACKING | Please indicate below which of the following health problems you have had in the PAST 12 MONTHS, and you believe that they were caused by packing. (Check all that apply.) | Skin rashes (1) Skin infections (2) Other skin changes (thickening, color changes, pubic hair changes, scars, etc.) (3) Urinary tract or bladder infections (4) Pain/numbness in the groin area (5) Another health problem not listed here (please describe) (6) Another health problem not listed here (please describe) (TEXT) None or no health problems from packing (0) |
2020AQ | | | In the PAST 12 MONTHS, have you used “stuffing”? (Stuffing refers to changing the appearance of your chest/breasts using materials such as push-up bras, gel pads, cloth strips, cotton gauze, tape, etc.) | Yes (1) No (0) |
2020AQ | | | In the PAST 12 MONTHS, have you used “tucking”? (Tucking refers to concealing one's genitals by placing them between and behind one's legs, and/or by pushing them inside your groin/abdomen.) | Yes (1) No (0) |
2020AQ | | TUCKING | Please indicate below which of the following health problems you have had in the PAST 12 MONTHS, and you believe that they were caused by tucking. (Check all that apply.) | Skin rashes (1) Skin infections (2) Other skin changes (thickening, color changes, pubic hair changes, scars, etc.) (3) Itching (4) Urinary tract or bladder infection(s) (5) Problems ejaculating (6) Problems urinating (7) Pain in penis (8) Pain in testicles (9) Numbness in the penis or testicles (10) Another health problem not listed here (please describe) (11) Another health problem not listed here (please describe) (TEXT) None or no health problems from tucking (0) |
2020AQ | | | In the PAST 12 MONTHS, have you injected a substance (fillers) to fill out your face or make your figure more curvy (for example, silicone)? | Yes (1) No (0) |
2020AQ | | SILICONE | Please indicate below which of the following health problems you have had in the PAST 12 MONTHS, and you believe that they were caused by the injections. (Check all that apply.) | Skin rashes (1) Skin infections (2) Other skin changes (thickening, color changes, scars, swelling etc.) (3) Whole body infections (e.g., blood bacterial infection, HIV, Hepatitis C) (4) Breathing problems (5) Pain in the areas of injection (6) Another health problem not listed here (please describe) (7) Another health problem not listed here (please describe) (TEXT) None or no health problems from silicone/other substance injections (0) |
2020AQ | | SILICONE | Where did you get your injections? (Check all that apply.) | Injections from a licensed medical provider (1) Injections during a group session (e.g., pumping party) (2) Individual injections from someone who is not a medical provider (3) Another place (please describe) (4) Another place (please describe) (TEXT) |
2020AQ | | | In the PAST 12 MONTHS, have you used “stand-to-pee” or STP device to stand up to pee? | Yes (1) No (0) |
2020AQ | | STP | Please indicate below which of the following health problems you have had in the PAST 12 MONTHS, and you believe that they were caused by using a “stand-to-pee” (STP) device. (Check all that apply.) | Skin rashes (1) Skin infections (2) Other skin changes (thickening, color changes, pubic hair changes, scars, etc.) (3) Urinary tract or bladder infections (4) Pain/numbness in the groin area (5) Another health problem not listed here (please describe) (6) Another health problem not listed here (please describe) (TEXT) None or no health problems from using an STP device (0) |
2020AQ | | | Medical Marijuana | No Answers |
2020AQ | | | Do you currently use medical cannabis/marijuana to manage any physical or mental health conditions? | Yes, it is legal in my state and/or I have a health care providers recommendation to do so (2) Yes, but it is not legal in my state and/or I do not have a health care providers recommendation to do so (1) No (0) |
2020AQ | | | You have completed the Physical Health Block! This is one of 4 blocks! WOOHOO - another one done! Each block you complete helps us understand LGBTQ people's unique lives and health experiences as we work towards helping LGBTQ people thrive. Thank you for bringing us closer to health equity for LGBTQ people. | No Answers |
2020AQ | | | More About Me | No Answers |
2020AQ | | | If a national survey company, like Gallup, asked you the following question: "We are asking only for statistical purposes: Do you personally identify as lesbian, gay, bisexual, or transgender?" How would you answer? | I would answer Yes. (1) I would answer No. (0) I would not answer the question. (2) |
2020AQ | | | How would you describe your political views? | Very conservative (1) Conservative (2) Moderate (3) Liberal (4) Very liberal (5) |
2020AQ | | | In politics, as of today, do you consider yourself a Democrat, an Independent, a Republican, or another party? | Democrat (1) Independent (2) Republican (3) Another party (please specify) (4) Another party (please specify) (TEXT) I do not identify with any political party. (5) |
2020AQ | | POLPARTY | As of today, do you lean more toward the Democratic Party or the Republican Party? | Democratic Party (1) Republican Party (2) Neither/Other (3) |
2020AQ | | | Did you vote in the 2018 election year? | Yes (1) No (2) I do not remember (3) I am not eligible to vote (4) |
2020AQ | | | Did you intend to vote, or have you already voted, in the 2020 election year? | Yes (1) No (2) I do not remember if I voted (3) I have not yet decided (4) I am not eligible to vote (5) |
2020AQ | | | On average, which best describes the amount of time you spend on dating sites/apps? | Zero. I do not visit or use dating sites/apps. (0) Less than 1 hour a week (1) 1-6 hours per week (2) 1 hour per day (3) 2 hours per day (4) 3 or more hours per day (5) |
2020AQ | | APPTIME | How often do you meet up with someone from a dating site/app? | Never (0) Almost never (1) About once per month (2) A couple of times per month (3) About once per week (4) Several times per week (5) Daily (6) |
2020AQ | | | Military Service | No Answers |
2020AQ | | | In the PAST 12 MONTHS, have you served at any time in the U.S. Armed Forces, Reserves, or National Guard? As a reminder, your answers are confidential and cannot be used against you. To protect your privacy, we have obtained a Certificate of Confidentiality from the National Institutes of Health. We can use this Certificate to legally refuse to disclose information that may identify you in any federal, state, or local civil, criminal, administrative, legislative, or other proceedings (for example, if there is a court subpoena). | Now on active duty (1) Only on active duty for training in the Reserves or National Guard (2) On active duty in the past but not now (3) Never served in the military (0) |
2020AQ | | MIL_YR | In the PAST 12 MONTHS, did you join or leave the military? | Yes, I joined the military in the PAST 12 MONTHS. (1) Yes, I left the military in the PAST 12 MONTHS. (2) No, I left the military before the PAST 12 MONTHS. (3) No, I am currently still serving in the military. (0) |
2020AQ | | | What is your current or most recent branch of service? | Air Force (1) Air Force Reserve (2) Air National Guard (3) Army (4) Army Reserve (5) Army National Guard (6) Coast Guard (7) Coast Guard Reserve (8) Marine Corps (9) Marine Corps Reserve (10) Navy (11) Navy Reserve (12) |
2020AQ | | MIL_NOW | What was your character of discharge? | Entry level separation (1) Honorable (2) General (3) Medical (4) Other-than-honorable (5) Bad conduct (6) Dishonorable (7) None of these (please specify) (8) None of these (please specify) (TEXT) |
2020AQ | | MIL_NOW | When did you begin your military service? (If you can't recall precisely, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | MIL_NOW | When did you separate from military service? (If you can't recall precisely, please estimate.) | January (1) January 2019 (2) January 2020 (3) January 2021 (4) January I dont know/remember (5) February (6) February 2019 (7) February 2020 (8) February 2021 (9) February I dont know/remember (10) March (11) March 2019 (12) March 2020 (13) March 2021 (14) March I dont know/remember (15) April (16) April 2019 (17) April 2020 (18) April 2021 (19) April I dont know/remember (20) May (21) May 2019 (22) May 2020 (23) May 2021 (24) May I dont know/remember (25) June (26) June 2019 (27) June 2020 (28) June 2021 (29) June I dont know/remember (30) July (31) July 2019 (32) July 2020 (33) July 2021 (34) July I dont know/remember (35) August (36) August 2019 (37) August 2020 (38) August 2021 (39) August I dont know/remember (40) September (41) September 2019 (42) September 2020 (43) September 2021 (44) September I dont know/remember (45) October (46) October 2019 (47) October 2020 (48) October 2021 (49) October I dont know/remember (50) November (51) November 2019 (52) November 2020 (53) November 2021 (54) November I dont know/remember (55) December (56) December 2019 (57) December 2020 (58) December 2021 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2019 (62) I dont know/remember 2020 (63) I dont know/remember 2021 (64) I dont know/remember I dont know/remember (65) |
2020AQ | | | In the PAST 12 MONTHS, did you get any type of health care through the Department of Veterans Affairs (VA)? | Yes (1) No (0) |
2020AQ | | | Is there anything else you would like to share with us about your health or well-being? | Text Entry (-) |
2020AQ | | ILLNESS | You indicated you have had a respiratory illness since January 1, 2020. The PRIDE Study is tracking respiratory illnesses among LGBTQ people. Please take the time to complete the Recent Respiratory Illness Survey if it is on your dashboard after you complete this Annual Questionnaire. | No Answers |
2020AQ | | | YOU ARE ALMOST DONE WITH THIS SURVEY - PLEASE READ BELOW AND THEN CLICK NEXT This is required in order for the system to mark your survey as "Complete." Thank you for completing the 2020 Annual Questionnaire and for advancing scientific knowledge about the health of LGBTQ people! If you have questions or concerns about this survey, please send an email to support@pridestudy.org or call The PRIDE Study hotline at (855)-421-9991 In addition to our commitment to communicating findings from the study back to our community in the future, we also want to connect our participants with some resources that may be helpful to them now. Please find below a list of websites, organizations, and hotlines that may be helpful in promoting LGBTQ people's health, safety, and wellbeing. - Find an LGBTQ center near you with Centerlink, The Community of LGBT Centers: lgbtcenters.org - Find free HIV testing in your area through the Centers for Disease Control's GetTested program: https://gettested.cdc.gov/ - Find an LGBTQ -friendly doctor through GLMA: Health Professionals Advancing LGBT Equality: https://glmaimpak.networkats.com/members_online_new/members/dir_provider.asp - Talk with someone 24/7 if you are in crisis or thinking of suicide: National Suicide Prevention Lifeline: 1-800-273-8255 - Talk with someone 24/7 if you need support related to being a survivor of sexual assault: National Sexual Assault Hotline: 1-800-656-4673 Thank you again for completing the 2020 Annual Questionnaire. We deeply appreciate for your time, your interest in The PRIDE Study, and your investment in research that will help our communities understand how the experience of being LGBTQ is related to all aspects of health and life. TO LOG YOUR SURVEY AS COMPLETE, PLEASE ADVANCE TO THE NEXT SCREEN and then select "Back to Dashboard | No Answers |
2021AQ | | | Which categories describe you? (Check all that apply.) | American Indian or Alaska Native (For example: Aztec, Blackfeet Tribe, Mayan, Navajo Nation, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, etc.) (1) Asian (For example: Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, etc.) (2) Black, African American or African (For example: African American, Ethiopian, Haitian, Jamaican, Nigerian, Somali, etc.) (3) Hispanic, Latino or Spanish (For example: Colombian, Cuban, Dominican, Mexican or Mexican American, Puerto Rican, Salvadoran, etc.) (4) Middle Eastern or North African (For example: Algerian, Egyptian, Iranian, Lebanese, Moroccan, Syrian, etc.) (5) Native Hawaiian or other Pacific Islander (For example: Chamorro, Fijian, Marshallese, Native Hawaiian, Tongan, etc.) (6) White (For example: English, European, French, German, Irish, Italian, Polish, etc.) (7) None of these fully describe me. (please specify) (8) None of these fully describe me. (please specify) (TEXT) |
2021AQ | | RACE_ETHN | Which additional categories describe you? (Check all that apply.) | American Indian (1) Alaska Native (2) Central or South American Indian (3) None of these fully describe me (please tell us about additional categories that describe you) (4) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2021AQ | | RACE_ETHN | Please provide the name of the tribe(s) in which you are enrolled or affiliated or your tribal descent. (For example, Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, etc.) Please list tribes separated by commas.For example, one answer may be: "Navajo Nation, Pomo" | Text Entry (-) |
2021AQ | | RACE_ETHN | Which additional categories describe you? (Check all that apply.) | Asian Indian (1) Cambodian (2) Chinese (3) Filipino (4) Hmong (5) Japanese (6) Korean (7) Pakistani (8) Vietnamese (9) None of these fully describe me (please tell us about additional categories that describe you) (10) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2021AQ | | RACE_ETHN | Which additional categories describe you? (Check all that apply.) | African American (1) Barbadian (2) Caribbean (3) Ethiopian (4) Ghanaian (5) Haitian (6) Jamaican (7) Liberian (8) Nigerian (9) Somali (10) South African (11) None of these fully describe me (please tell us about additional categories that describe you) (12) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2021AQ | | RACE_ETHN | Which additional categories describe you? (Check all that apply.) | Colombian (1) Cuban (2) Dominican (3) Ecuadorian (4) Honduran (5) Mexican or Mexican American (6) Puerto Rican (7) Salvadoran (8) Spanish (9) None of these fully describe me (please tell us about additional categories that describe you) (10) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2021AQ | | RACE_ETHN | Which additional categories describe you? (Check all that apply.) | Afghan (1) Algerian (2) Egyptian (3) Iranian (4) Iraqi (5) Israeli (6) Lebanese (7) Moroccan (8) Syrian (9) Tunisian (10) None of these fully describe me (please tell us about additional categories that describe you) (11) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2021AQ | | RACE_ETHN | Which additional categories describe you? (Check all that apply?) | Chamorro (1) Chuukese (2) Fijian (3) Marshallese (4) Native Hawaiian (5) Palauan (6) Samoan (7) Tahitian (8) Tongan (9) None of these fully describe me (please tell us about additional categories that describe you) (10) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2021AQ | | RACE_ETHN | Which additional categories describe you? (Check all that apply?) | English (1) European (2) French (3) German (4) Irish (5) Italian (6) Polish (7) None of these fully describe me (please tell us about additional categories that describe you) (8) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2021AQ | | RACE_ETHN | You selected the category Hispanic, Latino, or Spanish. With which of the following terms related to Hispanic, Latino, or Spanish ethnicity do you identify? (Check all that apply.) | Chicana (1) Chicano (2) Hispanic (3) Hispano (4) Latina (5) Latine (6) Latino (7) Latinx (8) Spanish (9) Another term not listed (please specify) (10) Another term not listed (please specify) (TEXT) |
2021AQ | | RACE_ETHN | Which term do you think best describes you related to your Hispanic, Latino, or Spanish ethnicity? (Please select only one.) | Chicana (1) Chicano (2) Hispanic (3) Hispano (4) Latina (5) Latine (6) Latino (7) Latinx (8) Spanish (9) Another term not listed (please specify) (10) Another term not listed (please specify) (TEXT) |
2021AQ | | HL_WHICH_ME | You said ${q://QID2553/ChoiceGroup/SelectedChoices} describes you best. If you wish, please tell us more about why you identify most with ${q://QID2553/ChoiceGroup/SelectedChoices} and not the other terms listed. | Text Entry (-) |
2021AQ | | HL_WHICH_ME | You said ${q://QID2553/ChoiceGroup/SelectedChoicesTextEntry} describes you best. If you wish, please tell us more about why you identify most with ${q://QID2553/ChoiceGroup/SelectedChoicesTextEntry} and not the other terms listed. | Text Entry (-) |
2021AQ | | | What is your current gender identity? (Check all that apply.) | Agender (1) Cisgender man (2) Cisgender woman (3) Genderqueer (4) Man (5) Non-binary (6) Questioning (7) Transgender man (8) Transgender woman (9) Two-spirit (10) Woman (11) Another gender identity (please specify) (12) Another gender identity (please specify) (TEXT) |
2021AQ | | | What was the sex assigned to you at birth, for example on your original birth certificate? | Female (2) Male (1) |
2021AQ | | | Do you identify as intersex? | Yes (1) No (0) |
2021AQ | | INTERSEX | What does being intersex mean to you? | Text Entry (-) |
2021AQ | | | What is your current sexual orientation? (Check all that apply.) | Asexual (1) Bisexual (2) Gay (3) Lesbian (4) Pansexual (5) Queer (6) Questioning (7) Same-gender loving (8) Straight/Heterosexual (9) Two-spirit (10) Another sexual orientation (please specify) (11) Another sexual orientation (please specify) (TEXT) |
2021AQ | | | To understand your health and customize this survey for you, we need to know what organs you were born with. People have a wide range of language or terms for their physical anatomy (not all of which are listed here). Which of the following organs were you born with? (Check all that apply.) | Cervix (you likely have/had this if you were assigned female sex at birth) (1) Ovaries (2) Penis/Phallus (not including a prosthetic) (3) Prostate (you likely have/had this if you were assigned male sex at birth) (4) Testicles (5) Uterus/Womb (6) Vagina/Frontal genital opening (7) |
2021AQ | | | Have you EVER had breasts or breast tissue? | Yes (1) No (0) I dont know (88) |
2021AQ | | | Which of the following organs do you have now? (Check all that apply.) | Breasts or breast tissue (1) Cervix (you likely have this if you have a uterus or womb) (2) Ovaries (3) Penis/Phallus (not including a prosthetic) (4) Prostate (you likely have this if you were assigned male sex at birth) (5) Testicles (6) Uterus/Womb (7) Vagina/Frontal genital opening (8) |
2021AQ | | ORGANS_NOW | You have indicated that you currently have a vagina/frontal genital opening. In order to customize the rest of this questionnaire, please select the term you would like us to use to describe your vagina/frontal genital opening. | Please use the term vagina. (1) Please use the term frontal genital opening. (2) |
2021AQ | | | What is your current height in feet and inches? If you don't know, please give your best estimate. | Text Entry (-) |
2021AQ | | | What is your current weight in pounds (lbs)? If you don't know, please give your best estimate. | Text Entry (-) |
2021AQ | | | What is your ZIP code? (This is the 5-digit code that helps direct U.S. Mail to you.) | Text Entry (-) |
2021AQ | | | I would like to complete a survey designed for: | Gender minority people (for example: genderqueer, non-binary, questioning ones gender identity, transgender, etc.) (1) Sexual minority people (for example: asexual, bisexual, gay, lesbian, queer, questioning ones sexual orientation, etc.) (2) People who identify as both a sexual AND gender minority (3) |
2021AQ | | | If you had to choose only one of the following terms, which best describes your current gender identity?("Cisgender" here means identifying with the sex assigned to you at birth. For example, a cisgender woman identifies as a woman and was assigned female sex at birth.) | Cisgender man (1) Cisgender woman (2) Non-binary (3) Transgender man (4) Transgender woman (5) Another gender identity (6) |
2021AQ | | | If you had to choose only one of the following terms, which best describes your current sexual orientation? | Asexual/Demisexual/Gray-Ace (1) Bisexual/Pansexual (2) Gay/Lesbian (3) Queer (4) Straight/Heterosexual (5) Another sexual orientation (6) |
2021AQ | | | We would like to know more about your current romantic feelings toward other people. Please select all of the people you have romantic feelings for: (Check all that apply.) | Cisgender men (identify as men and were assigned male sex at birth) (1) Cisgender women (identify as women and were assigned female sex at birth) (3) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned female sex at birth (5) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned male sex at birth (6) Transgender men (identify as men and were assigned female sex at birth) (2) Transgender women (identify as women and were assigned male sex at birth) (4) I am romantically attracted to people of another gender(s) (please specify) (7) I am romantically attracted to people of another gender(s) (please specify) (TEXT) I am not romantically attracted to people of any gender (0) I dont know (88) |
2021AQ | | | We would like to know more about your current sexual attractions to other people. Please select all of the people you are attracted to: (Check all that apply.) | Cisgender men (identify as men and were assigned male sex at birth) (1) Cisgender women (identify as women and were assigned female sex at birth) (3) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned female sex at birth (5) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned male sex at birth (6) Transgender men (identify as men and were assigned female sex at birth) (2) Transgender women (identify as women and were assigned male sex at birth) (4) I am sexually attracted to people of another gender(s) (please specify) (7) I am sexually attracted to people of another gender(s) (please specify) (TEXT) I am not sexually attracted to people of any gender (0) I dont know (88) |
2021AQ | | | People are often referred to by pronouns instead of their names, such as they/theirs, she/hers, he/his, ze/hirs. Which pronouns do you want people to use to refer to you? (Check all that apply.) | He, him, his (1) She, her, hers (2) They, them, theirs (3) Ze, hir, hirs (4) No pronouns. I want people to only use my name. (5) Any pronouns are fine. I dont have a preference. (6) Pronouns not listed above (please specify) (7) Pronouns not listed above (please specify) (TEXT) |
2021AQ | | | What percentage of time do people use the pronouns you selected above (considering all situations)? | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2021AQ | | | People often have a chosen name that is different than the name they were given at birth. Do you have a name like that? | Yes (1) No (0) |
2021AQ | | CHONAME | What percentage of time do people use your chosen name? | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2021AQ | | | Have you EVER changed how your name is listed on any IDs or records that list your name, such as your birth certificate, driver's license, insurance cards, passport, tribal ID, etc.? | Yes (1) No (0) |
2021AQ | | NAME_CHG_EV20 | Did you make any of these changes in the PAST 12 MONTHS? | Yes (1) No (0) |
2021AQ | | CHONAME | Think about how your name is listed on all of your IDs and records that list your name, such as your birth certificate, driver's license, passport, tribal ID, etc. Which of the statements below is most true? Note: For the purposes of this question, your chosen name is the name that is most affirming to you. | All of my IDs and records list my chosen name. (2) Some of my IDs and records list my chosen name. (1) None of my IDs and records list my chosen name. (0) |
2021AQ | | NAME_CORRECT | Please select which IDs and records show your chosen name. (Check all that apply.) Note: For the purposes of this question, your chosen name is the name that is most affirming to you. | Birth certificate (1) Drivers license (2) Health insurance card (3) Passport (4) School/work identification card (6) State identification card (7) Tribal identification card (8) Another record/card/document (9) Another record/card/document (TEXT) |
2021AQ | | | Have you EVER changed how your gender is listed on any IDs or records that list your gender, such as your birth certificate, driver's license, insurance cards, passport, tribal ID, etc.? | Yes (1) No (0) |
2021AQ | | MARKER_CHG_EV20 | Did you make any of these changes in the PAST 12 MONTHS? | Yes (1) No (0) |
2021AQ | | | Think about how your gender is listed on all of your IDs and records that list your gender, such as your birth certificate, driver's license, passport, tribal ID, etc. Which of the statements below is most true? Note: For the purposes of this question, your accurate gender is the gender that is most affirming to you. | All of my IDs and records list my accurate gender. (2) Some of my IDs and records list my accurate gender. (1) None of my IDs and records list my accurate gender. (0) |
2021AQ | | MARKER_ACCURATE | Please select which IDs and records show your accurate gender. (Check all that apply.) Note: For the purposes of this question, your accurate gender is the gender that is most affirming to you. | Birth certificate (1) Drivers license (2) Health insurance card (3) Passport (4) School/work identification card (6) State identification card (7) Tribal identification card (8) Another record/card/document (9) Another record/card/document (TEXT) |
2021AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Depression (1) Bipolar Disorder (2) Any anxiety disorder (3) Generalized Anxiety Disorder (4) Post-Traumatic Stress Disorder (PTSD) (5) None of the above (0) |
2021AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Agoraphobia or Panic Disorder (1) Social Phobia or Social Anxiety Disorder (2) Schizophrenia or a psychotic disorder or that you had a psychotic episode or psychotic break (3) Obsessive Compulsive Disorder (OCD) (4) Chronic Tic Disorder or Tourette Syndrome (5) None of the above (0) |
2021AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Trichotillomania (hair pulling disorder) (1) Chronic skin picking or Excoriation Disorder (2) Body Dysmorphic Disorder (BDD) (3) Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD) (4) Any personality disorder (such as Borderline Personality Disorder or Narcissistic Personality Disorder) (5) None of the above (0) |
2021AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Alcoholism or Alcohol Use Disorder (1) Drug or Substance Use Disorder (2) Any eating disorder (such as anorexia or bulimia) (3) Insomnia or another sleep disorder (4) Hypochondriasis or Illness Anxiety Disorder (5) Dissociative Identity Disorder or another dissociative disorder (6) None of the above (0) |
2021AQ | | | Were any of these conditions diagnosed within the PAST 12 MONTHS? (Check all that apply.) | None of these were diagnosed in the past 12 months. (0) Depression (1) Bipolar Disorder (2) Any anxiety disorder (3) Generalized Anxiety Disorder (4) Post-Traumatic Stress Disorder (PTSD) (5) Agoraphobia or Panic Disorder (6) Social Phobia or Social Anxiety Disorder (7) Schizophrenia or a psychotic disorder or that you had a psychotic episode or psychotic break (8) Obsessive Compulsive Disorder (OCD) (9) Chronic Tic Disorder or Tourette Syndrome (10) Trichotillomania (hair pulling disorder) (11) Chronic skin picking or Excoriation Disorder (12) Body Dysmorphic Disorder (BDD) (13) Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD) (14) Any personality disorder (such as Borderline Personality Disorder or Narcissistic Personality Disorder) (15) Alcoholism or Alcohol Use Disorder (16) Drug or Substance Use Disorder (17) Any eating disorder (such as anorexia or bulimia) (18) Insomnia or another sleep disorder (19) Hypochondriasis or Illness Anxiety Disorder (20) Dissociative Identity Disorder or another dissociative disorder (21) |
2021AQ | | | Problems You May Have Had | No Answers |
2021AQ | | | In the PAST 12 MONTHS, do you think that you had depression? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2021AQ | | | In the PAST 12 MONTHS, do you think that you had a problem with anxiety? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2021AQ | | | In the PAST 12 MONTHS, do you think that you had a problem with alcohol use? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2021AQ | | | In the PAST 12 MONTHS, do you think that you had a problem with drug or substance use (other than alcohol)? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2021AQ | | | In the PAST 12 MONTHS, do you think that you had an eating disorder or a problem with eating? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2021AQ | | | In the PAST 12 MONTHS, have you purposefully physically harmed or injured yourself (for example, cutting or burning yourself)? | Yes (1) No (0) |
2021AQ | | | Which of the following best describes your use of medications for stress or mental health problems in the PAST 12 MONTHS? | I have not taken medication for these reasons in the past 12 months (0) I took medication for at least one of these reasons in the past 12 months, but not now (1) I currently take medication for at least one of these reasons (2) |
2021AQ | | MED_MENTAL | Which of the following best describes your use of medications for stress or mental health problems in the PAST 12 MONTHS? | All of the medications I took for stress or mental health problems were prescribed to me (0) Some of the medications I took for stress or mental health problems were prescribed to me (1) None of the medications I took for stress or mental health problems were prescribed to me (2) |
2021AQ | | PROB_SUBST | Which of the following best describes your use of medications for substance use problems in the PAST 12 MONTHS? | I have not taken medication for this reason in the past 12 months (0) I took medication for this reason in the past 12 months, but not now (1) I currently take medication for this reason (2) |
2021AQ | | | Which of the following best describes your use of psychotherapy/counseling for stress or mental health problems in the PAST 12 MONTHS? | I have not been in psychotherapy/counseling for these reasons in the past 12 months (0) I was in psychotherapy/counseling for at least one of these reasons in the past 12 months, but not now (1) I am currently in psychotherapy/counseling for at least one of these reasons (2) |
2021AQ | | PROB_SUBST | Which of the following best describes your use of psychotherapy/counseling for substance use problems in the PAST 12 MONTHS? | I have not been in psychotherapy/counseling for this reason in the past 12 months (0) I was in psychotherapy/counseling for this reason in the past 12 months, but not now (1) I am currently in psychotherapy/counseling for this reason (2) |
2021AQ | | | Have you EVER tried cigarette smoking, even one or two puffs? | Yes (1) No (0) |
2021AQ | | SMOKE_EVER | Have you smoked at least 100 cigarettes in YOUR ENTIRE LIFE? | Yes (1) No (0) |
2021AQ | | SMOKER | Do you now smoke cigarettes every day, some days, or not at all? | Every day (2) Some days (1) Not at all (0) |
2021AQ | | SMOKE_EVER | When was the last time you smoked a cigarette, even one or two puffs? | Within the past 24 hours (8) Within the past 7 days (7) Within the past 30 days (6) Within the past 3 months (5) Within the past 6 months (4) Within the past 1 year (3) Within the past 5 years (2) Within the past 15 years (1) More than 15 years ago (0) |
2021AQ | | SMOKE_NOW | On average, about how many cigarettes a day do you now smoke? | Text Entry (-) |
2021AQ | | | In the PAST MONTH, have you used any tobacco or nicotine products other than cigarettes? (Check all that apply.) | Blunt (with another substance) (1) Blunt (without any other substance) (2) Bidi (3) Chewing tobacco (chew) (4) Other cigars with tobacco inside (e.g., cigarillos, little cigars, bidis) (5) Other cigars with another substance (e.g., cigarillos, little cigars, bidis) (6) Dip (7) E-cigarette or vape device with nicotine (8) E-cigarette or vape device without nicotine (9) Nicotine replacement products (e.g., patch, gum, lozenge) (10) Snuff (11) Snus (12) Other tobacco or nicotine containing product (please specify) (13) Other tobacco or nicotine containing product (please specify) (TEXT) I have not used any tobacco product other than cigarettes in the past month (14) I have not used any tobacco- or nicotine-containing products in the past month (0) |
2021AQ | | | How long has it been since you last had 5 or more drinks containing alcohol on one occasion? | Within the past 30 days (3) More than 30 days ago but within the past 12 months (2) More than 12 months ago (1) Never had 5 or more drinks on one occasion (0) |
2021AQ | | ALC5 | In the PAST 30 DAYS, on how many days have you had 5 or more drinks containing alcohol on one occasion? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2021AQ | | | On average, how many days a week do you have an alcoholic beverage? | Text Entry (-) |
2021AQ | | | On a typical drinking day, how many drinks do you have? | Text Entry (-) |
2021AQ | | | How often did you have a drink containing alcohol in the PAST YEAR? | Never (0) Monthly or less (1) 2-4 times a month (2) 2-3 times a week (3) 4 or more times a week (4) |
2021AQ | | AUDIT1 | How many drinks containing alcohol did you have on a typical day when you were drinking in the PAST YEAR? | 1 or 2 (0) 3 or 4 (1) 5 or 6 (2) 7 to 9 (3) 10 or more (4) |
2021AQ | | AUDIT1 | How often do you have six or more drinks on one occasion? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2021AQ | | AUDIT1 | How often during the LAST YEAR have you found that you were not able to stop drinking once you had started? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2021AQ | | AUDIT1 | How often during the LAST YEAR have you failed to do what was normally expected from you because of drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2021AQ | | AUDIT1 | How often during the LAST YEAR have you needed a first drink in the morning to get yourself going after a heavy drinking session? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2021AQ | | AUDIT1 | How often during the LAST YEAR have you had a feeling of guilt or remorse after drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2021AQ | | AUDIT1 | How often during the LAST YEAR have you been unable to remember what happened the night before because you had been drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2021AQ | | | Have you or someone else been injured as a result of your drinking? | No (0) Yes, but not in the last year (2) Yes, during the last year (4) |
2021AQ | | | Has a relative or friend or a doctor or another health worker been concerned about your drinking or suggested you cut down? | No (0) Yes, but not in the last year (2) Yes, during the last year (4) |
2021AQ | | | Have you thought about or attempted to kill yourself? | Never (0) It was just a brief passing thought. (1) I have had a plan at least once to kill myself but did not try to do it. (2) I have had a plan at least once to kill myself and really wanted to die. (3) I have attempted to kill myself, but did not want to die. (4) I have attempted to kill myself, and really hoped to die. (5) |
2021AQ | | SBQ1 | How often have you thought about killing yourself? | Never (0) Rarely (1 time) (1) Sometimes (2 times) (2) Often (3-4 times) (3) Very often (5 or more times) (4) |
2021AQ | | | Have you told someone that you were going to commit suicide, or that you might do it? | No. (0) Yes, at one time, but did not really want to die. (1) Yes, at one time, and really wanted to die. (2) Yes, more than once, but did not want to do it. (3) Yes, more than once, and really wanted to do it. (4) |
2021AQ | | SBQ1 | When was the last time you attempted to kill yourself? | Within the past year (2) 1-5 years ago (1) More than 5 years ago (0) |
2021AQ | | | How likely is it that you will attempt suicide someday? | Never (0) No chance at all (1) Rather unlikely (2) Unlikely (3) Likely (4) Rather likely (5) Very likely (6) |
2021AQ | | | We at The PRIDE Study value the health and mental health of sexual and gender minority people like you. Suicide has taken too many of us. We sincerely urge you to get help, as we know that things can get better with help. Please consider reaching out for services in your area, and also consider calling 1-800-273-8255 (National Suicide Prevention Lifeline; they offer a 24/7 Lifeline and an online chat function at www.suicidepreventionlifeline.org) or 1-888-843-4564 (LGBT National Hotline, www.glbthotline.org) to talk with someone. Go to the emergency room or call 911 if you are in crisis and don't know where to get help. The PRIDE Study team cares about you and the health of our community. | No Answers |
2021AQ | | | If you would like resources about the National Suicide Prevention Lifeline emailed to you, please enter your email address here: | Text Entry (-) |
2021AQ | | | I tend to bounce back quickly after hard times. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2021AQ | | | I have a hard time making it through stressful events. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2021AQ | | | It does not take me long to recover from a stressful event. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2021AQ | | | It is hard for me to snap back when something bad happens. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2021AQ | | | I usually come through difficult times with little trouble. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2021AQ | | | I tend to take a long time to get over set-backs in my life. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2021AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Repeated, disturbing memories, thoughts, or images of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2021AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Feeling very upset when something reminded you of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2021AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Avoided activities or situations because they reminded you of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2021AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Feeling distant or cut off from other people? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2021AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Feeling irritable or having angry outbursts? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2021AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Having difficulty concentrating? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2021AQ | | | Sometimes things happen to people that are unusually or especially frightening, horrible, or traumatic. For example: a serious accident or fire, a physical or sexual assault or abuse, an earthquake or flood, a war, seeing someone be killed or seriously injured, having a loved one die through homicide or suicide.Have you experienced this kind of event? | Yes, in the PAST 12 MONTHS (2) Yes, more than 12 months ago (1) No (0) |
2021AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Little interest or pleasure in doing things | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2021AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling down, depressed, or hopeless | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2021AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Trouble falling or staying asleep, or sleeping too much | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2021AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling tired or having little energy | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2021AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Poor appetite or overeating | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2021AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling bad about yourself - or that you are a failure or have let yourself or your family down | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2021AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Trouble concentrating on things, such as reading the newspaper or watching television | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2021AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2021AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Thoughts that you would be better off dead or of hurting yourself in some way | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2021AQ | | | We at The PRIDE Study value the health and mental health of sexual and gender minority people like you. Suicide has taken too many of us. We sincerely urge you to get help, as we know that things can get better with help. Please consider reaching out for services in your area, and also consider calling 1-800-273-8255 (National Suicide Prevention Lifeline; they offer a 24/7 Lifeline and an online chat function at www.suicidepreventionlifeline.org) or 1-888-843-4564 (LGBT National Hotline, www.glbthotline.org) to talk with someone. Go to the emergency room or call 911 if you are in crisis and don't know where to get help. The PRIDE Study team cares about you and the health of our community. | No Answers |
2021AQ | | | If you would like resources about the National Suicide Prevention Lifeline emailed to you, please enter your email address here: | Text Entry (-) |
2021AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling nervous, anxious or on edge | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2021AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Not being able to stop or control worrying | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2021AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Worrying too much about different things | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2021AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Trouble relaxing | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2021AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Being so restless that it is hard to sit still | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2021AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Becoming easily annoyed or irritable | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2021AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling afraid as if something awful might happen | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2021AQ | | | In your LIFETIME, which of the following substances have you ever used - either prescribed or not prescribed by a health care provider? (Check all that apply.) | Cannabis (marijuana, pot, grass, hash, etc.) (1) Cocaine (coke, crack, etc.) (2) Prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) (3) Methamphetamine (speed, crystal meth, tina, ice, etc.) (4) Inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers) (5) Inhaled nitrates (poppers) (6) Sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) (7) GHB (G, gamma-hydroxybutyric acid) (8) Hallucinogens (LSD, acid, mushrooms, PCP, ketamine, etc.) (9) Street opioids (heroin, opium, etc.) (10) Prescription opioids (fentanyl, oxycodone OxyContin, Percocet, hydrocodone Vicodin, methadone, buprenorphine, etc.) (11) MDMA (Ecstasy or Molly) (12) Other 1 (please list only 1 drug) (13) Other 1 (please list only 1 drug) (TEXT) Other 2 (please list only 1 drug) (14) Other 2 (please list only 1 drug) (TEXT) I have never used any substances (0) |
2021AQ | | DRUGS | How long has it been since you last used cannabis (marijuana, pot, grass, hash, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2021AQ | | CAN_LASTUSE | In the PAST 30 DAYS, on how many days have you used cannabis (marijuana, pot, grass, hash, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2021AQ | | CAN_LASTUSE | In the PAST 3 MONTHS, how often have you used cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | CAN_FREQ | Was any of your cannabis (marijuana, pot, grass, hash, etc.) use in the past three months recommended or prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | CAN_ANYMD | Was all of your cannabis (marijuana, pot, grass, hash, etc.) use in the past three months used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | CAN_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | CAN_FREQ | During the PAST 3 MONTHS, how often has your use of cannabis (marijuana, pot, grass, hash, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | CAN_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of cannabis (marijuana, pot, grass, hash, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using cannabis (marijuana, pot, grass, hash, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | How long has it been since you last used cocaine (coke, crack, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2021AQ | | COKE_LASTUSE | In the PAST 30 DAYS, on how many days have you used cocaine (coke, crack, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2021AQ | | COKE_LASTUSE | In the PAST 3 MONTHS, how often have you used cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | COKE_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | COKE_FREQ | During the PAST 3 MONTHS, how often has your use of cocaine (coke, crack, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | COKE_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of cocaine (coke, crack, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using cocaine (coke, crack, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | Have you EVER used cocaine (coke, crack, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | How long has it been since you last used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2021AQ | | STIM_LASTUSE | In the PAST 30 DAYS, on how many days have you used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2021AQ | | STIM_LASTUSE | In the PAST 3 MONTHS, how often have you used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | STIM_FREQ | Was any of your prescription stimulant (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | STIM_ANYMD | Was all of your prescription stimulant (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | STIM_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | STIM_FREQ | During the PAST 3 MONTHS, how often has your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | STIM_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | Have you EVER used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | How long has it been since you last used methamphetamine (speed, crystal meth, tina, ice, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2021AQ | | METH_LASTUSE | In the PAST 30 DAYS, on how many days have you used methamphetamine (speed, crystal meth, tina, ice, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2021AQ | | METH_LASTUSE | In the PAST 3 MONTHS, how often have you used methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | METH_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | METH_FREQ | During the PAST 3 MONTHS, how often has your use of methamphetamine (speed, crystal meth, tina, ice, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | METH_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of methamphetamine (speed, crystal meth, tina, ice, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using methamphetamine (speed, crystal meth, tina, ice, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | Have you EVER used methamphetamine (speed, crystal meth, tina, ice, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | How long has it been since you last used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2021AQ | | INHALE_LASTUSE | In the PAST 30 DAYS, on how many days have you used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2021AQ | | INHALE_LASTUSE | In the PAST 3 MONTHS, how often have you used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | INHALE_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | INHALE_FREQ | During the PAST 3 MONTHS, how often has your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | INHALE_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | How long has it been since you last used inhaled nitrates (poppers)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2021AQ | | POP_LASTUSE | In the PAST 30 DAYS, on how many days have you used inhaled nitrates (poppers)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2021AQ | | POP_LASTUSE | In the PAST 3 MONTHS, how often have you used inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | POP_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | POP_FREQ | During the PAST 3 MONTHS, how often has your use of inhaled nitrates (poppers) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | POP_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | POP_FREQ | During the PAST 3 MONTHS, during what activities have you used inhaled nitrates (poppers)? (Check all that apply.) | Sexual activity with yourself (for example, masturbation) (0) Sexual activity with another person (1) Dancing or clubbing (2) Other activities (3) |
2021AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | Have you EVER used inhaled nitrates (poppers) in the 24 hours after you took a medication intended to give people stronger erections (for example, Viagra, Cialis, or Levitra)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | WARNING: Using inhaled nitrates (poppers) in combination with medications that help with sexual activity like Viagra, Cialis, or Levitra can kill you by causing a lethal drop in blood pressure with even one use. We are aware that this information may not be widely known among our communities. If you use inhaled nitrates (poppers) in combination with medications that help with sexual activity like Viagra, Cialis, or Levitra, please contact a health care provider to get more information right away. | No Answers |
2021AQ | | DRUGS | How long has it been since you last used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2021AQ | | SED_LASTUSE | In the PAST 30 DAYS, on how many days have you used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2021AQ | | SED_LASTUSE | In the PAST 3 MONTHS, how often have you used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | SED_FREQ | Was any of your sedative or sleeping pill (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | SED_ANYMD | Was all of your sedative or sleeping pill (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | SED_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | SED_FREQ | During the PAST 3 MONTHS, how often has your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | SED_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | Have you EVER used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | How long has it been since you last used GHB (G, gamma-hydroxybutyric acid)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2021AQ | | GHB_LASTUSE | In the PAST 30 DAYS, on how many days have you used GHB (G, gamma-hydroxybutyric acid)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2021AQ | | GHB_LASTUSE | In the PAST 3 MONTHS, how often have you used GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | GHB_FREQ | Was any of your GHB (G, gamma-hydroxybutyric acid) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | GHB_ANYMD | Was all of your GHB (G, gamma-hydroxybutyric acid) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | GHB_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | GHB_FREQ | During the PAST 3 MONTHS, how often has your use of GHB (G, gamma-hydroxybutyric acid) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | GHB_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of GHB (G, gamma-hydroxybutyric acid)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using GHB (G, gamma-hydroxybutyric acid)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | How long has it been since you last used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2021AQ | | HALL_LASTUSE | In the PAST 30 DAYS, on how many days have you used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2021AQ | | HALL_LASTUSE | In the PAST 3 MONTHS, how often have you used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | HALL_FREQ | Was any of your hallucinogen (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) use in the past three months prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2021AQ | | HALL_ANYMD | Was all of your hallucinogen (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) use in the past three months used exactly as prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2021AQ | | HALL_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | HALL_FREQ | During the PAST 3 MONTHS, how often has your use of hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | HALL_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | Have you EVER used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | How long has it been since you last used street opioids (heroin, opium, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2021AQ | | HEROIN_LASTUSE | In the PAST 30 DAYS, on how many days have you used street opioids (heroin, opium, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2021AQ | | HEROIN_LASTUSE | In the PAST 3 MONTHS, how often have you used street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | HEROIN_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | HEROIN_FREQ | During the PAST 3 MONTHS, how often has your use of street opioids (heroin, opium, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | HEROIN_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of street opioids (heroin, opium, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using street opioids (heroin, opium, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | Have you EVER used street opioids (heroin, opium, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | How long has it been since you last used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2021AQ | | NARC_LASTUSE | In the PAST 30 DAYS, on how many days have you used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2021AQ | | NARC_LASTUSE | In the PAST 3 MONTHS, how often have you used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | NARC_FREQ | Was any of your prescription opioid (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | NARC_ANYMD | Was all of your prescription opioid (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | NARC_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | NARC_FREQ | During the PAST 3 MONTHS, how often has your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | NARC_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | Have you EVER used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | How long has it been since you last used MDMA (Molly or ecstasy)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2021AQ | | MDMA_LASTUSE | In the PAST 30 DAYS, on how many days have you used MDMA (Molly or ecstasy)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2021AQ | | MDMA_LASTUSE | In the PAST 3 MONTHS, how often have you used MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | MDMA_FREQ | Was any of your MDMA (Molly or ecstasy) use in the past three months recommended or prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | MDMA_ANYMD | Was all of your MDMA (Molly or ecstasy) use in the past three months used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | MDMA_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | MDMA_FREQ | During the PAST 3 MONTHS, how often has your use of MDMA (Molly or ecstasy) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | MDMA_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of MDMA (Molly or ecstasy)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using MDMA (Molly or ecstasy)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | | Have you EVER used MDMA (Molly or ecstasy) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | How long has it been since you last used ${q://QID1903/ChoiceTextEntryValue/11}? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2021AQ | | OTDRUG1_LASTUSE | In the PAST 30 DAYS, on how many days have you used ${q://QID1903/ChoiceTextEntryValue/11}? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2021AQ | | OTDRUG1_LASTUSE | In the PAST 3 MONTHS, how often have you used ${q://QID1903/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | OTDRUG1_FREQ | Was any of your ${q://QID1903/ChoiceTextEntryValue/11} use in the past three months recommended or prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | OTDRUG1_ANYMD | Was all of your ${q://QID1903/ChoiceTextEntryValue/11} use in the past three months used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | OTDRUG1_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use ${q://QID1903/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | OTDRUG1_FREQ | During the PAST 3 MONTHS, how often has your use of ${q://QID1903/ChoiceTextEntryValue/11} led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | OTDRUG1_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of ${q://QID1903/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of ${q://QID1903/ChoiceTextEntryValue/11}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using ${q://QID1903/ChoiceTextEntryValue/11}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | Have you EVER used ${q://QID1903/ChoiceTextEntryValue/11} by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | How long has it been since you last used ${q://QID1903/ChoiceTextEntryValue/12}? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2021AQ | | OTDRUG2_LASTUSE | In the PAST 30 DAYS, on how many days have you used ${q://QID1903/ChoiceTextEntryValue/12}? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2021AQ | | OTDRUG2_LASTUSE | In the PAST 3 MONTHS, how often have you used ${q://QID1903/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | OTDRUG2_FREQ | Was any of your ${q://QID1903/ChoiceTextEntryValue/12} use in the past three months recommended or prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2021AQ | | OTDRUG2_ANYMD | Was all of your ${q://QID1903/ChoiceTextEntryValue/12} use in the past three months used exactly as prescribed or recommended by a doctor or other health care professional? | Yes (1) No (0) |
2021AQ | | OTDRUG2_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use ${q://QID1903/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | OTDRUG2_FREQ | During the PAST 3 MONTHS, how often has your use of ${q://QID1903/ChoiceTextEntryValue/12} led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | OTDRUG2_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of ${q://QID1903/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2021AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of ${q://QID1903/ChoiceTextEntryValue/12}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using ${q://QID1903/ChoiceTextEntryValue/12}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | DRUGS | Have you EVER used ${q://QID1903/ChoiceTextEntryValue/12} by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2021AQ | | | Which of the following substances did you use during sexual activity with another person within the PAST 12 MONTHS? (Check all that apply.) | Cannabis (marijuana, pot, grass, hash, etc.) (1) Cocaine (coke, crack, etc.) (2) Prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) (3) Methamphetamine (speed, crystal meth, tina, ice, etc.) (4) Inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers) (5) Inhaled nitrates (poppers) (6) Sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) (7) GHB (G, gamma-hydroxybutyric acid) (8) Hallucinogens (LSD, acid, mushrooms, PCP, ketamine, etc.) (9) Street opioids (heroin, opium, etc.) (10) Prescription opioids (fentanyl, oxycodone OxyContin, Percocet, hydrocodone Vicodin, methadone, buprenorphine, etc.) (11) MDMA (Ecstasy or Molly) (12) q://QID1903/ChoiceTextEntryValueቧ (13) q://QID1903/ChoiceTextEntryValueቨ (14) I did not use any of these substances during sexual activity with another person. (15) |
2021AQ | | | You have completed the Mental Health section! This is one of 4 sections! Thank you for the time and energy you have put into helping us understand LGBTQ people's diverse and vibrant lives as we work towards helping LGBTQ people thrive! Your answers are bringing us closer to health equity for LGBTQ people. Thank you! | No Answers |
2021AQ | | | Do you currently identify as a person with a disability? | Yes (1) No (0) |
2021AQ | | DIS_SELFID | What condition(s) or problem(s) are related to your disability identity? (Check all that apply.) | Arthritis/rheumatism (1) Attention Deficit Hyperactive Disorder (ADHD) (39) Autism (2) Back or neck problem (3) Benign tumors, cysts (4) Birth defect (5) Cancer (6) Circulation problems (including blood clots) (7) Depression/anxiety/emotional problem (8) Diabetes (9) Ehlers-Danlos Syndrome (EDS) (40) Epilepsy, seizures (10) Fibromyalgia, lupus (11) Fracture, bone/joint injury (12) Hearing problem (13) Heart problem (14) Hernia (15) Hypertension/high blood pressure (16) Intellectual/developmental disability (17) Kidney, bladder or renal problems (18) Knee problems (not arthritis, not joint injury) (19) Lung/breathing problem (for example, asthma and emphysema) (20) Memory (21) Migraine headaches (not just headaches) (22) Missing limbs (fingers, toes or digits), amputee (23) Multiple Sclerosis (MS), Muscular Dystrophy (MD) (24) Osteoporosis, tendinitis (25) Other developmental problem (for example cerebral palsy) (26) Other injury (27) Other nerve damage, including carpal tunnel syndrome (28) Parkinsons disease, other tremors (29) Polio (myelitis), paralysis, para/quadriplegia (30) Post-Traumatic Stress Disorder (PTSD) (41) Stroke problem (31) Thyroid problems, Graves disease, gout (32) Ulcer (33) Varicose veins, hemorrhoids (34) Vision/problem seeing (35) Weight problem (36) Other impairment/problem (please specify one) (37) Other impairment/problem (please specify one) (TEXT) Other impairment/problem (please specify one) (38) Other impairment/problem (please specify one) (TEXT) |
2021AQ | | | In the PAST 12 MONTHS, have you been unable to work due to a disability? | Yes (1) No (0) |
2021AQ | | | In the PAST 12 MONTHS, have you received Supplemental Security Income (SSI) or other government disability assistance related to a disability status? | Yes (1) No (0) |
2021AQ | | | Are you deaf or do you have serious difficulty hearing? | Yes (1) No (0) |
2021AQ | | | Are you blind or do you have serious difficulty seeing, even when wearing glasses? | Yes (1) No (0) |
2021AQ | | | Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions? | Yes (1) No (0) |
2021AQ | | | Do you have serious difficulty walking or climbing stairs? | Yes (1) No (0) |
2021AQ | | | Do you have difficulty dressing or bathing? | Yes (1) No (0) |
2021AQ | | | Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor's office or shopping? | Yes (1) No (0) |
2021AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Standing for long periods such as 30 minutes? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2021AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Taking care of your household responsibilities? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2021AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Learning a new task, for example, learning how to get to a new place? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2021AQ | | | In the PAST 30 DAYS, how much of a problem did you have joining in community activities (for example, festivities, religious or other activities) as fully as someone who doesn't experience your health conditions? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2021AQ | | | In the PAST 30 DAYS, how much have you been emotionally affected by your health problems? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2021AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Concentrating on doing something for ten minutes? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2021AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Walking a long distance such as a kilometer [or approximately 0.6 miles]? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2021AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Washing your whole body? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2021AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Getting dressed? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2021AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Dealing with people you do not know? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2021AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Maintaining a friendship? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2021AQ | | | In the PAST 30 DAYS, how much difficulty did you have with: Your day-to-day work? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2021AQ | | WHODAS_S1 | Overall, in the PAST 30 DAYS, how many days were these difficulties present? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2021AQ | | | In the PAST 30 DAYS, for how many days were you totally unable to carry out your usual activities or work because of any health condition? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2021AQ | | | In the PAST 30 DAYS, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2021AQ | | | Did you live with anyone who was depressed, mentally ill, or suicidal? | Yes (1) No (0) I dont know (88) |
2021AQ | | | Did you live with anyone who was a problem drinker or alcoholic? | Yes (1) No (0) I dont know (88) |
2021AQ | | | Did you live with anyone who used illegal street drugs or who abused prescription medications? | Yes (1) No (0) I dont know (88) |
2021AQ | | | Did you live with anyone who served time or was sentenced to serve time in a prison, jail, or other correctional facility? | Yes (1) No (0) I dont know (88) |
2021AQ | | | Were your parents separated or divorced? | Yes (1) No (0) Parents not married or together (2) I dont know (88) |
2021AQ | | | How often did your parents or adults in your home ever slap, hit, kick, punch or beat each other up? | Never (0) Once (1) More than once (2) I dont know (88) |
2021AQ | | | Before age 18, how often did a parent or adult in your home ever hit, beat, kick, or physically hurt you in any way? Do not include spanking. Would you say— | Never (0) Once (1) More than once (2) I dont know (88) |
2021AQ | | | How often did a parent or adult in your home ever swear at you, insult you, or put you down? | Never (0) Once (1) More than once (2) I dont know (88) |
2021AQ | | | How often did anyone at least 5 years older than you or an adult, ever touch you sexually? | Never (0) Once (1) More than once (2) I dont know (88) |
2021AQ | | | How often did anyone at least 5 years older than you or an adult, try to make you touch them sexually? | Never (0) Once (1) More than once (2) I dont know (88) |
2021AQ | | | How often did anyone at least 5 years older than you or an adult, force you to have sex? | Never (0) Once (1) More than once (2) I dont know (88) |
2021AQ | | ACES9 | Thank you for answering these questions to better our understanding of LGBTQ people's experiences with sexual violence. We realize that recalling past experiences with sexual violence can be difficult. If you'd like to talk with someone about these experiences, please consider reaching out to the National Sexual Assault Hotline (800-656-4673), operated by Rape, Abuse, & Incest National Network (RAINN; rainn.org). | No Answers |
2021AQ | | | How do you think novel coronavirus is impacting or has impacted your life? (Check all that apply.) | I became sick (1) I believe I may have had the virus (2) It was medically confirmed that I had the virus (3) I experienced financial hardship (4) A close friend or family member may have had the virus (5) It was medically confirmed that a close friend or family member had the virus (6) An acquaintance may have had the virus (7) It was medically confirmed that an acquaintance had the virus (8) I was a caregiver for someone that may have had the virus (9) I was a caregiver for someone that was medically confirmed to have the virus (10) I heard about the virus on the news (11) My work changed my working conditions (such as working from home, reducing my hours) (12) My business or employer closed (13) My school was completely cancelled (14) My school moved to an online format (15) A close friend or family member died from the virus (16) An acquaintance died from the virus (17) Childcare for my child was canceled or disrupted (18) The industry that I work in has suffered (19) My other existing health conditions worsened (20) I or a member of my household experienced physical violence from my romantic or sexual partner for the first time (21) I or a member of my household experienced increased physical violence from my romantic or sexual partner (22) I experienced a change in relationship status (loss or start of a relationship) (23) I was impacted in some other way (please specify) (24) I was impacted in some other way (please specify) (TEXT) It has not impacted my life (0) |
2021AQ | | | How has the novel coronavirus impacted your finances? (Check all that apply.) | I dont have enough money for food and basic supplies (1) I am unable to pay my rent (2) I am unable to pay my mortgage (3) I am unable to pay ongoing bills (for example, cell phone, power, water) (4) I am making less money from my job (5) I am no longer making any money from my job (6) I lost my job (7) I have lost money due to the stock market (8) My business is making less money (9) I have extra costs now (please specify) (10) I have extra costs now (please specify) (TEXT) Some other way (please specify) (11) Some other way (please specify) (TEXT) My finances have not been impacted (0) |
2021AQ | | | Which changes have you made since hearing about the novel coronavirus? (Check all that apply.) | Looked at a website for information about the novel coronavirus (1) Watched or read the news for information about the novel coronavirus (2) I got a flu shot (3) I purchased extra supplies for my home (4) I began washing my hands more regularly (5) I began wearing a mask (6) I stopped leaving the house completely (7) I reduced the number of times I leave the house (8) I stopped gathering in crowds (9) I reduced the number of times I gather in crowds (10) I stopped eating at restaurants (11) I reduced how much I eat at restaurants (12) I began taking vitamins or supplements (13) I reduced the number of trips to the store (14) I stopped going to the store (15) I changed a plan for travel (16) I avoided people who sneeze or cough (17) I avoided hospitals or healthcare facilities (18) I kept my children home from school (19) I wipe surfaces more regularly (20) I began using tissues (21) I reduced the number of times I touch my face (22) I began talking to family more frequently (23) I started saving more money (24) I avoided public transit (25) I went to my health care provider (26) I contacted my health care provider (27) I changed or cancelled plans to see friends (28) I changed or cancelled plans to see family (29) I made a different change (please specify) (30) I made a different change (please specify) (TEXT) I didnt make any changes (0) |
2021AQ | | | How has COVID impacted your health care? (Check all that apply). | I did not go to the doctor for routine health care (for example, an annual visit) (1) I did not get treatment for a chronic illness or disease (2) I was not able to access medications that I needed (3) I made the decision to postpone health care procedures (4) I was not allowed to access health care procedures (5) I lost my health insurance (6) I was not able to access medical equipment that I needed (7) COVID impacted my health care in some other way (please specify) (8) COVID impacted my health care in some other way (please specify) (TEXT) COVID did not impact my health care at all (0) |
2021AQ | | COVIDIMPACT_HEALTH | You said that health care appointments or procedures were postponed due to COVID. What types of healthcare appointments or procedures were postponed? (Check all that apply.) | Visits with your primary care provider (1) Visits with a specialist (2) Visits related to reproductive health care (3) Laboratory tests (4) HIV testing (5) Abortion services (6) Sexually-transmitted infection (STI) testing (7) Gender-affirming hormone visits (8) Gender-affirming surgeries (for example, top surgery, bottom surgery) (9) Other gender-affirming procedures (for example, laser hair removal) (10) Other gender-affirming appointments (for example, voice therapy) (11) Mental health care visits (for example, with therapist, counselor, psychologist, or psychiatrist) (12) Something else (please specify) (13) Something else (please specify) (TEXT) |
2021AQ | | | Which of the following describes your current occupation or employment status? (Check all that apply.) | Employed, working 40 or more hours per week (1) Employed, working 1-39 hours per week (2) Temporarily employed (3) Self-employed (4) Not employed, looking for work (5) Not employed, not looking for work (6) Homemaker (7) Student (Full time) (8) Student (Part time) (9) Disabled, not able to work (10) Retired (11) |
2021AQ | | | Do you currently work one or more paid jobs? | Yes (1) No (0) |
2021AQ | | WORK | In a typical week, how many hours do you work at your paid job(s)? | 1-10 (0) 11-20 (1) 21-30 (2) 31-40 (3) 41-50 (4) 51-60 (5) 61 (6) |
2021AQ | | WORK | What is the main reason you do not currently work? | Taking care of house or family (1) Going to school (2) Retired (3) On a planned vacation from work (4) On family or parental leave (5) Temporarily unable to work for health reasons (6) Have job or contract and off-season (7) On layoff (8) Disabled (9) Other (please specify) (10) Other (please specify) (TEXT) I dont know (88) |
2021AQ | | | In the PAST 12 MONTHS, have you engaged in sex or sexual activity in exchange for money (sex work) or worked in the sex industry (such as erotic dancing, webcam work, or porn films)? | Yes (1) No (0) |
2021AQ | | SEXWORK | In the PAST 12 MONTHS, what type of sex work or work in the sex industry have you done? (Check all that apply.) | SEXWORK1 (1) SEXWORK2 (2) SEXWORK3 (3) SEXWORK4 (4) SEXWORK5 (5) SEXWORK6 (6) SEXWORK7 (7) SEXWORK8 (8) SEXWORK9 (9) SEXWORK10 (10) SEXWORK11 (11) SEXWORK11 (TEXT) |
2021AQ | | | In the PAST 12 MONTHS, have you engaged in sex or sexual activity in exchange for food? | Yes (1) No (0) |
2021AQ | | | In the PAST 12 MONTHS, have you engaged in sex or sexual activity in exchange for a place to sleep? | Yes (1) No (0) |
2021AQ | | | In the PAST 12 MONTHS, have you engaged in sex or sexual activity in exchange for drugs? | Yes (1) No (0) |
2021AQ | | | What were your individual earnings (in US Dollars) before taxes and deductions from ALL sources (including jobs, businesses, welfare, child support, disability, social security, etc.) in the 2020 tax year? | 0 (0) 1 - 10,000 (1) 10,001 - 20,000 (2) 20,001 - 30,000 (3) 30,001 - 40,000 (4) 40,001 - 50,000 (5) 50,001 - 60,000 (6) 60,001 - 70,000 (7) 70,001 - 80,000 (8) 80,001 - 90,000 (9) 90,001 - 100,000 (10) 100,001 - 110,000 (11) 110,001 - 120,000 (12) 120,001 - 130,000 (13) 130,001 - 140,000 (14) 140,001 - 150,000 (15) 150,001 - 175,000 (16) 175,001 - 200,000 (17) 200,001 (18) |
2021AQ | | | What is your best estimate (in US dollars) of your household earnings before taxes and deductions from ALL sources (including jobs, businesses, welfare, child support, disability, social security, etc.) in the 2020 tax year? | 0 (0) 1 - 10,000 (1) 10,001 - 20,000 (2) 20,001 - 30,000 (3) 30,001 - 40,000 (4) 40,001 - 50,000 (5) 50,001 - 60,000 (6) 60,001 - 70,000 (7) 70,001 - 80,000 (8) 80,001 - 90,000 (9) 90,001 - 100,000 (10) 100,001 - 110,000 (11) 110,001 - 120,000 (12) 120,001 - 130,000 (13) 130,001 - 140,000 (14) 140,001 - 150,000 (15) 150,001 - 175,000 (16) 175,001 - 200,000 (17) 200,001 (18) |
2021AQ | | | How many individuals are dependent upon the household income you just described? Please enter 1 for yourself. | Text Entry (-) |
2021AQ | | | What is your highest education level completed? | No schooling (1) Nursery school to high school, no diploma (2) High school graduate or equivalent (e.g., GED) (3) Trade/Technical/Vocational training (4) Some college (5) 2-year college degree (6) 4-year college degree (7) Masters degree (8) Doctoral degree (9) Professional degree (e.g., M.D., J.D., M.B.A.) (10) |
2021AQ | | | In the PAST 12 MONTHS, at any time, were you held in jail, prison, or juvenile detention? | Yes (1) No (0) |
2021AQ | | | In the PAST 12 MONTHS, have you spent any nights sleeping in a shelter or public place including buildings, cars, stairwells, streets, parks, or other outside areas? Please do not include recreational camping. | Yes (1) No (0) |
2021AQ | | HMLS_YR | Approximately how many nights in the PAST 12 MONTHS have you spent sleeping in a shelter or public place including buildings, cars, stairwells, streets, parks, or other outside areas? Please do not include recreational camping. | Text Entry (-) |
2021AQ | | | In the PAST 12 MONTHS, have you spent any nights living temporarily doubled up with others, where you were in a transitional or transitory setting, or you had no fixed address? | Yes (1) No (0) |
2021AQ | | UNSTB_YR | Approximately how many nights in the PAST 12 MONTHS have you been living temporarily doubled up with others, where you were in a transitional or transitory setting, or you had no fixed address? | Text Entry (-) |
2021AQ | | | What are your current living arrangements? | Living in house/apartment/condo I own alone or with others (with a mortgage or that you own free and clear) (1) Living in house/apartment/condo I rent alone or with others (2) Living with a partner, spouse, or other person who pays for the housing (3) Living with parents or family I grew up with (4) Living in campus/university housing (5) Living in military barracks (6) Living in a foster group home or other foster care (7) Living in a nursing home or other adult care facility (8) Living in a hospital (9) Living in a hotel or motel that I pay for myself (10) Living in a hotel or motel with an emergency shelter voucher (11) Living temporarily with friends or family because I cannot afford my own housing (12) Living in transitional housing/halfway house (13) Living on the street, in a car, in an abandoned building, in a park, or a place that is NOT a house, apartment, shelter, or other housing (14) Living in a homeless shelter (15) Living in a domestic violence shelter (16) Living in a shelter that is not a homeless shelter or domestic violence shelter (17) A living arrangement not listed above (please describe) (18) A living arrangement not listed above (please describe) (TEXT) |
2021AQ | | | How many people, including yourself, live in your household who are 18 years of age or older? | Text Entry (-) |
2021AQ | | | How many people live in your household who are younger than 18 years of age? | Text Entry (-) |
2021AQ | | | In the PAST 12 MONTHS, have you experienced harassment or name calling from strangers in public? | Yes (1) No (0) |
2021AQ | | YRHARASS | Do you think you were targeted for this harassment or name calling that occurred in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2021AQ | | | In the PAST 12 MONTHS, have you been physically attacked or deliberately injured? | Yes (1) No (0) |
2021AQ | | YRATTACK | Do you think you were targeted for these physical attacks or injuries that occurred in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2021AQ | | | In the PAST 12 MONTHS, have you experienced physical violence from a romantic or sexual partner? | Yes (1) No (0) |
2021AQ | | YRDV | Do you think you were targeted for this physical violence from a romantic or sexual partner that occurred in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2021AQ | | | In the PAST 12 MONTHS, have you been treated unfairly at work or when applying/interviewing for a job? | Yes (1) No (0) Not applicable, I have not worked and have not applied for jobs in the past 12 months (99) |
2021AQ | | YRJOBDISC | Do you think you were targeted for this unfair treatment at work or while applying for jobs in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2021AQ | | | In the PAST 12 MONTHS, have you been treated unfairly while trying to rent an apartment or buy a home, or been unfairly evicted from your residence? | Yes (1) No (0) |
2021AQ | | YRHOUSDISC | Do you think you were targeted for this unfair treatment in housing/eviction in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2021AQ | | | In the PAST 12 MONTHS, have you received poorer service than other people in restaurants, stores, other businesses or agencies? | Yes (1) No (0) |
2021AQ | | YRSERVDISC | Do you think you were targeted for this poorer service in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2021AQ | | | In the PAST 12 MONTHS, have you been treated unfairly while you were a student at school or in another educational setting? | Yes (1) No (0) Not applicable, I have not been in an educational setting in the past 12 months (99) |
2021AQ | | YRSCHDISC | Do you think you were targeted for this unfair treatment in educational settings in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2021AQ | | | In the PAST 12 MONTHS, have you been denied or given lower quality medical care? | Yes (1) No (0) Not applicable, I have not received or tried to receive medical care in the past 12 months (99) |
2021AQ | | YRMED | Do you think you were targeted for this discrimination in a medical setting in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2021AQ | | | Was there a time in the PAST 12 MONTHS when you needed to see a health care provider but did not because you thought you would be disrespected or mistreated? | Yes (1) No (0) |
2021AQ | | ANTMEDDISC | When you put off seeing a health care provider in the PAST 12 MONTHS because you thought you were going to be disrespected or mistreated, were you concerned you would be disrespected or mistreated because of your... (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2021AQ | | | In the PAST 12 MONTHS, have you been denied or given lower quality mental health care? | Yes (1) No (0) Not applicable, I have not received or tried to receive mental health care in the past 12 months (99) |
2021AQ | | YRMENTAL | Do you think you were targeted for this discrimination in a mental health setting in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2021AQ | | | In the PAST 12 MONTHS, have you experienced unfair treatment or harassment from the police or another law enforcement officer? | Yes (1) No (0) |
2021AQ | | YRPOLICE | Do you think you were targeted for this unfair treatment or harassment from a law enforcement officer in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2021AQ | | | In the PAST 12 MONTHS, have you experienced unwanted sexual contact? | Yes (1) No (0) |
2021AQ | | YRSA | Do you think you were targeted for this unwanted sexual contact that occurred in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2021AQ | | | Over the LAST 12 MONTHS, how often did your partner(s): physically hurt you? | Never (1) Rarely (2) Sometimes (3) Fairly often (4) Frequently (5) |
2021AQ | | | Over the LAST 12 MONTHS, how often did your partner(s): insult you or talk down to you? | Never (1) Rarely (2) Sometimes (3) Fairly often (4) Frequently (5) |
2021AQ | | | Over the LAST 12 MONTHS, how often did your partner(s): threaten you with harm? | Never (1) Rarely (2) Sometimes (3) Fairly often (4) Frequently (5) |
2021AQ | | | Over the LAST 12 MONTHS, how often did your partner(s): scream or curse at you? | Never (1) Rarely (2) Sometimes (3) Fairly often (4) Frequently (5) |
2021AQ | | | Over the LAST 12 MONTHS, how often did your partner(s): force you to have sexual activities? | Never (1) Rarely (2) Sometimes (3) Fairly often (4) Frequently (5) |
2021AQ | | | Thank you for answering these questions to better our understanding of LGBTQ people's experiences with sexual violence. We realize that answering questions about sexual violence can be difficult. If you'd like to talk with someone about these experiences, please consider reaching out to the National Sexual Assault Hotline (800-656-4673), operated by Rape, Abuse, & Incest National Network (RAINN; rainn.org). | No Answers |
2021AQ | | | I have someone who will listen to me when I need to talk. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2021AQ | | | I have someone to confide in or talk to about myself or my problems. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2021AQ | | | I have someone who makes me feel appreciated. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2021AQ | | | I have someone to talk with when I have a bad day. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2021AQ | | | I feel left out. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2021AQ | | | I feel that people barely know me. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2021AQ | | | I feel isolated from others. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2021AQ | | | I feel that people are around me but not with me. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2021AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? Members of your immediate family (for example, parents and siblings) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2021AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2021AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? People you socialize with (for example, friends and acquaintances) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2021AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) Not applicable. I do not work or go to school. (11) |
2021AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2021AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? Your health care providers | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2021AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Members of your immediate family (for example, parents and siblings) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2021AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2021AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? People you socialize with (for example, friends and acquaintances) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2021AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) Not applicable. I do not work or go to school. (11) |
2021AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2021AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Your health care providers | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2021AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? Members of your immediate family (for example, parents and siblings) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2021AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2021AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? People you socialize with (for example, friends and acquaintances) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2021AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) Not applicable. I do not work or go to school. (11) |
2021AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)?Strangers (for example, someone you have a casual conversation with in line at the store) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2021AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? Your health care providers | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2021AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Members of your immediate family (for example, parents and siblings) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2021AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2021AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? People you socialize with (for example, friends and acquaintances) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2021AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) Not applicable. I do not work or go to school. (11) |
2021AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2021AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Your health care providers | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2021AQ | | | The following questions concern types of unwanted sexual experiences that you may have had. Your responses to these questions help us better understand the unwanted sexual experiences of LGBTQ people. We understand that responding to these questions may bring up memories of very difficult experiences. Please indicate if you would like to complete these questions, or if you would like to skip these questions and move on to the next topic. | Yes, I would like to complete these questions (1) No, I would like to skip these questions (0) |
2021AQ | | | How many times has this happened in the PAST 12 MONTHS?Someone fondled, kissed, or rubbed up against the private areas of my body (lips, breast/chest, crotch, or butt) or removed some of my clothes without my consent (but DID NOT attempt sexual penetration) | 0 (0) 1 (1) 2 (2) 3 (3) |
2021AQ | | | How many times has this happened in the PAST 12 MONTHS? Someone had oral sex with me or made me have oral sex with them without my consent. | 0 (0) 1 (1) 2 (2) 3 (3) |
2021AQ | | VAGINA_BRANCH | How many times has this happened in the PAST 12 MONTHS? Someone put their penis, fingers, or objects into my butt and/or vagina without my consent. | 0 (0) 1 (1) 2 (2) 3 (3) |
2021AQ | | VAGINA_BRANCH | How many times has this happened in the PAST 12 MONTHS? Someone put their penis, fingers, or objects into my butt and/or frontal genital opening without my consent. | 0 (0) 1 (1) 2 (2) 3 (3) |
2021AQ | | VAGINA_BRANCH | How many times has this happened in the PAST 12 MONTHS? Even though it didn't happen, someone TRIED to make me have oral sex with them, or TRIED to put fingers, objects, or a penis into my butt and/or vagina. | 0 (0) 1 (1) 2 (2) 3 (3) |
2021AQ | | VAGINA_BRANCH | How many times has this happened in the PAST 12 MONTHS? Even though it didn't happen, someone TRIED to make me have oral sex with them, or TRIED to put fingers, objects, or a penis into my butt and/or frontal genital opening. | 0 (0) 1 (1) 2 (2) 3 (3) |
2021AQ | | | Have you been sexually assaulted and/or raped in the PAST 12 MONTHS? | Yes (1) No (0) |
2021AQ | | SES1_YR | Thank you for answering these questions to better our understanding of LGBTQ people's experiences with sexual violence. We realize that recalling past experiences with sexual violence can be difficult. If you'd like to talk with someone about these experiences, please consider reaching out to the National Sexual Assault Hotline (800-656-4673), operated by Rape, Abuse, & Incest National Network (RAINN; rainn.org). | No Answers |
2021AQ | | CYOA | I wish I weren't genderqueer, transgender, or gender minority. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2021AQ | | CYOA | In general, I have tried to stop identifying with a gender that differs from my assigned sex at birth. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2021AQ | | CYOA | If someone offered me the chance to have a gender that conformed with my sex assigned at birth, I would accept the chance. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2021AQ | | CYOA | I feel that being genderqueer, transgender, or gender minority is a personal shortcoming for me. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2021AQ | | CYOA | I would like to get professional help in order to have a gender that conforms with my sex assigned at birth. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2021AQ | | CYOA | I am proud of my gender. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2021AQ | | CYOA | I think my life is better because I am genderqueer, transgender, or gender minority. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2021AQ | | CYOA | To what extent do you think about your identity as a gender minority (for example: genderqueer, non-binary, questioning one's gender identity, transgender) person? (Choose one.) | Almost never (0) Several times a year (1) Once a month (2) Once a week (3) A few times a week (4) Once a day (5) Many times a day (6) |
2021AQ | | CYOA | I wish I weren't lesbian/gay/bisexual/asexual/sexual minority. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2021AQ | | CYOA | I have tried to stop being attracted to people of the same gender in general. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) Not applicable because I am not attracted to people of my gender (0) |
2021AQ | | CYOA | If someone offered me the chance to be completely heterosexual, I would accept the chance. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2021AQ | | ORIENTATION CYOA | If someone offered me the chance to be completely gay/lesbian, I would accept the chance. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2021AQ | | CYOA | I feel that being lesbian/gay/bisexual/asexual/sexual minority is a personal shortcoming for me. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2021AQ | | CYOA | I would like to get professional help in order to change my sexual orientation from lesbian/gay/bisexual/asexual/sexual minority to heterosexual. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2021AQ | | CYOA | I am proud of my sexual orientation. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2021AQ | | CYOA | I think my life is better because of my sexual orientation. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2021AQ | | CYOA | To what extent do you think about your identity as a sexual minority (for example: asexual, bisexual, gay, lesbian, queer, questioning one's sexual orientation) person? (Choose one.) | Almost never (0) Several times a year (1) Once a month (2) Once a week (3) A few times a week (4) Once a day (5) Many times a day (6) |
2021AQ | | | Did you become a parent in the PAST 12 MONTHS? | Yes (1) No (0) |
2021AQ | | PARENT | To how many children did you become a parent in the PAST 12 MONTHS? | Text Entry (-) |
2021AQ | | | We are going to ask you a question about the children who you became a parent to in the PAST 12 MONTHS. To help you remember which child we are asking a question about, please type in the child's first name, initials, or nickname. We will use these names in the following questions. | Text Entry (-) |
2021AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/1}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2021AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/2}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2021AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/3}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2021AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/4}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2021AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/5}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2021AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/6}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2021AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/7}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2021AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/8}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2021AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/9}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2021AQ | | | In the PAST 12 MONTHS, have you been in therapy or been part of a program or group intended to change your gender or gender identity to be consistent with the sex assigned to you at birth? (This is sometimes called "conversion therapy.") | Yes (1) No (0) |
2021AQ | | GICONVTX | Who provided the therapy, program, or group intended to change your gender or gender identity to be consistent with the sex assigned to you at birth? (Check all that apply.) | A licensed mental health provider (1) A religious group or leader (2) Someone or something else (please specify) (3) Someone or something else (please specify) (TEXT) |
2021AQ | | | In the PAST 12 MONTHS, have you been in therapy or been part of a program or group intended to change your sexual orientation to heterosexual/straight? (This is sometimes called "conversion therapy.") | Yes (1) No (0) |
2021AQ | | SOCONVTX | Who provided the therapy, program, or group intended to change your sexual orientation to heterosexual/straight? (Check all that apply.) | A licensed mental health provider (1) A religious group or leader (2) Someone or something else (please specify) (3) Someone or something else (please specify) (TEXT) |
2021AQ | | CYOA | Overall, how accepting of gender minority people is the community in which you currently live? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
2021AQ | | CYOA | Overall, how accepting of sexual minority people is the community in which you currently live? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
2021AQ | | | How welcomed and accepted do you feel in LGBTQ spaces (including community groups, social clubs, bars, etc.)? | Unaccepted/unwelcomed in all of these spaces (1) Unaccepted/unwelcomed in most of these spaces (but accepted/welcomed in at least one) (2) Accepted/welcomed in about half of these spaces (3) Accepted/welcomed in most, but not all, of these spaces (4) Accepted/welcomed in all of these spaces (5) |
2021AQ | | WELCOME | You mentioned feeling unaccepted/unwelcomed in some or all LGBTQ spaces. People sometimes feel that these spaces are not welcoming towards them due to various aspects of their identities. Please select aspects of your identity that feel unwelcome in these spaces. (Check all that apply.) | My ability/disability status (1) My age (2) My body size, weight, or shape (3) My gender expression (4) My gender identity (5) The language I speak or sign (6) My participation in BDSM, kink, or other sexual activities (7) My political views (8) My race and/or ethnicity (9) My sexual orientation (10) My skin color (11) My spiritual/religious affiliation (12) People dont perceive me as LGBTQ (14) Another reason (please specify) (13) Another reason (please specify) (TEXT) None of the above (0) |
2021AQ | | | Is there at least one LGBTQ space (e.g., social club, group, bar, etc.) in which you feel safe? | Yes (1) No (0) |
2021AQ | | | Overall, how safe do you feel LGBTQ spaces are for you? | Very unsafe (4) Somewhat unsafe (3) Neither safe nor unsafe (2) Mostly safe (1) Completely safe (0) |
2021AQ | | | Overall, how safe for gender minority people is the community in which you currently live? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
2021AQ | | CYOA | Overall, how safe for sexual minority people is the community in which you currently live? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
2021AQ | | | Are you currently in a relationship? | Yes (1) No (0) |
2021AQ | | RELATIONSHIP | Which of the following best describes your current romantic relationship(s)? | I am in a romantic relationship with one person (1) I am in a romantic relationship with two or more people (polyamorous) (2) Other (please specify) (3) Other (please specify) (TEXT) |
2021AQ | | REL_TYPE | How many people are you currently in romantic relationships with? | 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 or more (6) |
2021AQ | | RELATIONSHIP | In general, how satisfied are you with your current romantic relationship(s)? | Very dissatisfied (0) Dissatisfied (1) Neutral (2) Satisfied (3) Very satisfied (4) |
2021AQ | | RELATIONSHIP | Which of the following scenarios best describes the current agreement that you have with your romantic partner(s)? | We cannot have any sex with an outside partner (0) We can have sex with outside partners but with some restrictions (1) We can have sex with outside partners without any restrictions (2) We do not have an agreement (3) I have different agreements with different partners (4) My romantic partner(s) and I do not engage in sexual activity (5) |
2021AQ | | | Do you live with your partner(s)? | Yes, I live with 1 partner (0) Yes, I live with 2 or more partners (1) No, I do not live with a partner (2) Something else (please specify) (3) Something else (please specify) (TEXT) |
2021AQ | | | What is your current legal marital status? | Married (1) Legally recognized civil union (2) Registered domestic partnership (3) Widowed (4) Divorced (5) Separated (6) Single, never married (7) |
2021AQ | | | What gender do you currently live in on a day-to-day basis? | Man (1) Woman (2) Genderqueer/Non-binary/neither man nor woman (3) Part time one gender/part time another gender (4) |
2021AQ | | | For people in your life who do not know you, what gender do they USUALLY think you are? (Choose one.) | Man (1) Non-binary/Genderqueer (2) Transgender Man (3) Transgender Woman (4) Two-spirit (5) Woman (6) Another gender (7) It varies (8) They cannot tell (9) I dont know what they think (88) |
2021AQ | | CYOA | There are many ways people can feel supported and affirmed as a gender minority person. Did any of your immediate family members who you grew up with (parents, siblings, grandparents, people who raised you, etc.) do any of these things to support you about your gender? (Check all that apply.) | Told you that they respect and/or support you (1) Used your preferred name even if it was not your legal name (2) Used your correct pronouns (such as he/she/they) (3) Supported my gender-affirming health care (other than financially) (9) Provided financial support to help with any part of your gender transition (4) Helped you change your name and/or gender on your identity documents (ID), like your drivers license (such as doing things like filling out papers or going with you to court) (5) Did research to learn how to best support you (such as reading books, using online information, or attending a conference) (6) Stood up for you with family, friends, or others (7) Listened to me when I had difficulties (10) Supported you in another way not listed above (please specify) (8) Supported you in another way not listed above (please specify) (TEXT) None of the above (0) |
2021AQ | | | For people in your life who do not know you, what sexual orientation do they USUALLY think you are? (Choose one.) | Asexual (1) Bisexual (2) Gay (3) Lesbian (4) Pansexual (5) Queer (6) Same-gender loving (7) Straight/Heterosexual (8) Two-spirit (9) They cannot tell (10) It varies (11) Another sexual orientation (12) I dont know what they think (88) |
2021AQ | | CYOA | There are many ways people can feel supported and affirmed as a sexual minority person. Did any of your immediate family members who you grew up with (parents, siblings, grandparents, people who raised you, etc.) do any of these things to support you about your sexual orientation? (Check all that apply.) | Told you that they respect and/or support you (1) Positively acknowledged your relationship to your partner(s) (2) Positively acknowledged your sexual and/or romantic orientation (3) Welcomed your partner(s) to a family event (4) Provided financial support related to your relationship(s) (e.g., first date, family building, moving in together) (5) Attended an event that you hosted with a partner(s) (6) Researched how to best support you (such as reading books, using online information, or attending a conference) (7) Stood up for you with family, friends, or others (8) Listened to me when I had difficulties (10) Supported you in another way not listed above (please specify) (9) Supported you in another way not listed above (please specify) (TEXT) None of the above (0) |
2021AQ | | | In the PAST 12 MONTHS, has a mental health professional or health care provider told you that you have Autism Spectrum Disorder or Asperger's Syndrome? | Yes (1) No (0) I dont know (88) |
2021AQ | | | Do you identify as "neurodivergent" or with any associated term that people sometimes use within the neurodiversity movement (aspie, autistic, etc.)? | Yes (1) No (0) |
2021AQ | | | Coming out" about one's sexual orientation or gender is a process. People do not always come out to everyone at the same time. In the PAST 12 MONTHS, have you come out to any of the people who raised you? (Check all that apply.) | Yes, I came out about my sexual orientation (e.g., asexual, bisexual, gay, lesbian, queer, questioning ones sexual orientation, etc.) to someone who raised me (1) Yes, I came out about my gender identity (e.g., genderqueer, non-binary, questioning ones gender identity, transgender, etc.) to someone who raised me (2) No, I did not come out in the past 12 months to anyone who raised me (0) |
2021AQ | | COMEOUT_PSTYR | We are going to ask you follow-up questions about coming out about your sexual orientation (e.g., asexual, bisexual, gay, lesbian, queer, questioning one's sexual orientation, etc.) in the PAST 12 MONTHS to someone who raised you. To help you remember who we are asking about, please list the first names, initials, or nicknames of the person/people you came out to. We will use these names in questions that follow. | Text Entry (-) |
2021AQ | | COMEOUTSO_NAMES | How is ${q://QID622/ChoiceTextEntryValue/1} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2021AQ | | COMEOUTSO_NAMES | When ${q://QID622/ChoiceTextEntryValue/1} initially learned about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2021AQ | | COMEOUTSO_NAMES | In your most recent interactions with ${q://QID622/ChoiceTextEntryValue/1}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2021AQ | | COMEOUTSO_NAMES | How did your communication with ${q://QID622/ChoiceTextEntryValue/1} change after they learned about your sexual orientation? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2021AQ | | COMEOUTSO_NAMES | How is ${q://QID622/ChoiceTextEntryValue/2} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2021AQ | | COMEOUTSO_NAMES | When ${q://QID622/ChoiceTextEntryValue/2} initially learned about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2021AQ | | COMEOUTSO_NAMES | In your most recent interactions with ${q://QID622/ChoiceTextEntryValue/2}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2021AQ | | COMEOUTSO_NAMES | How did your communication with ${q://QID622/ChoiceTextEntryValue/2} change after they learned about your sexual orientation? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2021AQ | | COMEOUTSO_NAMES | How is ${q://QID622/ChoiceTextEntryValue/3} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2021AQ | | COMEOUTSO_NAMES | When ${q://QID622/ChoiceTextEntryValue/3} initially learned about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2021AQ | | COMEOUTSO_NAMES | In your most recent interactions with ${q://QID622/ChoiceTextEntryValue/3}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2021AQ | | COMEOUTSO_NAMES | How did your communication with ${q://QID622/ChoiceTextEntryValue/3} change after they learned about your sexual orientation? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2021AQ | | COMEOUTSO_NAMES | How is ${q://QID622/ChoiceTextEntryValue/4} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2021AQ | | COMEOUTSO_NAMES | When ${q://QID622/ChoiceTextEntryValue/4} initially learned about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2021AQ | | COMEOUTSO_NAMES | In your most recent interactions with ${q://QID622/ChoiceTextEntryValue/4}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2021AQ | | COMEOUTSO_NAMES | How did your communication with ${q://QID622/ChoiceTextEntryValue/4} change after they learned about your sexual orientation? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2021AQ | | | We are going to ask you follow-up questions about coming out about your gender identity (e.g., genderqueer, non-binary, questioning one's gender identity, transgender, etc.) in the PAST 12 MONTHS to someone who raised you. To help you remember who we are asking about, please list the first names, initials, or nicknames of the person/people you came out to. We will use these names in questions that follow. | Text Entry (-) |
2021AQ | | COMEOUTGI_NAMES | How is ${q://QID2154/ChoiceTextEntryValue/1} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2021AQ | | COMEOUTGI_NAMES | When ${q://QID2154/ChoiceTextEntryValue/1} initially learned about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2021AQ | | COMEOUTGI_NAMES | In your most recent interactions with ${q://QID2154/ChoiceTextEntryValue/1}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2021AQ | | COMEOUTGI_NAMES | How did your communication with ${q://QID2154/ChoiceTextEntryValue/1} change after they learned about your gender identity? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2021AQ | | COMEOUTGI_NAMES | How is ${q://QID2154/ChoiceTextEntryValue/2} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2021AQ | | COMEOUTGI_NAMES | When ${q://QID2154/ChoiceTextEntryValue/2} initially learned about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2021AQ | | COMEOUTGI_NAMES | In your most recent interactions with ${q://QID2154/ChoiceTextEntryValue/2}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2021AQ | | COMEOUTGI_NAMES | How did your communication with ${q://QID2154/ChoiceTextEntryValue/2} change after they learned about your gender identity? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2021AQ | | COMEOUTGI_NAMES | How is ${q://QID2154/ChoiceTextEntryValue/3} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2021AQ | | COMEOUTGI_NAMES | When ${q://QID2154/ChoiceTextEntryValue/3} initially learned about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2021AQ | | COMEOUTGI_NAMES | In your most recent interactions with ${q://QID2154/ChoiceTextEntryValue/3}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2021AQ | | COMEOUTGI_NAMES | How did your communication with ${q://QID2154/ChoiceTextEntryValue/3} change after they learned about your gender identity? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2021AQ | | COMEOUTGI_NAMES | How is ${q://QID2154/ChoiceTextEntryValue/4} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2021AQ | | COMEOUTGI_NAMES | When ${q://QID2154/ChoiceTextEntryValue/4} initially learned about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2021AQ | | COMEOUTGI_NAMES | In your most recent interactions with ${q://QID2154/ChoiceTextEntryValue/4}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2021AQ | | COMEOUTGI_NAMES | How did your communication with ${q://QID2154/ChoiceTextEntryValue/4} change after they learned about your gender identity? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2021AQ | | | Please choose the response that best applies to you. | No Answers |
2021AQ | | CYOA | The decision to hide or reveal my sexual orientation to others causes me significant distress. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2021AQ | | | Because of my sexual orientation, no one understands my pain or distress. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2021AQ | | | I was rejected by a family member or friend after telling them my sexual orientation. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2021AQ | | | I feel confused or conflicted by my sexual orientation. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2021AQ | | | I feel comfortable revealing my sexual attractions and/or behavior. | Strongly Disagree (6) Moderately Disagree (5) Slightly Disagree (4) Slightly Agree (3) Moderately Agree (2) Strongly Agree (1) |
2021AQ | | | The decision to hide or reveal my gender identity or that I am a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.) to others causes me significant distress. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2021AQ | | | Because of my gender identity, no one understands my pain or distress. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2021AQ | | | I was rejected by a family member or friend after telling them my gender identity. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2021AQ | | | I feel confused or conflicted by my gender identity. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2021AQ | | | I feel comfortable revealing my gender identity and/or expression and/or status as a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.). | Strongly Disagree (6) Moderately Disagree (5) Slightly Disagree (4) Slightly Agree (3) Moderately Agree (2) Strongly Agree (1) |
2021AQ | | | People treat me unfairly because of my race, ethnicity, sexual, and/or gender identity. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2021AQ | | | At times, I feel I stick out because of my race, ethnicity, sexual orientation, and/or gender identity. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2021AQ | | | Stereotypes about racial, ethnic, sexual, and gender minority people hurt my self-esteem or the way I see myself. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2021AQ | | | I believe the world is a dangerous place to be a racial, ethnic, sexual, and/or gender minority person. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2021AQ | | | You have completed the Social Health section! This is one of 4 sections! Phew! We know this survey is long and we thank you for the time and energy you have put into helping us advance our collective understanding of LGBTQ health. Your answers are bringing us one step closer to LGBTQ health equity! | No Answers |
2021AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Acid reflux (heartburn) (1) Anemia (2) Angina pectoris (angina) (3) Anxiety (4) Arthritis (13) Asthma (5) Atrial fibrillation (Afib) (6) Benign prostatic hypertrophy (BPH, enlarged prostate) (7) Bipolar disorder (8) Cancer (9) Cataracts (10) Chronic kidney disease (11) Chronic obstructive pulmonary disease (COPD) (12) None of these (0) |
2021AQ | | MEDHX1 | With what type(s) of cancer have you been diagnosed? (Check all that apply.) | Anal (1) Breast (2) Colon (3) Kidney (4) Lung (5) Leukemia/Lymphoma (6) Ovary (7) Pancreas (8) Prostate (9) Skin (melanoma) (10) Skin (non-melanoma) (11) Uterus (13) Other (please specify) (12) Other (please specify) (TEXT) |
2021AQ | | | How about any of these? Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Coagulation (bleeding or clotting) problem (1) Congestive heart failure (CHF) (2) Coronary artery disease (3) Depression (4) Diabetes mellitus (diabetes, sugar diabetes) (5) Diabetes (borderline) (6) Erectile dysfunction (7) Glaucoma (8) Heart attack (9) Heart murmur (10) Hepatitis B virus (HBV) (13) Hepatitis C virus (HCV) (14) High cholesterol (11) HIV (12) None of these (0) |
2021AQ | | | Here's the last set! Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Hypertension (high blood pressure) (1) Inflammatory bowel disease (Crohns disease, ulcerative colitis) (2) Irritable bowel syndrome (IBS) (3) Kidney stone (nephrolithiasis) (4) Liver disease (5) Lupus (systemic lupus erythematous, SLE) (6) Menopause (7) Migraine headache (8) Obstructive sleep apnea (OSA) (9) Osteoporosis (19) Peripheral vascular disease (PVD) (10) Polycystic ovarian syndrome (PCOS) (11) Psoriasis (12) Pulmonary embolism (PE) (13) Seizure disorder (epilepsy) (14) Stroke (cerebrovascular accident, CVA) (15) Thyroid problem (hyperthyroidism, hypothyroidism) (16) Ulcer (stomach/peptic, duodenal) (17) Uterine fibroids (18) None of these (0) |
2021AQ | | | Please list up to five additional medical conditions that a doctor or other health care provider told you that you have. (One condition per line.) If no additional conditions, please click next. | Text Entry (-) |
2021AQ | | | Were any of these conditions diagnosed within the PAST 12 MONTHS? (Check all that apply.) | None of these were diagnosed in the past 12 months. (0) Acid reflux (heartburn) (1) Anemia (2) Angina pectoris (angina) (3) Anxiety (4) Arthritis (60) Asthma (5) Atrial fibrillation (Afib) (6) Benign prostatic hypertrophy (BPH, enlarged prostate) (7) Bipolar disorder (8) Cataracts (9) Chronic kidney disease (10) Chronic obstructive pulmonary disease (COPD) (11) Anal cancer (12) Breast cancer (13) Colon cancer (14) Kidney cancer (15) Lung cancer (16) Leukemia/Lymphoma (17) Ovarian cancer (18) Pancreatic cancer (19) Prostate cancer (20) Skin cancer (melanoma) (21) Skin cancer (non-melanoma) (22) Uterine cancer (23) q://QID901/ChoiceTextEntryValueቨ cancer (24) Coagulation (bleeding or clotting) problem (25) Congestive heart failure (CHF) (26) Coronary artery disease (27) Depression (28) Diabetes mellitus (diabetes, sugar diabetes) (29) Diabetes (borderline) (30) Erectile dysfunction (31) Glaucoma (32) Heart attack (33) Heart murmur (34) Hepatitis B virus (HBV) (61) Hepatitis C virus (HCV) (62) High cholesterol (35) HIV (36) Hypertension (high blood pressure) (37) Inflammatory bowel disease (Crohns disease, ulcerative colitis) (38) Irritable bowel syndrome (IBS) (39) Kidney stone (nephrolithiasis) (40) Liver disease (41) Lupus (systemic lupus erythematous, SLE) (42) Menopause (43) Migraine headache (44) Obstructive sleep apnea (OSA) (45) Osteoporosis (63) Peripheral vascular disease (PVD) (46) Polycystic ovarian syndrome (PCOS) (47) Psoriasis (48) Pulmonary embolism (PE) (49) Seizure disorder (epilepsy) (50) Stroke (cerebrovascular accident, CVA) (51) Thyroid problem (hyperthyroidism, hypothyroidism) (52) Ulcer (stomach/peptic, duodenal) (53) Uterine fibroids (54) q://QID895/ChoiceTextEntryValueǗ (55) q://QID895/ChoiceTextEntryValueǘ (56) q://QID895/ChoiceTextEntryValueǙ (57) q://QID895/ChoiceTextEntryValueǚ (58) q://QID895/ChoiceTextEntryValueǛ (59) |
2021AQ | | | In the PAST 12 MONTHS, have you had the following surgeries or procedures? (Check all that apply.) (Gender-affirming or transition-related surgeries and procedures are asked about later.) | Coronary stent placement (1) Coronary artery bypass graft (CABG, bypass surgery) (2) Heart valve replacement (3) Pacemaker implantation (4) Implantable cardiac defibrillator (ICD) implantation (5) Bone marrow transplant (6) Organ transplant (7) Gallbladder removal (cholecystectomy) (8) Appendix removal (appendectomy) (9) C section (cesarean section) (10) Uterus removal with cervix retained (supracervical hysterectomy) (11) Uterus removal with cervix removed (total hysterectomy) (12) Ovary removal (oophorectomy) (13) None of these (0) |
2021AQ | | SURGHX | Which organ(s) have you received through a transplant? (Check all that apply.) | Heart (1) Lung (2) Liver (3) Pancreas (4) Kidney (5) Small intestine (6) Other (please specify) (7) Other (please specify) (TEXT) |
2021AQ | | | In the PAST 12 MONTHS, have you had any of the following procedures for any reason (including gender affirmation or transition)? (Check all that apply.) | Electrolysis (long-term hair removal) (1) Fat grafting (e.g., face, hips, buttocks, breasts/chest) (2) None of these (3) |
2021AQ | | | Please list up to five additional general surgeries/procedures that you had in the PAST 12 MONTHS (not including gender-affirming or transition-related surgeries or procedures, which we ask about later). Please write in one surgery/procedure per line. If no additional surgeries/procedures, please click next. | Text Entry (-) |
2021AQ | | | Have you had any gender-affirming or transition-related surgeries or procedures in the PAST 12 MONTHS? | Yes (1) No (0) |
2021AQ | | GAS_AQ | In the PAST 12 MONTHS, have you had any of the following gender-affirming or transition-related surgeries or procedures that involve your head or neck? (Check all that apply.) | Brow lift (1) Chin augmentation (genioplasty) (2) Forehead reconstruction/contouring (3) Jaw bone revision (mandible contouring) (4) Lip lift (5) Nose reconstruction (rhinoplasty) (6) Scalp advancement (7) Tracheal shave (reduction thyrochondroplasty) (8) Vocal cord/voice surgery (9) None of these (0) |
2021AQ | | GAS_AQ | In the PAST 12 MONTHS, have you had any of the following gender-affirming or transition-related surgeries or procedures that involve your chest? (Check all that apply.) | Breast augmentation (1) Breast/chest reduction (reduction mammoplasty) (2) Top surgery/chest reconstruction/mastectomy (scars under the chest, double incision) (3) Top surgery/chest reconstruction/mastectomy (keyhole, through the areola, periareolar) (4) None of these (0) |
2021AQ | | GAS_AQ | In the PAST 12 MONTHS, have you had any of the following gender-affirming or transition-related surgeries or procedures that involve your abdomen or pelvis? (Check all that apply.) | Creation of a new vagina using colon graft (vaginoplasty, colon graft) (1) Creation of a new vagina using penile tissue (vaginoplasty, penile inversion) (2) Creation of new labia without creation of new vagina (labiaplasty) (3) Creation of new scrotum (scrotoplasty) (4) Fallopian tube removal (salpingectomy) (5) Meta/meto or clitoral release (metoidioplasty) (6) Ovary removal (oophorectomy) (7) Penile implant insertion (8) Phallo/creation of a new penis (phalloplasty) (9) Removal of penis (penectomy) (10) Removal of testes (orchiectomy) (11) Removal of vaginal tissue (vaginectomy) (12) Testicular implant insertion (13) Uterus removal with cervix retained (supracervical hysterectomy) (14) Uterus removal with cervix removed (total hysterectomy) (15) None of these (0) |
2021AQ | | GAS_AQ | In the PAST 12 MONTHS, have you had any hair removal procedures for gender-affirming or transition-related reasons? | Yes, hair transplant (1) Yes, facial hair removal (2) Yes, forearm hair removal (3) Yes, chest hair removal (4) Yes, leg hair removal (5) Yes, hair removal in another body region (please specify location) (6) Yes, hair removal in another body region (please specify location) (TEXT) Yes, something else (please specify) (7) Yes, something else (please specify) (TEXT) None of these (0) |
2021AQ | | GAS_AQ | Please list up to five additional gender-affirming surgeries/procedures that you had in the PAST 12 MONTHS. (One surgery/procedure per line.) If no additional surgeries/procedures, please click next. | Text Entry (-) |
2021AQ | | | Have you EVER taken a medication meant to stop or delay puberty? | Yes (1) No (0) |
2021AQ | | PUB_SUPP_EV20 | How old were you when you first took a medication meant to stop or delay puberty? | 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) |
2021AQ | | | Are you CURRENTLY taking hormones or medications for the purposes of gender affirmation (also called gender transition)? | Yes (1) No (0) |
2021AQ | | GAHORMONE_AN | Which hormones or medications for the purposes of gender affirmation (also called gender transition) are you CURRENTLY taking? (Check all that apply.) | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histrelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium or Provera) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) Another hormone/medication not listed here (please specify) (17) Another hormone/medication not listed here (please specify) (TEXT) I have (also) taken some other hormone(s)/medication(s), but I am not sure what it is called. (18) |
2021AQ | | | Were any of the following hormones or medications that you used in the PAST 12 MONTHS for the purposes of gender affirmation (also called gender transition) prescribed by a doctor or health care provider? | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histrelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium or Provera) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) q://QID2316/ChoiceTextEntryValueቭ (17) I have (also) taken some other hormone(s)/medication(s), but I am not sure what it is called. (18) None of these were prescribed by a doctor or health care provider. (0) |
2021AQ | | GAHORMONE_ANYRX | Was all of the cyproterone acetate (sometimes called: CPA or Cyprostat) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | GAHORMONE_ANYRX | Was all of the dutasteride (sometimes called: Avodart) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | GAHORMONE_ANYRX | Was all of the depo leuprolide or leuprolide acetate (sometimes called: Lupron) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | GAHORMONE_ANYRX | Was all of the depo (Injection) provera (sometimes called: “Depo” or medroxyprogesterone acetate) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | GAHORMONE_ANYRX | Was all of the estrogen (any type in any formulation such as: gel, injection, patch, pill) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | GAHORMONE_ANYRX | Was all of the estradiol valerate (a specific type of estrogen) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | GAHORMONE_ANYRX | Was all of the estradiol cypionate (a specific type of estrogen) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | GAHORMONE_ANYRX | Was all of the finasteride (sometimes called: Proscar or Propecia) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | GAHORMONE_ANYRX | Was all of the histrelin acetate (sometimes called: Vantas or Supprelin) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | GAHORMONE_ANYRX | Was all of the progesterone (sometimes called: progestagen or progestins) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | GAHORMONE_ANYRX | Was all of the micronized progesterone (sometimes called: Prometrium or Provera) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | GAHORMONE_ANYRX | Was all of the spironolactone (sometimes called: “Spiro” or Aldactone) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | GAHORMONE_ANYRX | Was all of the testosterone (any type in any formulation such as: gel, injection, patch) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | GAHORMONE_ANYRX | Was all of the testosterone cypionate (a specific type of testosterone) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | GAHORMONE_ANYRX | Was all of the testosterone enanthate (a specific type of testosterone) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | GAHORMONE_ANYRX | Was all of the testosterone undecanoate (a specific type of testosterone) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | GAHORMONE_ANYRX | Was all of the ${q://QID2316/ChoiceTextEntryValue/17} used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2021AQ | | | In the PAST 12 MONTHS, did you start or stop taking any hormones or medications for the purposes of gender affirmation (also called gender transition)? (Check all that apply.) | Yes, I started taking some hormones/medications for gender affirmation in the PAST 12 MONTHS. (1) Yes, I stopped taking some hormones/medications for gender affirmation in the PAST 12 MONTHS. (0) No, I did not start or stop taking hormones/medications for gender affirmation in the PAST 12 MONTHS. (2) |
2021AQ | | GAHORMONE_CHANGE_YR | Which hormones or medications for the purposes of gender affirmation (also called gender transition) did you START in the PAST 12 MONTHS? (Check all that apply.) | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histrelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium or Provera) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) Another hormone/medication not listed here (please specify) (17) Another hormone/medication not listed here (please specify) (TEXT) I have (also) taken some other hormone(s)/medication(s), but I am not sure what it is called. (18) |
2021AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking cyproterone acetate (sometimes called: CPA or Cyprostat) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking dutasteride (sometimes called: Avodart) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking depo leuprolide or leuprolide acetate (sometimes called: Lupron) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking depo (injection) provera (sometimes called: “Depo” or medroxyprogesterone acetate) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking estrogen (any type in any formulation such as: gel, injection, patch, pill) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking estradiol valerate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking estradiol cypionate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking finasteride (sometimes called: Proscar or Propecia) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking histrelin acetate (sometimes called: Vantas or Supprelin) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking progesterone (sometimes called: progestagen or progestins) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking micronized progesterone (sometimes called: Prometrium or Provera) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking spironolactone (sometimes called: "Spiro" or Aldactone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking testosterone (any type in any formulation such as: gel, injection, patch) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking testosterone cypionate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking testosterone enanthate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking testosterone undecanoate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking ${q://QID2317/ChoiceTextEntryValue/17} for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_CHANGE_YR | Which hormones or medications for the purposes of gender affirmation (also called gender transition) did you STOP in the PAST 12 MONTHS? (Check all that apply.) | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histrelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium or Provera) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) Another hormone/medication not listed here (please specify) (17) Another hormone/medication not listed here (please specify) (TEXT) I have (also) taken some other hormone(s)/medication(s), but I am not sure what it is called. (18) |
2021AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking cyproterone acetate (sometimes called: CPA or Cyprostat) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking cyproterone acetate (sometimes called CPA or Cyprostat), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2021AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking dutasteride (sometimes called: Avodart) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking dutasteride (sometimes called: Avodart), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2021AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking depo leuprolide or leuprolide acetate (sometimes called: Lupron) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking depo leuprolide or leuprolide acetate (sometimes called: Lupron), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2021AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking depo (injection) provera (sometimes called: "Depo" or medroxyprogesterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking depo (Injection) provera (sometimes called: “Depo” or medroxyprogesterone acetate), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2021AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking estrogen (any type in any formulation such as: gel, injection, patch, pill) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking estrogen (any type in any formulation such as: gel, injection, patch, pill), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2021AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking estradiol valerate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking estradiol valerate (a specific type of estrogen), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2021AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking estradiol cypionate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking estradiol cypionate (a specific type of estrogen), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2021AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking finasteride (sometimes called: Proscar or Propecia) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking finasteride (sometimes called: Proscar or Propecia), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2021AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking histrelin acetate (sometimes called: Vantas or Supprelin) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking histrelin acetate (sometimes called: Vantas or Supprelin), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2021AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking micronized progesterone (sometimes called: Prometrium or Provera) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking micronized progesterone (sometimes called: Prometrium or Provera), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2021AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking progesterone (sometimes called: progestagen or progestins) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking progesterone (sometimes called: progestagen or progestins), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2021AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking spironolactone (sometimes called: "Spiro" or Aldactone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking spironolactone (sometimes called: “Spiro” or Aldactone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2021AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking testosterone (any type in any formulation such as: gel, injection, patch) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking testosterone (any type in any formulation such as: gel, injection, patch), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2021AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking testosterone cypionate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking testosterone cypionate (a specific type of testosterone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2021AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking testosterone enanthate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking testosterone enanthate (a specific type of testosterone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2021AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking testosterone undecanoate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking testosterone undecanoate (a specific type of testosterone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2021AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking ${q://QID2317/ChoiceTextEntryValue/17} for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking ${q://QID2317/ChoiceTextEntryValue/17}, please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2021AQ | | | Were you tested for the COVID-19 (officially called SARS-CoV-2) with the swab test in your nose? We are asking this question to everyone even if they did not have symptoms. | Yes (1) No (0) I dont know (88) |
2021AQ | | SARSCOV2_TEST | What was the result of your testing (with a swab) for COVID-19 (officially called SARS-CoV-2)? | My test said that I did not have COVID-19. (0) My test said that I had COVID-19. (1) I dont know (88) |
2021AQ | | SARSCOV2_TEST | Were you refused testing for COVID-19 when you asked your doctor or health care provider? | Yes (1) No (0) I did not try to get tested for COVID-19 (2) |
2021AQ | | SARSCOV2_TEST_REFUSE | What reason(s) were you given for not being tested for COVID-19? (Check all that apply.) | I did not meet testing criteria (1) I had not traveled to a foreign country (2) No tests were available (3) I did not have the symptoms of coronavirus disease (COVID-19) (4) I was not in a high-risk group (5) Something else (please specify) (6) Something else (please specify) (TEXT) |
2021AQ | | | Are you or have you been a part of any research study that has tested a COVID vaccine? | Yes (1) No (0) |
2021AQ | | COVID_TRIAL | Which company's COVID vaccine was being studied in the research study? | AstraZeneca (1) Johnson & Johnson (2) Moderna (3) Novavax (4) Pfizer/BioNTech (5) Another company (6) Another company (TEXT) I dont know (88) |
2021AQ | | COVID_TRIAL | Did you get confirmation that you received an actual COVID vaccine (and not a placebo) as part of the research study? | Yes, I got the COVID vaccine (1) No, I got the placebo (0) I dont know if I got the COVID vaccine or the placebo (88) |
2021AQ | | TRIAL_UNBLIND | How many doses or injections of the COVID vaccine did you receive? | 1 (1) 2 (2) 3 (3) I dont know (88) |
2021AQ | | TRIAL_UNBLIND | How many injections did you receive? | 1 (1) 2 (2) 3 (3) I dont know (88) |
2021AQ | | TRIAL_UNBLIND | Are/were you allowed to get the COVID vaccine (when available to you) outside of the research study? | Yes (1) No (0) I dont know (88) |
2021AQ | | COVID_TRIAL | Which best describes you? | I dont want to get the COVID vaccine ever (1) I want to wait to get the COVID vaccine (2) I want to get the COVID vaccine as soon as possible (3) I already received one or more doses COVID vaccine (4) |
2021AQ | | VACCINATION_STATUS | If you wanted to get the COVID vaccine today, could you? | Yes (1) No (0) I dont know (88) |
2021AQ | | VACCINE_ACCESS | You said that you could not get the COVID vaccine today if you wanted to. Which best describes why you could NOT get the COVID vaccine today? (Check all that apply.) | I am concerned I dont have health insurance to pay for it. (1) It is not available to me. (2) Because of my health conditions, it is recommended that I do not get the vaccine. (3) Another reason (4) Another reason (TEXT) |
2021AQ | | VACCINATION_STATUS | What are your reasons for NOT wanting to get the COVID vaccine? (Check all that apply.) | I have a health condition that could be worsened by the COVID vaccine. (1) I dont think that the COVID vaccine is safe. (2) I dont trust the development of the COVID vaccines. (3) I dont believe in any vaccines. (4) I have a fear of needles. (5) I believe I will get COVID from the vaccine. (6) I dont believe the COVID vaccine will protect me from getting COVID. (7) I dont think the COVID vaccine was tested on people like me. (8) I think I already had COVID and am protected from getting it again. (9) I am allergic to polyethylene glycol (PEG) or polysorbate. (10) I am concerned about the side effects. (11) I dont want to get the vaccine due to my religious or spiritual beliefs. (12) Something else (please specify) (13) Something else (please specify) (TEXT) |
2021AQ | | VACCINATION_STATUS | What are your reasons for wanting to wait to get the COVID vaccine? (Check all that apply.) | I am not yet eligible to receive the vaccine. (1) I have a health condition that could be worsened by the COVID vaccine. (2) I dont think that the COVID vaccine is safe. (3) I dont trust the development of the COVID vaccine. (4) I dont believe in any vaccines. (5) I have a fear of needles. (6) I believe I will get COVID from the vaccine. (7) I dont believe the COVID vaccine will protect me from getting COVID. (8) I dont think the COVID vaccine was tested on people like me. (9) I think other people should get the COVID vaccine before me. (10) I want to see if the COVID vaccine is safe. (11) I think I already had COVID and am protected from getting it again. (12) I received convalescent plasma or monoclonal antibodies to treat COVID. (13) I currently have or just recently had COVID. (14) I was told by my doctor or health care professional to wait. (15) I received a vaccine (not for COVID) in the past 14 days. (16) Something else (please specify) (17) Something else (please specify) (TEXT) |
2021AQ | | VACCINE_NEVER | Please list the health condition(s) you have that could be worsened by the COVID vaccine. (One condition per box, please) | Text Entry (-) |
2021AQ | | VACCINATION_STATUS | Which company made the COVID vaccine that you received? | AstraZeneca (1) Johnson & Johnson (2) Moderna (3) Novavax (4) Pfizer/BioNTech (5) Another company (please specify) (6) Another company (please specify) (TEXT) I dont know (88) |
2021AQ | | VACCINATION_STATUS | How many doses of the COVID vaccine did you receive? | 1 (1) 2 (2) 3 or more (3) I dont know (88) |
2021AQ | | VACCINE_DOSES | On what date did you receive your FIRST dose of the COVID vaccine? Please check your vaccination card. If you don't have your vaccination card, please estimate. (MM/DD/YYYY format, please) | Text Entry (-) |
2021AQ | | VACCINE_DOSES | On what date did you receive your SECOND dose of the COVID vaccine? Please check your vaccination card. If you don't have your vaccination card, please estimate. (MM/DD/YYYY format, please) | Text Entry (-) |
2021AQ | | VACCINE_DOSES | Do you plan to get your SECOND dose of the COVID vaccine? | Yes (1) No (0) I dont know (88) |
2021AQ | | VACCINE_PLANDOSE2 | Why don't you plan to get your SECOND dose of the COVID vaccine? | The vaccine I received only had one dose. (1) I had unpleasant symptoms after the first dose. (2) I had dangerous symptoms/reaction after the first dose. (3) There are not enough doses available. (4) I believe I have a high level of protection from the first dose and I dont think I need the second dose. (5) I am concerned that I will have symptoms/reaction from the second dose. (6) Another reason (please specify) (7) Another reason (please specify) (TEXT) |
2021AQ | | VACCINE_PLANDOSE2 | On what date do you plan to get your SECOND dose of the COVID vaccine? (MM/DD/YYYY format, please) | Text Entry (-) |
2021AQ | | TRIAL_DOSES | Did you experience any of the following side effects after receiving your COVID vaccine (any dose)? (Check all that apply.) | I did not experience any side effects. (0) Pain at the injection site (1) Redness at the injection site (2) Swelling at the injection site (3) Fatigue / Tiredness (4) Chills (5) Fever (6) New or worsening muscle pain/ache (myalgia) (7) New or worsening joint pain/ache (arthralgia) (8) Itching (9) Full-body rash (10) Hives (urticaria) (11) Headache (12) Nausea (13) Vomiting (14) Diarrhea (15) Wheezing (16) Cough (17) Voice hoarseness (18) Tongue swelling (19) Swollen lips (20) Difficulty breathing (21) Anaphylaxis (22) Allergic reaction (23) Bells Palsy (24) Another side effect(s) (please list all additional side effects) (25) Another side effect(s) (please list all additional side effects) (TEXT) |
2021AQ | | | Have you ever had an allergic reaction to any of the following? (Check all that apply.) | Vaccines other than the COVID vaccine (1) Eggs (2) Injectable medications (3) Polyethylene glycol (PEG) or polysorbate (4) None of these (0) |
2021AQ | | | In general, would you say your health is... | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2021AQ | | | In general, would you say your quality of life is... | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2021AQ | | | In general, how would you rate your physical health? | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2021AQ | | | In general, how would you rate your mental health, including your mood and your ability to think? | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2021AQ | | | In general, how would you rate your satisfaction with your social activities and relationships? | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2021AQ | | | In general, please rate how well you carry out your usual social activities and roles. (This includes activities at home, at work and in your community, and responsibilities as a parent, child, spouse, employee, friend, etc.) | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2021AQ | | | To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair? | Completely (5) Mostly (4) Moderately (3) A little (2) Not at all (1) |
2021AQ | | | In the PAST 7 DAYS, how often have you been bothered by emotional problems, such as feeling anxious, depressed or irritable? | Never (5) Rarely (4) Sometimes (3) Often (2) Always (1) |
2021AQ | | | In the PAST 7 DAYS, how would you rate your fatigue on average? | None (5) Mild (4) Moderate (3) Severe (2) Very severe (1) |
2021AQ | | | In the PAST 7 DAYS, how would you rate your pain on average? | 0 No pain (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Worst imaginable pain (10) |
2021AQ | | PROMIS10 | In the PAST 7 DAYS, how much did pain interfere with your enjoyment of life? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very much (5) |
2021AQ | | PROMIS10 | In the PAST 7 DAYS, how much did pain interfere with your ability to concentrate? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very much (5) |
2021AQ | | PROMIS10 | In the PAST 7 DAYS, how much did pain interfere with your day to day activities? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very much (5) |
2021AQ | | PROMIS10 | In the PAST 7 DAYS, how much did pain interfere with your enjoyment of recreational activities? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very much (5) |
2021AQ | | PROMIS10 | In the PAST 7 DAYS, how much did pain interfere with doing your tasks away from home (e.g., getting groceries, running errands)? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very much (5) |
2021AQ | | PROMIS10 | In the PAST 7 DAYS, how often did pain keep you from socializing with others? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2021AQ | | | On the images below, CHECK ALL areas of your body where you have felt persistent or recurrent pain present for the last 3 months or longer (chronic pain). If you do not have ANY chronic pain anywhere in your body, please select "No Chronic Pain" and advance to the next screen. | No Chronic Pain (1) |
2021AQ | | CHRONIC_PAIN | In the list below, CHECK ALL areas of your body where you have felt persistent or recurrent pain present for the last 3 months or longer (chronic pain). If you do not have chronic pain in any of these body areas, check the "No Chronic Pain" box. | No chronic pain in this any of these body areas (0) Face (1) Right jaw (2) Left jaw (3) Right chest/breast (4) Left chest/breast (5) Abdomen (6) Pelvis (7) Right groin (8) Left groin (9) Genitals (10) Right upper arm (11) Right elbow (12) Right lower arm (13) Right wrist/hand (14) Left upper arm (15) Left elbow (16) Left lower arm (17) Left wrist/hand (18) Right upper leg (19) Right knee (20) Right lower leg (21) Right ankle/foot (22) Left upper leg (23) Left knee (24) Left lower leg (25) Left ankle/foot (26) |
2021AQ | | CHRONIC_PAIN | In the list below, CHECK ALL areas of your body where you have felt persistent or recurrent pain present for the last 3 months or longer (chronic pain). If you do not have chronic pain in any of these body areas, check the "No Chronic Pain" box. | No chronic pain in this any of these body areas (0) Head (1) Neck (2) Left shoulder (3) Right shoulder (4) Upper back (5) Lower back (6) Left hip (7) Right hip (8) Left buttocks (9) Right buttocks (10) Anus (11) |
2021AQ | | | Cancer Screening | No Answers |
2021AQ | | ORGANS_BORN VAGINA_BRANCH | In the PAST 12 MONTHS, have you had a Pap smear or Pap test? (A Pap smear or Pap test is a routine test in which a health care provider places an instrument inside the vagina, examines the cervix, and takes a few cells from the cervix with a small stick or brush to look for abnormal or cancer cells.) | Yes (1) No (0) I dont know (88) |
2021AQ | | ORGANS_BORN VAGINA_BRANCH | In the PAST 12 MONTHS, have you had a Pap smear or Pap test? (A Pap smear or Pap test is a routine test in which a health care provider places an instrument inside the frontal genital opening, examines the cervix, and takes a few cells from the cervix with a small stick or brush to look for abnormal or cancer cells.) | Yes (1) No (0) I dont know (88) |
2021AQ | | PAP_YR_V | Have you had a Pap smear or Pap test in the PAST 12 MONTHS where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2021AQ | | PAP_YR_V | An HPV test is sometimes added to the Pap test for cervical cancer screening. Did you have an HPV test with a Pap test in the PAST 12 MONTHS? | Yes (1) No (0) I dont know (88) |
2021AQ | | HPV_RECENTPAP | Have you had a cervical HPV test in the PAST 12 MONTHS where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2021AQ | | ORGANS_NOW | In the PAST 12 MONTHS, have you had a mammogram? A mammogram is when breast/chest tissue is squeezed between two firm surfaces to obtain X-rays/pictures of the breast/chest tissue. | Yes (1) No (0) I dont know (88) |
2021AQ | | MAMMO_YR | Have you had a mammogram in the PAST 12 MONTHS where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2021AQ | | ORGANS_BORN | In the PAST 12 MONTHS, have you had a PSA test? A PSA test is a blood test to detect prostate cancer. It is also called a prostate-specific antigen test. | Yes (1) No (0) I dont know (88) |
2021AQ | | PSA_YR | Have you had a PSA test in the PAST 12 MONTHS where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2021AQ | | | Colon or rectal cancer tests include blood stool tests, colonoscopy, and sigmoidoscopy. A blood stool test or occult blood test, also known as the fecal immunochemical (FIT) test, determines whether you have blood in your stool or bowel movement. These tests can be done at home using a kit. You use a stick or brush to obtain a small amount of stool at home and send it back to the doctor or lab. A sigmoidoscopy and colonoscopy are exams in which a tube is inserted in the rectum to view the colon for signs of cancer or other health problems. For a sigmoidoscopy, the doctor checks only part of the colon and you are fully awake. For a colonoscopy, the doctor checks the entire colon, and you are given medication through a needle in your arm to make you sleepy, and told to have someone drive you home. Before a sigmoidoscopy or colonoscopy, you are asked to take a medication that intentionally causes diarrhea. In the PAST 12 MONTHS, have you had any of these tests for colon or rectal cancer? (Check all that apply.) | None of these (0) Blood stool test (FIT test) (1) Sigmoidoscopy (2) Colonoscopy (3) |
2021AQ | | COLON_TEST | In the PAST 12 MONTHS, have you had a blood stool test (FIT) where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2021AQ | | COLON_TEST | In the PAST 12 MONTHS, have you had a sigmoidoscopy where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2021AQ | | COLON_TEST | In the PAST 12 MONTHS, have you had a colonoscopy where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2021AQ | | | In the PAST 12 MONTHS, have you had any of the following tests as an evaluation for anal or rectal cancer? (Check all that apply.) | Digital anal rectal exam (an examination where a doctor or health care provider inserts their finger into your anus (butt)) (1) Anal HPV test (a routine test with a swab that tests for human papillomavirus, HPV) (2) Anal Pap smear (a routine test in which a health care provider takes a few cells from the anus using a swab to look for abnormal or cancer cells) (3) High-Resolution Anoscopy (HRA) (an exam with a microscope of the rectum and anus) (4) I dont know (88) None of these (0) |
2021AQ | | ANORECTCA_SCREEN_YR | In the PAST 12 MONTHS, have you had a digital anal/rectal examination where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2021AQ | | ANORECTCA_SCREEN_YR | In the PAST 12 MONTHS, have you had an anal HPV examination where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2021AQ | | ANORECTCA_SCREEN_YR | In the PAST 12 MONTHS, have you had an anal Pap smear where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2021AQ | | ANORECTCA_SCREEN_YR | In the PAST 12 MONTHS, have you had a high-resolution anoscopy (HRA) where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2021AQ | | | Physical Activity | No Answers |
2021AQ | | | How many DAYS PER WEEK do you do LIGHT OR MODERATE leisure-time physical activities for AT LEAST 10 MINUTES that cause ONLY LIGHT sweating or a SLIGHT to MODERATE increase in breathing or heart rate? Examples include walking, golf, moving boxes, and gardening. | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2021AQ | | MOD_DAYS | About how long (in minutes) do you do these light or moderate leisure-time physical activities each time? | Text Entry (-) |
2021AQ | | | How many DAYS PER WEEK do you do VIGOROUS leisure-time physical activities for AT LEAST 10 MINUTES that cause HEAVY sweating or LARGE increases in breathing or heart rate? Examples include aerobics, tennis, bicycling up hills, and running. | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2021AQ | | VIG_DAYS | About how long (in minutes) do you do these vigorous leisure-time physical activities each time? | Text Entry (-) |
2021AQ | | | How many DAYS PER WEEK do you do leisure-time physical activities specifically designed to STRENGTHEN your muscles such as lifting weights or doing calisthenics? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2021AQ | | | Healthcare Access | No Answers |
2021AQ | | | During the PAST 12 MONTHS, have you had a flu vaccine - usually a shot in your arm or sprayed in your nose by a doctor or other health professional? These are usually given in the fall and protect against influenza for the flu season. | Yes (1) No (0) I dont know (88) |
2021AQ | | | Is there a place that you USUALLY go to when you are sick or need advice about your health? | Yes (1) There is NO place (2) There is MORE THAN ONE place (3) I dont know (88) |
2021AQ | | PLACESICK | What kind of place do you go to MOST often – a clinic, doctor's office, emergency room, or some other place? | Clinic or health center (1) Doctors office or HMO (2) Hospital emergency room (3) Hospital outpatient department (4) Some other place (5) I dont go to one place most often (6) I dont know (88) |
2021AQ | | PLACESICK | Is that the same place you USUALLY go when you need routine or preventive care, such as a physical examination or check up? | Yes (1) No (0) I dont know (88) |
2021AQ | | PLACEROUTINE | What kind of place do you USUALLY go to when you need routine or preventive care, such as a physical examination or check-up? | I dont get routine or preventative care anywhere (0) Clinic or health center (1) Doctors office or HMO (2) Hospital emergency room (3) Hospital outpatient department (4) Some other place (5) I dont go to one place most often (6) I dont know (88) |
2021AQ | | | During the PAST 12 MONTHS, did you have any trouble finding a general doctor or health care provider who would see you? | Yes (1) No (0) I havent tried to see a doctor or health care provider in the past 12 months. (2) I dont know (88) |
2021AQ | | | In the PAST 12 MONTHS, have you seen or talked to any of the following health care providers about your own health? (Check all that apply.) | A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker (1) An optometrist, ophthalmologist, or eye doctor (someone who prescribes eye glasses) (2) A foot doctor (a podiatrist) (3) A chiropractor (4) A physical therapist, speech therapist, respiratory therapist, audiologist, or occupational therapist (5) A nurse practitioner, physician assistant, or midwife (6) A doctor who specializes in reproductive, genital, and sexual health (an obstetrician/gynecologist) (7) A medical doctor who specializes in a particular medical disease or problem (other than obstetrician/gynecologist, psychiatrist, or ophthalmologist) (8) A general doctor who treats a variety of illnesses (a doctor in general practice, family medicine, or internal medicine) (9) I have not seen or talked to any of these providers. (0) |
2021AQ | | | A primary care provider is a health care provider who takes care of your overall general health and may coordinate your care with other medical specialists. Do you have a primary care provider (PCP)? | Yes (1) No (0) I dont know (88) |
2021AQ | | PCP | Have you seen your primary care provider in the PAST 12 MONTHS? | Yes (1) No (0) I dont know (88) |
2021AQ | | CYOA | In the PAST 12 MONTHS, have you gone to a doctor, health care provider, or clinic for transgender-related health care (such as hormone treatment)? | Yes (1) No (0) I dont know (88) |
2021AQ | | TRANS_DOC | Does the person or place who provides your transgender-related health care also take care of your overall general health? | Yes (1) No (0) I dont know (88) |
2021AQ | | | In the PAST 12 MONTHS, have you visited a doctor, health care provider, or clinic that focuses on sexual or reproductive health (such as sexually transmitted infections, PrEP, birth control, abortion, etc.)? | Yes (1) No (0) I dont know (88) |
2021AQ | | SEX_DOC | Does the person or place who provides your sexual or reproductive health care also take care of your overall general health? | Yes (1) No (0) I dont know (88) |
2021AQ | | | During the PAST 12 MONTHS, how many times have you gone to a hospital emergency room about your health? (If you are not sure exactly how many times, please estimate.) | Text Entry (-) |
2021AQ | | ER | For what reason(s) did you go the emergency room? | Text Entry (-) |
2021AQ | | | During the PAST 12 MONTHS, have you been hospitalized overnight? | Yes (1) No (2) |
2021AQ | | HOSP | How many different times in the PAST 12 MONTHS have you been hospitalized overnight? | Text Entry (-) |
2021AQ | | HOSP | For what reason(s) were you hospitalized (e.g., shortness of breath, heart attack, chest pain, depression)? | Text Entry (-) |
2021AQ | | HOSP | How many days total were you hospitalized in the PAST 12 MONTHS? (If you are not sure exactly how many days, please estimate.) | Text Entry (-) |
2021AQ | | | In the PAST 12 MONTHS, was there any time when you did NOT have ANY health insurance or coverage? In other words, were you uninsured for any time during the previous 12 months? | Yes (1) No (0) I dont know (88) |
2021AQ | | UNINSUR | In the PAST 12 MONTHS, about how many months were you without coverage? | Less than one month (0) 1 month (1) 2 months (2) 3 months (3) 4 months (4) 5 months (5) 6 months (6) 7 months (7) 8 months (8) 9 months (9) 10 months (10) 11 months (11) 12 months (12) |
2021AQ | | | Are you CURRENTLY covered by any health insurance or health coverage plan? | Yes (1) No (0) I dont know (88) |
2021AQ | | INSURANCE | Are you CURRENTLY covered by any of the following types of health insurance or health coverage plans? (If you have more than one insurance/coverage plans, please select your primary insurance/coverage plan.) | Insurance through my current or former employer or union (1) Insurance through someone elses current or former employer or union (2) Insurance purchased through HealthCare.gov or another health insurance marketplace (sometimes called Obamacare or the Affordable Care Act) (3) Insurance purchased directly from an insurance company (4) Medicare (for people 65 and older or people with certain disabilities) (5) Medicaid (government-assistance plan for those with low incomes or a disability) (6) TRICARE or other military health care (7) Veterans Affairs (VA) (8) Indian Health Service (9) Other (10) Other (TEXT) |
2021AQ | | | In regard to your current health insurance or health care coverage, how does it compare to a year ago? Is it better, worse, or about the same? | Better (1) Worse (2) About the same (3) I dont know (4) |
2021AQ | | | In the PAST 12 MONTHS, were you delayed in getting medical care, tests, or treatments that you or a health care provider believed necessary? | Yes (1) No (0) |
2021AQ | | DELAYCARE | Which of these reasons describes why you were delayed in getting medical care, tests, or treatments you or a health care provider believed necessary? (Check all that apply.) | I couldnt afford care (0) My insurance company wouldnt approve, cover, or pay for care (1) Health care provider refused to accept the insurance plan (2) Problems getting to health care providers office (3) The health care provider could not schedule me in a timely fashion (4) I speak a different language (5) I couldnt get time off work or school (6) I dont know where to go to get care (7) I was refused services (8) I thought I would be mistreated or disrespected on the basis of my sexual orientation (9) I thought I would be mistreated or disrespected on the basis of my gender identity (10) I thought I would be mistreated or disrespected on the basis of my HIV status (11) I couldnt get child care (12) I didnt have time or took too long (13) Other (please specify) (14) Other (please specify) (TEXT) |
2021AQ | | | In the PAST 12 MONTHS, were you unable to obtain medical care, tests, or treatments that you or a health care provider believed necessary? | Yes (1) No (0) |
2021AQ | | NOCARE | Which of these best describes the reason(s) you were unable to get medical care, tests, or treatments you or a health care provider believed necessary? (Check all that apply.) | I couldnt afford care (0) My insurance company wouldnt approve, cover, or pay for care (1) Doctor refused to accept the insurance plan (2) Problems getting to doctors office (3) The health care provider could not schedule me in a timely fashion (4) I speak a different language (5) I couldnt get time off work or school (6) I dont know where to go to get care (7) I was refused services (8) I thought I would be mistreated or disrespected on the basis of my sexual orientation (9) I thought I would be mistreated or disrespected on the basis of my gender identity (10) I thought I would be mistreated or disrespected on the basis of my HIV status (11) I couldnt get child care (12) I didnt have time or took too long (13) Other (please specify) (14) Other (please specify) (TEXT) |
2021AQ | | | The next questions are about money that you have spent out of pocket on health care. | No Answers |
2021AQ | | | In the PAST 12 MONTHS, about how much did you spend in total for medical care and dental care? Please include copays, coinsurance, prescription medications, etc. Please do NOT include your monthly health insurance premiums, over-the-counter drugs, or costs that you will be reimbursed for. | Zero (0) 1 - 499 (1) 500 - 1,999 (2) 2,000 - 2,999 (3) 3,000 - 4,999 (4) 5,000 or more (5) I dont know (88) |
2021AQ | | | In the PAST 12 MONTHS, about how much did you spend for prescription medications? | Zero (0) 1 - 499 (1) 500 - 1,999 (2) 2,000 - 2,999 (3) 3,000 - 4,999 (4) 5,000 or more (5) I dont know (88) |
2021AQ | | | In the PAST 12 MONTHS, did you borrow money to pay for health care? Please do NOT count health insurance premiums, over the counter drugs, or costs that you will be reimbursed for. | Yes (1) No (0) |
2021AQ | | | Now we will ask you about your oral health and symptoms. | No Answers |
2021AQ | | | During the PAST 12 MONTHS, were you able to visit a dentist? Include all types of dentists, such as orthodontists, oral surgeons, and all other dental specialists, as well as dental hygienists. | Yes (1) No (0) |
2021AQ | | | During the PAST 12 MONTHS, was there a time when you needed dental care but could not get it at that time? | Yes (1) No (0) |
2021AQ | | DENTCARE_NO | What were the reasons that you could not get the dental care you needed? (Check all that apply.) | I could not afford the cost (0) I did not want to spend the money (1) Insurance did not cover recommended procedures (2) Dental office is too far away (3) Dental office is not open at convenient times (4) Another dentist recommended not doing it (5) I was afraid or do not like dentists (6) I was unable to take time off from work or school (7) I was too busy (8) I did not think anything serious was wrong/expected dental problems to go away (9) I thought I would be mistreated or disrespected on the basis of my sexual orientation (10) I thought I would be mistreated or disrespected on the basis of my gender identity (11) I thought I would be mistreated or disrespected on the basis of my HIV status (12) I did not have dental insurance (14) Other (13) Other (TEXT) |
2021AQ | | | During the PAST 12 MONTHS, have you had an exam for oral cancer in which the doctor or dentist pulls on your tongue, sometimes with gauze wrapped around it, and feels under the tongue and inside the cheeks? | Yes (1) No (0) |
2021AQ | | | How often during the PAST 12 MONTHS have you had painful aching anywhere in your mouth? Would you say…? | Very often (4) Fairly often (3) Occasionally (2) Hardly ever (1) Never (0) |
2021AQ | | | Sleep | No Answers |
2021AQ | | | On average, how many hours of sleep do you get in a 24-HOUR PERIOD? (Please round to the nearest whole hour.) | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) |
2021AQ | | | In the PAST WEEK, how many times did you have trouble falling asleep? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) More than 7 (8) |
2021AQ | | | In the PAST WEEK, how many times did you have trouble staying asleep? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) More than 7 (8) |
2021AQ | | | In the PAST WEEK, how many times did you take medication to help you fall asleep or stay asleep? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) More than 7 (8) |
2021AQ | | | In the PAST WEEK, on how many days did you wake up feeling well rested? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2021AQ | | | I worried whether my food would run out before I got money to buy more. Was that often true, sometimes true, or never true for you in the LAST 12 MONTHS? | Often true (2) Sometimes true (1) Never true (0) I dont know (88) |
2021AQ | | | The food that I bought just didn't last, and I didn't have money to get more. Was that often, sometimes, or never true for you in the LAST 12 MONTHS? | Often true (2) Sometimes true (1) Never true (0) I dont know (88) |
2021AQ | | | I couldn't afford to eat balanced meals. Was that often, sometimes, or never true for you in the LAST 12 MONTHS? | Often true (2) Sometimes true (1) Never true (0) I dont know (88) |
2021AQ | | USDA_HH2 | In the LAST 12 MONTHS, did you ever cut the size of your meals or skip meals because there wasn't enough money for food? | Yes (1) No (0) I dont know (88) |
2021AQ | | USDA_AD1 | How often did this happen—almost every month, some months but not every month, or in only 1 or 2 months? | Almost every month (1) Some months but not every month (0) Only 1 or 2 months (88) I dont know (89) |
2021AQ | | USDA_HH2 | In the LAST 12 MONTHS, did you ever eat less than you felt you should because there wasn't enough money for food? | Yes (1) No (0) I dont know (88) |
2021AQ | | USDA_HH2 | In the LAST 12 MONTHS, were you ever hungry but didn't eat because there wasn't enough money for food? | Yes (1) No (0) I dont know (88) |
2021AQ | | USDA_HH2 | In the LAST 12 MONTHS, did you lose weight because there wasn't enough money for food? | Yes (1) No (0) I dont know (88) |
2021AQ | | USDA_AD1 | In the LAST 12 MONTHS, did you ever not eat for a whole day because there wasn't enough money for food? | Yes (1) No (0) I dont know (88) |
2021AQ | | USDA_AD5 | How often did this happen—almost every month, some months but not every month, or in only 1 or 2 months? | Almost every month (1) Some months but not every month (0) Only 1 or 2 months (2) I dont know (88) |
2021AQ | | SAAB | In the PAST 12 MONTHS, has your sperm (also known as semen, cum, nut, ejaculate) resulted in a pregnancy? | Yes (1) No (0) I dont know (88) |
2021AQ | | PREGNANT_SPERM | How many pregnancies in the PAST 12 MONTHS resulted from your sperm? (If you are unsure, please estimate.) | Text Entry (-) |
2021AQ | | ORGANS_BORN | Have you had at least one menstrual period in the PAST 12 MONTHS? Please do not include bleedings caused by medical conditions, hormone therapy, or surgeries. | Yes (1) No (0) I dont know (88) |
2021AQ | | MENSES_YEAR | What is the reason(s) that you have not had a period in the PAST 12 MONTHS? (Check all that apply.) | Pregnancy (1) Breastfeeding/chestfeeding (2) Hysterectomy (removal of the uterus) (3) Menopause/change of life (4) Hormones, medications, or devices (like an IUD) to stop my periods (5) Other (please specify) (6) Other (please specify) (TEXT) I dont know (88) |
2021AQ | | MENSES_NOYEAR | About how old were you when you had your last menstrual period? (Please enter “88” if you don't know.) | Text Entry (-) |
2021AQ | | ORGANS_NOW MENSES_NOYEAR | Are you personally planning to be pregnant in the next year? | Yes (1) No (0) I dont know (88) |
2021AQ | | ORGANS_BORN | Have you been trying to personally become pregnant over the PAST 12 MONTHS? | Yes (1) No (0) I dont know (88) |
2021AQ | | ORGANS_BORN | In the PAST 12 MONTHS, have you been to a doctor or other medical provider because you have been unable to become pregnant? | Yes (1) No (0) I dont know (88) |
2021AQ | | ORGANS_BORN | Have you been pregnant in the PAST 12 MONTHS? | Yes (1) No (0) I dont know (88) |
2021AQ | | ORGANS_NOW PREG_YR MENSES_NOYEAR | Are you pregnant now? | Yes (1) No (0) I dont know (88) |
2021AQ | | PREG_YR | How many times have you been pregnant in the PAST 12 MONTHS? (Please count all your pregnancies including current pregnancy, live births, miscarriages, stillbirths, tubal pregnancies, and abortions.) (Please enter "88" if you don't know.) | Text Entry (-) |
2021AQ | | PREG_TIMES | Did any of your pregnancies in the PAST 12 MONTHS result in a delivery? | Yes (1) No (0) |
2021AQ | | PREG_DEL | How many vaginal deliveries have you had in the PAST 12 MONTHS? (Please count the number of deliveries [for example, twins count as 1 delivery] and please include stillbirths and live births.) (Please enter “88” if you don't know.) | Text Entry (-) |
2021AQ | | PREG_DEL | How many frontal genital opening deliveries have you had in the PAST 12 MONTHS? (Please count the number of deliveries [for example, twins count as 1 delivery] and please include stillbirths and live births.) (Please enter “88” if you don't know.) | Text Entry (-) |
2021AQ | | PREG_DEL | How many cesarean deliveries, also known as C-sections, have you had in the PAST 12 MONTHS? (Please count the number of deliveries [for example, twins count as 1 delivery] and please include stillbirths and live births.) (Please enter “88” if you don't know.) | Text Entry (-) |
2021AQ | | PREG_DEL | How many of your deliveries resulted in a live birth in the PAST 12 MONTHS? (Please count the number of deliveries [for example, twins count as 1 delivery].) (Please enter “88” if you don't know.) | Text Entry (-) |
2021AQ | | PREG_YR | How many miscarriages have you had in the PAST 12 MONTHS? (A miscarriage is a pregnancy that ends naturally during the first 20 weeks of pregnancy.) (Please enter “88” if you don't know.) | Text Entry (-) |
2021AQ | | PREG_YR | How many tubal pregnancies have you had in the PAST 12 MONTHS? (A tubal pregnancy also known as an 'ectopic pregnancy' is a pregnancy that occurs in the fallopian tube.) (Please enter “88” if you don't know.) | Text Entry (-) |
2021AQ | | PREG_YR | How many abortions have you had in the PAST 12 MONTHS? (An abortion is a pregnancy that is ended during the first 6 months using any of the following: medications, D&C, vacuum extraction, suction, and saline injections.) (Please enter “88” if you don't know.) | Text Entry (-) |
2021AQ | | LIVE_BIRTH | Please tell us the month and year of your FIRST live birth in the PAST 12 MONTHS. | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | LIVE_BIRTH | Please tell us the month and year of your MOST RECENT live birth in the PAST 12 MONTHS. | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | ORGANS_NOW | Have you breast/chest fed a child in the PAST 12 MONTHS? | Yes (1) No (0) |
2021AQ | | BREASTFED | Were the children that you breast/chest fed in the PAST 12 MONTHS born as a result of…? | My own pregnancy and delivery (1) Another persons pregnancy and delivery (2) Both, I have breast/chest fed both a child that I have delivered as well as a child that another person delivered (3) |
2021AQ | | ORGANS_BORN MENSES_NOYEAR | In the PAST 12 MONTHS, have you used any type of birth control method for the prevention of pregnancy? | Yes (1) No (0) I dont know (88) |
2021AQ | | BIRTHCONTROL_YR | Please select the birth control method(s) you have used for the prevention of pregnancy in the PAST 12 MONTHS. (Check all that apply.) | Abstinence (no sex with a person who produces sperm that could result in pregnancy) (1) Condoms (2) Diaphragm (3) Arm implant (4) Injection (5) Intrauterine Device (IUD) -- Copper -- has no hormones (6) Intrauterine Device (IUD) -- Mirena, Skyla, or Liletta -- has hormones (7) Intrauterine Device (IUD) -- Im not sure what type (8) Menopause (9) Pill (10) Rhythm method (11) Spermicide (12) Sponge (13) Surgical (permanent) sterilization (e.g., tubal ligation, tubes tied) (14) Surgical (permanent) sterilization of your partner (e.g., vasectomy) (15) Patch/transdermal (16) Vaginal/frontal genital opening ring (17) Withdrawal (18) Another method not listed here (please specify) (19) Another method not listed here (please specify) (TEXT) None of these (0) |
2021AQ | | ORGANS_BORN | In the PAST 12 MONTHS, have you used any birth control method(s) for ANY reason OTHER THAN prevention of pregnancy? | Yes (1) No (0) I dont know (88) |
2021AQ | | BIRTHCTRL_YR_NONCON | What are the reasons that you have used birth control (OTHER THAN pregnancy prevention) in the PAST 12 MONTHS? (Check all that apply.) | To affirm my gender (1) To avoid getting a sexually-transmitted infection (STI) from someone else (2) To avoid spreading a sexually-transmitted infection (STI) that I have (3) To avoid symptoms associated with my period like: chest tenderness, bloating, acne, pain from cramping, heavy bleeding (sometimes referred to as pre-menstrual syndrome or PMS) (4) To stop having a period/reduce the amount of bleeding (5) Prevent hair growth (hirsutism) (6) To reduce chronic pelvic pain (including endometriosis) (7) To treat another medical condition (8) Not listed (please specify) (9) Not listed (please specify) (TEXT) None of these (0) |
2021AQ | | BIRTHCTRL_YR_NONCON | Please select the birth control method(s) you have used for any reason OTHER THAN prevention of pregnancy in the PAST 12 MONTHS. (Check all that apply.) | Abstinence (no sex with a person who produces sperm that could result in pregnancy) (1) Condoms (2) Diaphragm (3) Arm implant (4) Injection (5) Intrauterine Device (IUD) -- Copper -- has no hormones (6) Intrauterine Device (IUD) -- Mirena, Skyla, Liletta -- has hormones (7) Intrauterine Device (IUD) -- Im not sure what type (8) Menopause (9) Pill (10) Rhythm method (11) Spermicide (12) Sponge (13) Surgical (permanent) sterilization (e.g., tubal ligation, tubes tied) (14) Surgical (permanent) sterilization of your partner (e.g., vasectomy) (15) Patch/transdermal (16) Vaginal/frontal genital opening ring (17) Withdrawal (18) Another method not listed here (please specify) (19) Another method not listed here (please specify) (TEXT) None of these (0) |
2021AQ | | | In the PAST 30 DAYS, how interested have you been in sexual activity? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very (5) |
2021AQ | | | In the PAST 30 DAYS, how often have you felt like you wanted to have sexual activity? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2021AQ | | | In the PAST 30 DAYS, did you have any type of sexual activity? (This means ANY kind of sexual activity including masturbation.) | No (0) Yes (1) |
2021AQ | | SFSCR202 VAGINA_BRANCH | There are many reasons why people may not have had sexual activity during the month. What are the reasons why you did not have sexual activity in the past 30 days? Please read the list carefully and check every reason that applies to you, even if it happened only one time during the PAST 30 DAYS. | Was not interested in having sexual activity (1) Dryness or pain in or around my vagina (2) Difficulties with orgasm/climax (3) Dont enjoy sexual activity (4) Health condition (5) No partner(s) (6) Partner(s) was away (7) Partner(s) was not interested in sexual activity (8) Health condition of my partner(s) (9) Some other reason (please specify) (10) Some other reason (please specify) (TEXT) |
2021AQ | | SFSCR202 VAGINA_BRANCH | There are many reasons why people may not have had sexual activity during the month. What are the reasons why you did not have sexual activity in the past 30 days? Please read the list carefully and check every reason that applies to you, even if it happened only one time during the PAST 30 DAYS. | Was not interested in having sexual activity (1) Dryness or pain in or around my frontal genital opening (2) Difficulties with orgasm/climax (3) Dont enjoy sexual activity (4) Health condition (5) No partner(s) (6) Partner(s) was away (7) Partner(s) was not interested in sexual activity (8) Health condition of my partner(s) (9) Some other reason (please specify) (10) Some other reason (please specify) (TEXT) |
2021AQ | | SFSCR202 | In the PAST 30 DAYS, how often did you become lubricated ("wet") during sexual activity? (Note here lubrication or wetness refers to spontaneous lubrication or wetness without the use of lubricants, gels, creams, oils, etc.) | Almost always or always (1) Most times (more than half the time) (2) Sometimes (about half the time) (3) A few times (less than half the time) (4) Almost never or never (5) |
2021AQ | | SFSCR202 | In the PAST 30 DAYS, how difficult was it to become lubricated ("wet") during sexual activity? (Note here lubrication or wetness refers to spontaneous lubrication or wetness without the use of lubricants, gels, creams, oils, etc.) | Extremely difficult or impossible (1) Very difficult (2) Difficult (3) Slightly difficult (4) Not difficult (5) |
2021AQ | | SFSCR202 | In the PAST 30 DAYS, how difficult was it to maintain your lubrication ("wetness") until completion of sexual activity? (Note here lubrication or wetness refers to spontaneous lubrication or wetness without the use of lubricants, gels, creams, oils, etc.) | Extremely difficult or impossible (1) Very difficult (2) Difficult (3) Slightly difficult (4) Not difficult (5) |
2021AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you felt inside your vagina? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2021AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you felt inside your frontal genital opening? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2021AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you felt inside your vagina? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2021AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you felt inside your frontal genital opening? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2021AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you had in your labia (lips around the opening of the vagina)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have labia (6) |
2021AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you had in your labia (lips around the opening of the frontal genital opening)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have labia (6) |
2021AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you had in your labia (lips around the opening of the vagina)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have labia (6) |
2021AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you had in your labia (lips around the opening of the frontal genital opening)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have labia (6) |
2021AQ | | SFSCR202 | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you had in your clitoris (clit)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have a clitoris (6) |
2021AQ | | SFSCR202 | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you had in your clitoris (clit)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have a clitoris (6) |
2021AQ | | SFSCR202 | There are many reasons why people may not have had sexual activity during the month. What are the reasons why you did not have sexual activity in the past 30 days? Please read the list carefully and check every reason that applies to you, even if it happened only one time during the PAST 30 DAYS. | Was not interested in having sexual activity (1) Difficulties with my erections (penis not hard or is painful) (2) Difficulties with orgasm/climax (3) Dont enjoy sexual activity (4) Health condition (5) No partner(s) (6) Partner(s) was away (7) Partner(s) was not interested in sexual activity (8) Health condition of my partner(s) (9) Some other reason (please specify) (10) Some other reason (please specify) (TEXT) |
2021AQ | | | In the PAST 30 DAYS, how often were you able to get an erection (get hard) during sexual activity? | Almost never/never (1) A few times (much less than half the time) (2) Sometimes (about half the time) (3) Most times (much more than half the time) (4) Almost always/always (5) |
2021AQ | | | In the PAST 30 DAYS, when you had erections with sexual stimulation how often were your erections hard enough for penetration? | I was not attempting to penetrate a partner (0) Almost never/never (1) A few times (much less than half the time) (2) Sometimes (about half the time) (3) Most times (much more than half the time) (4) Almost always/always (5) |
2021AQ | | | In the PAST 30 DAYS, during sexual intercourse how often were you able to maintain your erection (stay hard) after you had penetrated (entered) your partner? | I was not attempting to penetrate a partner (0) Almost never/never (1) A few times (much less than half the time) (2) Sometimes (about half the time) (3) Most times (much more than half the time) (4) Almost always/always (5) |
2021AQ | | SFSCR202 | In the PAST 30 DAYS, how often have you been able to have an orgasm/climax when you wanted to? | Have not tried to have an orgasm/climax in the past 30 days (0) Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2021AQ | | SFSCR202 | In the PAST 30 DAYS, how satisfying have your orgasms or climaxes been? | Have not had an orgasm/climax in the past 30 days (0) Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very (5) |
2021AQ | | SFSCR202 | In the PAST 30 DAYS, how much pleasure have your orgasms or climaxes given you? | Have not had an orgasm/climax in the past 30 days (0) None (1) A little bit (2) Some (3) Quite a bit (4) Very much (5) |
2021AQ | | SFSCR202 | In the PAST 30 DAYS, how often have you had discomfort in your mouth during sexual activity? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2021AQ | | SFSCR202 | In the PAST 30 DAYS, how often have you had pain in your mouth during sexual activity? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2021AQ | | SFSCR202 | In the PAST 30 DAYS, how often have you had dryness in your mouth during sexual activity? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2021AQ | | SFSCR202 | In the PAST 30 DAYS, when you have had sexual activity, how dry has your mouth been? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very (5) |
2021AQ | | SFSCR202 | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you had in or around your anus or rectum (butt)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2021AQ | | SFSCR202 | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you had in or around your anus or rectum (butt)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2021AQ | | SFSCR202 | In the PAST 30 DAYS, how satisfied have you been with your sex life? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very (5) |
2021AQ | | SFSCR202 | In the PAST 30 DAYS, how much pleasure has your sex life given you? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2021AQ | | SFSCR202 | In the PAST 30 DAYS, how often have you thought that your sex life is wonderful? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2021AQ | | SFSCR202 | In the PAST 30 DAYS, how satisfied have you been with your sexual relationship(s)? | Have not had a sexual relationship with another person in the past 30 days (0) Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very (5) |
2021AQ | | | Sexual Health and Activities The next questions will ask you about your sexual activities including specific sexual behaviors and acts. If you wish to opt out of this section because of this, please indicate below. | I wish to answer this section. (1) I wish to skip this section. (0) |
2021AQ | | | Thinking about your own life, when someone asks you about “having sex,” what does that mean to you? Everywhere we mention penis, we mean penis/phallus (not including a prosthetic). (Check all that apply.) | anus touching any other part of someones body (1) hand-to-anus contact (2) hand-to-penis contact (3) hand-to-vagina contact (4) hand touching another part of someones body (5) kissing (mouth-to-mouth contact) (6) mouth-to-anus contact (7) mouth-to-penis contact (8) mouth-to-vagina contact (9) mouth-touching another part of someones body (10) penis-to-anus contact (11) penis-to-penis contact (12) penis-to-vagina contact (13) penis touching another part of someones body (14) vagina-to-anus contact (15) vagina-to-penis contact (16) vagina-to-vagina contact (17) vagina touching another part of someones body (18) any activity with clear intention to give myself sexual pleasure (19) any activity with clear intention to give someone else sexual pleasure (20) any other activity(ies) (please specify) (21) any other activity(ies) (please specify) (TEXT) |
2021AQ | | | Some people engage in sexual activities using object(s) not made of human skin that are shaped like a cylinder or penis. Do you have that kind of sex? | Yes (1) No (0) |
2021AQ | | PROSTHESIS_SEX_HAVE | How do you use this object? (Check all that apply.) | I insert the object into someones body (1) I receive the object into my body (4) I use this object in another way (please describe) (5) I use this object in another way (please describe) (TEXT) |
2021AQ | | PROSTHESIS_SEX_HAVE | What do you call that object or object(s)? | Text Entry (-) |
2021AQ | | | In the PAST 12 MONTHS, have you masturbated? Masturbation is touching yourself for sexual pleasure. | Yes (1) No (0) |
2021AQ | | MASTURBATE_YR | How often do you masturbate? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2021AQ | | MASTURBATE_YR | Have you masturbated in the presence of an intimate or romantic partner in PAST 12 MONTHS? | Yes (1) No (0) |
2021AQ | | | Have you engaged in any kind of sexual activity with another person in the PAST 12 MONTHS? | Yes (1) No (0) |
2021AQ | | SEX_PASTYR | In the PAST 12 MONTHS, what are the gender identities of the people that you had any sexual activity with? (Check all that apply.) | Cisgender man (identifies as a man and was assigned male sex at birth) (1) Cisgender woman (identifies as a woman and was assigned female sex at birth) (2) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned female sex at birth (5) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned male sex at birth (6) Transgender man (identifies as a man and was assigned female sex at birth) (3) Transgender woman (identifies as a woman and was assigned male sex at birth) (4) Person of another gender(s) (please specify) (7) Person of another gender(s) (please specify) (TEXT) I dont know (88) Decline to state (99) |
2021AQ | | SEX_PASTYR VAGINA_BRANCH | In the PAST 12 MONTHS, have you had receptive vaginal sex? This means a penis/phallus (not including a prosthetic) in your vagina. | Yes (1) No (0) |
2021AQ | | SEX_PASTYR VAGINA_BRANCH | In the PAST 12 MONTHS, have you had receptive frontal genital opening sex? This means a penis/phallus (not including a prosthetic) in your frontal genital opening. | Yes (1) No (0) |
2021AQ | | VAGSEX_VAG_YR_V | How often do you have receptive vaginal sex? This means a penis/phallus (not including a prosthetic) in your vagina. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2021AQ | | VAGSEX_VAG_YR_FGO | How often do you have receptive frontal genital opening sex? This means a penis/phallus (not including a prosthetic) in your frontal genital opening. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2021AQ | | SEX_PASTYR | In the PAST 12 MONTHS, have you had insertive vaginal sex? This means putting your penis/phallus (not including a prosthetic) in someone's vagina. | Yes (1) No (0) |
2021AQ | | VAGSEX_PEN_YR_V | How often do you have insertive vaginal sex? This means putting your penis/phallus (not including a prosthetic) in someone's vagina. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2021AQ | | SEX_PASTYR | In the PAST 12 MONTHS, have you had insertive frontal genital opening sex? This means putting your penis/phallus (not including a prosthetic) in someone's frontal genital opening. | Yes (1) No (0) |
2021AQ | | VAGSEX_PEN_YR_FGO | How often do you have insertive frontal genital opening sex? This means putting your penis/phallus (not including a prosthetic) in someone's frontal genital opening. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2021AQ | | SEX_PASTYR VAGINA_BRANCH | In the PAST 12 MONTHS, have you had sex where your vagina is touching another person's vagina? | Yes (1) No (0) |
2021AQ | | SEX_PASTYR VAGINA_BRANCH | In the PAST 12 MONTHS, have you had sex where your frontal genital opening is touching another person's frontal genital opening? | Yes (1) No (0) |
2021AQ | | VAG2VAG_YR_V | How often do you have sex where your vagina is touching another person's vagina? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2021AQ | | VAG2VAG_YR_FGO | How often do you have sex where your frontal genital opening is touching another person's frontal genital opening? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2021AQ | | SEX_PASTYR | Have you performed oral sex in the PAST 12 MONTHS? This means putting your mouth on another person's genitals. (Check all that apply.) | Yes, on a person with a penis/phallus (not a prosthetic) (1) Yes, on a person with a vagina (2) No (0) |
2021AQ | | SEX_PASTYR | Have you performed oral sex in the PAST 12 MONTHS? This means putting your mouth on another person's genitals. (Check all that apply.) | Yes, on a person with a penis/phallus (not a prosthetic) (1) Yes, on a person with a frontal genital opening (2) No (0) |
2021AQ | | ORAL_GIVE_PASTYR_V | How often do you perform oral sex on a person with a penis/phallus (not a prosthetic)? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2021AQ | | ORAL_GIVE_PASTYR_V | How often do you perform oral sex on a person with a vagina? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2021AQ | | ORAL_GIVE_PASTYR_FGO | How often do you perform oral sex on a person with a frontal genital opening? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2021AQ | | SEX_PASTYR | Have you received oral sex in the PAST 12 MONTHS? This means someone put their mouth on your genitals. | Yes (1) No (0) |
2021AQ | | ORAL_GET_PASTYR | How often have you received oral sex? This means someone put their mouth on your genitals. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2021AQ | | SEX_PASTYR | Have you performed oral-anal sex (also called "rimming") in the PAST 12 MONTHS? This means contact between your mouth and someone's anus or butt. | Yes (1) No (0) |
2021AQ | | RIM_PASTYR | How often do you perform oral-anal sex (also called "rimming")? This means contact between your mouth and someone's anus or butt. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2021AQ | | SEX_PASTYR | Have you performed digital penetration (also called "fingering") in the PAST 12 MONTHS? This means putting your fingers into someone's vagina or someone's anus or butt. (Check all that apply.) | Yes, I have had contact between my finger(s) and someones vagina (1) Yes, I have had contact between my finger(s) and someones anus or butt (2) No (0) |
2021AQ | | SEX_PASTYR | Have you performed digital penetration (also called "fingering") in the PAST 12 MONTHS? This means putting your fingers into someone's frontal genital opening or someone's anus or butt. (Check all that apply.) | Yes, I have had contact between my finger(s) and someones frontal genital opening (1) Yes, I have had contact between my finger(s) and someones anus or butt (2) No (0) |
2021AQ | | FINGER_PASTYR_V | How often do you perform digital penetration (also called "fingering") by putting your fingers into someone's vagina? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2021AQ | | FINGER_PASTYR_FGO | How often do you perform digital penetration (also called "fingering") by putting your fingers into someone's frontal genital opening? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2021AQ | | FINGER_PASTYR_V | How often do you perform digital penetration (also called "fingering") by putting your fingers into someone's anus or butt? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2021AQ | | SEX_PASTYR | Have you used sex toys (such as dildos) with a sexual partner in the PAST 12 MONTHS? (Check all that apply.) | Yes, I inserted the sex toy into someones body (1) Yes, I received the sex toy into my body (2) No (0) |
2021AQ | | SEXTOY_PASTYR | How often do you insert a sex toy into someone's body? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2021AQ | | SEXTOY_PASTYR | How often do you receive a sex toy into your body? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2021AQ | | SEX_PASTYR | In the PAST 12 MONTHS, have you had anal sex? This means contact between a penis/phallus (not including a prosthetic) and your anus or butt. | Yes (1) No (0) |
2021AQ | | ANAL_VAG_YR | How often do you have anal sex? This means contact between a penis/phallus (not including a prosthetic) and your anus or butt. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2021AQ | | SEX_PASTYR | Have you had anal sex in the PAST 12 MONTHS? (Check all that apply.) | Yes, I have had contact between my penis/phallus (not including a prosthetic) and someones anus or butt (also known as insertive anal sex or topping) (1) Yes, I have had contact between someones penis/phallus (not including a prosthetic) and my anus or butt (also known as receptive anal sex or bottoming) (2) No (0) |
2021AQ | | ANAL_PEN_PASTYR | How often do you have contact between your penis/phallus (not including a prosthetic) and someone's anus or butt (also known as insertive anal sex or "topping")? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2021AQ | | ANAL_PEN_PASTYR | How often do you have contact between someone's penis/phallus (not including a prosthetic) and your anus or butt (also known as receptive anal sex or "bottoming")? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2021AQ | | SEX_PASTYR | In the PAST 12 MONTHS, with how many different people have you had any kind of sex? (If you are unsure, please estimate as best you can.) | Text Entry (-) |
2021AQ | | VAG2VAG_YR_V | In the PAST 12 MONTHS, with how many people have you had sex where your vagina touches another person's vagina? | Text Entry (-) |
2021AQ | | VAG2VAG_YR_FGO | In the PAST 12 MONTHS, with how many people have you had sex where your frontal genital opening touches another person's frontal genital opening? | Text Entry (-) |
2021AQ | | VAG2VAG_YR_V | In the PAST 12 MONTHS, about how often have you had sex where your vagina touches another person's vagina without protection from sexually transmitted infections like a dental dam, plastic wrap, latex gloves etc.? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2021AQ | | VAG2VAG_YR_FGO | In the PAST 12 MONTHS, about how often have you had sex where your frontal genital opening touches another person's frontal genital opening without protection from sexually transmitted infections like a dental dam, plastic wrap, latex gloves etc.? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2021AQ | | VAGSEX_PEN_YR_V | In the PAST 12 MONTHS, with how many people have you had insertive vaginal sex? (This means you put your penis/phallus (not including a prosthetic) in someone's vagina.) | Text Entry (-) |
2021AQ | | VAGSEX_PEN_YR_V | In the PAST 12 MONTHS, about how often have you had insertive vaginal sex without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2021AQ | | VAGSEX_INS_NOCON_V | In the PAST 12 MONTHS, with how many different people have you had insertive vaginal sex without a condom? | Text Entry (-) |
2021AQ | | VAGSEX_PEN_YR_FGO | In the PAST 12 MONTHS, with how many people have you had insertive frontal genital opening sex? (This means you put your penis/phallus (not including a prosthetic) in someone's frontal genital opening.) | Text Entry (-) |
2021AQ | | VAGSEX_PEN_YR_FGO | In the PAST 12 MONTHS, about how often have you had insertive frontal genital opening sex without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2021AQ | | VAGSEX_INS_NOCON_FGO | In the PAST 12 MONTHS, with how many different people have you had insertive frontal genital opening sex without a condom? | Text Entry (-) |
2021AQ | | VAGSEX_VAG_YR_V | In the PAST 12 MONTHS, with how many people have you had receptive vaginal sex? (This means someone put their penis/phallus (not including a prosthetic) in your vagina.) | Text Entry (-) |
2021AQ | | VAGSEX_VAG_YR_FGO | In the PAST 12 MONTHS, with how many people have you had receptive frontal genital opening sex? (This means someone put their penis/phallus (not including a prosthetic) in your frontal genital opening.) | Text Entry (-) |
2021AQ | | VAGSEX_VAG_YR_V | In the PAST 12 MONTHS, about how often have you had receptive vaginal sex without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2021AQ | | VAGSEX_VAG_YR_FGO | In the PAST 12 MONTHS, about how often have you had receptive frontal genital opening sex without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2021AQ | | VAGSEX_RECEP_NOCON_V | In the PAST 12 MONTHS, with how many different people have you had receptive vaginal sex without a condom? | Text Entry (-) |
2021AQ | | VAGSEX_RECEP_NOCON_F | In the PAST 12 MONTHS, with how many different people have you had receptive frontal genital opening sex without a condom? | Text Entry (-) |
2021AQ | | ANAL_PEN_PASTYR | In the PAST 12 MONTHS, with how many people have you "bottomed" or had receptive anal sex? (This means contact between a penis/phallus (not including a prosthetic) and your anus or butt.) (If you are unsure, please estimate as best you can.) | Text Entry (-) |
2021AQ | | ANAL_PEN_PASTYR | In the PAST 12 MONTHS, about how often have you "bottomed" or had receptive anal sex without using a condom? (This means contact between a penis/phallus (not including a prosthetic) and your anus or butt.) | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2021AQ | | ANALSEX_NOCON | In the PAST 12 MONTHS, with how many different people have you "bottomed" or had receptive anal sex without a condom? (This means contact between a penis/phallus (not including a prosthetic) and your anus or butt.) | Text Entry (-) |
2021AQ | | | In the PAST 12 MONTHS, with how many people have you "topped" or had insertive anal sex? (This means contact between your penis/phallus (not including a prosthetic) and someone's anus or butt.) | Text Entry (-) |
2021AQ | | ANAL_PEN_PASTYR | In the PAST 12 MONTHS, about how often have you "topped" or had insertive anal sex without using a condom? (This means contact between your penis/phallus (not including a prosthetic) and someone's anus or butt.) | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2021AQ | | TOP_NOCON | In the PAST 12 MONTHS, with how many different people have you "topped" or had insertive anal sex without a condom? (This means contact between your penis/phallus (not including a prosthetic) and someone's anus or butt.) (If you are unsure, please estimate as best you can.) | Text Entry (-) |
2021AQ | | MASTURBATE_YR | Do you use lubrication (also called "lube") when you masturbate? | Always (3) Sometimes (2) Never (1) |
2021AQ | | VAGSEX_VAG_YR_V VAGINA_BRANCH | Do you use lubrication (also called "lube") when you have vaginal sex? | Always (3) Sometimes (2) Never (1) I do not engage in this type of sex (0) |
2021AQ | | VAGSEX_VAG_YR_FGO VAGINA_BRANCH | Do you use lubrication (also called "lube") when you have frontal genital opening sex? | Always (3) Sometimes (2) Never (1) I do not engage in this type of sex (0) |
2021AQ | | | Do you use lubrication (also called "lube") when you have anal sex? | Always (3) Sometimes (2) Never (1) I do not engage in this type of sex (0) |
2021AQ | | | In the PAST 12 MONTHS, have you had any of these of types of sex that we haven't already asked about? (Check all that apply.) | None of these (0) BDSM (1) Chemsex / Party and Play (PNP) (2) Electrical stimulation (e-stim) (3) Erotic asphyxiation (i.e., restricting breathing) (4) Fisting (e.g., hand/fist inserted into a person) (5) Latex/rubber play (6) Phone/video sex (7) Rubbing through clothing (8) Rubbing with clothing off (9) Sex toys (e.g., dildos, butt plugs) (10) Sounding (i.e., inserting something into urethra/pee hole) (11) Urine play (e.g., golden showers, watersports) (12) Voyeurism (13) Another type(s) of sex (please specify) (14) Another type(s) of sex (please specify) (TEXT) |
2021AQ | | | If you have other kinds of sex that we haven't already asked about, please describe that below. | Text Entry (-) |
2021AQ | | | Sexual Health and Infections | No Answers |
2021AQ | | ORGANS_BORN | In the PAST 12 MONTHS, have you been treated for an infection in your fallopian tubes, uterus or ovaries, also called a pelvic infection, pelvic inflammatory disease, or PID? | Yes (1) No (0) I dont know (88) |
2021AQ | | | In the PAST 12 MONTHS, has a doctor or other health care professional told you that you had any of the following? (Check all that apply.) | Chlamydia (1) Genital herpes (2) Genital warts (3) Gonorrhea, sometimes called GC or the clap (4) Human papillomavirus or HPV (5) Syphilis (6) None of these (0) |
2021AQ | | | Regardless of your current HIV status, in the LAST 12 MONTHS, have you taken anti-HIV medications (post-exposure prophylaxis or “PEP”) after potentially being exposed to HIV? | Yes (1) No (0) |
2021AQ | | MEDHX2 | Have you been tested for HIV in the PAST 12 MONTHS? | Yes (1) No (0) I dont know (88) |
2021AQ | | MEDHX2 | What is your HIV status? | Positive (I have HIV.) (1) Negative (I do not have HIV.) (0) I dont know (I dont know whether or not I have HIV.) (88) |
2021AQ | | HIVSTATUS | Do you have a doctor or other health care provider who manages your HIV care? This person may be the same as your primary care provider or it may be another provider, such as a HIV specialist. | Yes (1) No (0) I dont know (88) |
2021AQ | | HIVDOC | How frequently do you see this health care provider? | Monthly (0) Every 1-3 months (1) Every 4-6 months (2) Every 7-12 months (3) Less than every 12 months (4) |
2021AQ | | MEDHX2 | How frequently do you have HIV blood work (lab tests) done? | Monthly (1) Every 1-3 months (2) Every 4-6 months (3) Every 7-12 months (4) Less than every 12 months (5) I dont know (88) I have never had these lab tests done (0) |
2021AQ | | HIVSTATUS | Are you on HIV medications, sometimes call anti-retrovirals (ARVs) or anti-retroviral therapy (ART)? | Yes (1) No (0) I dont know (88) |
2021AQ | | HIVSTATUS | When was the last time that you had your HIV viral load checked? A viral load test is a lab test that measures the number of HIV virus particles in a milliliter of your blood. These particles are called “copies.” | Within the last month (1) 1-3 months ago (2) 4-6 months ago (3) 7-12 months ago (4) More than 1 year ago (5) I dont know (88) I have never had my HIV viral load checked (0) |
2021AQ | | HIVSTATUS | Is your HIV viral load “suppressed” or “undetectable”? This means that the number of copies of the HIV virus in your blood is at a very low level or not detectable by modern medical tests. This does not mean that your HIV is cured. | Yes (1) No (0) I dont know (88) |
2021AQ | | MEDHX2 HIVSTATUS | PrEP (pre-exposure prophylaxis) is when HIV-negative people take anti-HIV medications (like Truvada or Descovy) on a regular basis to prevent HIV infection. Are you USING PrEP to prevent HIV infection? | Yes (1) No (0) |
2021AQ | | PREP_NOW | Which PrEP regimen do you currently use? | I take PrEP daily. (1) I take PrEP on demand. This is two pills 24 hours before sex, one pill 24 hours later, and another one pill 24 hours after that. (2) I take PrEP a different way (please specify) (4) I take PrEP a different way (please specify) (TEXT) I do not use a specific PrEP regimen. (3) |
2021AQ | | PREP_REGIMEN | In the PAST 7 DAYS, how many days did you take your daily PrEP pill? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2021AQ | | PREP_NOW | Are you using PrEP as part of a clinical or research study? | Yes (1) No (0) |
2021AQ | | PREP_NOW | In the PAST 12 MONTHS, were you previously on pre-exposure prophylaxis (PrEP) for HIV, but had to stop taking it? | Yes (1) No (0) |
2021AQ | | PREP_STOP_YR | Why are you no longer on PrEP? (Check all that apply.) | My risk of getting HIV is now less because I am in a relationship and/or having less risky sexual activity. (1) PrEP is too expensive. (2) My insurance coverage has changed or I have lost insurance coverage. (3) I forgot to take it most of the time so I decided to stop. (4) It is too much of a hassle to get labs every 3 months. (5) I was having side effects so I decided to stop. (6) My doctor or health care provider said that I needed to stop the medication because of my lab results. (7) I feel discriminated against or stigmatized because I am on PrEP. (8) I acquired HIV. (9) Something else (10) Something else (TEXT) |
2021AQ | | HIVSTATUS | If you are interested in learning more about PrEP, we encourage you to check out the following resources and talk with your medical provider. For information about PrEP from the Centers for Disease Control and Prevention, please visit: cdc.gov/hiv/risk/prep/ To find a PrEP provider near you, please visit: pleaseprepme.org For information on programs to help pay for PrEP, please visit: gilead.com/responsibility/us-patient-access | No Answers |
2021AQ | | HIVSTATUS | Although PrEP is for individuals who are HIV negative, we want to share more information about PrEP with individuals who are living with HIV in case they wish to pass this along to other individuals close to them. PrEP (pre-exposure prophylaxis) is when HIV-negative people take anti-HIV medications (like Truvada or Descovy) on a regular basis to prevent HIV infection For information about PrEP from the Centers for Disease Control and Prevention, please visit: cdc.gov/hiv/risk/prep/ To find a PrEP provider near you, please visit: pleaseprepme.org For information on programs to help pay for PrEP, please visit: gilead.com/responsibility/us-patient-access | No Answers |
2021AQ | | | Have you donated blood in the PAST 12 MONTHS? | Yes (1) No (0) |
2021AQ | | | In the PAST 12 MONTHS, have you used “binding”? (Binding refers to flattening your chest using materials such as bandages, cloth strips, layering of shirts, etc.) | Yes (1) No (0) |
2021AQ | | BINDING | Please indicate below which of the following health problems you have had in the PAST 12 MONTHS, and you believe that they were caused by binding. (Check all that apply.) | Pain (for example, abdominal, back, chest, breast, shoulder) (1) Headache (2) Breast tenderness (3) Bad Posture (4) Rib or spine changes (5) Bone or joint issues (for example, popping joints, rib fractures) (6) Fatigue and Weakness (7) Feeling lightheaded or dizzy (8) Numbness (9) Chest/Breast changes (for example, muscle wasting, scarring, swelling) (10) Digestive issues or heartburn (11) Respiratory Issues (for example, cough, shortness of breath, respiratory infections, collapsed lung/pneumothorax) (12) Skin Changes (for example, itch, rash, acne, infections) (13) Another health problem not listed here (please describe) (14) Another health problem not listed here (please describe) (TEXT) None or no health problems from binding (0) |
2021AQ | | | In the PAST 12 MONTHS, have you used “packing”? (Packing refers to placing an object in one's underwear to resemble the appearance of a penis/phallus.) | Yes (1) No (0) |
2021AQ | | PACKING | Please indicate below which of the following health problems you have had in the PAST 12 MONTHS, and you believe that they were caused by packing. (Check all that apply.) | Skin rashes (1) Skin infections (2) Other skin changes (for example, thickening, color changes, pubic hair changes, scars, etc.) (3) Urinary tract or bladder infections (4) Pain/numbness in the groin area (5) Another health problem not listed here (please describe) (6) Another health problem not listed here (please describe) (TEXT) None or no health problems from packing (0) |
2021AQ | | | In the PAST 12 MONTHS, have you used “stuffing”? (Stuffing refers to changing the appearance of your chest/breasts using materials such as push-up bras, gel pads, cloth strips, cotton gauze, tape, etc.) | Yes (1) No (0) |
2021AQ | | | In the PAST 12 MONTHS, have you used “tucking”? (Tucking refers to concealing one's genitals by placing them between and behind one's legs, and/or by pushing them inside your groin/abdomen.) | Yes (1) No (0) |
2021AQ | | TUCKING | Please indicate below which of the following health problems you have had in the PAST 12 MONTHS, and you believe that they were caused by tucking. (Check all that apply.) | Skin rashes (1) Skin infections (2) Other skin changes (for example, thickening, color changes, pubic hair changes, scars, etc.) (3) Itching (4) Urinary tract or bladder infection(s) (5) Problems ejaculating (6) Problems urinating (7) Pain in penis (8) Pain in testicles (9) Numbness in the penis or testicles (10) Another health problem not listed here (please describe) (11) Another health problem not listed here (please describe) (TEXT) None or no health problems from tucking (0) |
2021AQ | | | In the PAST 12 MONTHS, have you injected a substance (fillers) to fill out your face or make your figure more curvy (for example, silicone)? | Yes (1) No (0) |
2021AQ | | SILICONE | Please indicate below which of the following health problems you have had in the PAST 12 MONTHS, and you believe that they were caused by the injections. (Check all that apply.) | Skin rashes (1) Skin infections (2) Other skin changes (for example, thickening, color changes, scars, swelling etc.) (3) Whole body infections (for example, blood bacterial infection, HIV, Hepatitis C) (4) Breathing problems (5) Pain in the areas of injection (6) Another health problem not listed here (please describe) (7) Another health problem not listed here (please describe) (TEXT) None or no health problems from silicone/other substance injections (0) |
2021AQ | | SILICONE | Where did you get your injections? (Check all that apply.) | Injections from a licensed medical provider (1) Injections during a group session (for example, pumping party) (2) Individual injections from someone who is not a medical provider (3) Another place (please describe) (4) Another place (please describe) (TEXT) |
2021AQ | | | In the PAST 12 MONTHS, have you used “stand-to-pee” or STP device to stand up to pee? | Yes (1) No (0) |
2021AQ | | STP | Please indicate below which of the following health problems you have had in the PAST 12 MONTHS, and you believe that they were caused by using a “stand-to-pee” (STP) device. (Check all that apply.) | Skin rashes (1) Skin infections (2) Other skin changes (for example, thickening, color changes, pubic hair changes, scars, etc.) (3) Urinary tract or bladder infections (4) Pain/numbness in the groin area (5) Another health problem not listed here (please describe) (6) Another health problem not listed here (please describe) (TEXT) None or no health problems from using an STP device (0) |
2021AQ | | | Medical Marijuana | No Answers |
2021AQ | | | Do you currently use medical cannabis/marijuana to manage any physical or mental health conditions? | Yes, it is legal in my state and/or I have a health care providers recommendation to do so (2) Yes, but it is not legal in my state and/or I do not have a health care providers recommendation to do so (1) No (0) |
2021AQ | | | Complementary and Integrative Health | No Answers |
2021AQ | | | IN THE PAST YEAR, have you used any of the following to manage physical and/or mental health conditions? (Check all that apply.) | Acupuncture (1) Chiropractic or osteopathic manipulation (2) Energy healing (3) Massage therapy (4) None of these (0) |
2021AQ | | CIH_PASTYR | What problem(s) or condition(s) do you use acupuncture to manage? (One condition per line.) | Text Entry (-) |
2021AQ | | CIH_PASTYR | How effective has acupuncture been in managing this/these problem(s) or condition(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2021AQ | | CIH_PASTYR | What problem(s) or condition(s) do you use chiropractic or osteopathic manipulation to manage? (One condition per line.) | Text Entry (-) |
2021AQ | | CIH_PASTYR | How effective has chiropractic or osteopathic manipulation been in managing this/these problem(s) or condition(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2021AQ | | CIH_PASTYR | What problem(s) or condition(s) do you use energy healing to manage? | Text Entry (-) |
2021AQ | | CIH_PASTYR | How effective has energy healing been in managing this/these problem(s) or condition(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2021AQ | | CIH_PASTYR | What problem(s) or condition(s) do you use massage therapy to manage? (One condition per line.) | Text Entry (-) |
2021AQ | | CIH_PASTYR | How effective has massage therapy been in managing this/these problem(s) or condition(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2021AQ | | | IN THE PAST YEAR, have you practiced any form of meditation regularly? | Yes (1) No (0) |
2021AQ | | MEDITATION | Please estimate how many minutes per week you spent meditating, on average, over the past year. | Text Entry (-) |
2021AQ | | MEDITATION | Was your meditation practice intended to manage physical and/or mental health conditions? | Yes (1) No (0) |
2021AQ | | MEDITATION_MANAGE | What problem(s) or condition(s) do you use meditation to manage? (One condition per line.) | Text Entry (-) |
2021AQ | | MEDITATION_MANAGE | How effective has meditation been in managing this/these problem(s) or condition(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2021AQ | | | IN THE PAST YEAR, have you practiced any form of yoga regularly? | Yes (1) No (0) |
2021AQ | | YOGA | Please estimate how many minutes per week you spent practicing yoga, on average, over the past year. | Text Entry (-) |
2021AQ | | YOGA | Was your yoga practice intended to manage physical and/or mental health conditions? | Yes (1) No (0) |
2021AQ | | YOGA_MANAGE | What problem(s) or condition(s) do you use yoga to manage? (One condition per line.) | Text Entry (-) |
2021AQ | | YOGA_MANAGE | How effective has yoga been in managing this/these problem(s) or condition(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2021AQ | | | You have completed the Physical Health Block! This is one of 4 blocks! WOOHOO - another one done! Each block you complete helps us understand LGBTQ people's unique lives and health experiences as we work towards helping LGBTQ people thrive. Thank you for bringing us closer to health equity for LGBTQ people. | No Answers |
2021AQ | | | More About Me | No Answers |
2021AQ | | | If a national survey company, like Gallup, asked you the following question: "We are asking only for statistical purposes: Do you personally identify as lesbian, gay, bisexual, or transgender?" How would you answer? | I would answer Yes. (1) I would answer No. (0) I would not answer the question. (2) |
2021AQ | | | On average, which best describes the amount of time you spend on dating sites/apps? | Zero. I do not visit or use dating sites/apps. (0) Less than 1 hour a week (1) 1-6 hours per week (2) 1 hour per day (3) 2 hours per day (4) 3 or more hours per day (5) |
2021AQ | | APPTIME | How often do you meet up with someone from a dating site/app? | Never (0) Almost never (1) About once per month (2) A couple of times per month (3) About once per week (4) Several times per week (5) Daily (6) |
2021AQ | | | Some people report experiencing discrimination or harassment on dating sites/apps due to their personal characteristics. Have you ever experienced discrimination or harassment on a dating site/app due to any of the following? (Check all the apply.) | I have never experienced discrimination/harassment on dating sites/apps (0) My ability/disability status (1) My age (2) My body size or shape (3) My gender expression (4) My gender/gender identity (5) My HIV status (6) The language I speak or sign (7) My participation in BDSM, kink, or other sexual activities (8) My political views (9) My preferred safer sex practices (e.g., PrEP, condoms) (10) My race and/or ethnicity (11) My sexual orientation (12) My skin color (13) My spiritual/religious affiliation (14) Another reason (please specify) (15) Another reason (please specify) (TEXT) |
2021AQ | | | Military Service | No Answers |
2021AQ | | | At any time in the PAST 12 MONTHS, have you served at any time in the U.S. Armed Forces, Reserves, or National Guard? As a reminder, your answers are confidential and cannot be used against you. To protect your privacy, we have obtained a Certificate of Confidentiality from the National Institutes of Health. We can use this Certificate to legally refuse to disclose information that may identify you in any federal, state, or local civil, criminal, administrative, legislative, or other proceedings (for example, if there is a court subpoena). | Now on active duty (1) Only on active duty for training in the Reserves or National Guard (2) On active duty in the past but not now (3) Never served in the military (0) |
2021AQ | | MIL_YR | In the PAST 12 MONTHS, did you join or leave the military? | Yes, I joined the military in the PAST 12 MONTHS. (1) Yes, I left the military in the PAST 12 MONTHS. (2) No, I left the military before the PAST 12 MONTHS. (3) No, I am currently still serving in the military. (0) |
2021AQ | | | What is your current or most recent branch of service? | Air Force (1) Air Force Reserve (2) Air National Guard (3) Army (4) Army Reserve (5) Army National Guard (6) Coast Guard (7) Coast Guard Reserve (8) Marine Corps (9) Marine Corps Reserve (10) Navy (11) Navy Reserve (12) |
2021AQ | | MIL_NOW | What was your character of discharge? | Entry level separation (1) Honorable (2) General (3) Medical (4) Other-than-honorable (5) Bad conduct (6) Dishonorable (7) None of these (please specify) (8) None of these (please specify) (TEXT) |
2021AQ | | MIL_NOW | When did you begin your military service? (If you can't recall precisely, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | MIL_NOW | When did you separate from military service? (If you can't recall precisely, please estimate.) | January (1) January 2021 (2) January 2022 (3) January I dont know/remember (4) February (5) February 2021 (6) February 2022 (7) February I dont know/remember (8) March (9) March 2021 (10) March 2022 (11) March I dont know/remember (12) April (13) April 2021 (14) April 2022 (15) April I dont know/remember (16) May (17) May 2021 (18) May 2022 (19) May I dont know/remember (20) June (21) June 2020 (22) June 2021 (23) June 2022 (24) June I dont know/remember (25) July (26) July 2020 (27) July 2021 (28) July 2022 (29) July I dont know/remember (30) August (31) August 2020 (32) August 2021 (33) August 2022 (34) August I dont know/remember (35) September (36) September 2020 (37) September 2021 (38) September 2022 (39) September I dont know/remember (40) October (41) October 2020 (42) October 2021 (43) October I dont know/remember (44) November (45) November 2020 (46) November 2021 (47) November I dont know/remember (48) December (49) December 2020 (50) December 2021 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2020 (54) I dont know/remember 2021 (55) I dont know/remember 2022 (56) I dont know/remember I dont know/remember (57) |
2021AQ | | | In the PAST 12 MONTHS, did you receive any type of health care through the Department of Veterans Affairs (VA)? | Yes (1) No (0) |
2021AQ | | | Is there anything else you would like to share with us about your health or well-being? | Text Entry (-) |
2021AQ | | | YOU ARE ALMOST DONE WITH THIS SURVEY - PLEASE READ BELOW AND THEN CLICK NEXT This is required in order for the system to mark your survey as "Complete." Thank you for completing the 2021 Annual Questionnaire and for advancing scientific knowledge about the health of LGBTQ people! If you have questions or concerns about this survey, please send an email to support@pridestudy.org or call The PRIDE Study hotline at (855) 421-9991 In addition to our commitment to communicating findings from the study back to our community in the future, we also want to connect our participants with some resources that may be helpful to them now. Please find below a list of websites, organizations, and hotlines that may be helpful in promoting LGBTQ people's health, safety, and wellbeing. - Find an LGBTQ center near you with Centerlink, The Community of LGBT Centers: www.lgbtcenters.org - Find free HIV testing in your area through the Centers for Disease Control's GetTested program: https://gettested.cdc.gov/ - Find an LGBTQ -friendly doctor through GLMA: Health Professionals Advancing LGBT Equality: https://glmaimpak.networkats.com/members_online_new/members/dir_provider.asp - Talk with someone 24/7 if you are in crisis or thinking of suicide: National Suicide Prevention Lifeline: National Suicide Prevention Lifeline at 1-800-273-8255 (a 24/7 Lifeline and an online chat function at www.suicidepreventionlifeline.org) or the LGBT National Hotline at 1-888-843-4564 (www.glbthotline.org) to talk with someone. - Talk with someone 24/7 if you need support related to being a survivor of sexual assault: National Sexual Assault Hotline at 1-800-656-4673 Thank you again for completing the 2021 Annual Questionnaire. We deeply appreciate for your time, your interest in The PRIDE Study, and your investment in research that will help our communities understand how the experience of being LGBTQ is related to all aspects of health and life. TO LOG YOUR SURVEY AS COMPLETE, PLEASE ADVANCE TO THE NEXT SCREEN and then select "Back to Dashboard" | No Answers |
2022AQ | | | Which categories describe you? (Check all that apply.) | American Indian or Alaska Native (For example: Aztec, Blackfeet Tribe, Mayan, Navajo Nation, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, etc.) (1) Asian (For example: Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, etc.) (2) Black, African American or African (For example: African American, Ethiopian, Haitian, Jamaican, Nigerian, Somali, etc.) (3) Hispanic, Latino or Spanish (For example: Colombian, Cuban, Dominican, Mexican or Mexican American, Puerto Rican, Salvadoran, etc.) (4) Middle Eastern or North African (For example: Algerian, Egyptian, Iranian, Lebanese, Moroccan, Syrian, etc.) (5) Native Hawaiian or other Pacific Islander (For example: Chamorro, Fijian, Marshallese, Native Hawaiian, Tongan, etc.) (6) White (For example: English, European, French, German, Irish, Italian, Polish, etc.) (7) None of these fully describe me. (please specify) (8) None of these fully describe me. (please specify) (TEXT) |
2022AQ | | RACE_ETHN | Which additional categories describe you? (Check all that apply.) | American Indian (1) Alaska Native (2) Central or South American Indian (3) None of these fully describe me (please tell us about additional categories that describe you) (4) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2022AQ | | RACE_ETHN | Please provide the name of the tribe(s) in which you are enrolled or affiliated or your tribal descent. (For example, Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, etc.) Please list tribes separated by commas.For example, one answer may be: "Navajo Nation, Pomo" | Text Entry (-) |
2022AQ | | RACE_ETHN | Which additional categories describe you? (Check all that apply.) | Asian Indian (1) Cambodian (2) Chinese (3) Filipino (4) Hmong (5) Japanese (6) Korean (7) Pakistani (8) Vietnamese (9) None of these fully describe me (please tell us about additional categories that describe you) (10) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2022AQ | | RACE_ETHN | Which additional categories describe you? (Check all that apply.) | African American (1) Barbadian (2) Caribbean (3) Ethiopian (4) Ghanaian (5) Haitian (6) Jamaican (7) Liberian (8) Nigerian (9) Somali (10) South African (11) None of these fully describe me (please tell us about additional categories that describe you) (12) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2022AQ | | RACE_ETHN | Which additional categories describe you? (Check all that apply.) | Colombian (1) Cuban (2) Dominican (3) Ecuadorian (4) Honduran (5) Mexican or Mexican American (6) Puerto Rican (7) Salvadoran (8) Spanish (9) None of these fully describe me (please tell us about additional categories that describe you) (10) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2022AQ | | RACE_ETHN | Which additional categories describe you? (Check all that apply.) | Afghan (1) Algerian (2) Egyptian (3) Emirati (12) Iranian (4) Iraqi (5) Israeli (6) Jordanian (13) Lebanese (7) Libyan (14) Moroccan (8) Omani (15) Palestinian (16) Qatari (17) Saudi Arabian (18) Syrian (9) Tunisian (10) Yemeni (19) None of these fully describe me (please tell us about additional categories that describe you) (11) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2022AQ | | RACE_ETHN | Which additional categories describe you? (Check all that apply?) | Chamorro (1) Chuukese (2) Fijian (3) Marshallese (4) Native Hawaiian (5) Palauan (6) Samoan (7) Tahitian (8) Tongan (9) None of these fully describe me (please tell us about additional categories that describe you) (10) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2022AQ | | RACE_ETHN | Which additional categories describe you? (Check all that apply?) | English (1) European (2) French (3) German (4) Irish (5) Italian (6) Polish (7) None of these fully describe me (please tell us about additional categories that describe you) (8) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2022AQ | | RACE_ETHN | You selected the category Hispanic, Latino, or Spanish. With which of the following terms related to Hispanic, Latino, or Spanish ethnicity do you identify? (Check all that apply.) | Chicana (1) Chicano (2) Hispanic (3) Hispano (4) Latina (5) Latine (6) Latino (7) Latinx (8) Spanish (9) Another term not listed (please specify) (10) Another term not listed (please specify) (TEXT) |
2022AQ | | RACE_ETHN | Which term do you think best describes you related to your Hispanic, Latino, or Spanish ethnicity? (Please select only one.) | Chicana (1) Chicano (2) Hispanic (3) Hispano (4) Latina (5) Latine (6) Latino (7) Latinx (8) Spanish (9) Another term not listed (please specify) (10) Another term not listed (please specify) (TEXT) |
2022AQ | | HL_WHICH_ME | You said ${q://QID2553/ChoiceGroup/SelectedChoices} describes you best. If you wish, please tell us more about why you identify most with ${q://QID2553/ChoiceGroup/SelectedChoices} and not the other terms listed. | Text Entry (-) |
2022AQ | | HL_WHICH_ME | You said ${q://QID2553/ChoiceGroup/SelectedChoicesTextEntry} describes you best. If you wish, please tell us more about why you identify most with ${q://QID2553/ChoiceGroup/SelectedChoicesTextEntry} and not the other terms listed. | Text Entry (-) |
2022AQ | | | What is your current gender identity? (Check all that apply.) | Agender (1) Cisgender man (2) Cisgender woman (3) Genderqueer (4) Man (5) Non-binary (6) Questioning (7) Transgender man (8) Transgender woman (9) Two-spirit (10) Woman (11) Another gender identity (please specify) (12) Another gender identity (please specify) (TEXT) |
2022AQ | | | What was the sex assigned to you at birth, for example on your original birth certificate? | Female (2) Male (1) |
2022AQ | | | Do you identify as intersex? | Yes (1) No (0) |
2022AQ | | INTERSEX | What does being intersex mean to you? | Text Entry (-) |
2022AQ | | | What is your current sexual orientation? (Check all that apply.) | Asexual (1) Bisexual (2) Gay (3) Lesbian (4) Pansexual (5) Queer (6) Questioning (7) Same-gender loving (8) Straight/Heterosexual (9) Two-spirit (10) Another sexual orientation (please specify) (11) Another sexual orientation (please specify) (TEXT) |
2022AQ | | | To understand your health and customize this survey for you, we need to know what organs you were born with. People have a wide range of language or terms for their physical anatomy (not all of which are listed here). Which of the following organs were you born with? (Check all that apply.) | Cervix (you likely have/had this if you were assigned female sex at birth) (1) Ovaries (2) Penis/Phallus (made of flesh and permanently connected to your body) (3) Prostate (you likely have/had this if you were assigned male sex at birth) (4) Testicles (5) Uterus/Womb (6) Vagina/Frontal genital opening (7) |
2022AQ | | | Have you EVER had breasts or breast tissue? | Yes (1) No (0) I dont know (88) |
2022AQ | | | Which of the following organs do you have now? (Check all that apply.) | Breasts or breast tissue (1) Cervix (you likely have this if you have a uterus or womb) (2) Ovaries (3) Penis/Phallus (made of flesh and permanently connected to your body) (4) Prostate (you likely have this if you were assigned male sex at birth) (5) Testicles (6) Uterus/Womb (7) Vagina/Frontal genital opening (8) |
2022AQ | | | Please indicate which word(s) you use for the following body part(s). | Text Entry (-) |
2022AQ | | ORGANS_NOW | You have indicated that you currently have a vagina/frontal genital opening. In order to customize the rest of this questionnaire, please select the term you would like us to use to describe your vagina/frontal genital opening. | Please use the term vagina. (1) Please use the term frontal genital opening. (2) |
2022AQ | | | What is your current height in feet and inches? If you don't know, please give your best estimate. | Text Entry (-) |
2022AQ | | | What is your current weight in pounds (lbs)? If you don't know, please give your best estimate. | Text Entry (-) |
2022AQ | | | What is your ZIP code? (This is the 5-digit code that helps direct U.S. Mail to you.) | Text Entry (-) |
2022AQ | | | We are asking the following question so we can better customize this questionnaire for you. We have three versions available. A version for people who identify as a gender minority (for example, genderqueer, non-binary, questioning one's gender identity, transgender, etc.) that will ask about gender identity/expression. A version for people who identify as a sexual minority (for example, asexual, bisexual, gay, lesbian, queer, questioning one's sexual orientation, etc.) that will ask about sexual orientation. A version or people who identify as both a gender and sexual minority that will ask about gender identity/expression and sexual orientation. Please choose the option that you think is best for you. | Gender minority people (for example: genderqueer, non-binary, questioning ones gender identity, transgender, etc.) (1) Sexual minority people (for example: asexual, bisexual, gay, lesbian, queer, questioning ones sexual orientation, etc.) (2) People who identify as both a sexual AND gender minority (3) |
2022AQ | | | If you had to choose only one of the following terms, which best describes your current gender identity?("Cisgender" here means identifying with the sex assigned to you at birth. For example, a cisgender woman identifies as a woman and was assigned female sex at birth.) | Cisgender man (1) Cisgender woman (2) Non-binary (3) Transgender man (4) Transgender woman (5) Another gender identity (6) |
2022AQ | | | If you had to choose only one of the following terms, which best describes your current sexual orientation? | Asexual/Demisexual/Gray-Ace (1) Bisexual/Pansexual (2) Gay/Lesbian (3) Queer (4) Straight/Heterosexual (5) Another sexual orientation (6) |
2022AQ | | | We would like to know more about your current romantic feelings toward other people. Please select all of the people you have romantic feelings for: (Check all that apply.) | Cisgender men (identify as men and were assigned male sex at birth) (1) Cisgender women (identify as women and were assigned female sex at birth) (3) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned female sex at birth (5) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned male sex at birth (6) Transgender men (identify as men and were assigned female sex at birth) (2) Transgender women (identify as women and were assigned male sex at birth) (4) I am romantically attracted to people of another gender(s) (please specify) (7) I am romantically attracted to people of another gender(s) (please specify) (TEXT) I am not romantically attracted to people of any gender (0) I dont know (88) |
2022AQ | | | We would like to know more about your current sexual attractions to other people. Please select all of the people you are attracted to: (Check all that apply.) | Cisgender men (identify as men and were assigned male sex at birth) (1) Cisgender women (identify as women and were assigned female sex at birth) (3) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned female sex at birth (5) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned male sex at birth (6) Transgender men (identify as men and were assigned female sex at birth) (2) Transgender women (identify as women and were assigned male sex at birth) (4) I am sexually attracted to people of another gender(s) (please specify) (7) I am sexually attracted to people of another gender(s) (please specify) (TEXT) I am not sexually attracted to people of any gender (0) I dont know (88) |
2022AQ | | | People are often referred to by pronouns instead of their names, such as they/theirs, she/hers, he/his, ze/hirs. Which pronouns do you want people to use to refer to you? (Check all that apply.) | He, him, his (1) She, her, hers (2) They, them, theirs (3) Ze, hir, hirs (4) No pronouns. I want people to only use my name. (5) Any pronouns are fine. I dont have a preference. (6) Pronouns not listed above (please specify) (7) Pronouns not listed above (please specify) (TEXT) |
2022AQ | | | What percentage of the time do people use the pronouns you want them to use for you? | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2022AQ | | | Which pronouns do you want your health care providers to use? (Check all that apply.) | He, him, his (1) She, her, hers (2) They, them, theirs (3) Ze, hir, hirs (4) No pronouns. I want people to only use my name. (5) Any pronouns are fine. I dont have a preference. (6) Pronouns not listed above (please specify) (7) Pronouns not listed above (please specify) (TEXT) |
2022AQ | | | Have your health care providers EVER asked you which pronouns you use? | Yes, ALL of my health care providers have asked (1) Yes, SOME of my health care providers have asked (2) No, NONE of my health care providers have asked (3) |
2022AQ | | | Which pronouns do your health care providers actually use ? (Check all that apply.) | He, him, his (1) She, her, hers (2) They, them, theirs (3) Ze, hir, hirs (4) No pronouns. I want people to only use my name. (5) Any pronouns are fine. I dont have a preference. (6) Pronouns not listed above (please specify) (7) Pronouns not listed above (please specify) (TEXT) |
2022AQ | | | Have you EVER changed how your name is listed on any IDs or records that list your name, such as your birth certificate, driver's license, insurance cards, passport, tribal ID, etc.? | Yes (1) No (0) |
2022AQ | | NAME_CHG_EV20 | Did you make any of these changes in the PAST 12 MONTHS? | Yes (1) No (0) |
2022AQ | | | Think about how your name is listed on all of your IDs and records that list your name, such as your birth certificate, driver's license, passport, tribal ID, etc. Which of the statements below is most true? Note: For the purposes of this question, your chosen name is the name that is most affirming to you. | All of my IDs and records list my chosen name. (2) Some of my IDs and records list my chosen name. (1) None of my IDs and records list my chosen name. (0) |
2022AQ | | NAME_CORRECT | Please select which IDs and records show your chosen name. (Check all that apply.) Note: For the purposes of this question, your chosen name is the name that is most affirming to you. | Birth certificate (1) Drivers license (2) Health insurance card (3) Passport (4) School/work identification card (6) State identification card (7) Tribal identification card (8) Another record/card/document (9) Another record/card/document (TEXT) |
2022AQ | | | Have you EVER changed how your gender is listed on any IDs or records that list your gender, such as your birth certificate, driver's license, insurance cards, passport, tribal ID, etc.? | Yes (1) No (0) |
2022AQ | | MARKER_CHG_EV20 | Did you make any of these changes in the PAST 12 MONTHS? | Yes (1) No (0) |
2022AQ | | | Think about how your gender is listed on all of your IDs and records that list your gender, such as your birth certificate, driver's license, passport, tribal ID, etc. Which of the statements below is most true? Note: We recognize that people may have multiple genders, but current systems may only allow us to check/select one option; so, for the purposes of this question, please select a gender that is most affirming to you. | All of my IDs and records list my accurate gender. (2) Some of my IDs and records list my accurate gender. (1) None of my IDs and records list my accurate gender. (0) |
2022AQ | | MARKER_ACCURATE | Please select which IDs and records show your accurate gender. (Check all that apply.) Note: For the purposes of this question, your accurate gender is the gender that is most affirming to you. | Birth certificate (1) Drivers license (2) Health insurance card (3) Passport (4) School/work identification card (6) State identification card (7) Tribal identification card (8) Another record/card/document (9) Another record/card/document (TEXT) |
2022AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Depression (1) Bipolar Disorder (2) Any anxiety disorder (3) Generalized Anxiety Disorder (4) Post-Traumatic Stress Disorder (PTSD) (5) None of the above (0) |
2022AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Agoraphobia or Panic Disorder (1) Social Phobia or Social Anxiety Disorder (2) Schizophrenia or a psychotic disorder or that you had a psychotic episode or psychotic break (3) Obsessive Compulsive Disorder (OCD) (4) Chronic Tic Disorder or Tourette Syndrome (5) None of the above (0) |
2022AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Trichotillomania (hair pulling disorder) (1) Chronic skin picking or Excoriation Disorder (2) Body Dysmorphic Disorder (BDD) (3) Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD) (4) Any personality disorder (such as Borderline Personality Disorder or Narcissistic Personality Disorder) (5) None of the above (0) |
2022AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Alcoholism or Alcohol Use Disorder (1) Drug or Substance Use Disorder (2) Any eating disorder (such as anorexia or bulimia) (3) Insomnia or another sleep disorder (4) Hypochondriasis or Illness Anxiety Disorder (5) Dissociative Identity Disorder or another dissociative disorder (6) None of the above (0) |
2022AQ | | | Were any of these conditions diagnosed within the PAST 12 MONTHS? (Check all that apply.) | None of these were diagnosed in the past 12 months. (0) Depression (1) Bipolar Disorder (2) Any anxiety disorder (3) Generalized Anxiety Disorder (4) Post-Traumatic Stress Disorder (PTSD) (5) Agoraphobia or Panic Disorder (6) Social Phobia or Social Anxiety Disorder (7) Schizophrenia or a psychotic disorder or that you had a psychotic episode or psychotic break (8) Obsessive Compulsive Disorder (OCD) (9) Chronic Tic Disorder or Tourette Syndrome (10) Trichotillomania (hair pulling disorder) (11) Chronic skin picking or Excoriation Disorder (12) Body Dysmorphic Disorder (BDD) (13) Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD) (14) Any personality disorder (such as Borderline Personality Disorder or Narcissistic Personality Disorder) (15) Alcoholism or Alcohol Use Disorder (16) Drug or Substance Use Disorder (17) Any eating disorder (such as anorexia or bulimia) (18) Insomnia or another sleep disorder (19) Hypochondriasis or Illness Anxiety Disorder (20) Dissociative Identity Disorder or another dissociative disorder (21) |
2022AQ | | | Problems You May Have Had | No Answers |
2022AQ | | | In the PAST 12 MONTHS, do you think that you had depression? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2022AQ | | | In the PAST 12 MONTHS, do you think that you had a problem with anxiety? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2022AQ | | | In the PAST 12 MONTHS, do you think that you had a problem with alcohol use? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2022AQ | | | In the PAST 12 MONTHS, do you think that you had a problem with drug or substance use (other than alcohol)? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2022AQ | | | In the PAST 12 MONTHS, do you think that you had an eating disorder or a problem with eating? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2022AQ | | | In the PAST 12 MONTHS, have you thought that you had a problem with pulling out your hair? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2022AQ | | | In the PAST 12 MONTHS, have you thought that you had a problem with picking at your skin to the point it caused damage? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2022AQ | | | In the PAST 12 MONTHS, have you purposefully physically harmed or injured yourself (for example, cutting or burning yourself)? | Yes (1) No (0) |
2022AQ | | | Which of the following best describes your use of medications for stress or mental health problems in the PAST 12 MONTHS? | I have not taken medication for these reasons in the past 12 months (0) I took medication for at least one of these reasons in the past 12 months, but not now (1) I currently take medication for at least one of these reasons (2) |
2022AQ | | MED_MENTAL | Which of the following best describes your use of medications for stress or mental health problems in the PAST 12 MONTHS? | All of the medications I took for stress or mental health problems were prescribed to me (0) Some of the medications I took for stress or mental health problems were prescribed to me (1) None of the medications I took for stress or mental health problems were prescribed to me (2) |
2022AQ | | PROB_SUBST | Which of the following best describes your use of medications for substance use problems in the PAST 12 MONTHS? | I have not taken medication for this reason in the past 12 months (0) I took medication for this reason in the past 12 months, but not now (1) I currently take medication for this reason (2) |
2022AQ | | | Which of the following best describes your use of psychotherapy/counseling for stress or mental health problems in the PAST 12 MONTHS? | I have not been in psychotherapy/counseling for these reasons in the past 12 months (0) I was in psychotherapy/counseling for at least one of these reasons in the past 12 months, but not now (1) I am currently in psychotherapy/counseling for at least one of these reasons (2) |
2022AQ | | PROB_SUBST | Which of the following best describes your use of psychotherapy/counseling for substance use problems in the PAST 12 MONTHS? | I have not been in psychotherapy/counseling for this reason in the past 12 months (0) I was in psychotherapy/counseling for this reason in the past 12 months, but not now (1) I am currently in psychotherapy/counseling for this reason (2) |
2022AQ | | | Have you EVER tried cigarette smoking, even one or two puffs? | Yes (1) No (0) |
2022AQ | | SMOKE_EVER | Have you smoked at least 100 cigarettes in YOUR ENTIRE LIFE? | Yes (1) No (0) |
2022AQ | | SMOKER | Do you now smoke cigarettes every day, some days, or not at all? | Every day (2) Some days (1) Not at all (0) |
2022AQ | | SMOKE_EVER | When was the last time you smoked a cigarette, even one or two puffs? | Within the past 24 hours (8) Within the past 7 days (7) Within the past 30 days (6) Within the past 3 months (5) Within the past 6 months (4) Within the past 1 year (3) Within the past 5 years (2) Within the past 15 years (1) More than 15 years ago (0) |
2022AQ | | SMOKE_NOW | On average, about how many cigarettes a day do you now smoke? | Text Entry (-) |
2022AQ | | SMOKE_NOW | How long after waking up do you smoke your first cigarette? | Within 5 minutes (3) 5-30 minutes (2) 31-60 minutes (1) After 60 minutes (0) |
2022AQ | | SMOKE_NOW | During the past 12 months, have you stopped smoking for 24 hours or more? (Do not count times when you weren't allowed to smoke, like if you were in a hospital or in jail.) | Yes (1) No (0) |
2022AQ | | SMOKE_NOW | In any previous quit attempts, which of the following methods/resources have you used to help you quit? (Check all that apply.) | Never tried to quit (0) Quit cold turkey (1) Gradually cut down (2) Stop smoking class/program for a fee (3) Stop smoking class/program (no fee) (4) Advice or counseling from a doctor, nurse, psychologist, or other health professional (5) Telephone hotline (6) Hypnosis (7) Acupuncture (8) Nicotine gum (9) Nicotine patch (10) Nicotine spray (11) Nicotine inhaler (12) Nicotine lozenge (13) Zyban, Wellbutrin, or bupropion for smoking cessation (14) Chantix or varenicline (15) E-cigarette (e.g., vaping, hookah pen) with nicotine (16) E-cigarette (e.g., vaping, hookah pen) without nicotine (17) Internet (please specify website) (18) Internet (please specify website) (TEXT) Other (please specify) (19) Other (please specify) (TEXT) |
2022AQ | | SMOKE_NOW | How interested are you in quitting smoking in the near future? | Not at all interested (0) Somewhat interested (1) Very interested (2) Extremely interested (3) |
2022AQ | | | In the PAST MONTH, have you used any tobacco or nicotine products other than cigarettes? (Check all that apply.) | Blunt (with another substance) (1) Blunt (without any other substance) (2) Bidi (3) Chewing tobacco (chew) (4) Other cigars with tobacco inside (e.g., cigarillos, little cigars, bidis) (5) Other cigars with another substance (e.g., cigarillos, little cigars, bidis) (6) Dip (7) E-cigarette or vape device with nicotine (8) E-cigarette or vape device without nicotine (9) Nicotine replacement products (e.g., patch, gum, lozenge) (10) Snuff (11) Snus (12) Other tobacco or nicotine containing product (please specify) (13) Other tobacco or nicotine containing product (please specify) (TEXT) I have not used any tobacco product other than cigarettes in the past month (14) I have not used any tobacco- or nicotine-containing products in the past month (0) |
2022AQ | | | How long has it been since you last had 5 or more drinks containing alcohol on one occasion? | Within the past 30 days (3) More than 30 days ago but within the past 12 months (2) More than 12 months ago (1) Never had 5 or more drinks on one occasion (0) |
2022AQ | | ALC5 | In the PAST 30 DAYS, on how many days have you had 5 or more drinks containing alcohol on one occasion? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2022AQ | | | On average, how many days a week do you have an alcoholic beverage? | Text Entry (-) |
2022AQ | | | On a typical drinking day, how many drinks do you have? | Text Entry (-) |
2022AQ | | | How often did you have a drink containing alcohol in the PAST YEAR? | Never (0) Monthly or less (1) 2-4 times a month (2) 2-3 times a week (3) 4 or more times a week (4) |
2022AQ | | AUDIT1 | How many drinks containing alcohol did you have on a typical day when you were drinking in the PAST YEAR? | 1 or 2 (0) 3 or 4 (1) 5 or 6 (2) 7 to 9 (3) 10 or more (4) |
2022AQ | | AUDIT1 | How often do you have six or more drinks on one occasion? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2022AQ | | AUDIT1 | How often during the LAST YEAR have you found that you were not able to stop drinking once you had started? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2022AQ | | AUDIT1 | How often during the LAST YEAR have you failed to do what was normally expected from you because of drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2022AQ | | AUDIT1 | How often during the LAST YEAR have you needed a first drink in the morning to get yourself going after a heavy drinking session? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2022AQ | | AUDIT1 | How often during the LAST YEAR have you had a feeling of guilt or remorse after drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2022AQ | | AUDIT1 | How often during the LAST YEAR have you been unable to remember what happened the night before because you had been drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2022AQ | | | Have you or someone else been injured as a result of your drinking? | No (0) Yes, but not in the last year (2) Yes, during the last year (4) |
2022AQ | | | Has a relative or friend or a doctor or another health worker been concerned about your drinking or suggested you cut down? | No (0) Yes, but not in the last year (2) Yes, during the last year (4) |
2022AQ | | | Have you thought about or attempted to kill yourself? | Never (0) It was just a brief passing thought. (1) I have had a plan at least once to kill myself but did not try to do it. (2) I have had a plan at least once to kill myself and really wanted to die. (3) I have attempted to kill myself, but did not want to die. (4) I have attempted to kill myself, and really hoped to die. (5) |
2022AQ | | SBQ1 | How often have you thought about killing yourself? | Never (0) Rarely (1 time) (1) Sometimes (2 times) (2) Often (3-4 times) (3) Very often (5 or more times) (4) |
2022AQ | | | Have you told someone that you were going to kill yourself, or that you might do it? | No. (0) Yes, at one time, but did not really want to die. (1) Yes, at one time, and really wanted to die. (2) Yes, more than once, but did not want to do it. (3) Yes, more than once, and really wanted to do it. (4) |
2022AQ | | SBQ1 | When was the last time you attempted to kill yourself? | Within the past year (2) 1-5 years ago (1) More than 5 years ago (0) |
2022AQ | | | How likely is it that you will attempt suicide someday? | Never (0) No chance at all (1) Rather unlikely (2) Unlikely (3) Likely (4) Rather likely (5) Very likely (6) |
2022AQ | | | We at The PRIDE Study value the health and mental health of sexual and gender minority people like you. Suicide has taken too many of us. We sincerely urge you to get help, as we know that things can get better with help. Please consider reaching out for services in your area, and also consider calling 1-800-273-8255 (National Suicide Prevention Lifeline; they offer a 24/7 Lifeline and an online chat function at www.suicidepreventionlifeline.org) or 1-888-843-4564 (LGBT National Hotline, www.glbthotline.org) to talk with someone. Go to the emergency room or call 911 if you are in crisis and don't know where to get help. The PRIDE Study team cares about you and the health of our community. | No Answers |
2022AQ | | | If you would like resources about the National Suicide Prevention Lifeline emailed to you, please enter your email address here: | Text Entry (-) |
2022AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Repeated, disturbing memories, thoughts, or images of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2022AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Feeling very upset when something reminded you of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2022AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Avoided activities or situations because they reminded you of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2022AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Feeling distant or cut off from other people? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2022AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Feeling irritable or having angry outbursts? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2022AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Having difficulty concentrating? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2022AQ | | | Sometimes things happen to people that are unusually or especially frightening, horrible, or traumatic. For example: a serious accident or fire, a physical or sexual assault or abuse, an earthquake or flood, a war, seeing someone be killed or seriously injured, having a loved one die through homicide or suicide.Have you experienced this kind of event? | Yes, in the PAST 12 MONTHS (2) Yes, more than 12 months ago (1) No (0) |
2022AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Little interest or pleasure in doing things | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2022AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling down, depressed, or hopeless | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2022AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Trouble falling or staying asleep, or sleeping too much | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2022AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling tired or having little energy | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2022AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Poor appetite or overeating | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2022AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling bad about yourself - or that you are a failure or have let yourself or your family down | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2022AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Trouble concentrating on things, such as reading the newspaper or watching television | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2022AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2022AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Thoughts that you would be better off dead or of hurting yourself in some way | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2022AQ | | | We at The PRIDE Study value the health and mental health of sexual and gender minority people like you. Suicide has taken too many of us. We sincerely urge you to get help, as we know that things can get better with help. Please consider reaching out for services in your area, and also consider calling 1-800-273-8255 (National Suicide Prevention Lifeline; they offer a 24/7 Lifeline and an online chat function at www.suicidepreventionlifeline.org) or 1-888-843-4564 (LGBT National Hotline, www.glbthotline.org) to talk with someone. Go to the emergency room or call 911 if you are in crisis and don't know where to get help. The PRIDE Study team cares about you and the health of our community. | No Answers |
2022AQ | | | If you would like resources about the National Suicide Prevention Lifeline emailed to you, please enter your email address here: | Text Entry (-) |
2022AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling nervous, anxious or on edge | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2022AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Not being able to stop or control worrying | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2022AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Worrying too much about different things | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2022AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Trouble relaxing | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2022AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Being so restless that it is hard to sit still | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2022AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Becoming easily annoyed or irritable | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2022AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling afraid as if something awful might happen | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2022AQ | | | In your LIFETIME, which of the following substances have you ever used - either prescribed or not prescribed by a health care provider? (Check all that apply.) | Cannabis (marijuana, pot, grass, hash, etc.) (1) Cocaine (coke, crack, etc.) (2) Prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) (3) Methamphetamine (speed, crystal meth, tina, ice, etc.) (4) Inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers) (5) Inhaled nitrates (poppers) (6) Sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) (7) GHB (G, gamma-hydroxybutyric acid) (8) Hallucinogens (LSD, acid, mushrooms, PCP, ketamine, etc.) (9) Street opioids (heroin, opium, etc.) (10) Prescription opioids (fentanyl, oxycodone OxyContin, Percocet, hydrocodone Vicodin, methadone, buprenorphine, etc.) (11) MDMA (Ecstasy or Molly) (12) Other 1 (please list only 1 drug) (13) Other 1 (please list only 1 drug) (TEXT) Other 2 (please list only 1 drug) (14) Other 2 (please list only 1 drug) (TEXT) I have never used any substances (0) |
2022AQ | | DRUGS | How long has it been since you last used cannabis (marijuana, pot, grass, hash, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2022AQ | | CAN_LASTUSE | In the PAST 30 DAYS, on how many days have you used cannabis (marijuana, pot, grass, hash, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2022AQ | | CAN_LASTUSE | In the PAST 3 MONTHS, how often have you used cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | CAN_FREQ | Was any of your cannabis (marijuana, pot, grass, hash, etc.) use in the past three months recommended or prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | CAN_ANYMD | Was all of your cannabis (marijuana, pot, grass, hash, etc.) use in the past three months used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | CAN_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | CAN_FREQ | During the PAST 3 MONTHS, how often has your use of cannabis (marijuana, pot, grass, hash, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | CAN_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of cannabis (marijuana, pot, grass, hash, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using cannabis (marijuana, pot, grass, hash, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | How long has it been since you last used cocaine (coke, crack, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2022AQ | | COKE_LASTUSE | In the PAST 30 DAYS, on how many days have you used cocaine (coke, crack, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2022AQ | | COKE_LASTUSE | In the PAST 3 MONTHS, how often have you used cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | COKE_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | COKE_FREQ | During the PAST 3 MONTHS, how often has your use of cocaine (coke, crack, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | COKE_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of cocaine (coke, crack, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using cocaine (coke, crack, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | Have you EVER used cocaine (coke, crack, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | How long has it been since you last used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2022AQ | | STIM_LASTUSE | In the PAST 30 DAYS, on how many days have you used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2022AQ | | STIM_LASTUSE | In the PAST 3 MONTHS, how often have you used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | STIM_FREQ | Was any of your prescription stimulant (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | STIM_ANYMD | Was all of your prescription stimulant (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | STIM_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | STIM_FREQ | During the PAST 3 MONTHS, how often has your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | STIM_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | Have you EVER used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | How long has it been since you last used methamphetamine (speed, crystal meth, tina, ice, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2022AQ | | METH_LASTUSE | In the PAST 30 DAYS, on how many days have you used methamphetamine (speed, crystal meth, tina, ice, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2022AQ | | METH_LASTUSE | In the PAST 3 MONTHS, how often have you used methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | METH_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | METH_FREQ | During the PAST 3 MONTHS, how often has your use of methamphetamine (speed, crystal meth, tina, ice, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | METH_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of methamphetamine (speed, crystal meth, tina, ice, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using methamphetamine (speed, crystal meth, tina, ice, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | Have you EVER used methamphetamine (speed, crystal meth, tina, ice, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | How long has it been since you last used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2022AQ | | INHALE_LASTUSE | In the PAST 30 DAYS, on how many days have you used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2022AQ | | INHALE_LASTUSE | In the PAST 3 MONTHS, how often have you used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | INHALE_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | INHALE_FREQ | During the PAST 3 MONTHS, how often has your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | INHALE_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | How long has it been since you last used inhaled nitrates (poppers)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2022AQ | | POP_LASTUSE | In the PAST 30 DAYS, on how many days have you used inhaled nitrates (poppers)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2022AQ | | POP_LASTUSE | In the PAST 3 MONTHS, how often have you used inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | POP_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | POP_FREQ | During the PAST 3 MONTHS, how often has your use of inhaled nitrates (poppers) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | POP_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | POP_FREQ | During the PAST 3 MONTHS, during what activities have you used inhaled nitrates (poppers)? (Check all that apply.) | Sexual activity with yourself (for example, masturbation) (0) Sexual activity with another person (1) Dancing or clubbing (2) Other activities (3) |
2022AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | Have you EVER used inhaled nitrates (poppers) in the 24 hours after you took a medication intended to give people stronger erections (for example, Viagra, Cialis, or Levitra)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | WARNING: Using inhaled nitrates (poppers) in combination with medications that help with sexual activity like Viagra, Cialis, or Levitra can kill you by causing a lethal drop in blood pressure with even one use. We are aware that this information may not be widely known among our communities. If you use inhaled nitrates (poppers) in combination with medications that help with sexual activity like Viagra, Cialis, or Levitra, please contact a health care provider to get more information right away. | No Answers |
2022AQ | | DRUGS | How long has it been since you last used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2022AQ | | SED_LASTUSE | In the PAST 30 DAYS, on how many days have you used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2022AQ | | SED_LASTUSE | In the PAST 3 MONTHS, how often have you used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | SED_FREQ | Was any of your sedative or sleeping pill (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | SED_ANYMD | Was all of your sedative or sleeping pill (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | SED_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | SED_FREQ | During the PAST 3 MONTHS, how often has your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | SED_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | Have you EVER used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | How long has it been since you last used GHB (G, gamma-hydroxybutyric acid)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2022AQ | | GHB_LASTUSE | In the PAST 30 DAYS, on how many days have you used GHB (G, gamma-hydroxybutyric acid)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2022AQ | | GHB_LASTUSE | In the PAST 3 MONTHS, how often have you used GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | GHB_FREQ | Was any of your GHB (G, gamma-hydroxybutyric acid) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | GHB_ANYMD | Was all of your GHB (G, gamma-hydroxybutyric acid) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | GHB_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | GHB_FREQ | During the PAST 3 MONTHS, how often has your use of GHB (G, gamma-hydroxybutyric acid) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | GHB_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of GHB (G, gamma-hydroxybutyric acid)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using GHB (G, gamma-hydroxybutyric acid)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | How long has it been since you last used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2022AQ | | HALL_LASTUSE | In the PAST 30 DAYS, on how many days have you used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2022AQ | | HALL_LASTUSE | In the PAST 3 MONTHS, how often have you used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | HALL_FREQ | Was any of your hallucinogen (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) use in the past three months prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2022AQ | | HALL_ANYMD | Was all of your hallucinogen (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) use in the past three months used exactly as prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2022AQ | | HALL_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | HALL_FREQ | During the PAST 3 MONTHS, how often has your use of hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | HALL_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | Have you EVER used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | How long has it been since you last used street opioids (heroin, opium, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2022AQ | | HEROIN_LASTUSE | In the PAST 30 DAYS, on how many days have you used street opioids (heroin, opium, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2022AQ | | HEROIN_LASTUSE | In the PAST 3 MONTHS, how often have you used street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | HEROIN_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | HEROIN_FREQ | During the PAST 3 MONTHS, how often has your use of street opioids (heroin, opium, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | HEROIN_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of street opioids (heroin, opium, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using street opioids (heroin, opium, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | Have you EVER used street opioids (heroin, opium, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | How long has it been since you last used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2022AQ | | NARC_LASTUSE | In the PAST 30 DAYS, on how many days have you used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2022AQ | | NARC_LASTUSE | In the PAST 3 MONTHS, how often have you used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | NARC_FREQ | Was any of your prescription opioid (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | NARC_ANYMD | Was all of your prescription opioid (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | NARC_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | NARC_FREQ | During the PAST 3 MONTHS, how often has your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | NARC_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | Have you EVER used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | How long has it been since you last used MDMA (Molly or ecstasy)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2022AQ | | MDMA_LASTUSE | In the PAST 30 DAYS, on how many days have you used MDMA (Molly or ecstasy)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2022AQ | | MDMA_LASTUSE | In the PAST 3 MONTHS, how often have you used MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | MDMA_FREQ | Was any of your MDMA (Molly or ecstasy) use in the past three months recommended or prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | MDMA_ANYMD | Was all of your MDMA (Molly or ecstasy) use in the past three months used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | MDMA_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | MDMA_FREQ | During the PAST 3 MONTHS, how often has your use of MDMA (Molly or ecstasy) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | MDMA_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of MDMA (Molly or ecstasy)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using MDMA (Molly or ecstasy)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | | Have you EVER used MDMA (Molly or ecstasy) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | How long has it been since you last used ${q://QID1903/ChoiceTextEntryValue/11}? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2022AQ | | OTDRUG1_LASTUSE | In the PAST 30 DAYS, on how many days have you used ${q://QID1903/ChoiceTextEntryValue/11}? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2022AQ | | OTDRUG1_LASTUSE | In the PAST 3 MONTHS, how often have you used ${q://QID1903/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | OTDRUG1_FREQ | Was any of your ${q://QID1903/ChoiceTextEntryValue/11} use in the past three months recommended or prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | OTDRUG1_ANYMD | Was all of your ${q://QID1903/ChoiceTextEntryValue/11} use in the past three months used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | OTDRUG1_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use ${q://QID1903/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | OTDRUG1_FREQ | During the PAST 3 MONTHS, how often has your use of ${q://QID1903/ChoiceTextEntryValue/11} led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | OTDRUG1_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of ${q://QID1903/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of ${q://QID1903/ChoiceTextEntryValue/11}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using ${q://QID1903/ChoiceTextEntryValue/11}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | Have you EVER used ${q://QID1903/ChoiceTextEntryValue/11} by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | How long has it been since you last used ${q://QID1903/ChoiceTextEntryValue/12}? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2022AQ | | OTDRUG2_LASTUSE | In the PAST 30 DAYS, on how many days have you used ${q://QID1903/ChoiceTextEntryValue/12}? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2022AQ | | OTDRUG2_LASTUSE | In the PAST 3 MONTHS, how often have you used ${q://QID1903/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | OTDRUG2_FREQ | Was any of your ${q://QID1903/ChoiceTextEntryValue/12} use in the past three months recommended or prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2022AQ | | OTDRUG2_ANYMD | Was all of your ${q://QID1903/ChoiceTextEntryValue/12} use in the past three months used exactly as prescribed or recommended by a doctor or other health care professional? | Yes (1) No (0) |
2022AQ | | OTDRUG2_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use ${q://QID1903/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | OTDRUG2_FREQ | During the PAST 3 MONTHS, how often has your use of ${q://QID1903/ChoiceTextEntryValue/12} led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | OTDRUG2_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of ${q://QID1903/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2022AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of ${q://QID1903/ChoiceTextEntryValue/12}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using ${q://QID1903/ChoiceTextEntryValue/12}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | DRUGS | Have you EVER used ${q://QID1903/ChoiceTextEntryValue/12} by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2022AQ | | | Which of the following substances did you use during sexual activity with another person within the PAST 12 MONTHS? (Check all that apply.) | Cannabis (marijuana, pot, grass, hash, etc.) (1) Cocaine (coke, crack, etc.) (2) Prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) (3) Methamphetamine (speed, crystal meth, tina, ice, etc.) (4) Inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers) (5) Inhaled nitrates (poppers) (6) Sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) (7) GHB (G, gamma-hydroxybutyric acid) (8) Hallucinogens (LSD, acid, mushrooms, PCP, ketamine, etc.) (9) Street opioids (heroin, opium, etc.) (10) Prescription opioids (fentanyl, oxycodone OxyContin, Percocet, hydrocodone Vicodin, methadone, buprenorphine, etc.) (11) MDMA (Ecstasy or Molly) (12) q://QID1903/ChoiceTextEntryValueቧ (13) q://QID1903/ChoiceTextEntryValueቨ (14) I did not use any of these substances during sexual activity with another person. (15) |
2022AQ | | | When I want to feel more positive emotion (such as joy or amusement), I change what I'm thinking about. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2022AQ | | | I keep my emotions to myself. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2022AQ | | | When I want to feel less negative emotion (such as sadness or anger), I change what I'm thinking about. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2022AQ | | | When I am feeling positive emotions, I am careful not to express them. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2022AQ | | | When I'm faced with a stressful situation, I make myself think about it in a way that helps me stay calm. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2022AQ | | | I control my emotions by not expressing them. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2022AQ | | | When I want to feel more positive emotion, I change the way I'm thinking about the situation. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2022AQ | | | I control my emotions by changing the way I think about the situation I'm in. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2022AQ | | | When I am feeling negative emotions, I make sure not to express them. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2022AQ | | | When I want to feel less negative emotion, I change the way I'm thinking about the situation. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2022AQ | | | How often do you have difficulty concentrating on what people say to you, even when they are speaking to you directly? | Never (1) Rarely (2) Sometimes (3) Often (4) Very Often (5) |
2022AQ | | | How often do you leave your seat in meetings or other situations in which you are expected to remain seated? | Never (1) Rarely (2) Sometimes (3) Often (4) Very Often (5) |
2022AQ | | | How often do you have difficulty unwinding and relaxing when you have time to yourself? | Never (1) Rarely (2) Sometimes (3) Often (4) Very Often (5) |
2022AQ | | | When you're in a conversation, how often do you find yourself finishing the sentences of the people you are talking to before they can finish them themselves? | Never (1) Rarely (2) Sometimes (3) Often (4) Very Often (5) |
2022AQ | | | How often do you put things off until the last minute? | Never (1) Rarely (2) Sometimes (3) Often (4) Very Often (5) |
2022AQ | | | How often do you depend on others to keep your life in order and attend to details? | Never (1) Rarely (2) Sometimes (3) Often (4) Very Often (5) |
2022AQ | | | My painful experiences and memories make it difficult for me to live a life that I would value. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2022AQ | | | I'm afraid of my feelings. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2022AQ | | | I worry about not being able to control my worries and feelings. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2022AQ | | | My painful memories prevent me from having a fulfilling life. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2022AQ | | | Emotions cause problems in my life. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2022AQ | | | It seems like most people are handling their lives better than I am. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2022AQ | | | Worries get in the way of my success. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2022AQ | | | I tend to bounce back quickly after hard times. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2022AQ | | | I have a hard time making it through stressful events. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2022AQ | | | It does not take me long to recover from a stressful event. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2022AQ | | | It is hard for me to snap back when something bad happens. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2022AQ | | | I usually come through difficult times with little trouble. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2022AQ | | | I tend to take a long time to get over set-backs in my life. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2022AQ | | | You have completed the Mental Health section! This is one of 4 sections! Thank you for the time and energy you have put into helping us understand LGBTQ people's diverse and vibrant lives as we work towards helping LGBTQ people thrive! Your answers are bringing us closer to health equity for LGBTQ people. Thank you! | No Answers |
2022AQ | | | Do you identify as "neurodivergent" or with any associated term that people sometimes use within the neurodiversity movement (aspie, autistic, etc.)? | Yes (1) No (0) |
2022AQ | | | In the PAST 12 MONTHS, has a mental health professional or health care provider told you that you have Autism Spectrum Disorder or Asperger's Syndrome? | Yes (1) No (0) I dont know (88) |
2022AQ | | | Do you currently identify as a person with a disability? | Yes (1) No (0) |
2022AQ | | DIS_SELFID | What condition(s) or problem(s) are related to your disability identity? (Check all that apply.) | Arthritis/rheumatism (1) Attention Deficit Hyperactive Disorder (ADHD) (39) Autism (2) Back or neck problem (3) Benign tumors, cysts (4) Birth defect (5) Cancer (6) Circulation problems (including blood clots) (7) Depression/anxiety/emotional problem (8) Diabetes (9) Ehlers-Danlos Syndrome (EDS) (40) Epilepsy, seizures (10) Fibromyalgia, lupus (11) Fracture, bone/joint injury (12) Hearing problem (13) Heart problem (14) Hernia (15) Hypertension/high blood pressure (16) Intellectual/developmental disability (17) Kidney, bladder or renal problems (18) Knee problems (not arthritis, not joint injury) (19) Lung/breathing problem (for example, asthma and emphysema) (20) Memory (21) Migraine headaches (not just headaches) (22) Missing limbs (fingers, toes or digits), amputee (23) Multiple Sclerosis (MS), Muscular Dystrophy (MD) (24) Osteoporosis, tendinitis (25) Other developmental problem (for example cerebral palsy) (26) Other injury (27) Other nerve damage, including carpal tunnel syndrome (28) Parkinsons disease, other tremors (29) Polio (myelitis), paralysis, para/quadriplegia (30) Post-Traumatic Stress Disorder (PTSD) (41) Stroke problem (31) Thyroid problems, Graves disease, gout (32) Ulcer (33) Varicose veins, hemorrhoids (34) Vision/problem seeing (35) Weight problem (36) Other impairment/problem (please specify one) (37) Other impairment/problem (please specify one) (TEXT) Other impairment/problem (please specify one) (38) Other impairment/problem (please specify one) (TEXT) |
2022AQ | | | In the PAST 12 MONTHS, have you been unable to work due to a disability? | Yes (1) No (0) |
2022AQ | | | In the PAST 12 MONTHS, have you received Supplemental Security Income (SSI) or other government disability assistance related to a disability status? | Yes (1) No (0) |
2022AQ | | | Are you deaf or do you have serious difficulty hearing? | Yes (1) No (0) |
2022AQ | | | Are you blind or do you have serious difficulty seeing, even when wearing glasses? | Yes (1) No (0) |
2022AQ | | | Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions? | Yes (1) No (0) |
2022AQ | | | Do you have serious difficulty walking or climbing stairs? | Yes (1) No (0) |
2022AQ | | | Do you have difficulty dressing or bathing? | Yes (1) No (0) |
2022AQ | | | Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor's office or shopping? | Yes (1) No (0) |
2022AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Standing for long periods such as 30 minutes? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2022AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Taking care of your household responsibilities? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2022AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Learning a new task, for example, learning how to get to a new place? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2022AQ | | | In the PAST 30 DAYS, how much of a problem did you have joining in community activities (for example, festivities, religious or other activities) as fully as someone who doesn't experience your health conditions? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2022AQ | | | In the PAST 30 DAYS, how much have you been emotionally affected by your health problems? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2022AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Concentrating on doing something for ten minutes? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2022AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Walking a long distance such as a kilometer [or approximately 0.6 miles]? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2022AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Washing your whole body? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2022AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Getting dressed? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2022AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Dealing with people you do not know? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2022AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Maintaining a friendship? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2022AQ | | | In the PAST 30 DAYS, how much difficulty did you have with: Your day-to-day work? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2022AQ | | WHODAS_S1 | Overall, in the PAST 30 DAYS, how many days were these difficulties present? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2022AQ | | | In the PAST 30 DAYS, for how many days were you totally unable to carry out your usual activities or work because of any health condition? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2022AQ | | | In the PAST 30 DAYS, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2022AQ | | | Did you live with anyone who was depressed, mentally ill, or suicidal? | Yes (1) No (0) I dont know (88) |
2022AQ | | | Did you live with anyone who was a problem drinker or alcoholic? | Yes (1) No (0) I dont know (88) |
2022AQ | | | Did you live with anyone who used illegal street drugs or who abused prescription medications? | Yes (1) No (0) I dont know (88) |
2022AQ | | | Did you live with anyone who served time or was sentenced to serve time in a prison, jail, or other correctional facility? | Yes (1) No (0) I dont know (88) |
2022AQ | | | Were your parents separated or divorced? | Yes (1) No (0) Parents not married or together (2) I dont know (88) |
2022AQ | | | How often did your parents or adults in your home ever slap, hit, kick, punch or beat each other up? | Never (0) Once (1) More than once (2) I dont know (88) |
2022AQ | | | Before age 18, how often did a parent or adult in your home ever hit, beat, kick, or physically hurt you in any way? | Never (0) Once (1) More than once (2) I dont know (88) |
2022AQ | | | How often did a parent or adult in your home ever swear at you, insult you, or put you down? | Never (0) Once (1) More than once (2) I dont know (88) |
2022AQ | | | How often did anyone at least 5 years older than you or an adult, ever touch you sexually? | Never (0) Once (1) More than once (2) I dont know (88) |
2022AQ | | | How often did anyone at least 5 years older than you or an adult, try to make you touch them sexually? | Never (0) Once (1) More than once (2) I dont know (88) |
2022AQ | | | How often did anyone at least 5 years older than you or an adult, force you to have sex? | Never (0) Once (1) More than once (2) I dont know (88) |
2022AQ | | ACES9 | Thank you for answering these questions to better our understanding of LGBTQ people's experiences with sexual violence. We realize that recalling past experiences with sexual violence can be difficult. If you'd like to talk with someone about these experiences, please consider reaching out to the National Sexual Assault Hotline (800-656-4673), operated by Rape, Abuse, & Incest National Network (RAINN; rainn.org). | No Answers |
2022AQ | | | How has the COVID impacted your finances? (Check all that apply.) | I dont have enough money for food and basic supplies (1) I am unable to pay my rent (2) I am unable to pay my mortgage (3) I am unable to pay ongoing bills (for example, cell phone, power, water) (4) I am making less money from my job (5) I am no longer making any money from my job (6) I lost my job (7) I have lost money due to the stock market (8) My business is making less money (9) I have extra costs now (please specify) (10) I have extra costs now (please specify) (TEXT) Some other way (please specify) (11) Some other way (please specify) (TEXT) My finances have not been impacted (0) |
2022AQ | | | How has COVID impacted your health care in the PAST 12 MONTHS? (Check all that apply). | I did not go to the doctor for routine health care (for example, an annual visit) (1) I did not get treatment for a chronic illness or disease (2) I was not able to access medications that I needed (3) I made the decision to postpone health care procedures (4) I was not allowed to access health care procedures (5) I lost my health insurance (6) I was not able to access medical equipment that I needed (7) COVID impacted my health care in some other way (please specify) (8) COVID impacted my health care in some other way (please specify) (TEXT) COVID did not impact my health care at all (0) |
2022AQ | | COVIDIMPACT_HC22 | You said that health care appointments or procedures were postponed due to COVID in the PAST 12 MONTHS. What types of healthcare appointments or procedures were postponed? (Check all that apply.) | Visits with your primary care provider (1) Visits with a specialist (2) Visits related to reproductive health care (3) Laboratory tests (4) HIV testing (5) Abortion services (6) Sexually-transmitted infection (STI) testing (7) Gender-affirming hormone visits (8) Gender-affirming surgeries (for example, top surgery, bottom surgery) (9) Other gender-affirming procedures (for example, laser hair removal) (10) Other gender-affirming appointments (for example, voice therapy) (11) Mental health care visits (for example, with therapist, counselor, psychologist, or psychiatrist) (12) Something else (please specify) (13) Something else (please specify) (TEXT) |
2022AQ | | | Which of the following describes your current occupation or employment status? (Check all that apply.) | Employed, working 40 or more hours per week (1) Employed, working 1-39 hours per week (2) Temporarily employed (3) Self-employed (4) Not employed, looking for work (5) Not employed, not looking for work (6) Homemaker (7) Student (Full time) (8) Student (Part time) (9) Disabled, not able to work (10) Retired (11) |
2022AQ | | | Do you currently work one or more paid jobs? | Yes (1) No (0) |
2022AQ | | WORK | At how many paid jobs do you currently work? | 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) |
2022AQ | | WORK | In a typical week, how many hours do you work at your paid job(s)? | 1-10 (0) 11-20 (1) 21-30 (2) 31-40 (3) 41-50 (4) 51-60 (5) 61 (6) |
2022AQ | | WORK | Which of the following describe(s) your current occupation(s)? (Check all that apply.) | Arts, Design, Entertainment, Sports, and Media Occupations (1) Architecture and Engineering Occupations (2) Building and Grounds Cleaning and Maintenance Occupations (3) Business and Financial Operations Occupations (4) Community and Social Service Occupations (5) Computer and Mathematical Occupations (6) Construction and Extraction Occupations (7) Education, Training, and Library Occupations (8) Farming, Fishing, and Forestry Occupations (9) Food Preparation and Serving Related Occupations (10) Healthcare Practitioners and Technical Occupations (11) Healthcare Support Occupations (12) Installation, Maintenance, and Repair Occupations (13) Legal Occupations (14) Life, Physical, and Social Science Occupations (15) Management Occupations (16) Office and Administrative Support Occupations (17) Personal Care and Service Occupations (18) Production Occupations (19) Protective Service Occupations (20) Sales and Related Occupations (21) Transportation and Materials Moving Occupations (22) Other (please specify) (23) Other (please specify) (TEXT) |
2022AQ | | WORK | What is your job(s)? (Please be as specific as possible.) | Text Entry (-) |
2022AQ | | WORK | What is the main reason you do not currently work? | Taking care of house or family (1) Going to school (2) Retired (3) On a planned vacation from work (4) On family or parental leave (5) Temporarily unable to work for health reasons (6) Have job or contract and off-season (7) On layoff (8) Disabled (9) Other (please specify) (10) Other (please specify) (TEXT) I dont know (88) |
2022AQ | | | In the PAST 12 MONTHS, have you engaged in sex or sexual activity in exchange for money (sex work) or worked in the sex industry (such as erotic dancing, webcam work, or porn films)? | Yes (1) No (0) |
2022AQ | | SEXWORK | In the PAST 12 MONTHS, what type of sex work or work in the sex industry have you done? (Check all that apply.) | SEXWORK1 (1) SEXWORK2 (2) SEXWORK3 (3) SEXWORK4 (4) SEXWORK5 (5) SEXWORK6 (6) SEXWORK7 (7) SEXWORK8 (8) SEXWORK9 (9) SEXWORK10 (10) SEXWORK11 (11) SEXWORK11 (TEXT) |
2022AQ | | | In the PAST 12 MONTHS, have you engaged in sex or sexual activity in exchange for food? | Yes (1) No (0) |
2022AQ | | | In the PAST 12 MONTHS, have you engaged in sex or sexual activity in exchange for a place to sleep? | Yes (1) No (0) |
2022AQ | | | In the PAST 12 MONTHS, have you engaged in sex or sexual activity in exchange for drugs? | Yes (1) No (0) |
2022AQ | | | What were your individual earnings (in US Dollars) before taxes and deductions from ALL sources (including jobs, businesses, welfare, child support, disability, social security, etc.) in the 2021 tax year? | 0 (0) 1 - 10,000 (1) 10,001 - 20,000 (2) 20,001 - 30,000 (3) 30,001 - 40,000 (4) 40,001 - 50,000 (5) 50,001 - 60,000 (6) 60,001 - 70,000 (7) 70,001 - 80,000 (8) 80,001 - 90,000 (9) 90,001 - 100,000 (10) 100,001 - 110,000 (11) 110,001 - 120,000 (12) 120,001 - 130,000 (13) 130,001 - 140,000 (14) 140,001 - 150,000 (15) 150,001 - 175,000 (16) 175,001 - 200,000 (17) 200,001 (18) |
2022AQ | | | What is your best estimate (in US dollars) of your household earnings before taxes and deductions from ALL sources (including jobs, businesses, welfare, child support, disability, social security, etc.) in the 2021 tax year? | 0 (0) 1 - 10,000 (1) 10,001 - 20,000 (2) 20,001 - 30,000 (3) 30,001 - 40,000 (4) 40,001 - 50,000 (5) 50,001 - 60,000 (6) 60,001 - 70,000 (7) 70,001 - 80,000 (8) 80,001 - 90,000 (9) 90,001 - 100,000 (10) 100,001 - 110,000 (11) 110,001 - 120,000 (12) 120,001 - 130,000 (13) 130,001 - 140,000 (14) 140,001 - 150,000 (15) 150,001 - 175,000 (16) 175,001 - 200,000 (17) 200,001 (18) |
2022AQ | | | How many individuals are dependent upon the household income you just described? Please enter 1 for yourself. | Text Entry (-) |
2022AQ | | | What is your highest education level completed? | No schooling (1) Nursery school to high school, no diploma (2) High school graduate or equivalent (e.g., GED) (3) Trade/Technical/Vocational training (4) Some college (5) 2-year college degree (6) 4-year college degree (7) Masters degree (8) Doctoral degree (9) Professional degree (e.g., M.D., J.D., M.B.A.) (10) |
2022AQ | | | In the PAST 12 MONTHS, at any time, were you held in jail, prison, or juvenile detention? | Yes (1) No (0) |
2022AQ | | | In the PAST 12 MONTHS, have you spent any nights sleeping in a shelter or public place including buildings, cars, stairwells, streets, parks, or other outside areas? Please do not include recreational camping. | Yes (1) No (0) |
2022AQ | | HMLS_YR | Approximately how many nights in the PAST 12 MONTHS have you spent sleeping in a shelter or public place including buildings, cars, stairwells, streets, parks, or other outside areas? Please do not include recreational camping. | Text Entry (-) |
2022AQ | | | In the PAST 12 MONTHS, have you spent any nights living temporarily doubled up with others, where you were in a transitional or transitory setting, or you had no fixed address? | Yes (1) No (0) |
2022AQ | | UNSTB_YR | Approximately how many nights in the PAST 12 MONTHS have you been living temporarily doubled up with others, where you were in a transitional or transitory setting, or you had no fixed address? | Text Entry (-) |
2022AQ | | | What are your current living arrangements? | Living in house/apartment/condo I own alone or with others (with a mortgage or that you own free and clear) (1) Living in house/apartment/condo I rent alone or with others (2) Living with a partner, spouse, or other person who pays for the housing (3) Living with parents or family I grew up with (4) Living in campus/university housing (5) Living in military barracks (6) Living in a foster group home or other foster care (7) Living in a nursing home or other adult care facility (8) Living in a hospital (9) Living in a hotel or motel that I pay for myself (10) Living in a hotel or motel with an emergency shelter voucher (11) Living temporarily with friends or family because I cannot afford my own housing (12) Living in transitional housing/halfway house (13) Living on the street, in a car, in an abandoned building, in a park, or a place that is NOT a house, apartment, shelter, or other housing (14) Living in a homeless shelter (15) Living in a domestic violence shelter (16) Living in a shelter that is not a homeless shelter or domestic violence shelter (17) A living arrangement not listed above (please describe) (18) A living arrangement not listed above (please describe) (TEXT) |
2022AQ | | | How many people, including yourself, live in your household who are 18 years of age or older? | Text Entry (-) |
2022AQ | | | How many people live in your household who are younger than 18 years of age? | Text Entry (-) |
2022AQ | | | In the PAST 12 MONTHS, have you experienced harassment or name calling from strangers in public? | Yes (1) No (0) |
2022AQ | | YRHARASS | Do you think you were targeted for this harassment or name calling that occurred in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2022AQ | | | In the PAST 12 MONTHS, have you been physically attacked or deliberately injured? | Yes (1) No (0) |
2022AQ | | YRATTACK | Do you think you were targeted for these physical attacks or injuries that occurred in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2022AQ | | | In the PAST 12 MONTHS, have you experienced physical violence from a romantic or sexual partner? | Yes (1) No (0) |
2022AQ | | YRDV | Do you think you were targeted for this physical violence from a romantic or sexual partner that occurred in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2022AQ | | | In the PAST 12 MONTHS, have you been treated unfairly at work or when applying/interviewing for a job? | Yes (1) No (0) Not applicable, I have not worked and have not applied for jobs in the past 12 months (99) |
2022AQ | | YRJOBDISC | Do you think you were targeted for this unfair treatment at work or while applying for jobs in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2022AQ | | | In the PAST 12 MONTHS, have you been treated unfairly while trying to rent an apartment or buy a home, or been unfairly evicted from your residence? | Yes (1) No (0) |
2022AQ | | YRHOUSDISC | Do you think you were targeted for this unfair treatment in housing/eviction in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2022AQ | | | In the PAST 12 MONTHS, have you received poorer service than other people in restaurants, stores, other businesses or agencies? | Yes (1) No (0) |
2022AQ | | YRSERVDISC | Do you think you were targeted for this poorer service in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2022AQ | | | In the PAST 12 MONTHS, have you been treated unfairly while you were a student at school or in another educational setting? | Yes (1) No (0) Not applicable, I have not been in an educational setting in the past 12 months (99) |
2022AQ | | YRSCHDISC | Do you think you were targeted for this unfair treatment in educational settings in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2022AQ | | | In the PAST 12 MONTHS, have you been denied or given lower quality medical care? | Yes (1) No (0) Not applicable, I have not received or tried to receive medical care in the past 12 months (99) |
2022AQ | | YRMED | Do you think you were targeted for this discrimination in a medical setting in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2022AQ | | | Was there a time in the PAST 12 MONTHS when you needed to see a health care provider but did not because you thought you would be disrespected or mistreated? | Yes (1) No (0) |
2022AQ | | ANTMEDDISC | When you put off seeing a health care provider in the PAST 12 MONTHS because you thought you were going to be disrespected or mistreated, were you concerned you would be disrespected or mistreated because of your... (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2022AQ | | | In the PAST 12 MONTHS, have you been denied or given lower quality mental health care? | Yes (1) No (0) Not applicable, I have not received or tried to receive mental health care in the past 12 months (99) |
2022AQ | | YRMENTAL | Do you think you were targeted for this discrimination in a mental health setting in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2022AQ | | | In the PAST 12 MONTHS, have you experienced unfair treatment or harassment from the police or another law enforcement officer? | Yes (1) No (0) |
2022AQ | | YRPOLICE | Do you think you were targeted for this unfair treatment or harassment from a law enforcement officer in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2022AQ | | | In the PAST 12 MONTHS, have you experienced unwanted sexual contact? | Yes (1) No (0) |
2022AQ | | YRSA | Do you think you were targeted for this unwanted sexual contact that occurred in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2022AQ | | | Over the LAST 12 MONTHS, how often did your partner(s): physically hurt you? | Never (1) Rarely (2) Sometimes (3) Fairly often (4) Frequently (5) No partner(s) in the last 12 months (0) |
2022AQ | | | Over the LAST 12 MONTHS, how often did your partner(s): insult you or talk down to you? | Never (1) Rarely (2) Sometimes (3) Fairly often (4) Frequently (5) No partner(s) in the last 12 months (0) |
2022AQ | | | Over the LAST 12 MONTHS, how often did your partner(s): threaten you with harm? | Never (1) Rarely (2) Sometimes (3) Fairly often (4) Frequently (5) No partner(s) in the last 12 months (0) |
2022AQ | | | Over the LAST 12 MONTHS, how often did your partner(s): scream or curse at you? | Never (1) Rarely (2) Sometimes (3) Fairly often (4) Frequently (5) No partner(s) in the last 12 months (0) |
2022AQ | | | Over the LAST 12 MONTHS, how often did your partner(s): force you to have sexual activities? | Never (1) Rarely (2) Sometimes (3) Fairly often (4) Frequently (5) No partner(s) in the last 12 months (0) |
2022AQ | | | Thank you for answering these questions to better our understanding of LGBTQ people's experiences with sexual violence. We realize that answering questions about sexual violence can be difficult. If you'd like to talk with someone about these experiences, please consider reaching out to the National Sexual Assault Hotline (800-656-4673), operated by Rape, Abuse, & Incest National Network (RAINN; rainn.org). | No Answers |
2022AQ | | | I have someone who will listen to me when I need to talk. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2022AQ | | | I have someone to confide in or talk to about myself or my problems. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2022AQ | | | I have someone who makes me feel appreciated. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2022AQ | | | I have someone to talk with when I have a bad day. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2022AQ | | | I feel left out. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2022AQ | | | I feel that people barely know me. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2022AQ | | | I feel isolated from others. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2022AQ | | | I feel that people are around me but not with me. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2022AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? Members of your immediate family (for example, parents and siblings) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2022AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2022AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? People you socialize with (for example, friends and acquaintances) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2022AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) Not applicable. I do not work or go to school. (11) |
2022AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2022AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? Your health care providers | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2022AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Members of your immediate family (for example, parents and siblings) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2022AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2022AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? People you socialize with (for example, friends and acquaintances) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2022AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) Not applicable. I do not work or go to school. (11) |
2022AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2022AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Your health care providers | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2022AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? Members of your immediate family (for example, parents and siblings) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2022AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2022AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? People you socialize with (for example, friends and acquaintances) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2022AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) Not applicable. I do not work or go to school. (11) |
2022AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)?Strangers (for example, someone you have a casual conversation with in line at the store) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2022AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? Your health care providers | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2022AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Members of your immediate family (for example, parents and siblings) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2022AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2022AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? People you socialize with (for example, friends and acquaintances) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2022AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) Not applicable. I do not work or go to school. (11) |
2022AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2022AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Your health care providers | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2022AQ | | | The following questions concern types of unwanted sexual experiences that you may have had. Your responses to these questions help us better understand the unwanted sexual experiences of LGBTQ people. We understand that responding to these questions may bring up memories of very difficult experiences. Please indicate if you would like to complete these questions, or if you would like to skip these questions and move on to the next topic. | Yes, I would like to complete these questions (1) No, I would like to skip these questions (0) |
2022AQ | | | How many times has this happened in the PAST 12 MONTHS?Someone fondled, kissed, or rubbed up against the private areas of my body (lips, breast/chest, crotch, or butt) or removed some of my clothes without my consent (but DID NOT attempt sexual penetration) | 0 (0) 1 (1) 2 (2) 3 (3) |
2022AQ | | | How many times has this happened in the PAST 12 MONTHS? Someone had oral sex with me or made me have oral sex with them without my consent. | 0 (0) 1 (1) 2 (2) 3 (3) |
2022AQ | | VAGINA_BRANCH | How many times has this happened in the PAST 12 MONTHS? Someone put their penis, fingers, or objects into my butt and/or vagina without my consent. | 0 (0) 1 (1) 2 (2) 3 (3) |
2022AQ | | VAGINA_BRANCH | How many times has this happened in the PAST 12 MONTHS? Someone put their penis, fingers, or objects into my butt and/or frontal genital opening without my consent. | 0 (0) 1 (1) 2 (2) 3 (3) |
2022AQ | | VAGINA_BRANCH | How many times has this happened in the PAST 12 MONTHS? Even though it didn't happen, someone TRIED to make me have oral sex with them, or TRIED to put fingers, objects, or a penis into my butt and/or vagina. | 0 (0) 1 (1) 2 (2) 3 (3) |
2022AQ | | VAGINA_BRANCH | How many times has this happened in the PAST 12 MONTHS? Even though it didn't happen, someone TRIED to make me have oral sex with them, or TRIED to put fingers, objects, or a penis into my butt and/or frontal genital opening. | 0 (0) 1 (1) 2 (2) 3 (3) |
2022AQ | | | Have you been sexually assaulted and/or raped in the PAST 12 MONTHS? | Yes (1) No (0) |
2022AQ | | SES1_YR | Thank you for answering these questions to better our understanding of LGBTQ people's experiences with sexual violence. We realize that recalling past experiences with sexual violence can be difficult. If you'd like to talk with someone about these experiences, please consider reaching out to the National Sexual Assault Hotline (800-656-4673), operated by Rape, Abuse, & Incest National Network (RAINN; rainn.org). | No Answers |
2022AQ | | CYOA | I wish I weren't genderqueer, transgender, or gender minority. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2022AQ | | CYOA | In general, I have tried to stop identifying with a gender that differs from my assigned sex at birth. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2022AQ | | CYOA | If someone offered me the chance to have a gender that conformed with my sex assigned at birth, I would accept the chance. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2022AQ | | CYOA | I feel that being genderqueer, transgender, or gender minority is a personal shortcoming for me. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2022AQ | | CYOA | I would like to get professional help in order to have a gender that conforms with my sex assigned at birth. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2022AQ | | CYOA | I am proud of my gender. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2022AQ | | CYOA | I think my life is better because I am genderqueer, transgender, or gender minority. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2022AQ | | CYOA | To what extent do you think about your identity as a gender minority (for example: genderqueer, non-binary, questioning one's gender identity, transgender) person? (Choose one.) | Almost never (0) Several times a year (1) Once a month (2) Once a week (3) A few times a week (4) Once a day (5) Many times a day (6) |
2022AQ | | CYOA | I wish I weren't lesbian/gay/bisexual/asexual/sexual minority. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2022AQ | | CYOA | I have tried to stop being attracted to people of the same gender in general. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) Not applicable because I am not attracted to people of my gender (0) |
2022AQ | | CYOA | If someone offered me the chance to be completely heterosexual, I would accept the chance. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2022AQ | | ORIENTATION CYOA | If someone offered me the chance to be completely gay/lesbian, I would accept the chance. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2022AQ | | CYOA | I feel that being lesbian/gay/bisexual/asexual/sexual minority is a personal shortcoming for me. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2022AQ | | CYOA | I would like to get professional help in order to change my sexual orientation from lesbian/gay/bisexual/asexual/sexual minority to heterosexual. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2022AQ | | CYOA | I am proud of my sexual orientation. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2022AQ | | CYOA | I think my life is better because of my sexual orientation. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2022AQ | | CYOA | To what extent do you think about your identity as a sexual minority (for example: asexual, bisexual, gay, lesbian, queer, questioning one's sexual orientation) person? (Choose one.) | Almost never (0) Several times a year (1) Once a month (2) Once a week (3) A few times a week (4) Once a day (5) Many times a day (6) |
2022AQ | | | Did you become a parent in the PAST 12 MONTHS? | Yes (1) No (0) |
2022AQ | | PARENT | To how many children did you become a parent in the PAST 12 MONTHS? | Text Entry (-) |
2022AQ | | | We are going to ask you a question about the children who you became a parent to in the PAST 12 MONTHS. To help you remember which child we are asking a question about, please type in the child's first name, initials, or nickname. We will use these names in the following questions. | Text Entry (-) |
2022AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/1}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2022AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/2}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2022AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/3}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2022AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/4}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2022AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/5}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2022AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/6}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2022AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/7}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2022AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/8}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2022AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/9}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2022AQ | | | In the PAST 12 MONTHS, have you been in therapy or been part of a program or group intended to change your gender or gender identity to be consistent with the sex assigned to you at birth? (This is sometimes called "conversion therapy.") | Yes (1) No (0) |
2022AQ | | GICONVTX | Who provided the therapy, program, or group intended to change your gender or gender identity to be consistent with the sex assigned to you at birth? (Check all that apply.) | A licensed mental health provider (1) A religious group or leader (2) Someone or something else (please specify) (3) Someone or something else (please specify) (TEXT) |
2022AQ | | | In the PAST 12 MONTHS, have you been in therapy or been part of a program or group intended to change your sexual orientation to heterosexual/straight? (This is sometimes called "conversion therapy.") | Yes (1) No (0) |
2022AQ | | SOCONVTX | Who provided the therapy, program, or group intended to change your sexual orientation to heterosexual/straight? (Check all that apply.) | A licensed mental health provider (1) A religious group or leader (2) Someone or something else (please specify) (3) Someone or something else (please specify) (TEXT) |
2022AQ | | CYOA | Overall, how accepting of gender minority people is the community in which you currently live? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
2022AQ | | CYOA | Overall, how accepting of sexual minority people is the community in which you currently live? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
2022AQ | | | Overall, how safe for gender minority people is the community in which you currently live? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
2022AQ | | CYOA | Overall, how safe for sexual minority people is the community in which you currently live? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
2022AQ | | | How welcomed and accepted do you feel in LGBTQ spaces (including community groups, social clubs, bars, etc.)? | Unaccepted/unwelcomed in all of these spaces (1) Unaccepted/unwelcomed in most of these spaces (but accepted/welcomed in at least one) (2) Accepted/welcomed in about half of these spaces (3) Accepted/welcomed in most, but not all, of these spaces (4) Accepted/welcomed in all of these spaces (5) |
2022AQ | | WELCOME | You mentioned feeling unaccepted/unwelcomed in some or all LGBTQ spaces. People sometimes feel that these spaces are not welcoming towards them due to various aspects of their identities. Please select aspects of your identity that feel unwelcome in these spaces. (Check all that apply.) | My ability/disability status (1) My age (2) My body size, weight, or shape (3) My gender expression (4) My gender identity (5) The language I speak or sign (6) My participation in BDSM, kink, or other sexual activities (7) My political views (8) My race and/or ethnicity (9) My sexual orientation (10) My skin color (11) My spiritual/religious affiliation (12) People dont perceive me as LGBTQ (14) Another reason (please specify) (13) Another reason (please specify) (TEXT) None of the above (0) |
2022AQ | | | Is there at least one LGBTQ space (e.g., social club, group, bar, etc.) in which you feel safe? | Yes (1) No (0) |
2022AQ | | | Overall, how safe do you feel LGBTQ spaces are for you? | Very unsafe (4) Somewhat unsafe (3) Neither safe nor unsafe (2) Mostly safe (1) Completely safe (0) |
2022AQ | | | Are you currently in a relationship? | Yes (1) No (0) |
2022AQ | | RELATIONSHIP | Which of the following best describes your current romantic relationship(s)? | I am in a romantic relationship with one person (1) I am in a romantic relationship with two or more people (polyamorous) (2) Other (please specify) (3) Other (please specify) (TEXT) |
2022AQ | | REL_TYPE | How many people are you currently in romantic relationships with? | 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 or more (6) |
2022AQ | | RELATIONSHIP | In general, how satisfied are you with your current romantic relationship(s)? | Very dissatisfied (0) Dissatisfied (1) Neutral (2) Satisfied (3) Very satisfied (4) |
2022AQ | | RELATIONSHIP | Which of the following scenarios best describes the current agreement that you have with your romantic partner(s)? | We cannot have any sex with an outside partner (0) We can have sex with outside partners but with some restrictions (1) We can have sex with outside partners without any restrictions (2) We do not have an agreement (3) I have different agreements with different partners (4) My romantic partner(s) and I do not engage in sexual activity (5) |
2022AQ | | | Do you live with your partner(s)? | Yes, I live with 1 partner (0) Yes, I live with 2 or more partners (1) No, I do not live with a partner (2) Something else (please specify) (3) Something else (please specify) (TEXT) |
2022AQ | | | What is your current legal marital status? | Married (1) Legally recognized civil union (2) Registered domestic partnership (3) Widowed (4) Divorced (5) Separated (6) Single, never married (7) |
2022AQ | | | What gender do you currently live in on a day-to-day basis? | Man (1) Woman (2) Genderqueer/Non-binary/neither man nor woman (3) Part time one gender/part time another gender (4) |
2022AQ | | | For people in your life who do not know you, what gender do they USUALLY think you are? (Choose one.) | Man (1) Non-binary/Genderqueer (2) Transgender Man (3) Transgender Woman (4) Two-spirit (5) Woman (6) Another gender (7) It varies (8) They cannot tell (9) I dont know what they think (88) |
2022AQ | | CYOA | There are many ways people can feel supported and affirmed as a gender minority person. Did any of your immediate family members who you grew up with (parents, siblings, grandparents, people who raised you, etc.) do any of these things to support you about your gender? (Check all that apply.) | Told you that they respect and/or support you (1) Used your preferred name even if it was not your legal name (2) Used your correct pronouns (such as he/she/they) (3) Supported my gender-affirming health care (other than financially) (9) Provided financial support to help with any part of your gender transition (4) Helped you change your name and/or gender on your identity documents (ID), like your drivers license (such as doing things like filling out papers or going with you to court) (5) Did research to learn how to best support you (such as reading books, using online information, or attending a conference) (6) Stood up for you with family, friends, or others (7) Listened to me when I had difficulties (10) Supported you in another way not listed above (please specify) (8) Supported you in another way not listed above (please specify) (TEXT) None of the above (0) |
2022AQ | | | For people in your life who do not know you, what sexual orientation do they USUALLY think you are? (Choose one.) | Asexual (1) Bisexual (2) Gay (3) Lesbian (4) Pansexual (5) Queer (6) Same-gender loving (7) Straight/Heterosexual (8) Two-spirit (9) They cannot tell (10) It varies (11) Another sexual orientation (12) I dont know what they think (88) |
2022AQ | | CYOA | There are many ways people can feel supported and affirmed as a sexual minority person. Did any of your immediate family members who you grew up with (parents, siblings, grandparents, people who raised you, etc.) do any of these things to support you about your sexual orientation? (Check all that apply.) | Told you that they respect and/or support you (1) Positively acknowledged your relationship to your partner(s) (2) Positively acknowledged your sexual and/or romantic orientation (3) Welcomed your partner(s) to a family event (4) Provided financial support related to your relationship(s) (e.g., first date, family building, moving in together) (5) Attended an event that you hosted with a partner(s) (6) Researched how to best support you (such as reading books, using online information, or attending a conference) (7) Stood up for you with family, friends, or others (8) Listened to me when I had difficulties (10) Supported you in another way not listed above (please specify) (9) Supported you in another way not listed above (please specify) (TEXT) None of the above (0) |
2022AQ | | | Coming out" about one's sexual orientation or gender is a process. People do not always come out to everyone at the same time. In the PAST 12 MONTHS, have you come out to any of the people who raised you? (Check all that apply.) | Yes, I came out about my sexual orientation (e.g., asexual, bisexual, gay, lesbian, queer, questioning ones sexual orientation, etc.) to someone who raised me (1) Yes, I came out about my gender identity (e.g., genderqueer, non-binary, questioning ones gender identity, transgender, etc.) to someone who raised me (2) No, I did not come out in the past 12 months to anyone who raised me (0) |
2022AQ | | COMEOUT_PSTYR | We are going to ask you follow-up questions about coming out about your sexual orientation (e.g., asexual, bisexual, gay, lesbian, queer, questioning one's sexual orientation, etc.) in the PAST 12 MONTHS to someone who raised you. To help you remember who we are asking about, please list the first names, initials, or nicknames of the person/people you came out to. We will use the name(s) in questions that follow. | Text Entry (-) |
2022AQ | | COMEOUTSO_NAMES | How is ${q://QID622/ChoiceTextEntryValue/1} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2022AQ | | COMEOUTSO_NAMES | When ${q://QID622/ChoiceTextEntryValue/1} initially learned about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2022AQ | | COMEOUTSO_NAMES | In your most recent interactions with ${q://QID622/ChoiceTextEntryValue/1}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2022AQ | | COMEOUTSO_NAMES | How did your communication with ${q://QID622/ChoiceTextEntryValue/1} change after they learned about your sexual orientation? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2022AQ | | COMEOUTSO_NAMES | How is ${q://QID622/ChoiceTextEntryValue/2} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2022AQ | | COMEOUTSO_NAMES | When ${q://QID622/ChoiceTextEntryValue/2} initially learned about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2022AQ | | COMEOUTSO_NAMES | In your most recent interactions with ${q://QID622/ChoiceTextEntryValue/2}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2022AQ | | COMEOUTSO_NAMES | How did your communication with ${q://QID622/ChoiceTextEntryValue/2} change after they learned about your sexual orientation? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2022AQ | | COMEOUTSO_NAMES | How is ${q://QID622/ChoiceTextEntryValue/3} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2022AQ | | COMEOUTSO_NAMES | When ${q://QID622/ChoiceTextEntryValue/3} initially learned about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2022AQ | | COMEOUTSO_NAMES | In your most recent interactions with ${q://QID622/ChoiceTextEntryValue/3}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2022AQ | | COMEOUTSO_NAMES | How did your communication with ${q://QID622/ChoiceTextEntryValue/3} change after they learned about your sexual orientation? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2022AQ | | COMEOUTSO_NAMES | How is ${q://QID622/ChoiceTextEntryValue/4} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2022AQ | | COMEOUTSO_NAMES | When ${q://QID622/ChoiceTextEntryValue/4} initially learned about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2022AQ | | COMEOUTSO_NAMES | In your most recent interactions with ${q://QID622/ChoiceTextEntryValue/4}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2022AQ | | COMEOUTSO_NAMES | How did your communication with ${q://QID622/ChoiceTextEntryValue/4} change after they learned about your sexual orientation? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2022AQ | | | We are going to ask you follow-up questions about coming out about your gender identity (e.g., genderqueer, non-binary, questioning one's gender identity, transgender, etc.) in the PAST 12 MONTHS to someone who raised you. To help you remember who we are asking about, please list the first names, initials, or nicknames of the person/people you came out to. We will use the name(s) in questions that follow. | Text Entry (-) |
2022AQ | | COMEOUTGI_NAMES | How is ${q://QID2154/ChoiceTextEntryValue/1} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2022AQ | | COMEOUTGI_NAMES | When ${q://QID2154/ChoiceTextEntryValue/1} initially learned about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2022AQ | | COMEOUTGI_NAMES | In your most recent interactions with ${q://QID2154/ChoiceTextEntryValue/1}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2022AQ | | COMEOUTGI_NAMES | How did your communication with ${q://QID2154/ChoiceTextEntryValue/1} change after they learned about your gender identity? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2022AQ | | COMEOUTGI_NAMES | How is ${q://QID2154/ChoiceTextEntryValue/2} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2022AQ | | COMEOUTGI_NAMES | When ${q://QID2154/ChoiceTextEntryValue/2} initially learned about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2022AQ | | COMEOUTGI_NAMES | In your most recent interactions with ${q://QID2154/ChoiceTextEntryValue/2}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2022AQ | | COMEOUTGI_NAMES | How did your communication with ${q://QID2154/ChoiceTextEntryValue/2} change after they learned about your gender identity? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2022AQ | | COMEOUTGI_NAMES | How is ${q://QID2154/ChoiceTextEntryValue/3} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2022AQ | | COMEOUTGI_NAMES | When ${q://QID2154/ChoiceTextEntryValue/3} initially learned about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2022AQ | | COMEOUTGI_NAMES | In your most recent interactions with ${q://QID2154/ChoiceTextEntryValue/3}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2022AQ | | COMEOUTGI_NAMES | How did your communication with ${q://QID2154/ChoiceTextEntryValue/3} change after they learned about your gender identity? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2022AQ | | COMEOUTGI_NAMES | How is ${q://QID2154/ChoiceTextEntryValue/4} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2022AQ | | COMEOUTGI_NAMES | When ${q://QID2154/ChoiceTextEntryValue/4} initially learned about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2022AQ | | COMEOUTGI_NAMES | In your most recent interactions with ${q://QID2154/ChoiceTextEntryValue/4}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2022AQ | | COMEOUTGI_NAMES | How did your communication with ${q://QID2154/ChoiceTextEntryValue/4} change after they learned about your gender identity? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2022AQ | | CYOA | The decision to hide or reveal my sexual orientation to others causes me significant distress. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2022AQ | | | Because of my sexual orientation, no one understands my pain or distress. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2022AQ | | | I was rejected by a family member or friend after telling them my sexual orientation. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2022AQ | | | I feel confused or conflicted by my sexual orientation. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2022AQ | | | I feel comfortable revealing my sexual attractions and/or behavior. | Strongly Disagree (6) Moderately Disagree (5) Slightly Disagree (4) Slightly Agree (3) Moderately Agree (2) Strongly Agree (1) |
2022AQ | | | The decision to hide or reveal my gender identity or that I am a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.) to others causes me significant distress. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2022AQ | | | Because of my gender identity, no one understands my pain or distress. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2022AQ | | | I was rejected by a family member or friend after telling them my gender identity. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2022AQ | | | I feel confused or conflicted by my gender identity. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2022AQ | | | I feel comfortable revealing my gender identity and/or expression and/or status as a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.). | Strongly Disagree (6) Moderately Disagree (5) Slightly Disagree (4) Slightly Agree (3) Moderately Agree (2) Strongly Agree (1) |
2022AQ | | | People treat me unfairly because of my race, ethnicity, sexual, and/or gender identity. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2022AQ | | | At times, I feel I stick out because of my race, ethnicity, sexual orientation, and/or gender identity. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2022AQ | | | Stereotypes about racial, ethnic, sexual, and gender minority people hurt my self-esteem or the way I see myself. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2022AQ | | | I believe the world is a dangerous place to be a racial, ethnic, sexual, and/or gender minority person. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2022AQ | | | The PRIDE Study is interested in giving voice to our communities' experiences with discrimination, violence, and harassment. If you would like to tell us more about any experiences that you have had along these lines, please do so here. | Text Entry (-) |
2022AQ | | | You have completed the Social Health section! This is one of 4 sections! Phew! We know this survey is long and we thank you for the time and energy you have put into helping us advance our collective understanding of LGBTQ health. Your answers are bringing us one step closer to LGBTQ health equity! | No Answers |
2022AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Acid reflux (heartburn) (1) Anemia (2) Angina pectoris (angina) (3) Anxiety (4) Arthritis (13) Asthma (5) Atrial fibrillation (Afib) (6) Benign prostatic hypertrophy (BPH, enlarged prostate) (7) Bipolar disorder (8) Cancer (9) Cataracts (10) Chronic kidney disease (11) Chronic obstructive pulmonary disease (COPD) (12) None of these (0) |
2022AQ | | MEDHX1 | With what type(s) of cancer have you been diagnosed? (Check all that apply.) | Anal (1) Breast (2) Colon (3) Kidney (4) Lung (5) Leukemia/Lymphoma (6) Ovary (7) Pancreas (8) Prostate (9) Skin (melanoma) (10) Skin (non-melanoma) (11) Uterus (13) Other (please specify) (12) Other (please specify) (TEXT) |
2022AQ | | | How about any of these? Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Coagulation (bleeding or clotting) problem (1) Congestive heart failure (CHF) (2) Coronary artery disease (3) Depression (4) Diabetes mellitus (diabetes, sugar diabetes) (5) Diabetes (borderline) (6) Erectile dysfunction (7) Glaucoma (8) Heart attack (9) Heart murmur (10) Hepatitis B virus (HBV) (13) Hepatitis C virus (HCV) (14) High cholesterol (11) HIV (12) None of these (0) |
2022AQ | | | Here's the last set! Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Hypertension (high blood pressure) (1) Inflammatory bowel disease (Crohns disease, ulcerative colitis) (2) Irritable bowel syndrome (IBS) (3) Kidney stone (nephrolithiasis) (4) Liver disease (5) Lupus (systemic lupus erythematous, SLE) (6) Menopause (7) Migraine headache (8) Obstructive sleep apnea (OSA) (9) Osteoporosis (19) Peripheral vascular disease (PVD) (10) Polycystic ovarian syndrome (PCOS) (11) Psoriasis (12) Pulmonary embolism (PE) (13) Seizure disorder (epilepsy) (14) Stroke (cerebrovascular accident, CVA) (15) Thyroid problem (hyperthyroidism, hypothyroidism) (16) Ulcer (stomach/peptic, duodenal) (17) Uterine fibroids (18) None of these (0) |
2022AQ | | | Please list up to five additional medical conditions that a doctor or other health care provider told you that you have. (One condition per line.) If no additional conditions, please click next. | Text Entry (-) |
2022AQ | | | Were any of these conditions diagnosed within the PAST 12 MONTHS? (Check all that apply.) | None of these were diagnosed in the past 12 months. (0) Acid reflux (heartburn) (1) Anemia (2) Angina pectoris (angina) (3) Anxiety (4) Arthritis (60) Asthma (5) Atrial fibrillation (Afib) (6) Benign prostatic hypertrophy (BPH, enlarged prostate) (7) Bipolar disorder (8) Cataracts (9) Chronic kidney disease (10) Chronic obstructive pulmonary disease (COPD) (11) Anal cancer (12) Breast cancer (13) Colon cancer (14) Kidney cancer (15) Lung cancer (16) Leukemia/Lymphoma (17) Ovarian cancer (18) Pancreatic cancer (19) Prostate cancer (20) Skin cancer (melanoma) (21) Skin cancer (non-melanoma) (22) Uterine cancer (23) q://QID901/ChoiceTextEntryValueቨ cancer (24) Coagulation (bleeding or clotting) problem (25) Congestive heart failure (CHF) (26) Coronary artery disease (27) Depression (28) Diabetes mellitus (diabetes, sugar diabetes) (29) Diabetes (borderline) (30) Erectile dysfunction (31) Glaucoma (32) Heart attack (33) Heart murmur (34) Hepatitis B virus (HBV) (61) Hepatitis C virus (HCV) (62) High cholesterol (35) HIV (36) Hypertension (high blood pressure) (37) Inflammatory bowel disease (Crohns disease, ulcerative colitis) (38) Irritable bowel syndrome (IBS) (39) Kidney stone (nephrolithiasis) (40) Liver disease (41) Lupus (systemic lupus erythematous, SLE) (42) Menopause (43) Migraine headache (44) Obstructive sleep apnea (OSA) (45) Osteoporosis (63) Peripheral vascular disease (PVD) (46) Polycystic ovarian syndrome (PCOS) (47) Psoriasis (48) Pulmonary embolism (PE) (49) Seizure disorder (epilepsy) (50) Stroke (cerebrovascular accident, CVA) (51) Thyroid problem (hyperthyroidism, hypothyroidism) (52) Ulcer (stomach/peptic, duodenal) (53) Uterine fibroids (54) q://QID895/ChoiceTextEntryValueǗ (55) q://QID895/ChoiceTextEntryValueǘ (56) q://QID895/ChoiceTextEntryValueǙ (57) q://QID895/ChoiceTextEntryValueǚ (58) q://QID895/ChoiceTextEntryValueǛ (59) |
2022AQ | | | In the PAST 12 MONTHS, have you had the following surgeries or procedures? (Check all that apply.) (Surgeries and procedures that are exclusively and/or primarily for gender affirmation or transition are asked about in greater depth later.) | Coronary stent placement (1) Coronary artery bypass graft (CABG, bypass surgery) (2) Heart valve replacement (3) Pacemaker implantation (4) Implantable cardiac defibrillator (ICD) implantation (5) Bone marrow transplant (6) Organ transplant (7) Gallbladder removal (cholecystectomy) (8) Appendix removal (appendectomy) (9) C section (cesarean section) (10) Uterus removal with cervix retained (supracervical hysterectomy) (11) Uterus removal with cervix removed (total hysterectomy) (12) Ovary removal (oophorectomy) (13) None of these (0) |
2022AQ | | SURGHX | Which organ(s) have you received through a transplant? (Check all that apply.) | Heart (1) Lung (2) Liver (3) Pancreas (4) Kidney (5) Small intestine (6) Other (please specify) (7) Other (please specify) (TEXT) |
2022AQ | | | In the PAST 12 MONTHS, have you had any of the following procedures for any reason (including gender affirmation or transition)? (Check all that apply.) | Electrolysis (long-term hair removal) (1) Fat grafting (e.g., face, hips, buttocks, breasts/chest) (2) None of these (3) |
2022AQ | | | Please list up to five additional general surgeries/procedures that you had in the PAST 12 MONTHS (not including surgeries or procedures that are exclusively and/or primarily for gender affirmation or transition, which we ask about later). Please write in one surgery/procedure per line. If no additional surgeries/procedures, please click next. | Text Entry (-) |
2022AQ | | | Have you had any gender-affirming or transition-related surgeries or procedures in the PAST 12 MONTHS? | Yes (1) No (0) |
2022AQ | | GAS_AQ | In the PAST 12 MONTHS, have you had any of the following gender-affirming or transition-related surgeries or procedures that involve your head or neck? (Check all that apply.) | Brow lift (1) Chin augmentation/contouring (genioplasty) (2) Forehead reconstruction/contouring (3) Jaw bone revision (mandible contouring) (4) Lip lift (5) Nose reconstruction (rhinoplasty) (6) Scalp advancement (7) Tracheal shave (reduction thyrochondroplasty) (8) Vocal cord/voice surgery (9) None of these (0) |
2022AQ | | GAS_AQ | In the PAST 12 MONTHS, have you had any of the following gender-affirming or transition-related surgeries or procedures that involve your chest? (Check all that apply.) | Breast augmentation (1) Breast/chest reduction (also called reduction mammoplasty) (2) Top surgery/chest reconstruction/mastectomy (for example with scars under the chest, double incision with nipple removal and WITHOUT re-attachment) (3) Top surgery/chest reconstruction/mastectomy (for example with scars under the chest, double incision with nipple removal and WITH re-attachment) (5) Top surgery/chest reconstruction/mastectomy (for example keyhole through the areola, periareolar with no re-positioning of the nipple) (4) None of these (0) |
2022AQ | | GAS_AQ | In the PAST 12 MONTHS, have you had any of the following gender-affirming or transition-related surgeries or procedures that involve your abdomen or pelvis? (Check all that apply.) | Creation of a new vagina using colon graft (vaginoplasty, colon graft) (1) Creation of a new vagina using penile tissue (vaginoplasty, penile inversion) (2) Creation of a new vagina using peritoneal tissue (vaginoplasty, peritoneal pull-through) (16) Creation of new labia without creation of new vagina (labiaplasty) (3) Creation of new scrotum (scrotoplasty) (4) Fallopian tube removal (salpingectomy) (5) Meta/meto or clitoral release (metoidioplasty) (6) Ovary removal (oophorectomy) (7) Penile implant insertion (8) Phallo/creation of a new penis (phalloplasty) (9) Removal of penis (penectomy) (10) Removal of testes (orchiectomy) (11) Removal of vaginal tissue (vaginectomy) (12) Testicular implant insertion (13) Uterus removal with cervix retained (supracervical hysterectomy) (14) Uterus removal with cervix removed (total hysterectomy) (15) None of these (0) |
2022AQ | | GAS_AQ | In the PAST 12 MONTHS, have you had any hair-related procedures for gender-affirming or transition-related reasons? | Yes, hair transplant (1) Yes, facial hair removal (2) Yes, forearm hair removal (3) Yes, chest hair removal (4) Yes, leg hair removal (5) Yes, pubic hair removal (8) Yes, hair removal in another body region (please specify location) (6) Yes, hair removal in another body region (please specify location) (TEXT) Yes, something else (please specify) (7) Yes, something else (please specify) (TEXT) None of these (0) |
2022AQ | | GAS_AQ | Please list up to five additional gender-affirming surgeries/procedures that you had in the PAST 12 MONTHS. (One surgery/procedure per line.) If no additional surgeries/procedures, please click next. | Text Entry (-) |
2022AQ | | | Have you EVER taken a medication meant to stop or delay puberty? | Yes (1) No (0) |
2022AQ | | PUB_SUPP_EV20 | How old were you when you first took a medication meant to stop or delay puberty? | 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) |
2022AQ | | | Are you CURRENTLY taking hormones or medications for the purposes of gender affirmation (also called gender transition)? | Yes (1) No (0) |
2022AQ | | GAHORMONE_AN | Which hormones or medications for the purposes of gender affirmation (also called gender transition) are you CURRENTLY taking? (Check all that apply.) | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histrelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium or Provera) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) Another hormone/medication not listed here (please specify) (17) Another hormone/medication not listed here (please specify) (TEXT) I have (also) taken some other hormone(s)/medication(s), but I am not sure what it is called. (18) |
2022AQ | | | Were any of the following hormones or medications that you used in the PAST 12 MONTHS for the purposes of gender affirmation (also called gender transition) prescribed by a doctor or health care provider? | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histrelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium or Provera) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) q://QID2316/ChoiceTextEntryValueቭ (17) I have (also) taken some other hormone(s)/medication(s), but I am not sure what it is called. (18) None of these were prescribed by a doctor or health care provider. (0) |
2022AQ | | GAHORMONE_ANYRX | Was all of the cyproterone acetate (sometimes called: CPA or Cyprostat) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | GAHORMONE_ANYRX | Was all of the dutasteride (sometimes called: Avodart) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | GAHORMONE_ANYRX | Was all of the depo leuprolide or leuprolide acetate (sometimes called: Lupron) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | GAHORMONE_ANYRX | Was all of the depo (Injection) provera (sometimes called: “Depo” or medroxyprogesterone acetate) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | GAHORMONE_ANYRX | Was all of the estrogen (any type in any formulation such as: gel, injection, patch, pill) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | GAHORMONE_ANYRX | Was all of the estradiol valerate (a specific type of estrogen) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | GAHORMONE_ANYRX | Was all of the estradiol cypionate (a specific type of estrogen) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | GAHORMONE_ANYRX | Was all of the finasteride (sometimes called: Proscar or Propecia) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | GAHORMONE_ANYRX | Was all of the histrelin acetate (sometimes called: Vantas or Supprelin) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | GAHORMONE_ANYRX | Was all of the progesterone (sometimes called: progestagen or progestins) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | GAHORMONE_ANYRX | Was all of the micronized progesterone (sometimes called: Prometrium or Provera) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | GAHORMONE_ANYRX | Was all of the spironolactone (sometimes called: “Spiro” or Aldactone) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | GAHORMONE_ANYRX | Was all of the testosterone (any type in any formulation such as: gel, injection, patch) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | GAHORMONE_ANYRX | Was all of the testosterone cypionate (a specific type of testosterone) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | GAHORMONE_ANYRX | Was all of the testosterone enanthate (a specific type of testosterone) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | GAHORMONE_ANYRX | Was all of the testosterone undecanoate (a specific type of testosterone) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | GAHORMONE_ANYRX | Was all of the ${q://QID2316/ChoiceTextEntryValue/17} used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2022AQ | | | In the PAST 12 MONTHS, did you start or stop taking any hormones or medications for the purposes of gender affirmation (also called gender transition)? (Check all that apply.) | Yes, I started taking some hormones/medications for gender affirmation in the PAST 12 MONTHS. (1) Yes, I stopped taking some hormones/medications for gender affirmation in the PAST 12 MONTHS. (0) No, I did not start or stop taking hormones/medications for gender affirmation in the PAST 12 MONTHS. (2) |
2022AQ | | GAHORMONE_CHANGE_YR | Which hormones or medications for the purposes of gender affirmation (also called gender transition) did you START in the PAST 12 MONTHS? (Check all that apply.) | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histrelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium or Provera) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) Another hormone/medication not listed here (please specify) (17) Another hormone/medication not listed here (please specify) (TEXT) I have (also) taken some other hormone(s)/medication(s), but I am not sure what it is called. (18) |
2022AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking cyproterone acetate (sometimes called: CPA or Cyprostat) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking dutasteride (sometimes called: Avodart) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking depo leuprolide or leuprolide acetate (sometimes called: Lupron) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking depo (injection) provera (sometimes called: “Depo” or medroxyprogesterone acetate) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking estrogen (any type in any formulation such as: gel, injection, patch, pill) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking estradiol valerate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking estradiol cypionate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking finasteride (sometimes called: Proscar or Propecia) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking histrelin acetate (sometimes called: Vantas or Supprelin) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking progesterone (sometimes called: progestagen or progestins) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking micronized progesterone (sometimes called: Prometrium or Provera) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking spironolactone (sometimes called: "Spiro" or Aldactone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking testosterone (any type in any formulation such as: gel, injection, patch) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking testosterone cypionate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking testosterone enanthate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking testosterone undecanoate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking ${q://QID2317/ChoiceTextEntryValue/17} for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_CHANGE_YR | Which hormones or medications for the purposes of gender affirmation (also called gender transition) did you STOP in the PAST 12 MONTHS? (Check all that apply.) | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histrelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium or Provera) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) Another hormone/medication not listed here (please specify) (17) Another hormone/medication not listed here (please specify) (TEXT) I have (also) taken some other hormone(s)/medication(s), but I am not sure what it is called. (18) |
2022AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking cyproterone acetate (sometimes called: CPA or Cyprostat) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking cyproterone acetate (sometimes called CPA or Cyprostat), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2022AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking dutasteride (sometimes called: Avodart) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking dutasteride (sometimes called: Avodart), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2022AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking depo leuprolide or leuprolide acetate (sometimes called: Lupron) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking depo leuprolide or leuprolide acetate (sometimes called: Lupron), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2022AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking depo (injection) provera (sometimes called: "Depo" or medroxyprogesterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking depo (Injection) provera (sometimes called: “Depo” or medroxyprogesterone acetate), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2022AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking estrogen (any type in any formulation such as: gel, injection, patch, pill) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking estrogen (any type in any formulation such as: gel, injection, patch, pill), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2022AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking estradiol valerate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking estradiol valerate (a specific type of estrogen), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2022AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking estradiol cypionate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking estradiol cypionate (a specific type of estrogen), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2022AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking finasteride (sometimes called: Proscar or Propecia) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking finasteride (sometimes called: Proscar or Propecia), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2022AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking histrelin acetate (sometimes called: Vantas or Supprelin) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking histrelin acetate (sometimes called: Vantas or Supprelin), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2022AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking micronized progesterone (sometimes called: Prometrium or Provera) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking micronized progesterone (sometimes called: Prometrium or Provera), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2022AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking progesterone (sometimes called: progestagen or progestins) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking progesterone (sometimes called: progestagen or progestins), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2022AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking spironolactone (sometimes called: "Spiro" or Aldactone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking spironolactone (sometimes called: “Spiro” or Aldactone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2022AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking testosterone (any type in any formulation such as: gel, injection, patch) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking testosterone (any type in any formulation such as: gel, injection, patch), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2022AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking testosterone cypionate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking testosterone cypionate (a specific type of testosterone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2022AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking testosterone enanthate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking testosterone enanthate (a specific type of testosterone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2022AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking testosterone undecanoate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking testosterone undecanoate (a specific type of testosterone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2022AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking ${q://QID2317/ChoiceTextEntryValue/17} for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking ${q://QID2317/ChoiceTextEntryValue/17}, please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2022AQ | | | Have you had COVID? | Yes, confirmed by a positive test at home or with a health care provider (1) Yes, I think I had COVID but did not have a positive test (2) No (0) I dont know (88) |
2022AQ | | COVID_DX | How many times have you had COVID? | 1 (1) 2 (2) 3 (3) 4 (4) 5 or more (5) |
2022AQ | | COVID_DX | Did you receive any medical care for COVID at any time? (Check all that apply.) | No, I recovered on my own (1) Yes, I went to the emergency room (2) Yes, I saw a health care provider in a clinic (including urgent care) (3) Yes, I was hospitalized (4) |
2022AQ | | COVID_MEDICALCARE | Were you on a ventilator for COVID? | Yes (1) No (2) |
2022AQ | | COVID_DX | Which treatments did you receive for COVID? (Check all that apply.) | I did not receive any treatments for COVID (6) Paxlovid (also called nirmatrelvir with ritonavir) (1) Veklury (also called remdesivir) (2) Bebtelovimab (3) Molnupiravir (also called Legevrio) (4) Something else (please specify) (5) Something else (please specify) (TEXT) |
2022AQ | | COVID_DX | Do you have any of the following long COVID or post-COVID symptoms? (Check all that apply.) | No, I dont have any long COVID or post-COVID symptoms (1) Tiredness or fatigue that interferes with daily life (2) Symptoms that get worse after physical or mental effort (also known as post-exertional malaise) (20) Fever (21) Difficulty breathing or shortness of breath (5) Cough (22) Chest pain (23) Fast-beating or pounding heart (also known as heart palpitations) (24) Difficulty thinking or concentrating (sometimes referred to as brain fog) (9) Headache (25) Sleep problems (26) Dizziness when you stand up (lightheadedness) (27) Pins-and-needles feelings (28) Change in smell or taste (29) Depression or anxiety (30) Diarrhea (16) Stomach pain (34) Joint or muscle pain (18) Rash (35) Changes in menstrual cycles (36) Something else (please specify, separate multiple symptoms with commas) (32) Something else (please specify, separate multiple symptoms with commas) (TEXT) |
2022AQ | | | Which best describes you? | I dont want to get the COVID vaccine ever (1) I want to wait to get the COVID vaccine (2) I want to get the COVID vaccine as soon as possible (3) I already received one or more doses COVID vaccine (4) |
2022AQ | | VACCINATION_STATUS | What are your reasons for NOT wanting to get the COVID vaccine? (Check all that apply.) | I have a health condition that could be worsened by the COVID vaccine. (1) I dont think that the COVID vaccine is safe. (2) I dont trust the development of the COVID vaccines. (3) I dont believe in any vaccines. (4) I have a fear of needles. (5) I believe I will get COVID from the vaccine. (6) I dont believe the COVID vaccine will protect me from getting COVID. (7) I dont think the COVID vaccine was tested on people like me. (8) I think I already had COVID and am protected from getting it again. (9) I am allergic to polyethylene glycol (PEG) or polysorbate. (10) I am concerned about the side effects. (11) I dont want to get the vaccine due to my religious or spiritual beliefs. (12) Something else (please specify) (13) Something else (please specify) (TEXT) |
2022AQ | | VACCINATION_STATUS | What are your reasons for wanting to wait to get the COVID vaccine? (Check all that apply.) | I am not yet eligible to receive the vaccine. (1) I have a health condition that could be worsened by the COVID vaccine. (2) I dont think that the COVID vaccine is safe. (3) I dont trust the development of the COVID vaccine. (4) I dont believe in any vaccines. (5) I have a fear of needles. (6) I believe I will get COVID from the vaccine. (7) I dont believe the COVID vaccine will protect me from getting COVID. (8) I dont think the COVID vaccine was tested on people like me. (9) I think other people should get the COVID vaccine before me. (10) I want to see if the COVID vaccine is safe. (11) I think I already had COVID and am protected from getting it again. (12) I received convalescent plasma or monoclonal antibodies to treat COVID. (13) I currently have or just recently had COVID. (14) I was told by my doctor or health care professional to wait. (15) I received a vaccine (not for COVID) in the past 14 days. (16) Something else (please specify) (17) Something else (please specify) (TEXT) |
2022AQ | | VACCINE_NEVER | Please list the health condition(s) you have that could be worsened by the COVID vaccine. (One condition per box, please) | Text Entry (-) |
2022AQ | | VACCINATION_STATUS | Which company/companies made the COVID vaccine doses (including boosters) that you received? (Check all that apply.) | AstraZeneca (1) Johnson & Johnson (2) Moderna (3) Novavax (4) Pfizer/BioNTech (5) Another company (please specify) (6) Another company (please specify) (TEXT) I dont know (88) |
2022AQ | | VACCINATION_STATUS | How many doses of the COVID vaccine (including boosters) did you receive? | 1 (1) 2 (2) 3 (3) 4 (89) 5 (90) 6 or more (91) I dont know (88) |
2022AQ | | VACCINE_DOSES | Did you experience any of the following side effects after receiving your COVID vaccine (any dose)? (Check all that apply.) | I did not experience any side effects. (0) Pain at the injection site (1) Redness at the injection site (2) Swelling at the injection site (3) Fatigue / Tiredness (4) Chills (5) Fever (6) New or worsening muscle pain/ache (myalgia) (7) New or worsening joint pain/ache (arthralgia) (8) Itching (9) Full-body rash (10) Hives (urticaria) (11) Headache (12) Nausea (13) Vomiting (14) Diarrhea (15) Wheezing (16) Cough (17) Voice hoarseness (18) Tongue swelling (19) Swollen lips (20) Difficulty breathing (21) Anaphylaxis (22) Allergic reaction (23) Bells Palsy (24) Another side effect(s) (please list all additional side effects) (25) Another side effect(s) (please list all additional side effects) (TEXT) |
2022AQ | | | Have you ever had an allergic reaction to any of the following? (Check all that apply.) | Vaccines other than the COVID vaccine (1) Eggs (2) Injectable medications (3) Polyethylene glycol (PEG) or polysorbate (4) None of these (0) |
2022AQ | | | In general, would you say your health is... | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2022AQ | | | In general, would you say your quality of life is... | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2022AQ | | | In general, how would you rate your physical health? | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2022AQ | | | In general, how would you rate your mental health, including your mood and your ability to think? | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2022AQ | | | In general, how would you rate your satisfaction with your social activities and relationships? | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2022AQ | | | In general, please rate how well you carry out your usual social activities and roles. (This includes activities at home, at work and in your community, and responsibilities as a parent, child, spouse, employee, friend, etc.) | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2022AQ | | | To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair? | Completely (5) Mostly (4) Moderately (3) A little (2) Not at all (1) |
2022AQ | | | In the PAST 7 DAYS, how often have you been bothered by emotional problems, such as feeling anxious, depressed or irritable? | Never (5) Rarely (4) Sometimes (3) Often (2) Always (1) |
2022AQ | | | In the PAST 7 DAYS, how would you rate your fatigue on average? | None (5) Mild (4) Moderate (3) Severe (2) Very severe (1) |
2022AQ | | | In the PAST 7 DAYS, how would you rate your pain on average? | 0 No pain (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Worst imaginable pain (10) |
2022AQ | | PROMIS10 | In the PAST 7 DAYS, how much did pain interfere with your enjoyment of life? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very much (5) |
2022AQ | | PROMIS10 | In the PAST 7 DAYS, how much did pain interfere with your ability to concentrate? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very much (5) |
2022AQ | | PROMIS10 | In the PAST 7 DAYS, how much did pain interfere with your day to day activities? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very much (5) |
2022AQ | | PROMIS10 | In the PAST 7 DAYS, how much did pain interfere with your enjoyment of recreational activities? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very much (5) |
2022AQ | | PROMIS10 | In the PAST 7 DAYS, how much did pain interfere with doing your tasks away from home (e.g., getting groceries, running errands)? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very much (5) |
2022AQ | | PROMIS10 | In the PAST 7 DAYS, how often did pain keep you from socializing with others? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2022AQ | | | On the images below, CHECK ALL areas of your body where you have felt persistent or recurrent pain present for the last 3 months or longer (chronic pain). If you do not have ANY chronic pain anywhere in your body, please select "No Chronic Pain" and advance to the next screen. | No Chronic Pain (1) |
2022AQ | | CHRONIC_PAIN | In the list below, CHECK ALL areas of your body where you have felt persistent or recurrent pain present for the last 3 months or longer (chronic pain). If you do not have chronic pain in any of these body areas, check the "No Chronic Pain" box. | No chronic pain in this any of these body areas (0) Face (1) Right jaw (2) Left jaw (3) Right chest/breast (4) Left chest/breast (5) Abdomen (6) Pelvis (7) Right groin (8) Left groin (9) Genitals (10) Right upper arm (11) Right elbow (12) Right lower arm (13) Right wrist/hand (14) Left upper arm (15) Left elbow (16) Left lower arm (17) Left wrist/hand (18) Right upper leg (19) Right knee (20) Right lower leg (21) Right ankle/foot (22) Left upper leg (23) Left knee (24) Left lower leg (25) Left ankle/foot (26) |
2022AQ | | CHRONIC_PAIN | In the list below, CHECK ALL areas of your body where you have felt persistent or recurrent pain present for the last 3 months or longer (chronic pain). If you do not have chronic pain in any of these body areas, check the "No Chronic Pain" box. | No chronic pain in this any of these body areas (0) Head (1) Neck (2) Left shoulder (3) Right shoulder (4) Upper back (5) Lower back (6) Left hip (7) Right hip (8) Left buttocks (9) Right buttocks (10) Anus (11) |
2022AQ | | | Cancer Screening | No Answers |
2022AQ | | ORGANS_BORN VAGINA_BRANCH | In the PAST 12 MONTHS, have you had a Pap smear or Pap test? (A Pap smear or Pap test is a routine test in which a health care provider places an instrument inside the vagina, examines the cervix, and takes a few cells from the cervix with a small stick or brush to look for abnormal or cancer cells.) | Yes (1) No (0) I dont know (88) |
2022AQ | | ORGANS_BORN VAGINA_BRANCH | In the PAST 12 MONTHS, have you had a Pap smear or Pap test? (A Pap smear or Pap test is a routine test in which a health care provider places an instrument inside the frontal genital opening, examines the cervix, and takes a few cells from the cervix with a small stick or brush to look for abnormal or cancer cells.) | Yes (1) No (0) I dont know (88) |
2022AQ | | PAP_YR_V | Have you had a Pap smear or Pap test in the PAST 12 MONTHS where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2022AQ | | PAP_YR_V | An HPV test is sometimes added to the Pap test for cervical cancer screening. Did you have an HPV test with a Pap test in the PAST 12 MONTHS? | Yes (1) No (0) I dont know (88) |
2022AQ | | HPV_RECENTPAP | Have you had a cervical HPV test in the PAST 12 MONTHS where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2022AQ | | ORGANS_NOW | In the PAST 12 MONTHS, have you had a mammogram? A mammogram is when breast/chest tissue is squeezed between two firm surfaces to obtain X-rays/pictures of the breast/chest tissue. | Yes (1) No (0) I dont know (88) |
2022AQ | | MAMMO_YR | Have you had a mammogram in the PAST 12 MONTHS where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2022AQ | | ORGANS_BORN | In the PAST 12 MONTHS, have you had a PSA test? A PSA test is a blood test to detect prostate cancer. It is also called a prostate-specific antigen test. | Yes (1) No (0) I dont know (88) |
2022AQ | | PSA_YR | Have you had a PSA test in the PAST 12 MONTHS where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2022AQ | | | Colon or rectal cancer tests include blood stool tests, colonoscopy, and sigmoidoscopy. A blood stool test or occult blood test, also known as the fecal immunochemical (FIT) test, determines whether you have blood in your stool or bowel movement. These tests can be done at home using a kit. You use a stick or brush to obtain a small amount of stool at home and send it back to the doctor or lab. A sigmoidoscopy and colonoscopy are exams in which a tube is inserted in the rectum to view the colon for signs of cancer or other health problems. For a sigmoidoscopy, the doctor checks only part of the colon and you are fully awake. For a colonoscopy, the doctor checks the entire colon, and you are given medication through a needle in your arm to make you sleepy, and told to have someone drive you home. Before a sigmoidoscopy or colonoscopy, you are asked to take a medication that intentionally causes diarrhea. In the PAST 12 MONTHS, have you had any of these tests for colon or rectal cancer? (Check all that apply.) | None of these (0) Blood stool test (FIT test) (1) Sigmoidoscopy (2) Colonoscopy (3) |
2022AQ | | COLON_TEST | In the PAST 12 MONTHS, have you had a blood stool test (FIT) where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2022AQ | | COLON_TEST | In the PAST 12 MONTHS, have you had a sigmoidoscopy where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2022AQ | | COLON_TEST | In the PAST 12 MONTHS, have you had a colonoscopy where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2022AQ | | | In the PAST 12 MONTHS, have you had any of the following tests as an evaluation for anal or rectal cancer? (Check all that apply.) | Digital anal rectal exam (an examination where a doctor or health care provider inserts their finger into your anus (butt)) (1) Anal HPV test (a routine test with a swab that tests for human papillomavirus, HPV) (2) Anal Pap smear (a routine test in which a health care provider takes a few cells from the anus using a swab to look for abnormal or cancer cells) (3) High-Resolution Anoscopy (HRA) (an exam with a microscope of the rectum and anus) (4) I dont know (88) None of these (0) |
2022AQ | | ANORECTCA_SCREEN_YR | In the PAST 12 MONTHS, have you had a digital anal/rectal examination where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2022AQ | | ANORECTCA_SCREEN_YR | In the PAST 12 MONTHS, have you had an anal HPV examination where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2022AQ | | ANORECTCA_SCREEN_YR | In the PAST 12 MONTHS, have you had an anal Pap smear where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2022AQ | | ANORECTCA_SCREEN_YR | In the PAST 12 MONTHS, have you had a high-resolution anoscopy (HRA) where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2022AQ | | | Physical Activity | No Answers |
2022AQ | | | How many DAYS PER WEEK do you do LIGHT OR MODERATE leisure-time physical activities for AT LEAST 10 MINUTES that cause ONLY LIGHT sweating or a SLIGHT to MODERATE increase in breathing or heart rate? Examples include walking, golf, moving boxes, and gardening. | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2022AQ | | MOD_DAYS | About how long (in minutes) do you do these light or moderate leisure-time physical activities each time? | Text Entry (-) |
2022AQ | | | How many DAYS PER WEEK do you do VIGOROUS leisure-time physical activities for AT LEAST 10 MINUTES that cause HEAVY sweating or LARGE increases in breathing or heart rate? Examples include aerobics, tennis, bicycling up hills, and running. | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2022AQ | | VIG_DAYS | About how long (in minutes) do you do these vigorous leisure-time physical activities each time? | Text Entry (-) |
2022AQ | | | How many DAYS PER WEEK do you do leisure-time physical activities specifically designed to STRENGTHEN your muscles such as lifting weights or doing calisthenics? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2022AQ | | | Have you EVER used the following drugs/supplements for the purpose of enhancing appearance or performance? (Check all that apply.) | Anabolic Steroids (1) Protein supplements (such as whey protein, protein shakes, protein bars) (2) Creatine supplements (including creatine monohydrate, creatine ethyl ester, and others) (3) Synthetic muscle enhancers (such as testosterone replacement therapy, clenbuterol, human growth hormone) (4) Diuretics/water pills (such as furosemide (Lasix), hydrochlorothiazide, spironolactone, and others) (5) I have never used these drugs or supplements. (0) |
2022AQ | | SUPP | I use/have used anabolic steroids primarily for: | Performance (including athletic performance) (1) Appearance (2) Both performance and appearance (3) Neither performance or appearance (4) |
2022AQ | | SUPP | IN THE PAST 12 MONTHS, I have used anabolic steroids for approximately: | Not used in the last 12 months (0) 1-2 months (1) 3-4 months (2) 5-6 months (3) 7-8 months (4) 9-10 months (5) 11-12 months (6) |
2022AQ | | | Healthcare Access | No Answers |
2022AQ | | | During the PAST 12 MONTHS, have you had a flu vaccine - usually a shot in your arm or sprayed in your nose by a doctor or other health professional? These are usually given in the fall and protect against influenza for the flu season. | Yes (1) No (0) I dont know (88) |
2022AQ | | | Is there a place that you USUALLY go to when you are sick or need advice about your health? | Yes (1) There is NO place (2) There is MORE THAN ONE place (3) I dont know (88) |
2022AQ | | PLACESICK | What kind of place do you go to MOST often – a clinic, doctor's office, emergency room, or some other place? | Clinic or health center (1) Doctors office or HMO (2) Hospital emergency room (3) Hospital outpatient department (4) Some other place (5) I dont go to one place most often (6) I dont know (88) |
2022AQ | | PLACESICK | Is that the same place you USUALLY go when you need routine or preventive care, such as a physical examination or check up? | Yes (1) No (0) I dont know (88) |
2022AQ | | PLACEROUTINE | What kind of place do you USUALLY go to when you need routine or preventive care, such as a physical examination or check-up? | I dont get routine or preventative care anywhere (0) Clinic or health center (1) Doctors office or HMO (2) Hospital emergency room (3) Hospital outpatient department (4) Some other place (5) I dont go to one place most often (6) I dont know (88) |
2022AQ | | | During the PAST 12 MONTHS, did you have any trouble finding a general doctor or health care provider who would see you? | Yes (1) No (0) I havent tried to see a doctor or health care provider in the past 12 months. (2) I dont know (88) |
2022AQ | | | In the PAST 12 MONTHS, have you seen or talked to any of the following health care providers about your own health? (Check all that apply.) | A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker (1) An optometrist, ophthalmologist, or eye doctor (someone who prescribes eye glasses) (2) A foot doctor (a podiatrist) (3) A chiropractor (4) A physical therapist, speech therapist, respiratory therapist, audiologist, or occupational therapist (5) A nurse practitioner, physician assistant, or midwife (6) A doctor who specializes in reproductive, genital, and sexual health (an obstetrician/gynecologist) (7) A medical doctor who specializes in a particular medical disease or problem (other than obstetrician/gynecologist, psychiatrist, or ophthalmologist) (8) A general doctor who treats a variety of illnesses (a doctor in general practice, family medicine, or internal medicine) (9) I have not seen or talked to any of these providers. (0) |
2022AQ | | | A primary care provider is a health care provider who takes care of your overall general health and may coordinate your care with other medical specialists. Do you have a primary care provider (PCP)? | Yes (1) No (0) I dont know (88) |
2022AQ | | PCP | Have you seen your primary care provider in the PAST 12 MONTHS? | Yes (1) No (0) I dont know (88) |
2022AQ | | CYOA | In the PAST 12 MONTHS, have you gone to a doctor, health care provider, or clinic for transgender-related health care (such as hormone treatment)? | Yes (1) No (0) I dont know (88) |
2022AQ | | TRANS_DOC | Does the person or place who provides your transgender-related health care also take care of your overall general health? | Yes (1) No (0) I dont know (88) |
2022AQ | | | In the PAST 12 MONTHS, have you visited a doctor, health care provider, or clinic that focuses on sexual or reproductive health (such as sexually transmitted infections, PrEP, birth control, abortion, etc.)? | Yes (1) No (0) I dont know (88) |
2022AQ | | SEX_DOC | Does the person or place who provides your sexual or reproductive health care also take care of your overall general health? | Yes (1) No (0) I dont know (88) |
2022AQ | | | During the PAST 12 MONTHS, how many times have you gone to a hospital emergency room about your health? (If you are not sure exactly how many times, please estimate.) | Text Entry (-) |
2022AQ | | ER | For what reason(s) did you go the emergency room? | Text Entry (-) |
2022AQ | | | During the PAST 12 MONTHS, have you been hospitalized overnight? | Yes (1) No (2) |
2022AQ | | HOSP | How many different times in the PAST 12 MONTHS have you been hospitalized overnight? | Text Entry (-) |
2022AQ | | HOSP | For what reason(s) were you hospitalized (e.g., shortness of breath, heart attack, chest pain, depression)? | Text Entry (-) |
2022AQ | | HOSP | How many days total were you hospitalized in the PAST 12 MONTHS? (If you are not sure exactly how many days, please estimate.) | Text Entry (-) |
2022AQ | | | In the PAST 12 MONTHS, was there any time when you did NOT have ANY health insurance or coverage? In other words, were you uninsured for any time during the previous 12 months? | Yes (1) No (0) I dont know (88) |
2022AQ | | UNINSUR | In the PAST 12 MONTHS, about how many months were you without coverage? | Less than one month (0) 1 month (1) 2 months (2) 3 months (3) 4 months (4) 5 months (5) 6 months (6) 7 months (7) 8 months (8) 9 months (9) 10 months (10) 11 months (11) 12 months (12) |
2022AQ | | | Are you CURRENTLY covered by any health insurance or health coverage plan? | Yes (1) No (0) I dont know (88) |
2022AQ | | INSURANCE | Are you CURRENTLY covered by any of the following types of health insurance or health coverage plans? (If you have more than one insurance/coverage plans, please select your primary insurance/coverage plan.) | Insurance through my current or former employer or union (1) Insurance through someone elses current or former employer or union (2) Insurance purchased through HealthCare.gov or another health insurance marketplace (sometimes called Obamacare or the Affordable Care Act) (3) Insurance purchased directly from an insurance company (4) Medicare (for people 65 and older or people with certain disabilities) (5) Medicaid (government-assistance plan for those with low incomes or a disability) (6) TRICARE or other military health care (7) Veterans Affairs (VA) (8) Indian Health Service (9) Other (10) Other (TEXT) |
2022AQ | | | In regard to your current health insurance or health care coverage, how does it compare to a year ago? Is it better, worse, or about the same? | Better (1) Worse (2) About the same (3) I dont know (4) |
2022AQ | | | In the PAST 12 MONTHS, were you delayed in getting medical care, tests, or treatments that you or a health care provider believed necessary? | Yes (1) No (0) |
2022AQ | | DELAYCARE | Which of these reasons describes why you were delayed in getting medical care, tests, or treatments you or a health care provider believed necessary? (Check all that apply.) | I couldnt afford care (0) My insurance company wouldnt approve, cover, or pay for care (1) Health care provider refused to accept the insurance plan (2) Problems getting to health care providers office (3) The health care provider could not schedule me in a timely fashion (4) I speak a different language (5) I couldnt get time off work or school (6) I dont know where to go to get care (7) I was refused services (8) I thought I would be mistreated or disrespected on the basis of my sexual orientation (9) I thought I would be mistreated or disrespected on the basis of my gender identity (10) I thought I would be mistreated or disrespected on the basis of my HIV status (11) I couldnt get child care (12) I didnt have time or took too long (13) Other (please specify) (14) Other (please specify) (TEXT) |
2022AQ | | | In the PAST 12 MONTHS, were you unable to obtain medical care, tests, or treatments that you or a health care provider believed necessary? | Yes (1) No (0) |
2022AQ | | NOCARE | Which of these best describes the reason(s) you were unable to get medical care, tests, or treatments you or a health care provider believed necessary? (Check all that apply.) | I couldnt afford care (0) My insurance company wouldnt approve, cover, or pay for care (1) Doctor refused to accept the insurance plan (2) Problems getting to doctors office (3) The health care provider could not schedule me in a timely fashion (4) I speak a different language (5) I couldnt get time off work or school (6) I dont know where to go to get care (7) I was refused services (8) I thought I would be mistreated or disrespected on the basis of my sexual orientation (9) I thought I would be mistreated or disrespected on the basis of my gender identity (10) I thought I would be mistreated or disrespected on the basis of my HIV status (11) I couldnt get child care (12) I didnt have time or took too long (13) Other (please specify) (14) Other (please specify) (TEXT) |
2022AQ | | | In the PAST 12 MONTHS, about how much did you spend in total for medical care and dental care? Please include copays, coinsurance, prescription medications, etc. Please do NOT include your monthly health insurance premiums, over-the-counter drugs, or costs that you will be reimbursed for. | Zero (0) 1 - 499 (1) 500 - 1,999 (2) 2,000 - 2,999 (3) 3,000 - 4,999 (4) 5,000 or more (5) I dont know (88) |
2022AQ | | | In the PAST 12 MONTHS, about how much did you spend for prescription medications? | Zero (0) 1 - 499 (1) 500 - 1,999 (2) 2,000 - 2,999 (3) 3,000 - 4,999 (4) 5,000 or more (5) I dont know (88) |
2022AQ | | | In the PAST 12 MONTHS, did you borrow money to pay for health care? Please do NOT count health insurance premiums, over the counter drugs, or costs that you will be reimbursed for. | Yes (1) No (0) |
2022AQ | | | During the PAST 12 MONTHS, were you able to visit a dentist? Include all types of dentists, such as orthodontists, oral surgeons, and all other dental specialists, as well as dental hygienists. | Yes (1) No (0) |
2022AQ | | | During the PAST 12 MONTHS, was there a time when you needed dental care but could not get it at that time? | Yes (1) No (0) |
2022AQ | | DENTCARE_NO | What were the reasons that you could not get the dental care you needed? (Check all that apply.) | I could not afford the cost (0) I did not want to spend the money (1) Insurance did not cover recommended procedures (2) Dental office is too far away (3) Dental office is not open at convenient times (4) Another dentist recommended not doing it (5) I was afraid or do not like dentists (6) I was unable to take time off from work or school (7) I was too busy (8) I did not think anything serious was wrong/expected dental problems to go away (9) I thought I would be mistreated or disrespected on the basis of my sexual orientation (10) I thought I would be mistreated or disrespected on the basis of my gender identity (11) I thought I would be mistreated or disrespected on the basis of my HIV status (12) I did not have dental insurance (14) Other (13) Other (TEXT) |
2022AQ | | | During the PAST 12 MONTHS, have you had an exam for oral cancer in which the doctor or dentist pulls on your tongue, sometimes with gauze wrapped around it, and feels under the tongue and inside the cheeks? | Yes (1) No (0) |
2022AQ | | | How often during the PAST 12 MONTHS have you had painful aching anywhere in your mouth? Would you say…? | Very often (4) Fairly often (3) Occasionally (2) Hardly ever (1) Never (0) |
2022AQ | | | On average, how many hours of sleep do you get in a 24-HOUR PERIOD? (Please round to the nearest whole hour.) | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) |
2022AQ | | | In the PAST WEEK, how many times did you have trouble falling asleep? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) More than 7 (8) |
2022AQ | | | In the PAST WEEK, how many times did you have trouble staying asleep? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) More than 7 (8) |
2022AQ | | | In the PAST WEEK, how many times did you take medication to help you fall asleep or stay asleep? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) More than 7 (8) |
2022AQ | | | In the PAST WEEK, on how many days did you wake up feeling well rested? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2022AQ | | | I worried whether my food would run out before I got money to buy more. Was that often true, sometimes true, or never true for you in the LAST 12 MONTHS? | Often true (2) Sometimes true (1) Never true (0) I dont know (88) |
2022AQ | | | The food that I bought just didn't last, and I didn't have money to get more. Was that often, sometimes, or never true for you in the LAST 12 MONTHS? | Often true (2) Sometimes true (1) Never true (0) I dont know (88) |
2022AQ | | | I couldn't afford to eat balanced meals. Was that often, sometimes, or never true for you in the LAST 12 MONTHS? | Often true (2) Sometimes true (1) Never true (0) I dont know (88) |
2022AQ | | USDA_HH2 | In the LAST 12 MONTHS, did you ever cut the size of your meals or skip meals because there wasn't enough money for food? | Yes (1) No (0) I dont know (88) |
2022AQ | | USDA_AD1 | How often did this happen—almost every month, some months but not every month, or in only 1 or 2 months? | Almost every month (1) Some months but not every month (0) Only 1 or 2 months (88) I dont know (89) |
2022AQ | | USDA_HH2 | In the LAST 12 MONTHS, did you ever eat less than you felt you should because there wasn't enough money for food? | Yes (1) No (0) I dont know (88) |
2022AQ | | USDA_HH2 | In the LAST 12 MONTHS, were you ever hungry but didn't eat because there wasn't enough money for food? | Yes (1) No (0) I dont know (88) |
2022AQ | | USDA_HH2 | In the LAST 12 MONTHS, did you lose weight because there wasn't enough money for food? | Yes (1) No (0) I dont know (88) |
2022AQ | | USDA_AD1 | In the LAST 12 MONTHS, did you ever not eat for a whole day because there wasn't enough money for food? | Yes (1) No (0) I dont know (88) |
2022AQ | | USDA_AD5 | How often did this happen—almost every month, some months but not every month, or in only 1 or 2 months? | Almost every month (1) Some months but not every month (0) Only 1 or 2 months (2) I dont know (88) |
2022AQ | | SAAB | In the PAST 12 MONTHS, has your sperm (also known as semen, cum, nut, ejaculate) resulted in a pregnancy? | Yes (1) No (0) I dont know (88) |
2022AQ | | PREGNANT_SPERM | How many pregnancies in the PAST 12 MONTHS resulted from your sperm? (If you are unsure, please estimate.) | Text Entry (-) |
2022AQ | | ORGANS_BORN | Have you had at least one menstrual period in the PAST 12 MONTHS? Please do not include bleedings caused by medical conditions, hormone therapy, or surgeries. | Yes (1) No (0) I dont know (88) |
2022AQ | | MENSES_YEAR | What is the reason(s) that you have not had a period in the PAST 12 MONTHS? (Check all that apply.) | Pregnancy (1) Breastfeeding/chestfeeding (2) Hysterectomy (removal of the uterus) (3) Menopause/change of life (4) Hormones, medications, or devices (like an IUD) to stop my periods (5) Other (please specify) (6) Other (please specify) (TEXT) I dont know (88) |
2022AQ | | MENSES_NOYEAR | About how old were you when you had your last menstrual period? (Please enter “88” if you don't know.) | Text Entry (-) |
2022AQ | | ORGANS_NOW MENSES_NOYEAR | Are you personally planning to be pregnant in the next year? | Yes (1) No (0) I dont know (88) |
2022AQ | | ORGANS_BORN | Have you been trying to personally become pregnant over the PAST 12 MONTHS? | Yes (1) No (0) I dont know (88) |
2022AQ | | ORGANS_BORN | In the PAST 12 MONTHS, have you been to a doctor or other medical provider because you have been unable to become pregnant? | Yes (1) No (0) I dont know (88) |
2022AQ | | ORGANS_BORN | Have you been pregnant in the PAST 12 MONTHS? | Yes (1) No (0) I dont know (88) |
2022AQ | | ORGANS_NOW PREG_YR MENSES_NOYEAR | Are you pregnant now? | Yes (1) No (0) I dont know (88) |
2022AQ | | PREG_YR | How many times have you been pregnant in the PAST 12 MONTHS? (Please count all your pregnancies including current pregnancy, live births, miscarriages, stillbirths, tubal pregnancies, and abortions.) (Please enter "88" if you don't know.) | Text Entry (-) |
2022AQ | | PREG_TIMES | Did any of your pregnancies in the PAST 12 MONTHS result in a delivery? | Yes (1) No (0) |
2022AQ | | PREG_DEL | How many vaginal deliveries have you had in the PAST 12 MONTHS? (Please count the number of deliveries [for example, twins count as 1 delivery] and please include stillbirths and live births.) (Please enter “88” if you don't know.) | Text Entry (-) |
2022AQ | | PREG_DEL | How many frontal genital opening deliveries have you had in the PAST 12 MONTHS? (Please count the number of deliveries [for example, twins count as 1 delivery] and please include stillbirths and live births.) (Please enter “88” if you don't know.) | Text Entry (-) |
2022AQ | | PREG_DEL | How many cesarean deliveries, also known as C-sections, have you had in the PAST 12 MONTHS? (Please count the number of deliveries [for example, twins count as 1 delivery] and please include stillbirths and live births.) (Please enter “88” if you don't know.) | Text Entry (-) |
2022AQ | | PREG_DEL | How many of your deliveries resulted in a live birth in the PAST 12 MONTHS? (Please count the number of deliveries [for example, twins count as 1 delivery].) (Please enter “88” if you don't know.) | Text Entry (-) |
2022AQ | | PREG_YR | How many miscarriages have you had in the PAST 12 MONTHS? (A miscarriage is a pregnancy that ends naturally during the first 20 weeks of pregnancy.) (Please enter “88” if you don't know.) | Text Entry (-) |
2022AQ | | PREG_YR | How many tubal pregnancies have you had in the PAST 12 MONTHS? (A tubal pregnancy also known as an 'ectopic pregnancy' is a pregnancy that occurs in the fallopian tube.) (Please enter “88” if you don't know.) | Text Entry (-) |
2022AQ | | PREG_YR | How many abortions have you had in the PAST 12 MONTHS? (An abortion is a pregnancy that is ended during the first 6 months using any of the following: medications, D&C, vacuum extraction, suction, and saline injections.) (Please enter “88” if you don't know.) | Text Entry (-) |
2022AQ | | LIVE_BIRTH | Please tell us the month and year of your FIRST live birth in the PAST 12 MONTHS. | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | LIVE_BIRTH | Please tell us the month and year of your MOST RECENT live birth in the PAST 12 MONTHS. | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | ORGANS_NOW | Have you breast/chest fed a child in the PAST 12 MONTHS? | Yes (1) No (0) |
2022AQ | | BREASTFED | Were the children that you breast/chest fed in the PAST 12 MONTHS born as a result of…? | My own pregnancy and delivery (1) Another persons pregnancy and delivery (2) Both, I have breast/chest fed both a child that I have delivered as well as a child that another person delivered (3) |
2022AQ | | ORGANS_BORN MENSES_NOYEAR | In the PAST 12 MONTHS, have you used any type of birth control method for the prevention of pregnancy? | Yes (1) No (0) I dont know (88) |
2022AQ | | BIRTHCONTROL_YR | Please select the birth control method(s) you have used for the prevention of pregnancy in the PAST 12 MONTHS. (Check all that apply.) | No sex with a person who produces sperm that could result in pregnancy (1) Condoms (2) Diaphragm (3) Arm implant (4) Injection (5) Intrauterine Device (IUD) -- Copper -- has no hormones (6) Intrauterine Device (IUD) -- Mirena, Skyla, or Liletta -- has hormones (7) Intrauterine Device (IUD) -- Im not sure what type (8) Menopause (9) Pill (10) Rhythm method (11) Spermicide (12) Sponge (13) Surgical (permanent) sterilization (e.g., tubal ligation, tubes tied) (14) Surgical (permanent) sterilization of your partner (e.g., vasectomy) (15) Patch/transdermal (16) Vaginal/frontal genital opening ring (17) Withdrawal (18) Another method not listed here (please specify) (19) Another method not listed here (please specify) (TEXT) None of these (0) |
2022AQ | | ORGANS_BORN | In the PAST 12 MONTHS, have you used any birth control method(s) for ANY reason OTHER THAN prevention of pregnancy? | Yes (1) No (0) I dont know (88) |
2022AQ | | BIRTHCTRL_YR_NONCON | What are the reasons that you have used birth control (OTHER THAN pregnancy prevention) in the PAST 12 MONTHS? (Check all that apply.) | To affirm my gender (1) To avoid getting a sexually-transmitted infection (STI) from someone else (2) To avoid spreading a sexually-transmitted infection (STI) that I have (3) To avoid symptoms associated with my period like: chest tenderness, bloating, acne, pain from cramping, heavy bleeding (sometimes referred to as pre-menstrual syndrome or PMS) (4) To stop having a period/reduce the amount of bleeding (5) Prevent hair growth (hirsutism) (6) To reduce chronic pelvic pain (including endometriosis) (7) To treat another medical condition (8) Not listed (please specify) (9) Not listed (please specify) (TEXT) None of these (0) |
2022AQ | | BIRTHCTRL_YR_NONCON | Please select the birth control method(s) you have used for any reason OTHER THAN prevention of pregnancy in the PAST 12 MONTHS. (Check all that apply.) | Abstinence (no sex with a person who produces sperm that could result in pregnancy) (1) Condoms (2) Diaphragm (3) Arm implant (4) Injection (5) Intrauterine Device (IUD) -- Copper -- has no hormones (6) Intrauterine Device (IUD) -- Mirena, Skyla, Liletta -- has hormones (7) Intrauterine Device (IUD) -- Im not sure what type (8) Menopause (9) Pill (10) Rhythm method (11) Spermicide (12) Sponge (13) Surgical (permanent) sterilization (e.g., tubal ligation, tubes tied) (14) Surgical (permanent) sterilization of your partner (e.g., vasectomy) (15) Patch/transdermal (16) Vaginal/frontal genital opening ring (17) Withdrawal (18) Another method not listed here (please specify) (19) Another method not listed here (please specify) (TEXT) None of these (0) |
2022AQ | | | In the PAST 30 DAYS, how interested have you been in sexual activity? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very (5) |
2022AQ | | | In the PAST 30 DAYS, how often have you felt like you wanted to have sexual activity? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2022AQ | | | In the PAST 30 DAYS, did you have any type of sexual activity? (This means ANY kind of sexual activity including masturbation.) | No (0) Yes (1) |
2022AQ | | SFSCR202 VAGINA_BRANCH | There are many reasons why people may not have had sexual activity during the month. What are the reasons why you did not have sexual activity in the past 30 days? Please read the list carefully and check every reason that applies to you, even if it happened only one time during the PAST 30 DAYS. | Was not interested in having sexual activity (1) Dryness or pain in or around my vagina (2) Difficulties with orgasm/climax (3) Dont enjoy sexual activity (4) Health condition (5) No partner(s) (6) Partner(s) was away (7) Partner(s) was not interested in sexual activity (8) Health condition of my partner(s) (9) Some other reason (please specify) (10) Some other reason (please specify) (TEXT) |
2022AQ | | SFSCR202 VAGINA_BRANCH | There are many reasons why people may not have had sexual activity during the month. What are the reasons why you did not have sexual activity in the past 30 days? Please read the list carefully and check every reason that applies to you, even if it happened only one time during the PAST 30 DAYS. | Was not interested in having sexual activity (1) Dryness or pain in or around my frontal genital opening (2) Difficulties with orgasm/climax (3) Dont enjoy sexual activity (4) Health condition (5) No partner(s) (6) Partner(s) was away (7) Partner(s) was not interested in sexual activity (8) Health condition of my partner(s) (9) Some other reason (please specify) (10) Some other reason (please specify) (TEXT) |
2022AQ | | SFSCR202 | In the PAST 30 DAYS, how often did you become lubricated ("wet") during sexual activity? (Note here lubrication or wetness refers to spontaneous lubrication or wetness without the use of lubricants, gels, creams, oils, etc.) | Almost always or always (1) Most times (more than half the time) (2) Sometimes (about half the time) (3) A few times (less than half the time) (4) Almost never or never (5) |
2022AQ | | SFSCR202 | In the PAST 30 DAYS, how difficult was it to become lubricated ("wet") during sexual activity? (Note here lubrication or wetness refers to spontaneous lubrication or wetness without the use of lubricants, gels, creams, oils, etc.) | Extremely difficult or impossible (1) Very difficult (2) Difficult (3) Slightly difficult (4) Not difficult (5) |
2022AQ | | SFSCR202 | In the PAST 30 DAYS, how difficult was it to maintain your lubrication ("wetness") until completion of sexual activity? (Note here lubrication or wetness refers to spontaneous lubrication or wetness without the use of lubricants, gels, creams, oils, etc.) | Extremely difficult or impossible (1) Very difficult (2) Difficult (3) Slightly difficult (4) Not difficult (5) |
2022AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you felt inside your vagina? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2022AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you felt inside your frontal genital opening? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2022AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you felt inside your vagina? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2022AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you felt inside your frontal genital opening? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2022AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you had in your labia (lips around the opening of the vagina)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have labia (6) |
2022AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you had in your labia (lips around the opening of the frontal genital opening)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have labia (6) |
2022AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you had in your labia (lips around the opening of the vagina)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have labia (6) |
2022AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you had in your labia (lips around the opening of the frontal genital opening)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have labia (6) |
2022AQ | | SFSCR202 | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you had in your clitoris (clit)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have a clitoris (6) |
2022AQ | | SFSCR202 | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you had in your clitoris (clit)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have a clitoris (6) |
2022AQ | | SFSCR202 | There are many reasons why people may not have had sexual activity during the month. What are the reasons why you did not have sexual activity in the past 30 days? Please read the list carefully and check every reason that applies to you, even if it happened only one time during the PAST 30 DAYS. | Was not interested in having sexual activity (1) Difficulties with my erections (penis/phallus not hard or is painful) (2) Difficulties with orgasm/climax (3) Dont enjoy sexual activity (4) Health condition (5) No partner(s) (6) Partner(s) was away (7) Partner(s) was not interested in sexual activity (8) Health condition of my partner(s) (9) Some other reason (please specify) (10) Some other reason (please specify) (TEXT) |
2022AQ | | | In the PAST 30 DAYS, how often were you able to get an erection (get hard) during sexual activity? | Almost never/never (1) A few times (much less than half the time) (2) Sometimes (about half the time) (3) Most times (much more than half the time) (4) Almost always/always (5) |
2022AQ | | | In the PAST 30 DAYS, when you had erections with sexual stimulation how often were your erections hard enough for penetration? | I was not attempting to penetrate a partner (0) Almost never/never (1) A few times (much less than half the time) (2) Sometimes (about half the time) (3) Most times (much more than half the time) (4) Almost always/always (5) |
2022AQ | | | In the PAST 30 DAYS, during sexual intercourse how often were you able to maintain your erection (stay hard) after you had penetrated (entered) your partner? | I was not attempting to penetrate a partner (0) Almost never/never (1) A few times (much less than half the time) (2) Sometimes (about half the time) (3) Most times (much more than half the time) (4) Almost always/always (5) |
2022AQ | | SFSCR202 | In the PAST 30 DAYS, how often have you been able to have an orgasm/climax when you wanted to? | Have not tried to have an orgasm/climax in the past 30 days (0) Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2022AQ | | SFSCR202 | In the PAST 30 DAYS, how satisfying have your orgasms or climaxes been? | Have not had an orgasm/climax in the past 30 days (0) Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very (5) |
2022AQ | | SFSCR202 | In the PAST 30 DAYS, how much pleasure have your orgasms or climaxes given you? | Have not had an orgasm/climax in the past 30 days (0) None (1) A little bit (2) Some (3) Quite a bit (4) Very much (5) |
2022AQ | | SFSCR202 | In the PAST 30 DAYS, how often have you had discomfort in your mouth during sexual activity? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2022AQ | | SFSCR202 | In the PAST 30 DAYS, how often have you had pain in your mouth during sexual activity? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2022AQ | | SFSCR202 | In the PAST 30 DAYS, how often have you had dryness in your mouth during sexual activity? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2022AQ | | SFSCR202 | In the PAST 30 DAYS, when you have had sexual activity, how dry has your mouth been? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very (5) |
2022AQ | | SFSCR202 | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you had in or around your anus or rectum (butt)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2022AQ | | SFSCR202 | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you had in or around your anus or rectum (butt)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2022AQ | | SFSCR202 | In the PAST 30 DAYS, how satisfied have you been with your sex life? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very (5) |
2022AQ | | SFSCR202 | In the PAST 30 DAYS, how much pleasure has your sex life given you? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2022AQ | | SFSCR202 | In the PAST 30 DAYS, how often have you thought that your sex life is wonderful? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2022AQ | | SFSCR202 | In the PAST 30 DAYS, how satisfied have you been with your sexual relationship(s)? | Have not had a sexual relationship with another person in the past 30 days (0) Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very (5) |
2022AQ | | | Sexual Health and Activities The next questions will ask you about your sexual activities including specific sexual behaviors and acts. If you wish to opt out of this section because of this, please indicate below. | I wish to answer this section. (1) I wish to skip this section. (0) |
2022AQ | | | Some people engage in sexual activities with another person(s) using object(s) not made of human skin that are shaped like a cylinder or penis/phallus. Do you have that kind of sex? | Yes (1) No (0) |
2022AQ | | PROSTHESIS_SEX_HAVE | What do you call that object or object(s)? | Text Entry (-) |
2022AQ | | PROSTHESIS_SEX_HAVE | How do you use this object? (Check all that apply.) | I insert the object into someones body (1) I receive the object into my body (2) I use this object in another way (please describe) (3) I use this object in another way (please describe) (TEXT) |
2022AQ | | PROSTHESIS_HOW_USE | How do you use this object when you insert the object into someone else's body? (Check all that apply.) | I insert the object into someones mouth (1) I insert the object into someones vagina/frontal genital opening. (2) I insert the object into someones anus (3) I insert the object into another part of someones body (please specify) (4) I insert the object into another part of someones body (please specify) (TEXT) |
2022AQ | | PROSTHESIS_INSERT | How often do you insert that object into the mouth of a sexual partner(s)? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2022AQ | | PROSTHESIS_INSERT | How often do you insert that object into the vagina/frontal genital opening of a sexual partner(s)? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2022AQ | | PROSTHESIS_INSERT | How often do you insert that object into the anus of a sexual partner(s)? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2022AQ | | PROSTHESIS_HOW_USE | How do you use this object when inserted into your body? (Check all that apply.) | I receive the object into my mouth (1) I receive the object into my vagina/frontal genital opening. (2) I receive the object into my anus (3) I receive the object into another part of my body (please specify) (4) I receive the object into another part of my body (please specify) (TEXT) |
2022AQ | | PROSTHESIS_REC | How often do you have the object inserted into your mouth by a sexual partner(s)? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2022AQ | | PROSTHESIS_REC | How often do you have the object inserted into your vagina/frontal genital opening by a sexual partner(s)? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2022AQ | | PROSTHESIS_REC | How often do you have the object inserted into your anus by a sexual partner(s)? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2022AQ | | | In the PAST 12 MONTHS, have you masturbated? Masturbation is touching yourself for sexual pleasure. | Yes (1) No (0) |
2022AQ | | MASTURBATE_YR | How often do you masturbate? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2022AQ | | MASTURBATE_YR | Have you masturbated in the presence of an intimate or romantic partner in PAST 12 MONTHS? | Yes (1) No (0) |
2022AQ | | | Have you engaged in any kind of sexual activity with another person in the PAST 12 MONTHS? | Yes (1) No (0) |
2022AQ | | SEX_PASTYR | In the PAST 12 MONTHS, what are the gender identities of the people that you had any sexual activity with? (Check all that apply.) | Cisgender man (identifies as a man and was assigned male sex at birth) (1) Cisgender woman (identifies as a woman and was assigned female sex at birth) (2) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned female sex at birth (5) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned male sex at birth (6) Transgender man (identifies as a man and was assigned female sex at birth) (3) Transgender woman (identifies as a woman and was assigned male sex at birth) (4) Person of another gender(s) (please specify) (7) Person of another gender(s) (please specify) (TEXT) I dont know (88) Decline to state (99) |
2022AQ | | SEX_PASTYR VAGINA_BRANCH | In the PAST 12 MONTHS, have you had receptive vaginal sex where a penis/phallus (made of flesh and permanently connected to your body) is put in your vagina. | Yes (1) No (0) |
2022AQ | | SEX_PASTYR VAGINA_BRANCH | In the PAST 12 MONTHS, have you had receptive frontal genital opening sex where a penis/phallus (made of flesh and permanently connected to your body) is put in your frontal genital opening. | Yes (1) No (0) |
2022AQ | | VAGSEX_VAG_22_V | How often do you have receptive vaginal sex where a penis/phallus (made of flesh and permanently connected to your body) is put in your vagina. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2022AQ | | VAGSEX_VAG_22_FGO | How often do you have receptive frontal genital opening sex where a penis/phallus (made of flesh and permanently connected to your body) is put in your frontal genital opening. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2022AQ | | SEX_PASTYR | In the PAST 12 MONTHS, have you had insertive vaginal sex where you put your penis/phallus (made of flesh and permanently connected to your body) in someone's vagina. | Yes (1) No (0) |
2022AQ | | VAGSEX_PEN_22_V | How often do you have insertive vaginal sex where you put penis/phallus (made of flesh and permanently connected to your body) in someone's vagina. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2022AQ | | SEX_PASTYR | In the PAST 12 MONTHS, have you had insertive frontal genital opening sex where you put your penis/phallus (made of flesh and permanently connected to your body) in someone's frontal genital opening. | Yes (1) No (0) |
2022AQ | | VAGSEX_PEN_22_FGO | How often do you have insertive frontal genital opening sex where you put penis/phallus (made of flesh and permanently connected to your body) in someone's frontal genital opening. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2022AQ | | SEX_PASTYR VAGINA_BRANCH | In the PAST 12 MONTHS, have you had sex where your vagina is touching another person's vagina? | Yes (1) No (0) |
2022AQ | | SEX_PASTYR VAGINA_BRANCH | In the PAST 12 MONTHS, have you had sex where your frontal genital opening is touching another person's frontal genital opening? | Yes (1) No (0) |
2022AQ | | VAG2VAG_YR_V | How often do you have sex where your vagina is touching another person's vagina? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2022AQ | | VAG2VAG_YR_FGO | How often do you have sex where your frontal genital opening is touching another person's frontal genital opening? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2022AQ | | SEX_PASTYR | Have you performed oral sex where you put your mouth on another person's genitals in the PAST 12 MONTHS? (Check all that apply.) | Yes, on a person with a penis/phallus (made of flesh and permanently connected to their body) (1) Yes, on a person with a vagina (2) No (0) |
2022AQ | | SEX_PASTYR | Have you performed oral sex where you put your mouth on another person's genitals in the PAST 12 MONTHS? (Check all that apply.) | Yes, on a person with a penis/phallus (made of flesh and permanently connected to their body) (1) Yes, on a person with a frontal genital opening (2) No (0) |
2022AQ | | ORAL_GIVE_PASTYR22_V | How often do you perform oral sex on a person with a penis/phallus (made of flesh and permanently connected to someone's body)? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2022AQ | | ORAL_GIVE_PASTYR22_V | How often do you perform oral sex on a person with a vagina? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2022AQ | | ORAL_GIVE_PASTYR_FGO | How often do you perform oral sex on a person with a frontal genital opening? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2022AQ | | SEX_PASTYR | Have you received oral sex where someone put their mouth on your genitals in the PAST 12 MONTHS? | Yes (1) No (0) |
2022AQ | | ORAL_GET_PASTYR_22 | How often have you received oral sex where someone put their mouth on your genitals? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2022AQ | | SEX_PASTYR | Have you performed oral-anal sex (also called "rimming") where there was contact between your mouth and someone's anus or butt in the PAST 12 MONTHS? | Yes (1) No (0) |
2022AQ | | RIM_PASTYR_22 | How often do you perform oral-anal sex (also called "rimming") where there is contact between your mouth and someone's anus or butt? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2022AQ | | SEX_PASTYR | Have you performed digital penetration (also called "fingering") where you put your fingers into someone's vagina or someone's anus or butt in the PAST 12 MONTHS? (Check all that apply.) | Yes, I have had contact between my finger(s) and someones vagina (1) Yes, I have had contact between my finger(s) and someones anus or butt (2) No (0) |
2022AQ | | SEX_PASTYR | Have you performed digital penetration (also called "fingering") where you put your fingers into someone's frontal genital opening or someone's anus or butt in the PAST 12 MONTHS? (Check all that apply.) | Yes, I have had contact between my finger(s) and someones frontal genital opening (1) Yes, I have had contact between my finger(s) and someones anus or butt (2) No (0) |
2022AQ | | FINGER_PASTYR_V_22 | How often do you perform digital penetration (also called "fingering") by putting your fingers into someone's vagina? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2022AQ | | FINGER_PASTYR_FGO_22 | How often do you perform digital penetration (also called "fingering") by putting your fingers into someone's frontal genital opening? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2022AQ | | FINGER_PASTYR_V_22 | How often do you perform digital penetration (also called "fingering") by putting your fingers into someone's anus or butt? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2022AQ | | SEX_PASTYR | In the PAST 12 MONTHS, have you had anal sex where there is contact between a penis/phallus (made of flesh and permanently connected to someone's body) and your anus or butt? | Yes (1) No (0) |
2022AQ | | ANAL_VAG_22 | How often do you have anal sex where there is contact between a penis/phallus (made of flesh and permanently connected to your body) and your anus or butt? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2022AQ | | SEX_PASTYR | Have you had anal sex in the PAST 12 MONTHS? (Check all that apply.) | Yes, I have had contact between my penis/phallus (made of flesh and permanently connected to your body) and someones anus or butt (also known as insertive anal sex or topping) (1) Yes, I have had contact between someones penis/phallus (made of flesh and permanently connected to someones body) and my anus or butt (also known as receptive anal sex or bottoming) (2) No (0) |
2022AQ | | ANAL_PEN_PASTYR | How often do you have contact between your penis/phallus (made of flesh and permanently connected to your body) and someone's anus or butt (also known as insertive anal sex or "topping")? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2022AQ | | ANAL_PEN_PASTYR | How often do you have contact between someone's penis/phallus (made of flesh and permanently connected to someone's body) and your anus or butt (also known as receptive anal sex or "bottoming")? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2022AQ | | SEX_PASTYR | In the PAST 12 MONTHS, with how many different people have you had any kind of sex? (If you are unsure, please estimate as best you can.) | Text Entry (-) |
2022AQ | | VAG2VAG_YR_V | In the PAST 12 MONTHS, with how many people have you had sex where your vagina touches another person's vagina? | Text Entry (-) |
2022AQ | | VAG2VAG_YR_FGO | In the PAST 12 MONTHS, with how many people have you had sex where your frontal genital opening touches another person's frontal genital opening? | Text Entry (-) |
2022AQ | | VAG2VAG_YR_V | In the PAST 12 MONTHS, about how often have you had sex where your vagina touches another person's vagina without protection from sexually transmitted infections like a dental dam, plastic wrap, latex gloves etc.? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2022AQ | | VAG2VAG_YR_FGO | In the PAST 12 MONTHS, about how often have you had sex where your frontal genital opening touches another person's frontal genital opening without protection from sexually transmitted infections like a dental dam, plastic wrap, latex gloves etc.? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2022AQ | | VAGSEX_PEN_22_V | In the PAST 12 MONTHS, with how many people have you had insertive vaginal sex where you put your penis/phallus (made of flesh and permanently connected to your body) in someone's vagina? | Text Entry (-) |
2022AQ | | VAGSEX_PEN_22_V | In the PAST 12 MONTHS, about how often have you had insertive vaginal sex without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2022AQ | | VAGSEX_INS_NOCON_V | In the PAST 12 MONTHS, with how many different people have you had insertive vaginal sex without a condom? | Text Entry (-) |
2022AQ | | VAGSEX_PEN_22_FGO | In the PAST 12 MONTHS, with how many people have you had insertive vaginal sex where you put your penis/phallus (made of flesh and permanently connected to your body) in someone's frontal genital opening. | Text Entry (-) |
2022AQ | | VAGSEX_PEN_22_FGO | In the PAST 12 MONTHS, about how often have you had insertive frontal genital opening sex without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2022AQ | | VAGSEX_INS_NOCON_FGO | In the PAST 12 MONTHS, with how many different people have you had insertive frontal genital opening sex without a condom? | Text Entry (-) |
2022AQ | | VAGSEX_VAG_22_V | In the PAST 12 MONTHS, with how many people have you had receptive vaginal sex where someone put their penis/phallus (made of flesh and permanently connected to your body) in your vagina? | Text Entry (-) |
2022AQ | | VAGSEX_VAG_22_FGO | In the PAST 12 MONTHS, with how many people have you had receptive vaginal sex where someone put their penis/phallus (made of flesh and permanently connected to your body) in your frontal genital opening? | Text Entry (-) |
2022AQ | | VAGSEX_VAG_22_V | In the PAST 12 MONTHS, about how often have you had receptive vaginal sex without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2022AQ | | VAGSEX_VAG_22_FGO | In the PAST 12 MONTHS, about how often have you had receptive frontal genital opening sex without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2022AQ | | VAGSEX_RECEP_NOCON_V | In the PAST 12 MONTHS, with how many different people have you had receptive vaginal sex without a condom? | Text Entry (-) |
2022AQ | | VAGSEX_RECEP_NOCON_F | In the PAST 12 MONTHS, with how many different people have you had receptive frontal genital opening sex without a condom? | Text Entry (-) |
2022AQ | | ANAL_PEN_PASTYR | In the PAST 12 MONTHS, with how many people have you "bottomed" or had receptive anal sex where there was contact between a penis/phallus (made of flesh and permanently connected to someone's body) and your anus or butt? (If you are unsure, please estimate as best you can.) | Text Entry (-) |
2022AQ | | ANAL_PEN_PASTYR | In the PAST 12 MONTHS, about how often have you "bottomed" or had receptive anal sex without using a condom where there was contact between a penis/phallus (made of flesh and permanently connected to someone's body) and your anus or butt? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2022AQ | | ANALSEX_NOCON_22 | In the PAST 12 MONTHS, with how many different people have you "bottomed" or had receptive anal sex without a condom where there was contact between a penis/phallus (made of flesh and permanently connected to someone's body) and your anus or butt? | Text Entry (-) |
2022AQ | | | In the PAST 12 MONTHS, with how many people have you "topped" or had insertive anal sex where there was contact between your penis/phallus penis/phallus (made of flesh and permanently connected to your body) and someone's anus or butt? | Text Entry (-) |
2022AQ | | ANAL_PEN_PASTYR | In the PAST 12 MONTHS, about how often have you "topped" or had insertive anal sex without using a condom where there was contact between your penis/phallus (made of flesh and permanently connected to your body) and someone's anus or butt? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2022AQ | | TOP_NOCON_22 | In the PAST 12 MONTHS, with how many different people have you "topped" or had insertive anal sex without a condom where there was contact between your penis/phallus (made of flesh and permanently connected to your body) and someone's anus or butt.) (If you are unsure, please estimate as best you can.) | Text Entry (-) |
2022AQ | | | In the PAST 12 MONTHS, have you had any of these of types of sex that we haven't already asked about? (Check all that apply.) | None of these (0) BDSM (1) Chemsex / Party and Play (PNP) (2) Electrical stimulation (e-stim) (3) Erotic asphyxiation (i.e., restricting breathing) (4) Fisting (e.g., hand/fist inserted into a person) (5) Latex/rubber play (6) Phone/video sex (7) Rubbing through clothing (8) Rubbing with clothing off (9) Sex toys (e.g., dildos, butt plugs) (10) Sounding (i.e., inserting something into urethra/pee hole) (11) Urine play (e.g., golden showers, watersports) (12) Voyeurism (13) Another type(s) of sex (please specify) (14) Another type(s) of sex (please specify) (TEXT) |
2022AQ | | | At The PRIDE Study, we know that we may not know or understand everything about every kind of sexual interaction or activity. If you have other kinds of sex that we haven't already asked about, please describe that below. | Text Entry (-) |
2022AQ | | | Sexual Health and Infections | No Answers |
2022AQ | | ORGANS_BORN | In the PAST 12 MONTHS, have you been treated for an infection in your fallopian tubes, uterus or ovaries, also called a pelvic infection, pelvic inflammatory disease, or PID? | Yes (1) No (0) I dont know (88) |
2022AQ | | | In the PAST 12 MONTHS, has a doctor or other health care professional told you that you had any of the following? (Check all that apply.) | Chlamydia (1) Genital herpes (2) Genital warts (3) Gonorrhea, sometimes called GC or the clap (4) Human papillomavirus or HPV (5) Syphilis (6) None of these (0) |
2022AQ | | | Regardless of your current HIV status, in the LAST 12 MONTHS, have you taken anti-HIV medications (post-exposure prophylaxis or “PEP”) after potentially being exposed to HIV? | Yes (1) No (0) |
2022AQ | | MEDHX2 | Have you been tested for HIV in the PAST 12 MONTHS? | Yes (1) No (0) I dont know (88) |
2022AQ | | MEDHX2 | What is your HIV status? | Positive (I have HIV.) (1) Negative (I do not have HIV.) (0) I dont know (I dont know whether or not I have HIV.) (88) |
2022AQ | | HIVSTATUS | Do you have a doctor or other health care provider who manages your HIV care? This person may be the same as your primary care provider or it may be another provider, such as a HIV specialist. | Yes (1) No (0) I dont know (88) |
2022AQ | | HIVDOC | How frequently do you see this health care provider? | Monthly (0) Every 1-3 months (1) Every 4-6 months (2) Every 7-12 months (3) Less than every 12 months (4) |
2022AQ | | MEDHX2 | How frequently do you have HIV blood work (lab tests) done? | Monthly (1) Every 1-3 months (2) Every 4-6 months (3) Every 7-12 months (4) Less than every 12 months (5) I dont know (88) I have never had these lab tests done (0) |
2022AQ | | HIVSTATUS | Are you on HIV medications, sometimes call anti-retrovirals (ARVs) or anti-retroviral therapy (ART)? | Yes (1) No (0) I dont know (88) |
2022AQ | | HIVSTATUS | When was the last time that you had your HIV viral load checked? A viral load test is a lab test that measures the number of HIV virus particles in a milliliter of your blood. These particles are called “copies.” | Within the last month (1) 1-3 months ago (2) 4-6 months ago (3) 7-12 months ago (4) More than 1 year ago (5) I dont know (88) I have never had my HIV viral load checked (0) |
2022AQ | | HIVSTATUS | Is your HIV viral load “suppressed” or “undetectable”? This means that the number of copies of the HIV virus in your blood is at a very low level or not detectable by modern medical tests. This does not mean that your HIV is cured. | Yes (1) No (0) I dont know (88) |
2022AQ | | MEDHX2 HIVSTATUS | PrEP (pre-exposure prophylaxis) is when HIV-negative people take anti-HIV medications (like Truvada or Descovy) on a regular basis to prevent HIV infection. Are you USING PrEP to prevent HIV infection? | Yes (1) No (0) |
2022AQ | | PREP_NOW | Which PrEP medication are you currently using? | Apretude injections (long-acting cabotegravir) (1) Descovy (emtricitabine/tenofovir alafenamide) FTC/TAF (2) Truvada (emtricitabine/tenofovir disoproxil fumarate) FTC/TDF, including generic forms (4) Another medication (please specify) (3) Another medication (please specify) (TEXT) |
2022AQ | | PREP_NOW | Which PrEP regimen do you currently use? | I take PrEP daily. (1) I take PrEP on demand. This is two pills 24 hours before sex, one pill 24 hours later, and another one pill 24 hours after that. (2) I take PrEP via an injection every 2 months. (5) I take PrEP a different way (please specify) (4) I take PrEP a different way (please specify) (TEXT) I do not use a specific PrEP regimen. (3) |
2022AQ | | PREP_REGIMEN | In the PAST 7 DAYS, how many days did you take your daily PrEP pill? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2022AQ | | PREP_NOW | Are you using PrEP as part of a clinical or research study? | Yes (1) No (0) |
2022AQ | | PREP_NOW | In the PAST 12 MONTHS, were you previously on pre-exposure prophylaxis (PrEP) for HIV prevention but stopped taking it? | Yes (1) No (0) |
2022AQ | | PREP_STOP_YR | Why are you no longer on PrEP? (Check all that apply.) | My risk of getting HIV is now less because I am in a relationship and/or having less risky sexual activity. (1) PrEP is too expensive. (2) My insurance coverage has changed or I have lost insurance coverage. (3) I forgot to take it most of the time so I decided to stop. (4) It is too much of a hassle to get labs every 3 months. (5) I was having side effects so I decided to stop. (6) My doctor or health care provider said that I needed to stop the medication because of my lab results. (7) I feel discriminated against or stigmatized because I am on PrEP. (8) I acquired HIV. (9) Something else (10) Something else (TEXT) |
2022AQ | | HIVSTATUS | If you are interested in learning more about PrEP, we encourage you to check out the following resources and talk with your medical provider. For information about PrEP from the Centers for Disease Control and Prevention, please visit: cdc.gov/hiv/risk/prep/ To find a PrEP provider near you, please visit: pleaseprepme.org For information on programs to help pay for PrEP, please visit: gilead.com/responsibility/us-patient-access | No Answers |
2022AQ | | HIVSTATUS | Although PrEP is for individuals who are HIV negative, we want to share more information about PrEP with individuals who are living with HIV in case they wish to pass this along to other individuals close to them. PrEP (pre-exposure prophylaxis) is when HIV-negative people take anti-HIV medications (like Truvada, Descovy, or Apretude) on a regular basis to prevent HIV infection For information about PrEP from the Centers for Disease Control and Prevention, please visit: cdc.gov/hiv/risk/prep/ To find a PrEP provider near you, please visit: pleaseprepme.org For information on programs to help pay for PrEP, please visit: gilead.com/responsibility/us-patient-access | No Answers |
2022AQ | | | Have you donated blood in the PAST 12 MONTHS? | Yes (1) No (0) |
2022AQ | | | In the PAST 12 MONTHS, have you used “binding”? (Binding refers to flattening your chest using materials such as bandages, cloth strips, layering of shirts, etc.) | Yes (1) No (0) |
2022AQ | | BINDING | Please indicate below which of the following health problems you have had in the PAST 12 MONTHS, and you believe that they were caused by binding. (Check all that apply.) | Pain (for example, abdominal, back, chest, breast, shoulder) (1) Headache (2) Breast tenderness (3) Bad Posture (4) Rib or spine changes (5) Bone or joint issues (for example, popping joints, rib fractures) (6) Fatigue and Weakness (7) Feeling lightheaded or dizzy (8) Numbness (9) Chest/Breast changes (for example, muscle wasting, scarring, swelling) (10) Digestive issues or heartburn (11) Respiratory Issues (for example, cough, shortness of breath, respiratory infections, collapsed lung/pneumothorax) (12) Skin Changes (for example, itch, rash, acne, infections) (13) Another health problem not listed here (please describe) (14) Another health problem not listed here (please describe) (TEXT) None or no health problems from binding (0) |
2022AQ | | | In the PAST 12 MONTHS, have you used “packing”? (Packing refers to placing an object in one's underwear to resemble the appearance of a penis/phallus.) | Yes (1) No (0) |
2022AQ | | PACKING | Please indicate below which of the following health problems you have had in the PAST 12 MONTHS, and you believe that they were caused by packing. (Check all that apply.) | Skin rashes (1) Skin infections (2) Other skin changes (for example, thickening, color changes, pubic hair changes, scars, etc.) (3) Urinary tract or bladder infections (4) Pain/numbness in the groin area (5) Another health problem not listed here (please describe) (6) Another health problem not listed here (please describe) (TEXT) None or no health problems from packing (0) |
2022AQ | | | In the PAST 12 MONTHS, have you used “stuffing”? (Stuffing refers to changing the appearance of your chest/breasts using materials such as push-up bras, gel pads, cloth strips, cotton gauze, tape, etc.) | Yes (1) No (0) |
2022AQ | | | In the PAST 12 MONTHS, have you used “tucking”? (Tucking refers to concealing one's genitals by placing them between and behind one's legs, and/or by pushing them inside your groin/abdomen.) | Yes (1) No (0) |
2022AQ | | TUCKING | Please indicate below which of the following health problems you have had in the PAST 12 MONTHS, and you believe that they were caused by tucking. (Check all that apply.) | Skin rashes (1) Skin infections (2) Other skin changes (for example, thickening, color changes, pubic hair changes, scars, etc.) (3) Itching (4) Urinary tract or bladder infection(s) (5) Problems ejaculating (6) Problems urinating (7) Pain in penis (8) Pain in testicles (9) Numbness in the penis or testicles (10) Another health problem not listed here (please describe) (11) Another health problem not listed here (please describe) (TEXT) None or no health problems from tucking (0) |
2022AQ | | | In the PAST 12 MONTHS, have you injected a substance (fillers) to fill out your face or make your figure more curvy (for example, silicone)? | Yes (1) No (0) |
2022AQ | | SILICONE | Please indicate below which of the following health problems you have had in the PAST 12 MONTHS, and you believe that they were caused by the injections. (Check all that apply.) | Skin rashes (1) Skin infections (2) Other skin changes (for example, thickening, color changes, scars, swelling etc.) (3) Whole body infections (for example, blood bacterial infection, HIV, Hepatitis C) (4) Breathing problems (5) Pain in the areas of injection (6) Another health problem not listed here (please describe) (7) Another health problem not listed here (please describe) (TEXT) None or no health problems from silicone/other substance injections (0) |
2022AQ | | SILICONE | Where did you get your injections? (Check all that apply.) | Injections from a licensed medical provider (1) Injections during a group session (for example, pumping party) (2) Individual injections from someone who is not a medical provider (3) Another place (please describe) (4) Another place (please describe) (TEXT) |
2022AQ | | | In the PAST 12 MONTHS, have you used “stand-to-pee” or STP device to stand up to pee? | Yes (1) No (0) |
2022AQ | | STP | Please indicate below which of the following health problems you have had in the PAST 12 MONTHS, and you believe that they were caused by using a “stand-to-pee” (STP) device. (Check all that apply.) | Skin rashes (1) Skin infections (2) Other skin changes (for example, thickening, color changes, pubic hair changes, scars, etc.) (3) Urinary tract or bladder infections (4) Pain/numbness in the groin area (5) Another health problem not listed here (please describe) (6) Another health problem not listed here (please describe) (TEXT) None or no health problems from using an STP device (0) |
2022AQ | | | Medical Marijuana | No Answers |
2022AQ | | | Do you currently use medical cannabis/marijuana to manage any physical or mental health conditions? | Yes, it is legal in my state and/or I have a health care providers recommendation to do so (2) Yes, but it is not legal in my state and/or I do not have a health care providers recommendation to do so (1) No (0) |
2022AQ | | MEDMJ | What problems or conditions do you use medical cannabis/marijuana to manage? (One problem or condition per line.) | Text Entry (-) |
2022AQ | | MEDMJ | How effective has medical cannabis/marijuana been in managing this/these problem(s) or condition(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2022AQ | | MEDMJ | What forms of medical cannabis/marijuana have you used in the past month? (Check all that apply.) | Smoking cannabis/marijuana in flower/plant form (1) Vaporizing cannabis/marijuana in flower/plant form or as an extract (2) Dabbing cannabis/marijuana concentrates (e.g., wax, shatter) (3) Eating cannabis/marijuana in capsules or food products (4) Applying cannabis-containing balms, tinctures, or other products (5) Other (please specify) (6) Other (please specify) (TEXT) |
2022AQ | | | Complementary and Integrative Health | No Answers |
2022AQ | | | IN THE PAST YEAR, have you used any of the following to manage physical and/or mental health conditions? (Check all that apply.) | Acupuncture (1) Chiropractic or osteopathic manipulation (2) Energy healing (3) Massage therapy (4) None of these (0) |
2022AQ | | CIH_PASTYR | What problem(s) or condition(s) do you use acupuncture to manage? (One condition per line.) | Text Entry (-) |
2022AQ | | CIH_PASTYR | How effective has acupuncture been in managing this/these problem(s) or condition(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2022AQ | | CIH_PASTYR | What problem(s) or condition(s) do you use chiropractic or osteopathic manipulation to manage? (One condition per line.) | Text Entry (-) |
2022AQ | | CIH_PASTYR | How effective has chiropractic or osteopathic manipulation been in managing this/these problem(s) or condition(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2022AQ | | CIH_PASTYR | What problem(s) or condition(s) do you use energy healing to manage? | Text Entry (-) |
2022AQ | | CIH_PASTYR | How effective has energy healing been in managing this/these problem(s) or condition(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2022AQ | | CIH_PASTYR | What problem(s) or condition(s) do you use massage therapy to manage? (One condition per line.) | Text Entry (-) |
2022AQ | | CIH_PASTYR | How effective has massage therapy been in managing this/these problem(s) or condition(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2022AQ | | | IN THE PAST YEAR, have you practiced any form of meditation regularly? | Yes (1) No (0) |
2022AQ | | MEDITATION | Please estimate how many minutes per week you spent meditating, on average, over the past year. | Text Entry (-) |
2022AQ | | MEDITATION | Was your meditation practice intended to manage physical and/or mental health conditions? | Yes (1) No (0) |
2022AQ | | MEDITATION_MANAGE | What problem(s) or condition(s) do you use meditation to manage? (One condition per line.) | Text Entry (-) |
2022AQ | | MEDITATION_MANAGE | How effective has meditation been in managing this/these problem(s) or condition(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2022AQ | | | IN THE PAST YEAR, have you practiced any form of yoga regularly? | Yes (1) No (0) |
2022AQ | | YOGA | Please estimate how many minutes per week you spent practicing yoga, on average, over the past year. | Text Entry (-) |
2022AQ | | YOGA | Was your yoga practice intended to manage physical and/or mental health conditions? | Yes (1) No (0) |
2022AQ | | YOGA_MANAGE | What problem(s) or condition(s) do you use yoga to manage? (One condition per line.) | Text Entry (-) |
2022AQ | | YOGA_MANAGE | How effective has yoga been in managing this/these problem(s) or condition(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2022AQ | | | You have completed the Physical Health Block! This is one of 4 blocks! WOOHOO - another one done! Each block you complete helps us understand LGBTQ people's unique lives and health experiences as we work towards helping LGBTQ people thrive. Thank you for bringing us closer to health equity for LGBTQ people. | No Answers |
2022AQ | | | More About Me | No Answers |
2022AQ | | | If a national survey company, like Gallup, asked you the following question: "We are asking only for statistical purposes: Do you personally identify as lesbian, gay, bisexual, or transgender?" How would you answer? | I would answer Yes. (1) I would answer No. (0) I would not answer the question. (2) |
2022AQ | | | How would you describe your political views? | Very conservative (1) Conservative (2) Moderate (3) Liberal (4) Very liberal (5) |
2022AQ | | | In politics, as of today, do you consider yourself a Democrat, an Independent, a Republican, or another party? | Democrat (1) Independent (2) Republican (3) Another party (please specify) (4) Another party (please specify) (TEXT) I do not identify with any political party. (5) |
2022AQ | | POLPARTY | As of today, do you lean more toward the Democratic Party or the Republican Party? | Democratic Party (1) Republican Party (2) Neither/Other (3) |
2022AQ | | | Did you vote in the 2020 election year? | Yes (1) No (2) I do not remember (3) I am not eligible to vote (4) |
2022AQ | | | Did you intend to vote, or have you already voted, in the 2022 election year? | Yes (1) No (2) I do not remember if I voted (3) I have not yet decided (4) I am not eligible to vote (5) |
2022AQ | | | As far as you know, without searching the internet or asking anyone, does the state where you currently live have a state-level law or policy that prohibits discrimination against a person because of their sexual orientation in any of the following areas? (Check all that apply.) | Adoption/fostering (1) Education (4) Employment (5) Health care (6) Housing (7) Public accommodations/public places (8) I dont know (9) None of these (10) |
2022AQ | | | As far as you know, without searching the internet or asking anyone, does the state where you currently live have a state-level law or policy that prohibits discrimination against a person because of their gender identity in any of the following areas? (Check all that apply.) | Adoption/fostering (1) Education (4) Employment (5) Health care (6) Housing (7) Public accommodations/public places (8) I dont know (9) None of these (10) |
2022AQ | | | Without searching the internet or asking anyone, please tell us about the specific types of laws or policies in your state that impact LGBTQ people, and please tell us how these have impacted your life. | Text Entry (-) |
2022AQ | | | Please select up to 3 of the following dating sites/apps that you use the most. | I dont use any dating sites/apps (0) Adam4Adam (1) BBRT (2) Blendr (3) Bumble (4) Chappy (5) Coffee Meets Bagel (6) Compatible Partners (7) Craigslist (8) Feeld (9) FetLife (10) FWB (Friends With Benefits) (11) Grindr (12) Growlr (13) Happn (14) Hinge (15) Her (16) Hornet (17) Jackd (18) Manhunt (19) Match.com (20) MR X (21) OKCupid (22) Plenty of Fish (POF) (23) Recon (24) Seeking Arrangement (25) Scissr (26) Scruff (27) Surge (28) The League (29) Thrust (30) Tinder (31) Zoe (32) Other (please specify) (33) Other (please specify) (TEXT) |
2022AQ | | APPUSE | On average, which best describes the amount of time you spend on dating sites/apps? | Zero. I do not visit or use dating sites/apps. (0) Less than 1 hour a week (1) 1-6 hours per week (2) 1 hour per day (3) 2 hours per day (4) 3 or more hours per day (5) |
2022AQ | | | Some people report experiencing discrimination or harassment on dating sites/apps due to their personal characteristics. Have you ever experienced discrimination or harassment on a dating site/app due to any of the following? (Check all the apply.) | I do not use dating apps (16) I have never experienced discrimination/harassment on dating sites/apps (0) My ability/disability status (1) My age (2) My body size or shape (3) My gender expression (4) My gender/gender identity (5) My HIV status (6) The language I speak or sign (7) My participation in BDSM, kink, or other sexual activities (8) My political views (9) My preferred safer sex practices (e.g., PrEP, condoms) (10) My race and/or ethnicity (11) My sexual orientation (12) My skin color (13) My spiritual/religious affiliation (14) Another reason (please specify) (15) Another reason (please specify) (TEXT) |
2022AQ | | | Do you consider yourself a member of any of the following communities? (Check all that apply.) | None of these (1) BDSM (2) Kink (3) Leather (4) Puppy pack (5) Faeries (6) Bear (7) Furry (8) Polyamorous (9) Another community (please specify) (10) Another community (please specify) (TEXT) |
2022AQ | | | Military Service | No Answers |
2022AQ | | | At any time in the PAST 12 MONTHS, have you served at any time in the U.S. Armed Forces, Reserves, or National Guard? As a reminder, your answers are confidential and cannot be used against you. To protect your privacy, we have obtained a Certificate of Confidentiality from the National Institutes of Health. We can use this Certificate to legally refuse to disclose information that may identify you in any federal, state, or local civil, criminal, administrative, legislative, or other proceedings (for example, if there is a court subpoena). | Now on active duty (1) Only on active duty for training in the Reserves or National Guard (2) On active duty in the past but not now (3) Never served in the military (0) |
2022AQ | | MIL_YR | In the PAST 12 MONTHS, did you join or leave the military? | Yes, I joined the military in the PAST 12 MONTHS. (1) Yes, I left the military in the PAST 12 MONTHS. (2) No, I left the military before the PAST 12 MONTHS. (3) No, I am currently still serving in the military. (0) |
2022AQ | | | What is your current or most recent branch of service? | Air Force (1) Air Force Reserve (2) Air National Guard (3) Army (4) Army Reserve (5) Army National Guard (6) Coast Guard (7) Coast Guard Reserve (8) Marine Corps (9) Marine Corps Reserve (10) Navy (11) Navy Reserve (12) Space Force (13) |
2022AQ | | MIL_NOW | What was your character of discharge? | Entry level separation (1) Honorable (2) General (3) Medical (4) Other-than-honorable (5) Bad conduct (6) Dishonorable (7) None of these (please specify) (8) None of these (please specify) (TEXT) |
2022AQ | | MIL_NOW | When did you begin your military service? (If you can't recall precisely, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | MIL_NOW | When did you separate from military service? (If you can't recall precisely, please estimate.) | January (1) January 2022 (2) January 2023 (3) January I dont know/remember (4) February (5) February 2022 (6) February 2023 (7) February I dont know/remember (8) March (9) March 2022 (10) March 2023 (11) March I dont know/remember (12) April (13) April 2022 (14) April 2023 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May I dont know/remember (20) June (21) June 2021 (22) June 2022 (23) June 2023 (24) June I dont know/remember (25) July (26) July 2021 (27) July 2022 (28) July 2023 (29) July I dont know/remember (30) August (31) August 2021 (32) August 2022 (33) August 2023 (34) August I dont know/remember (35) September (36) September 2021 (37) September 2022 (38) September 2023 (39) September I dont know/remember (40) October (41) October 2021 (42) October 2022 (43) October I dont know/remember (44) November (45) November 2021 (46) November 2022 (47) November I dont know/remember (48) December (49) December 2021 (50) December 2022 (51) December I dont know/remember (52) I dont know/remember (53) I dont know/remember 2021 (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember I dont know/remember (57) |
2022AQ | | | In the PAST 12 MONTHS, did you receive any type of health care through the Department of Veterans Affairs (VA)? | Yes (1) No (0) |
2022AQ | | | Is there anything else you would like to share with us about your health or well-being? | Text Entry (-) |
2022AQ | | | YOU ARE ALMOST DONE WITH THIS SURVEY - PLEASE READ BELOW AND THEN CLICK NEXT This is required in order for the system to mark your survey as "Complete." Thank you for completing the 2022 Annual Questionnaire and for advancing scientific knowledge about the health of LGBTQ people! If you have questions or concerns about this survey, please send an email to support@pridestudy.org or call The PRIDE Study hotline at (855) 421-9991 In addition to our commitment to communicating findings from the study back to our community in the future, we also want to connect our participants with some resources that may be helpful to them now. Please find below a list of websites, organizations, and hotlines that may be helpful in promoting LGBTQ people's health, safety, and wellbeing. - Find an LGBTQ center near you with Centerlink, The Community of LGBT Centers: www.lgbtcenters.org - Find free HIV testing in your area through the Centers for Disease Control's GetTested program: https://gettested.cdc.gov/ - Find an LGBTQ -friendly doctor through GLMA: Health Professionals Advancing LGBT Equality: https://glmaimpak.networkats.com/members_online_new/members/dir_provider.asp - Talk with someone 24/7 if you are in crisis or thinking of suicide: National Suicide Prevention Lifeline: National Suicide Prevention Lifeline at 1-800-273-8255 (a 24/7 Lifeline and an online chat function at www.suicidepreventionlifeline.org) or the LGBT National Hotline at 1-888-843-4564 (www.glbthotline.org) to talk with someone. - Talk with someone 24/7 if you need support related to being a survivor of sexual assault: National Sexual Assault Hotline at 1-800-656-4673 Thank you again for completing the 2022 Annual Questionnaire. We deeply appreciate for your time, your interest in The PRIDE Study, and your investment in research that will help our communities understand how the experience of being LGBTQ is related to all aspects of health and life. TO LOG YOUR SURVEY AS COMPLETE, PLEASE ADVANCE TO THE NEXT SCREEN and then select "Back to Dashboard" | No Answers |
2023AQ | | | Which categories describe you? (Check all that apply.) | American Indian or Alaska Native (For example: Aztec, Blackfeet Tribe, Mayan, Navajo Nation, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, etc.) (1) Asian (For example: Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, etc.) (2) Black, African American or African (For example: African American, Ethiopian, Haitian, Jamaican, Nigerian, Somali, etc.) (3) Hispanic, Latino or Spanish (For example: Colombian, Cuban, Dominican, Mexican or Mexican American, Puerto Rican, Salvadoran, etc.) (4) Middle Eastern or North African (For example: Algerian, Egyptian, Iranian, Lebanese, Moroccan, Syrian, etc.) (5) Native Hawaiian or other Pacific Islander (For example: Chamorro, Fijian, Marshallese, Native Hawaiian, Tongan, etc.) (6) White (For example: English, European, French, German, Irish, Italian, Polish, etc.) (7) None of these fully describe me. (please specify) (8) None of these fully describe me. (please specify) (TEXT) |
2023AQ | | RACE_ETHN | Which additional categories describe you? (Check all that apply.) | American Indian (1) Alaska Native (2) Central or South American Indian (3) None of these fully describe me (please tell us about additional categories that describe you) (4) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2023AQ | | RACE_ETHN | Please provide the name of the tribe(s) in which you are enrolled or affiliated or your tribal descent. (For example, Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, etc.) Please list tribes separated by commas.For example, one answer may be: "Navajo Nation, Pomo" | Text Entry (-) |
2023AQ | | RACE_ETHN | Which additional categories describe you? (Check all that apply.) | Asian Indian (1) Cambodian (2) Chinese (3) Filipino (4) Hmong (5) Japanese (6) Korean (7) Pakistani (8) Vietnamese (9) None of these fully describe me (please tell us about additional categories that describe you) (10) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2023AQ | | RACE_ETHN | Which additional categories describe you? (Check all that apply.) | African American (1) Barbadian (2) Caribbean (3) Ethiopian (4) Ghanaian (5) Haitian (6) Jamaican (7) Liberian (8) Nigerian (9) Somali (10) South African (11) None of these fully describe me (please tell us about additional categories that describe you) (12) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2023AQ | | RACE_ETHN | Which additional categories describe you? (Check all that apply.) | Colombian (1) Cuban (2) Dominican (3) Ecuadorian (4) Honduran (5) Mexican or Mexican American (6) Puerto Rican (7) Salvadoran (8) Spanish (9) None of these fully describe me (please tell us about additional categories that describe you) (10) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2023AQ | | RACE_ETHN | Which additional categories describe you? (Check all that apply.) | Afghan (1) Algerian (2) Egyptian (3) Emirati (12) Iranian (4) Iraqi (5) Israeli (6) Jordanian (13) Lebanese (7) Libyan (14) Moroccan (8) Omani (15) Palestinian (16) Qatari (17) Saudi Arabian (18) Syrian (9) Tunisian (10) Yemeni (19) None of these fully describe me (please tell us about additional categories that describe you) (11) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2023AQ | | RACE_ETHN | Which additional categories describe you? (Check all that apply?) | Chamorro (1) Chuukese (2) Fijian (3) Marshallese (4) Native Hawaiian (5) Palauan (6) Samoan (7) Tahitian (8) Tongan (9) None of these fully describe me (please tell us about additional categories that describe you) (10) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2023AQ | | RACE_ETHN | Which additional categories describe you? (Check all that apply?) | English (1) European (2) French (3) German (4) Irish (5) Italian (6) Polish (7) None of these fully describe me (please tell us about additional categories that describe you) (8) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2023AQ | | | With which ethnic and/or cultural group(s) DO YOU IDENTIFY? (Please list all the ethnic and/or cultural groups with which you identify. Please list only one ethnic or cultural group per box.) | Text Entry (-) |
2023AQ | | CULTURE | I have a strong sense of BELONGING to my ethnic/cultural group: ${q://QID2685/ChoiceTextEntryValue/1} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly Agree (5) |
2023AQ | | CULTURE | I have a strong sense of IDENTIFICATION to my ethnic/cultural group: ${q://QID2685/ChoiceTextEntryValue/1} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly Agree (5) |
2023AQ | | CULTURE | I have a strong sense of BELONGING to my ethnic/cultural group: ${q://QID2685/ChoiceTextEntryValue/2} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly Agree (5) |
2023AQ | | CULTURE | I have a strong sense of IDENTIFICATION to my ethnic/cultural group: ${q://QID2685/ChoiceTextEntryValue/2} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly Agree (5) |
2023AQ | | CULTURE | I have a strong sense of BELONGING to my ethnic/cultural group: ${q://QID2685/ChoiceTextEntryValue/3} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly Agree (5) |
2023AQ | | CULTURE | I have a strong sense of IDENTIFICATION to my ethnic/cultural group: ${q://QID2685/ChoiceTextEntryValue/3} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly Agree (5) |
2023AQ | | CULTURE | I have a strong sense of BELONGING to my ethnic/cultural group: ${q://QID2685/ChoiceTextEntryValue/4} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly Agree (5) |
2023AQ | | CULTURE | I have a strong sense of IDENTIFICATION to my ethnic/cultural group: ${q://QID2685/ChoiceTextEntryValue/4} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly Agree (5) |
2023AQ | | CULTURE | I have a strong sense of BELONGING to my ethnic/cultural group: ${q://QID2685/ChoiceTextEntryValue/5} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly Agree (5) |
2023AQ | | CULTURE | I have a strong sense of IDENTIFICATION to my ethnic/cultural group: ${q://QID2685/ChoiceTextEntryValue/5} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly Agree (5) |
2023AQ | | | Are you currently spiritual or religious? | Yes (1) No (0) |
2023AQ | | RELIGIOUS | What is your current religious or spiritual identity? (Check all that apply.) | Agnostic (1) Atheist (2) Bahai (3) Buddhist (4) Christian (5) Confucianist (6) Druid (7) Hindu (8) Jain (9) Jehovahs Witness (10) Jewish (11) Muslim (12) Native American Traditional Practitioner or Ceremonial (13) Pagan (14) Rastafarian (15) Scientologist (16) Secular Humanist (17) Shinto (18) Sikh (19) Taoist (20) Tenrikyo (21) Wiccan (22) Spiritual, but no religious affiliation (23) No affiliation (0) A religious affiliation or spiritual identity not listed above (please specify) (24) A religious affiliation or spiritual identity not listed above (please specify) (TEXT) |
2023AQ | | RELIGION | Please select your Christian affiliation. | African Methodist Episcopal (1) African Methodist Episcopal Zion (2) Assembly of God (3) Baptist (4) Catholic/Roman Catholic (5) Church of Christ (6) Church of God in Christ (7) Christian Orthodox (8) Christian Methodist Episcopal (9) Christian Reformed Church (CRC) (10) Episcopalian (11) Evangelical (12) Greek Orthodox (13) Lutheran (14) Mennonite (15) Moravian (16) Nondenominational Christian (17) Pentecostal (18) Presbyterian (19) Protestant (20) Protestant Reformed Church (21) Quaker (22) Reformed Church of America (RCA) (23) Russian Orthodox (24) Seventh Day Adventist (25) The Church of Jesus Christ of Latter-day Saints (26) United Methodist (27) Unitarian Universalist (28) United Church of Christ (29) A Christian affiliation not listed above (please specify) (30) A Christian affiliation not listed above (please specify) (TEXT) |
2023AQ | | RELIGION | Please select your Jewish affiliation(s). (Check all that apply.) | Conservative (1) Hasidic (2) Humanist (3) Orthodox (4) Reconstructionist (5) Reform (6) A Jewish affiliation not listed above (please specify) (7) A Jewish affiliation not listed above (please specify) (TEXT) |
2023AQ | | RELIGION | Please select your Muslim affiliation(s). (Check all that apply.) | Sunni (for example, Hanafi, Maliki, Shafi, or Hanbali) (1) Shia (for example, Ithna Ashari/Twelver or Ismaili/Sevener) (2) A Muslim affiliation not listed above (please specify) (3) A Muslim affiliation not listed above (please specify) (TEXT) |
2023AQ | | | How accepting of gender minority people (for example: genderqueer, non-binary, transgender, etc.) is your current spiritual or religious community? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not apply to me, I dont have a spiritual or religious community (5) |
2023AQ | | | How accepting of sexual minority people (for example: asexual, bisexual, gay, lesbian, queer, etc.) is your current spiritual or religious community? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not apply to me, I dont have a spiritual or religious community (5) |
2023AQ | | | What is your current gender identity? (Check all that apply.) | Agender (1) Cisgender man (2) Cisgender woman (3) Genderqueer (4) Man (5) Non-binary (6) Questioning (7) Transgender man (8) Transgender woman (9) Two-spirit (10) Woman (11) Another gender identity (please specify) (12) Another gender identity (please specify) (TEXT) |
2023AQ | | | What was the sex assigned to you at birth, for example on your original birth certificate? Why are we asking this The PRIDE Study asks for sex assigned at birth (on original birth certificate) because this information is needed for us to understand better the health risks of specific LGBTQIA communities, for example people who are cisgender, transgender, non-binary, or another gender. This lets us better understand the health of specific LGBTQIA communities. | Female (2) Male (1) |
2023AQ | | | Does the sex that was assigned to you at birth, for example on your original birth certificate, read Intersex? | Yes (1) No (0) |
2023AQ | | | If you would like, please provide your opinion about being asked your sex assigned at birth. | Text Entry (-) |
2023AQ | | | Do you identify as intersex? | Yes (1) No (0) |
2023AQ | | INTERSEX | What does being intersex mean to you? | Text Entry (-) |
2023AQ | | | What is your current sexual orientation? (Check all that apply.) | Asexual (1) Bisexual (2) Gay (3) Lesbian (4) Pansexual (5) Queer (6) Questioning (7) Same-gender loving (8) Straight/Heterosexual (9) Two-spirit (10) Another sexual orientation (please specify) (11) Another sexual orientation (please specify) (TEXT) |
2023AQ | | | To understand your health and customize this survey for you, we need to know what organs you were born with. People have a wide range of language or terms for their physical anatomy (not all of which are listed here). Which of the following organs were you born with? (Check all that apply.) | Cervix (you likely have/had this if you were assigned female sex at birth) (1) Ovaries (2) Penis/Phallus (made of flesh and permanently connected to your body) (3) Prostate (you likely have/had this if you were assigned male sex at birth) (4) Testicles (5) Uterus/Womb (6) Vagina/Frontal genital opening (7) |
2023AQ | | | Have you EVER had breasts or breast tissue? | Yes (1) No (0) I dont know (88) |
2023AQ | | | Which of the following organs do you have now? (Check all that apply.) | Breasts or breast tissue (1) Cervix (you likely have this if you have a uterus or womb) (2) Ovaries (3) Penis/Phallus (made of flesh and permanently connected to your body) (4) Prostate (you likely have this if you were assigned male sex at birth) (5) Testicles (6) Uterus/Womb (7) Vagina/Frontal genital opening (8) |
2023AQ | | ORGANS_NOW | You have indicated that you currently have a vagina/frontal genital opening. In order to customize the rest of this questionnaire, please select the term you would like us to use to describe your vagina/frontal genital opening. | Please use the term vagina. (1) Please use the term frontal genital opening. (2) |
2023AQ | | | What is your current height in feet and inches? If you don't know, please give your best estimate. | Text Entry (-) |
2023AQ | | | What is your current weight in pounds (lbs)? If you don't know, please give your best estimate. | Text Entry (-) |
2023AQ | | | What is your ZIP code? (This is the 5-digit code that helps direct U.S. Mail to you.) | Text Entry (-) |
2023AQ | | | We are asking the following question so we can better customize this questionnaire for you. We have three versions available. A version for people who identify as a gender minority person (for example, genderqueer, non-binary, questioning one's gender identity, transgender, etc.) that will ask about gender identity/expression. A version for people who identify as a sexual minority person (for example, asexual, bisexual, gay, lesbian, queer, questioning one's sexual orientation, etc.) that will ask about sexual orientation. A version for people who identify as both a gender and sexual minority person that will ask about gender identity/expression and sexual orientation. Please choose the option that you think is best for you. A version for: | Gender minority people (for example: genderqueer, non-binary, questioning ones gender identity, transgender, etc.) (1) Sexual minority people (for example: asexual, bisexual, gay, lesbian, queer, questioning ones sexual orientation, etc.) (2) People who identify as both a sexual AND gender minority person (3) |
2023AQ | | | If you had to choose only one of the following terms, which best describes your current gender identity?("Cisgender" here means identifying with the sex assigned to you at birth. For example, a cisgender woman identifies as a woman and was assigned female sex at birth.) | Cisgender man (1) Cisgender woman (2) Non-binary (3) Transgender man (4) Transgender woman (5) Another gender identity (6) |
2023AQ | | | If you had to choose only one of the following terms, which best describes your current sexual orientation? | Asexual/Demisexual/Gray-Ace (1) Bisexual/Pansexual (2) Gay/Lesbian (3) Queer (4) Straight/Heterosexual (5) Another sexual orientation (6) |
2023AQ | | | We would like to know more about your current romantic feelings toward other people. Please select all of the people you have romantic feelings for: (Check all that apply.) | Cisgender men or individuals who identify as men and were assigned male sex at birth (1) Cisgender women or individuals who identify as women and were assigned female sex at birth (3) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned female sex at birth (5) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned male sex at birth (6) Transgender men or individuals who identify as men and were assigned female sex at birth (2) Transgender women or individuals who identify as women and were assigned male sex at birth (4) I am romantically attracted to people of another gender(s) (please specify) (7) I am romantically attracted to people of another gender(s) (please specify) (TEXT) I am not romantically attracted to people of any gender (0) I dont know (88) |
2023AQ | | | We would like to know more about your current sexual attractions to other people. Please select all of the people you are attracted to: (Check all that apply.) | Cisgender men or individuals who identify as men and were assigned male sex at birth (1) Cisgender women or individuals who identify as women and were assigned female sex at birth (3) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned female sex at birth (5) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned male sex at birth (6) Transgender men or individuals who identify as men and were assigned female sex at birth (2) Transgender women or individuals who identify as women and were assigned male sex at birth (4) I am sexually attracted to people of another gender(s) (please specify) (7) I am sexually attracted to people of another gender(s) (please specify) (TEXT) I am not sexually attracted to people of any gender (0) I dont know (88) |
2023AQ | | | People are often referred to by pronouns instead of their names, such as they/theirs, she/hers, he/his, ze/hirs. Which pronouns do you want people to use to refer to you? (Check all that apply.) | He, him, his (1) She, her, hers (2) They, them, theirs (3) Ze, hir, hirs (4) No pronouns. I want people to only use my name. (5) Any pronouns are fine. I dont have a preference. (6) Pronouns not listed above (please specify) (7) Pronouns not listed above (please specify) (TEXT) |
2023AQ | | | What percentage of the time do people use the pronouns you want them to use for you? | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2023AQ | | | Which pronouns do you want your health care providers to use? (Check all that apply.) | He, him, his (1) She, her, hers (2) They, them, theirs (3) Ze, hir, hirs (4) No pronouns. I want people to only use my name. (5) Any pronouns are fine. I dont have a preference. (6) Pronouns not listed above (please specify) (7) Pronouns not listed above (please specify) (TEXT) |
2023AQ | | | Have your health care providers EVER asked you which pronouns you use? | Yes, ALL of my health care providers have asked (1) Yes, SOME of my health care providers have asked (2) No, NONE of my health care providers have asked (3) |
2023AQ | | | Which pronouns do your health care providers actually use ? (Check all that apply.) | He, him, his (1) She, her, hers (2) They, them, theirs (3) Ze, hir, hirs (4) No pronouns. I want people to only use my name. (5) Any pronouns are fine. I dont have a preference. (6) Pronouns not listed above (please specify) (7) Pronouns not listed above (please specify) (TEXT) |
2023AQ | | | Have you EVER changed how your name is listed on any IDs or records that list your name, such as your birth certificate, driver's license, insurance cards, passport, tribal ID, etc.? | Yes (1) No (0) |
2023AQ | | NAME_CHG_EV20 | Did you make any of these changes in the PAST 12 MONTHS? | Yes (1) No (0) |
2023AQ | | | Think about how your name is listed on all of your IDs and records that list your name, such as your birth certificate, driver's license, passport, tribal ID, etc. Which of the statements below is most true? Note: For the purposes of this question, your chosen name is the name that is most affirming to you. | All of my IDs and records list my chosen name. (2) Some of my IDs and records list my chosen name. (1) None of my IDs and records list my chosen name. (0) |
2023AQ | | NAME_CORRECT | Please select which IDs and records show your chosen name. (Check all that apply.) Note: For the purposes of this question, your chosen name is the name that is most affirming to you. | Birth certificate (1) Drivers license (2) Health insurance card (3) Passport (4) School/work identification card (6) State identification card (7) Tribal identification card (8) Another record/card/document (9) Another record/card/document (TEXT) |
2023AQ | | | Have you EVER changed how your gender is listed on any IDs or records that list your gender, such as your birth certificate, driver's license, insurance cards, passport, tribal ID, etc.? | Yes (1) No (0) |
2023AQ | | MARKER_CHG_EV20 | Did you make any of these changes in the PAST 12 MONTHS? | Yes (1) No (0) |
2023AQ | | | Think about how your gender is listed on all of your IDs and records that list your gender, such as your birth certificate, driver's license, passport, tribal ID, etc. Which of the statements below is most true? Note: We recognize that people may have multiple genders, but current systems may only allow us to check/select one option; so, for the purposes of this question, please select a gender that is most affirming to you. | All of my IDs and records list my accurate gender. (2) Some of my IDs and records list my accurate gender. (1) None of my IDs and records list my accurate gender. (0) |
2023AQ | | MARKER_ACCURATE | Please select which IDs and records show your accurate gender. (Check all that apply.) Note: For the purposes of this question, your accurate gender is the gender that is most affirming to you. | Birth certificate (1) Drivers license (2) Health insurance card (3) Passport (4) School/work identification card (6) State identification card (7) Tribal identification card (8) Another record/card/document (9) Another record/card/document (TEXT) |
2023AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Depression (1) Bipolar Disorder (2) Any anxiety disorder (3) Generalized Anxiety Disorder (4) Post-Traumatic Stress Disorder (PTSD) (5) None of the above (0) |
2023AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Agoraphobia or Panic Disorder (1) Social Phobia or Social Anxiety Disorder (2) Schizophrenia or a psychotic disorder or that you had a psychotic episode or psychotic break (3) Obsessive Compulsive Disorder (OCD) (4) Chronic Tic Disorder or Tourette Syndrome (5) None of the above (0) |
2023AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Trichotillomania (hair pulling disorder) (1) Chronic skin picking or Excoriation Disorder (2) Body Dysmorphic Disorder (BDD) (3) Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD) (4) Any personality disorder (such as Borderline Personality Disorder or Narcissistic Personality Disorder) (5) None of the above (0) |
2023AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Alcoholism or Alcohol Use Disorder (1) Drug or Substance Use Disorder (2) Any eating disorder (such as anorexia or bulimia) (3) Insomnia or another sleep disorder (4) Hypochondriasis or Illness Anxiety Disorder (5) Dissociative Identity Disorder or another dissociative disorder (6) None of the above (0) |
2023AQ | | | Were any of these conditions diagnosed within the PAST 12 MONTHS? (Check all that apply.) | None of these were diagnosed in the past 12 months. (0) Depression (1) Bipolar Disorder (2) Any anxiety disorder (3) Generalized Anxiety Disorder (4) Post-Traumatic Stress Disorder (PTSD) (5) Agoraphobia or Panic Disorder (6) Social Phobia or Social Anxiety Disorder (7) Schizophrenia or a psychotic disorder or that you had a psychotic episode or psychotic break (8) Obsessive Compulsive Disorder (OCD) (9) Chronic Tic Disorder or Tourette Syndrome (10) Trichotillomania (hair pulling disorder) (11) Chronic skin picking or Excoriation Disorder (12) Body Dysmorphic Disorder (BDD) (13) Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD) (14) Any personality disorder (such as Borderline Personality Disorder or Narcissistic Personality Disorder) (15) Alcoholism or Alcohol Use Disorder (16) Drug or Substance Use Disorder (17) Any eating disorder (such as anorexia or bulimia) (18) Insomnia or another sleep disorder (19) Hypochondriasis or Illness Anxiety Disorder (20) Dissociative Identity Disorder or another dissociative disorder (21) |
2023AQ | | | In the PAST 12 MONTHS, do you think that you had depression? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2023AQ | | | In the PAST 12 MONTHS, do you think that you had a problem with anxiety? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2023AQ | | | In the PAST 12 MONTHS, do you think that you had a problem with alcohol use? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2023AQ | | | In the PAST 12 MONTHS, do you think that you had a problem with drug or substance use (other than alcohol)? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2023AQ | | | In the PAST 12 MONTHS, do you think that you had an eating disorder or a problem with eating? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2023AQ | | | In the PAST 12 MONTHS, have you purposefully physically harmed or injured yourself (for example, cutting or burning yourself)? | Yes (1) No (0) |
2023AQ | | | Which of the following best describes your use of medications for stress or mental health problems in the PAST 12 MONTHS? | I have not taken medication for these reasons in the past 12 months (0) I took medication for at least one of these reasons in the past 12 months, but not now (1) I currently take medication for at least one of these reasons (2) |
2023AQ | | MED_MENTAL | Which of the following best describes your use of medications for stress or mental health problems in the PAST 12 MONTHS? | All of the medications I took for stress or mental health problems were prescribed to me (0) Some of the medications I took for stress or mental health problems were prescribed to me (1) None of the medications I took for stress or mental health problems were prescribed to me (2) |
2023AQ | | PROB_SUBST | Which of the following best describes your use of medications for substance use problems in the PAST 12 MONTHS? | I have not taken medication for this reason in the past 12 months (0) I took medication for this reason in the past 12 months, but not now (1) I currently take medication for this reason (2) |
2023AQ | | | Which of the following best describes your use of psychotherapy/counseling for stress or mental health problems in the PAST 12 MONTHS? | I have not been in psychotherapy/counseling for these reasons in the past 12 months (0) I was in psychotherapy/counseling for at least one of these reasons in the past 12 months, but not now (1) I am currently in psychotherapy/counseling for at least one of these reasons (2) |
2023AQ | | PROB_SUBST | Which of the following best describes your use of psychotherapy/counseling for substance use problems in the PAST 12 MONTHS? | I have not been in psychotherapy/counseling for this reason in the past 12 months (0) I was in psychotherapy/counseling for this reason in the past 12 months, but not now (1) I am currently in psychotherapy/counseling for this reason (2) |
2023AQ | | | Have you EVER tried cigarette smoking, even one or two puffs? | Yes (1) No (0) |
2023AQ | | SMOKE_EVER | Have you smoked at least 100 cigarettes in YOUR ENTIRE LIFE? | Yes (1) No (0) |
2023AQ | | SMOKER | Do you now smoke cigarettes every day, some days, or not at all? | Every day (2) Some days (1) Not at all (0) |
2023AQ | | SMOKE_EVER | When was the last time you smoked a cigarette, even one or two puffs? | Within the past 24 hours (8) Within the past 7 days (7) Within the past 30 days (6) Within the past 3 months (5) Within the past 6 months (4) Within the past 1 year (3) Within the past 5 years (2) Within the past 15 years (1) More than 15 years ago (0) |
2023AQ | | SMOKE_NOW | On average, about how many cigarettes a day do you now smoke? | Text Entry (-) |
2023AQ | | SMOKE_NOW | How long after waking up do you smoke your first cigarette? | Within 5 minutes (3) 5-30 minutes (2) 31-60 minutes (1) After 60 minutes (0) |
2023AQ | | SMOKE_NOW | During the PAST 12 MONTHS, have you stopped smoking for 24 hours or more? (Do not count times when you weren't allowed to smoke, like if you were in a hospital or in jail.) | Yes (1) No (0) |
2023AQ | | SMOKE_NOW | In any previous quit attempts, which of the following methods/resources have you used to help you quit? (Check all that apply.) | Never tried to quit (0) Quit cold turkey (1) Gradually cut down (2) Stop smoking class/program for a fee (3) Stop smoking class/program (no fee) (4) Advice or counseling from a doctor, nurse, psychologist, or other health professional (5) Telephone hotline (6) Hypnosis (7) Acupuncture (8) Nicotine gum (9) Nicotine patch (10) Nicotine spray (11) Nicotine inhaler (12) Nicotine lozenge (13) Zyban, Wellbutrin, or bupropion for smoking cessation (14) Chantix or varenicline (15) E-cigarette (e.g., vaping, hookah pen) with nicotine (16) E-cigarette (e.g., vaping, hookah pen) without nicotine (17) Internet (please specify website) (18) Internet (please specify website) (TEXT) Other (please specify) (19) Other (please specify) (TEXT) |
2023AQ | | SMOKE_NOW | How interested are you in quitting smoking in the near future? | Not at all interested (0) Somewhat interested (1) Very interested (2) Extremely interested (3) |
2023AQ | | | In the PAST MONTH, have you used any tobacco or nicotine products other than cigarettes? (Check all that apply.) | Blunt (with another substance) (1) Blunt (without any other substance) (2) Bidi (3) Chewing tobacco (chew) (4) Other cigars with tobacco inside (e.g., cigarillos, little cigars, bidis) (5) Other cigars with another substance (e.g., cigarillos, little cigars, bidis) (6) Dip (7) E-cigarette or vape device with nicotine (8) E-cigarette or vape device without nicotine (9) Nicotine replacement products (e.g., patch, gum, lozenge) (10) Snuff (11) Snus (12) Other tobacco or nicotine containing product (please specify) (13) Other tobacco or nicotine containing product (please specify) (TEXT) I have not used any tobacco product other than cigarettes in the past month (14) I have not used any tobacco- or nicotine-containing products in the past month (0) |
2023AQ | | | Have you EVER used e-cigarettes or other electronic vaping devices? | Yes (1) No (0) |
2023AQ | | VAPER | What did you vape? (Check all that apply.) | Cannabis (1) Nicotine (2) Something else (please specify) (3) Something else (please specify) (TEXT) |
2023AQ | | | Do you now use e-cigarettes or other electronic vaping products every day, some days, or not at all? | Every day (2) Some days (1) Not at all (0) |
2023AQ | | VAPE_NOW | What do you vape now? (Check all that apply.) | Cannabis (1) Nicotine (2) Something else (please specify) (3) Something else (please specify) (TEXT) |
2023AQ | | | How long has it been since you last had 5 or more drinks containing alcohol on one occasion? | Within the past 30 days (3) More than 30 days ago but within the past 12 months (2) More than 12 months ago (1) Never had 5 or more drinks on one occasion (0) |
2023AQ | | ALC5 | In the PAST 30 DAYS, on how many days have you had 5 or more drinks containing alcohol on one occasion? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2023AQ | | | On average, how many days a week do you have an alcoholic beverage? | Text Entry (-) |
2023AQ | | | On a typical drinking day, how many drinks do you have? | Text Entry (-) |
2023AQ | | | How often did you have a drink containing alcohol in the PAST YEAR? | Never (0) Monthly or less (1) 2-4 times a month (2) 2-3 times a week (3) 4 or more times a week (4) |
2023AQ | | AUDIT1 | How many drinks containing alcohol did you have on a typical day when you were drinking in the PAST YEAR? | 1 or 2 (0) 3 or 4 (1) 5 or 6 (2) 7 to 9 (3) 10 or more (4) |
2023AQ | | AUDIT1 | How often do you have six or more drinks on one occasion? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2023AQ | | AUDIT1 | How often during the LAST YEAR have you found that you were not able to stop drinking once you had started? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2023AQ | | AUDIT1 | How often during the LAST YEAR have you failed to do what was normally expected from you because of drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2023AQ | | AUDIT1 | How often during the LAST YEAR have you needed a first drink in the morning to get yourself going after a heavy drinking session? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2023AQ | | AUDIT1 | How often during the LAST YEAR have you had a feeling of guilt or remorse after drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2023AQ | | AUDIT1 | How often during the LAST YEAR have you been unable to remember what happened the night before because you had been drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2023AQ | | | Have you or someone else been injured as a result of your drinking? | No (0) Yes, but not in the last year (2) Yes, during the last year (4) |
2023AQ | | | Has a relative or friend or a doctor or another health worker been concerned about your drinking or suggested you cut down? | No (0) Yes, but not in the last year (2) Yes, during the last year (4) |
2023AQ | | | Have you thought about or attempted to kill yourself? | Never (0) It was just a brief passing thought. (1) I have had a plan at least once to kill myself but did not try to do it. (2) I have had a plan at least once to kill myself and really wanted to die. (3) I have attempted to kill myself, but did not want to die. (4) I have attempted to kill myself, and really hoped to die. (5) |
2023AQ | | SBQ1 | How often have you thought about killing yourself? | Never (0) Rarely (1 time) (1) Sometimes (2 times) (2) Often (3-4 times) (3) Very often (5 or more times) (4) |
2023AQ | | | Have you told someone that you were going to kill yourself, or that you might do it? | No. (0) Yes, at one time, but did not really want to die. (1) Yes, at one time, and really wanted to die. (2) Yes, more than once, but did not want to do it. (3) Yes, more than once, and really wanted to do it. (4) |
2023AQ | | SBQ1 | When was the last time you attempted to kill yourself? | Within the past year (2) 1-5 years ago (1) More than 5 years ago (0) |
2023AQ | | | How likely is it that you will attempt suicide someday? | Never (0) No chance at all (1) Rather unlikely (2) Unlikely (3) Likely (4) Rather likely (5) Very likely (6) |
2023AQ | | | We at The PRIDE Study value the health and mental health of sexual and gender minority people like you. Suicide has taken too many of us. We sincerely urge you to get help if you are in distress, as we know that things can get better with help. Please consider reaching out for services in your area, and also consider calling 1-800-273-8255 (National Suicide Prevention Lifeline; they offer a 24/7 Lifeline and an online chat function at www.suicidepreventionlifeline.org) or 1-888-843-4564 (LGBT National Hotline, www.glbthotline.org) to talk with someone. Go to the emergency room or call 911 if you are in crisis and don't know where to get help. The PRIDE Study team cares about you and the health of our community. | No Answers |
2023AQ | | | If you would like resources about the National Suicide Prevention Lifeline emailed to you, please enter your email address here: | Text Entry (-) |
2023AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Repeated, disturbing memories, thoughts, or images of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2023AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Feeling very upset when something reminded you of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2023AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Avoided activities or situations because they reminded you of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2023AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Feeling distant or cut off from other people? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2023AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Feeling irritable or having angry outbursts? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2023AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Having difficulty concentrating? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2023AQ | | | Sometimes things happen to people that are unusually or especially frightening, horrible, or traumatic. For example: a serious accident or fire, a physical or sexual assault or abuse, an earthquake or flood, a war, seeing someone be killed or seriously injured, having a loved one die through homicide or suicide.Have you experienced this kind of event? | Yes, in the PAST 12 MONTHS (2) Yes, more than 12 months ago (1) No (0) |
2023AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Little interest or pleasure in doing things | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2023AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling down, depressed, or hopeless | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2023AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Trouble falling or staying asleep, or sleeping too much | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2023AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling tired or having little energy | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2023AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Poor appetite or overeating | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2023AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling bad about yourself - or that you are a failure or have let yourself or your family down | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2023AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Trouble concentrating on things, such as reading the newspaper or watching television | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2023AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2023AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Thoughts that you would be better off dead or of hurting yourself in some way | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2023AQ | | | We at The PRIDE Study value the health and mental health of sexual and gender minority people like you. Suicide has taken too many of us. We sincerely urge you to get help if you are in distress, as we know that things can get better with help. Please consider reaching out for services in your area, and also consider calling 1-800-273-8255 (National Suicide Prevention Lifeline; they offer a 24/7 Lifeline and an online chat function at www.suicidepreventionlifeline.org) or 1-888-843-4564 (LGBT National Hotline, www.glbthotline.org) to talk with someone. Go to the emergency room or call 911 if you are in crisis and don't know where to get help. The PRIDE Study team cares about you and the health of our community. | No Answers |
2023AQ | | | If you would like resources about the National Suicide Prevention Lifeline emailed to you, please enter your email address here: | Text Entry (-) |
2023AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling nervous, anxious or on edge | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2023AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Not being able to stop or control worrying | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2023AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Worrying too much about different things | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2023AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Trouble relaxing | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2023AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Being so restless that it is hard to sit still | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2023AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Becoming easily annoyed or irritable | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2023AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling afraid as if something awful might happen | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2023AQ | | | In your LIFETIME, which of the following substances have you ever used - either prescribed or not prescribed by a health care provider? (Check all that apply.) | Cannabis (marijuana, pot, grass, hash, etc.) (1) Cocaine (coke, crack, etc.) (2) Prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) (3) Methamphetamine (speed, crystal meth, tina, ice, etc.) (4) Inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers) (5) Inhaled nitrates (poppers) (6) Sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) (7) GHB (G, gamma-hydroxybutyric acid) (8) Hallucinogens (LSD, acid, mushrooms, PCP, ketamine, etc.) (9) Street opioids (heroin, opium, etc.) (10) Prescription opioids (fentanyl, oxycodone OxyContin, Percocet, hydrocodone Vicodin, methadone, buprenorphine, etc.) (11) MDMA (Ecstasy or Molly) (12) Other 1 (please list only 1 drug) (13) Other 1 (please list only 1 drug) (TEXT) Other 2 (please list only 1 drug) (14) Other 2 (please list only 1 drug) (TEXT) I have never used any substances (0) |
2023AQ | | DRUGS | How long has it been since you last used cannabis (marijuana, pot, grass, hash, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2023AQ | | CAN_LASTUSE | In the PAST 30 DAYS, on how many days have you used cannabis (marijuana, pot, grass, hash, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2023AQ | | CAN_LASTUSE | In the PAST 3 MONTHS, how often have you used cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | CAN_FREQ | Was any of your cannabis (marijuana, pot, grass, hash, etc.) use in the past three months recommended or prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | CAN_ANYMD | Was all of your cannabis (marijuana, pot, grass, hash, etc.) use in the past three months used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | CAN_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | CAN_FREQ | During the PAST 3 MONTHS, how often has your use of cannabis (marijuana, pot, grass, hash, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | CAN_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of cannabis (marijuana, pot, grass, hash, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using cannabis (marijuana, pot, grass, hash, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | How long has it been since you last used cocaine (coke, crack, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2023AQ | | COKE_LASTUSE | In the PAST 30 DAYS, on how many days have you used cocaine (coke, crack, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2023AQ | | COKE_LASTUSE | In the PAST 3 MONTHS, how often have you used cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | COKE_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | COKE_FREQ | During the PAST 3 MONTHS, how often has your use of cocaine (coke, crack, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | COKE_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of cocaine (coke, crack, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using cocaine (coke, crack, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | Have you EVER used cocaine (coke, crack, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | How long has it been since you last used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2023AQ | | STIM_LASTUSE | In the PAST 30 DAYS, on how many days have you used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2023AQ | | STIM_LASTUSE | In the PAST 3 MONTHS, how often have you used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | STIM_FREQ | Was any of your prescription stimulant (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | STIM_ANYMD | Was all of your prescription stimulant (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | STIM_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | STIM_FREQ | During the PAST 3 MONTHS, how often has your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | STIM_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | Have you EVER used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | How long has it been since you last used methamphetamine (speed, crystal meth, tina, ice, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2023AQ | | METH_LASTUSE | In the PAST 30 DAYS, on how many days have you used methamphetamine (speed, crystal meth, tina, ice, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2023AQ | | METH_LASTUSE | In the PAST 3 MONTHS, how often have you used methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | METH_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | METH_FREQ | During the PAST 3 MONTHS, how often has your use of methamphetamine (speed, crystal meth, tina, ice, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | METH_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of methamphetamine (speed, crystal meth, tina, ice, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using methamphetamine (speed, crystal meth, tina, ice, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | Have you EVER used methamphetamine (speed, crystal meth, tina, ice, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | How long has it been since you last used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2023AQ | | INHALE_LASTUSE | In the PAST 30 DAYS, on how many days have you used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2023AQ | | INHALE_LASTUSE | In the PAST 3 MONTHS, how often have you used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | INHALE_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | INHALE_FREQ | During the PAST 3 MONTHS, how often has your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | INHALE_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | How long has it been since you last used inhaled nitrates (poppers)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2023AQ | | POP_LASTUSE | In the PAST 30 DAYS, on how many days have you used inhaled nitrates (poppers)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2023AQ | | POP_LASTUSE | In the PAST 3 MONTHS, how often have you used inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | POP_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | POP_FREQ | During the PAST 3 MONTHS, how often has your use of inhaled nitrates (poppers) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | POP_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | POP_FREQ | During the PAST 3 MONTHS, during what activities have you used inhaled nitrates (poppers)? (Check all that apply.) | Sexual activity with yourself (for example, masturbation) (0) Sexual activity with another person (1) Dancing or clubbing (2) Other activities (3) |
2023AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | Have you EVER used inhaled nitrates (poppers) in the 24 hours after you took a medication intended to give people stronger erections (for example, Viagra, Cialis, or Levitra)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | WARNING: Using inhaled nitrates (poppers) in combination with medications that help with sexual activity like Viagra, Cialis, or Levitra can kill you by causing a lethal drop in blood pressure with even one use. We are aware that this information may not be widely known among our communities. If you use inhaled nitrates (poppers) in combination with medications that help with sexual activity like Viagra, Cialis, or Levitra, please contact a health care provider to get more information right away. | No Answers |
2023AQ | | DRUGS | How long has it been since you last used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2023AQ | | SED_LASTUSE | In the PAST 30 DAYS, on how many days have you used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2023AQ | | SED_LASTUSE | In the PAST 3 MONTHS, how often have you used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | SED_FREQ | Was any of your sedative or sleeping pill (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | SED_ANYMD | Was all of your sedative or sleeping pill (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | SED_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | SED_FREQ | During the PAST 3 MONTHS, how often has your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | SED_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | Have you EVER used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | How long has it been since you last used GHB (G, gamma-hydroxybutyric acid)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2023AQ | | GHB_LASTUSE | In the PAST 30 DAYS, on how many days have you used GHB (G, gamma-hydroxybutyric acid)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2023AQ | | GHB_LASTUSE | In the PAST 3 MONTHS, how often have you used GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | GHB_FREQ | Was any of your GHB (G, gamma-hydroxybutyric acid) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | GHB_ANYMD | Was all of your GHB (G, gamma-hydroxybutyric acid) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | GHB_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | GHB_FREQ | During the PAST 3 MONTHS, how often has your use of GHB (G, gamma-hydroxybutyric acid) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | GHB_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of GHB (G, gamma-hydroxybutyric acid)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using GHB (G, gamma-hydroxybutyric acid)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | How long has it been since you last used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2023AQ | | HALL_LASTUSE | In the PAST 30 DAYS, on how many days have you used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2023AQ | | HALL_LASTUSE | In the PAST 3 MONTHS, how often have you used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | HALL_FREQ | Was any of your hallucinogen (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) use in the past three months prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2023AQ | | HALL_ANYMD | Was all of your hallucinogen (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) use in the past three months used exactly as prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2023AQ | | HALL_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | HALL_FREQ | During the PAST 3 MONTHS, how often has your use of hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | HALL_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | Have you EVER used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | How long has it been since you last used street opioids (heroin, opium, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2023AQ | | HEROIN_LASTUSE | In the PAST 30 DAYS, on how many days have you used street opioids (heroin, opium, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2023AQ | | HEROIN_LASTUSE | In the PAST 3 MONTHS, how often have you used street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | HEROIN_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | HEROIN_FREQ | During the PAST 3 MONTHS, how often has your use of street opioids (heroin, opium, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | HEROIN_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of street opioids (heroin, opium, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using street opioids (heroin, opium, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | Have you EVER used street opioids (heroin, opium, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | How long has it been since you last used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2023AQ | | NARC_LASTUSE | In the PAST 30 DAYS, on how many days have you used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2023AQ | | NARC_LASTUSE | In the PAST 3 MONTHS, how often have you used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | NARC_FREQ | Was any of your prescription opioid (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | NARC_ANYMD | Was all of your prescription opioid (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | NARC_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | NARC_FREQ | During the PAST 3 MONTHS, how often has your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | NARC_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | Have you EVER used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | How long has it been since you last used MDMA (Molly or ecstasy)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2023AQ | | MDMA_LASTUSE | In the PAST 30 DAYS, on how many days have you used MDMA (Molly or ecstasy)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2023AQ | | MDMA_LASTUSE | In the PAST 3 MONTHS, how often have you used MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | MDMA_FREQ | Was any of your MDMA (Molly or ecstasy) use in the past three months recommended or prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | MDMA_ANYMD | Was all of your MDMA (Molly or ecstasy) use in the past three months used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | MDMA_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | MDMA_FREQ | During the PAST 3 MONTHS, how often has your use of MDMA (Molly or ecstasy) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | MDMA_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of MDMA (Molly or ecstasy)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using MDMA (Molly or ecstasy)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | | Have you EVER used MDMA (Molly or ecstasy) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | How long has it been since you last used ${q://QID1903/ChoiceTextEntryValue/11}? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2023AQ | | OTDRUG1_LASTUSE | In the PAST 30 DAYS, on how many days have you used ${q://QID1903/ChoiceTextEntryValue/11}? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2023AQ | | OTDRUG1_LASTUSE | In the PAST 3 MONTHS, how often have you used ${q://QID1903/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | OTDRUG1_FREQ | Was any of your ${q://QID1903/ChoiceTextEntryValue/11} use in the past three months recommended or prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | OTDRUG1_ANYMD | Was all of your ${q://QID1903/ChoiceTextEntryValue/11} use in the past three months used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | OTDRUG1_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use ${q://QID1903/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | OTDRUG1_FREQ | During the PAST 3 MONTHS, how often has your use of ${q://QID1903/ChoiceTextEntryValue/11} led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | OTDRUG1_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of ${q://QID1903/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of ${q://QID1903/ChoiceTextEntryValue/11}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using ${q://QID1903/ChoiceTextEntryValue/11}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | Have you EVER used ${q://QID1903/ChoiceTextEntryValue/11} by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | How long has it been since you last used ${q://QID1903/ChoiceTextEntryValue/12}? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2023AQ | | OTDRUG2_LASTUSE | In the PAST 30 DAYS, on how many days have you used ${q://QID1903/ChoiceTextEntryValue/12}? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2023AQ | | OTDRUG2_LASTUSE | In the PAST 3 MONTHS, how often have you used ${q://QID1903/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | OTDRUG2_FREQ | Was any of your ${q://QID1903/ChoiceTextEntryValue/12} use in the past three months recommended or prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2023AQ | | OTDRUG2_ANYMD | Was all of your ${q://QID1903/ChoiceTextEntryValue/12} use in the past three months used exactly as prescribed or recommended by a doctor or other health care professional? | Yes (1) No (0) |
2023AQ | | OTDRUG2_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use ${q://QID1903/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | OTDRUG2_FREQ | During the PAST 3 MONTHS, how often has your use of ${q://QID1903/ChoiceTextEntryValue/12} led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | OTDRUG2_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of ${q://QID1903/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2023AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of ${q://QID1903/ChoiceTextEntryValue/12}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | Have you EVER tried and failed to control, cut down, or stop using ${q://QID1903/ChoiceTextEntryValue/12}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | DRUGS | Have you EVER used ${q://QID1903/ChoiceTextEntryValue/12} by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2023AQ | | | Which of the following substances did you use during sexual activity with another person within the PAST 12 MONTHS? (Check all that apply.) | Cannabis (marijuana, pot, grass, hash, etc.) (1) Cocaine (coke, crack, etc.) (2) Prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) (3) Methamphetamine (speed, crystal meth, tina, ice, etc.) (4) Inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers) (5) Inhaled nitrates (poppers) (6) Sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) (7) GHB (G, gamma-hydroxybutyric acid) (8) Hallucinogens (LSD, acid, mushrooms, PCP, ketamine, etc.) (9) Street opioids (heroin, opium, etc.) (10) Prescription opioids (fentanyl, oxycodone OxyContin, Percocet, hydrocodone Vicodin, methadone, buprenorphine, etc.) (11) MDMA (Ecstasy or Molly) (12) q://QID1903/ChoiceTextEntryValueቧ (13) q://QID1903/ChoiceTextEntryValueቨ (14) I did not use any of these substances during sexual activity with another person. (15) |
2023AQ | | | I tend to bounce back quickly after hard times. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2023AQ | | | I have a hard time making it through stressful events. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2023AQ | | | It does not take me long to recover from a stressful event. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2023AQ | | | It is hard for me to snap back when something bad happens. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2023AQ | | | I usually come through difficult times with little trouble. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2023AQ | | | I tend to take a long time to get over set-backs in my life. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2023AQ | | | You have completed the Mental Health section! This is one of 4 sections! Thank you for the time and energy you have put into helping us understand LGBTQIA people's diverse and vibrant lives as we work towards helping LGBTQIA people thrive! Your answers are bringing us closer to health equity for LGBTQIA people. Thank you! | No Answers |
2023AQ | | | Do you identify as "neurodivergent" or with any associated term that people sometimes use within the neurodiversity movement (aspie, autistic, etc.)? | Yes (1) No (0) |
2023AQ | | | In the PAST 12 MONTHS, has a mental health professional or health care provider told you that you have Autism Spectrum Disorder or Asperger's Syndrome? | Yes (1) No (0) I dont know (88) |
2023AQ | | | Do you currently identify as a person with a disability? | Yes (1) No (0) |
2023AQ | | DIS_SELFID | What condition(s) or problem(s) are related to your disability identity? (Check all that apply.) | Arthritis/rheumatism (1) Attention Deficit Hyperactive Disorder (ADHD) (39) Autism (2) Back or neck problem (3) Benign tumors, cysts (4) Birth defect (5) Cancer (6) Circulation problems (including blood clots) (7) Depression/anxiety/emotional problem (8) Diabetes (9) Ehlers-Danlos Syndrome (EDS) (40) Epilepsy, seizures (10) Fibromyalgia, lupus (11) Fracture, bone/joint injury (12) Hearing problem (13) Heart problem (14) Hernia (15) Hypertension/high blood pressure (16) Intellectual/developmental disability (17) Kidney, bladder or renal problems (18) Knee problems (not arthritis, not joint injury) (19) Lung/breathing problem (for example, asthma and emphysema) (20) Memory (21) Migraine headaches (not just headaches) (22) Missing limbs (fingers, toes or digits), amputee (23) Multiple Sclerosis (MS), Muscular Dystrophy (MD) (24) Osteoporosis, tendinitis (25) Other developmental problem (for example cerebral palsy) (26) Other injury (27) Other nerve damage, including carpal tunnel syndrome (28) Parkinsons disease, other tremors (29) Polio (myelitis), paralysis, para/quadriplegia (30) Post-Traumatic Stress Disorder (PTSD) (41) Stroke problem (31) Thyroid problems, Graves disease, gout (32) Ulcer (33) Varicose veins, hemorrhoids (34) Vision/problem seeing (35) Weight problem (36) Other impairment/problem (please specify one) (37) Other impairment/problem (please specify one) (TEXT) Other impairment/problem (please specify one) (38) Other impairment/problem (please specify one) (TEXT) |
2023AQ | | | In the PAST 12 MONTHS, have you been unable to work due to a disability? | Yes (1) No (0) |
2023AQ | | | In the PAST 12 MONTHS, have you received Supplemental Security Income (SSI) or other government disability assistance related to a disability status? | Yes (1) No (0) |
2023AQ | | | Are you deaf or do you have serious difficulty hearing? | Yes (1) No (0) |
2023AQ | | | Are you blind or do you have serious difficulty seeing, even when wearing glasses? | Yes (1) No (0) |
2023AQ | | | Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions? | Yes (1) No (0) |
2023AQ | | | Do you have serious difficulty walking or climbing stairs? | Yes (1) No (0) |
2023AQ | | | Do you have difficulty dressing or bathing? | Yes (1) No (0) |
2023AQ | | | Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor's office or shopping? | Yes (1) No (0) |
2023AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Standing for long periods such as 30 minutes? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2023AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Taking care of your household responsibilities? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2023AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Learning a new task, for example, learning how to get to a new place? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2023AQ | | | In the PAST 30 DAYS, how much of a problem did you have joining in community activities (for example, festivities, religious or other activities) as fully as someone who doesn't experience your health conditions? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2023AQ | | | In the PAST 30 DAYS, how much have you been emotionally affected by your health problems? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2023AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Concentrating on doing something for ten minutes? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2023AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Walking a long distance such as a kilometer [or approximately 0.6 miles]? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2023AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Washing your whole body? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2023AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Getting dressed? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2023AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Dealing with people you do not know? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2023AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Maintaining a friendship? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2023AQ | | | In the PAST 30 DAYS, how much difficulty did you have with: Your day-to-day work? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2023AQ | | WHODAS_S1 | Overall, in the PAST 30 DAYS, how many days were these difficulties present? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2023AQ | | | In the PAST 30 DAYS, for how many days were you totally unable to carry out your usual activities or work because of any health condition? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2023AQ | | | In the PAST 30 DAYS, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2023AQ | | | Did you live with anyone who was depressed, mentally ill, or suicidal? | Yes (1) No (0) I dont know (88) |
2023AQ | | | Did you live with anyone who was a problem drinker or alcoholic? | Yes (1) No (0) I dont know (88) |
2023AQ | | | Did you live with anyone who used illegal street drugs or who abused prescription medications? | Yes (1) No (0) I dont know (88) |
2023AQ | | | Did you live with anyone who served time or was sentenced to serve time in a prison, jail, or other correctional facility? | Yes (1) No (0) I dont know (88) |
2023AQ | | | Were your parents separated or divorced? | Yes (1) No (0) Parents not married or together (2) I dont know (88) |
2023AQ | | | How often did your parents or adults in your home ever slap, hit, kick, punch or beat each other up? | Never (0) Once (1) More than once (2) I dont know (88) |
2023AQ | | | Before age 18, how often did a parent or adult in your home ever hit, beat, kick, or physically hurt you in any way? | Never (0) Once (1) More than once (2) I dont know (88) |
2023AQ | | | How often did a parent or adult in your home ever swear at you, insult you, or put you down? | Never (0) Once (1) More than once (2) I dont know (88) |
2023AQ | | | How often did anyone at least 5 years older than you or an adult, ever touch you sexually? | Never (0) Once (1) More than once (2) I dont know (88) |
2023AQ | | | How often did anyone at least 5 years older than you or an adult, try to make you touch them sexually? | Never (0) Once (1) More than once (2) I dont know (88) |
2023AQ | | | How often did anyone at least 5 years older than you or an adult, force you to have sex? | Never (0) Once (1) More than once (2) I dont know (88) |
2023AQ | | ACES9 | Thank you for answering these questions to better our understanding of LGBTQIA people's experiences with sexual violence. We realize that recalling past experiences with sexual violence can be difficult. If you'd like to talk with someone about these experiences, please consider reaching out to the National Sexual Assault Hotline (800-656-4673), operated by Rape, Abuse, & Incest National Network (RAINN; rainn.org). | No Answers |
2023AQ | | | How has COVID impacted your finances? (Check all that apply.) | I dont have enough money for food and basic supplies (1) I am unable to pay my rent (2) I am unable to pay my mortgage (3) I am unable to pay ongoing bills (for example, cell phone, power, water) (4) I am making less money from my job (5) I am no longer making any money from my job (6) I lost my job (7) I have lost money due to the stock market (8) My business is making less money (9) I have extra costs now (please specify) (10) I have extra costs now (please specify) (TEXT) Some other way (please specify) (11) Some other way (please specify) (TEXT) My finances have not been impacted (0) |
2023AQ | | | How has COVID impacted your health care in the PAST 12 MONTHS? (Check all that apply). | I did not go to the doctor for routine health care (for example, an annual visit) (1) I did not get treatment for a chronic illness or disease (2) I was not able to access medications that I needed (3) I made the decision to postpone health care procedures (4) I was not allowed to access health care procedures (5) I lost my health insurance (6) I was not able to access medical equipment that I needed (7) COVID impacted my health care in some other way (please specify) (8) COVID impacted my health care in some other way (please specify) (TEXT) COVID did not impact my health care at all (0) |
2023AQ | | COVIDIMPACT_HC22 | You said that health care appointments or procedures were postponed due to COVID in the PAST 12 MONTHS. What types of healthcare appointments or procedures were postponed? (Check all that apply.) | Visits with your primary care provider (1) Visits with a specialist (2) Visits related to reproductive health care (3) Laboratory tests (4) HIV testing (5) Abortion services (6) Sexually-transmitted infection (STI) testing (7) Gender-affirming hormone visits (8) Gender-affirming surgeries (for example, top surgery, bottom surgery) (9) Other gender-affirming procedures (for example, laser hair removal) (10) Other gender-affirming appointments (for example, voice therapy) (11) Mental health care visits (for example, with therapist, counselor, psychologist, or psychiatrist) (12) Something else (please specify) (13) Something else (please specify) (TEXT) |
2023AQ | | | Which of the following describes your current occupation or employment status? (Check all that apply.) | Employed, working 40 or more hours per week (1) Employed, working 1-39 hours per week (2) Temporarily employed (3) Self-employed (4) Not employed, looking for work (5) Not employed, not looking for work (6) Homemaker (7) Student (Full time) (8) Student (Part time) (9) Disabled, not able to work (10) Retired (11) |
2023AQ | | | Do you currently work one or more paid jobs? | Yes (1) No (0) |
2023AQ | | WORK | In a typical week, how many hours do you work at your paid job(s)? | 1-10 (0) 11-20 (1) 21-30 (2) 31-40 (3) 41-50 (4) 51-60 (5) 61 (6) |
2023AQ | | WORK | What is your job title (e.g., registered nurse, janitor, cashier, auto mechanic, etc.)? | Text Entry (-) |
2023AQ | | WORK | What kind of business or industry do you work in (e.g., hospital, elementary school, clothing manufacturing, restaurant, etc.)? | Text Entry (-) |
2023AQ | | WORK | What is the main reason you do not currently work? | Taking care of house or family (1) Going to school (2) Retired (3) On a planned vacation from work (4) On family or parental leave (5) Temporarily unable to work for health reasons (6) Have job or contract and off-season (7) On layoff (8) Disabled (9) Other (please specify) (10) Other (please specify) (TEXT) I dont know (88) |
2023AQ | | | In the PAST 12 MONTHS, have you engaged in sex or sexual activity in exchange for money (sex work) or worked in the sex industry (such as erotic dancing, webcam work, or porn films)? | Yes (1) No (0) |
2023AQ | | SEXWORK | In the PAST 12 MONTHS, what type of sex work or work in the sex industry have you done? (Check all that apply.) | SEXWORK1 (1) SEXWORK2 (2) SEXWORK3 (3) SEXWORK4 (4) SEXWORK5 (5) SEXWORK6 (6) SEXWORK7 (7) SEXWORK8 (8) SEXWORK9 (9) SEXWORK10 (10) SEXWORK11 (11) SEXWORK11 (TEXT) |
2023AQ | | | In the PAST 12 MONTHS, have you engaged in sex or sexual activity in exchange for food? | Yes (1) No (0) |
2023AQ | | | In the PAST 12 MONTHS, have you engaged in sex or sexual activity in exchange for a place to sleep? | Yes (1) No (0) |
2023AQ | | | In the PAST 12 MONTHS, have you engaged in sex or sexual activity in exchange for drugs? | Yes (1) No (0) |
2023AQ | | CYOA | PLEASE SKIP THIS QUESTION IF IT IS PRESENTED TO YOU What were your individual earnings (in US Dollars) before taxes and deductions from ALL sources (including jobs, businesses, welfare, child support, disability, social security, etc.) in the 2021 tax year? | 0 (0) 1 - 10,000 (1) 10,001 - 20,000 (2) 20,001 - 30,000 (3) 30,001 - 40,000 (4) 40,001 - 50,000 (5) 50,001 - 60,000 (6) 60,001 - 70,000 (7) 70,001 - 80,000 (8) 80,001 - 90,000 (9) 90,001 - 100,000 (10) 100,001 - 110,000 (11) 110,001 - 120,000 (12) 120,001 - 130,000 (13) 130,001 - 140,000 (14) 140,001 - 150,000 (15) 150,001 - 175,000 (16) 175,001 - 200,000 (17) 200,001 (18) |
2023AQ | | | What were your individual earnings (in US Dollars) before taxes and deductions from ALL sources (including jobs, businesses, welfare, child support, disability, social security, etc.) in the 2022 tax year? | 0 (0) 1 - 10,000 (1) 10,001 - 20,000 (2) 20,001 - 30,000 (3) 30,001 - 40,000 (4) 40,001 - 50,000 (5) 50,001 - 60,000 (6) 60,001 - 70,000 (7) 70,001 - 80,000 (8) 80,001 - 90,000 (9) 90,001 - 100,000 (10) 100,001 - 110,000 (11) 110,001 - 120,000 (12) 120,001 - 130,000 (13) 130,001 - 140,000 (14) 140,001 - 150,000 (15) 150,001 - 175,000 (16) 175,001 - 200,000 (17) 200,001 (18) |
2023AQ | | | What is your best estimate (in US dollars) of your household earnings before taxes and deductions from ALL sources (including jobs, businesses, welfare, child support, disability, social security, etc.) in the 2022 tax year? | 0 (0) 1 - 10,000 (1) 10,001 - 20,000 (2) 20,001 - 30,000 (3) 30,001 - 40,000 (4) 40,001 - 50,000 (5) 50,001 - 60,000 (6) 60,001 - 70,000 (7) 70,001 - 80,000 (8) 80,001 - 90,000 (9) 90,001 - 100,000 (10) 100,001 - 110,000 (11) 110,001 - 120,000 (12) 120,001 - 130,000 (13) 130,001 - 140,000 (14) 140,001 - 150,000 (15) 150,001 - 175,000 (16) 175,001 - 200,000 (17) 200,001 (18) |
2023AQ | | | How many individuals are dependent upon the household income you just described? Please enter 1 for yourself. | Text Entry (-) |
2023AQ | | | How much credit card debt do you have in your own name?Note: Please do not include a current balance that will be paid at the end of the billing cycle. | 0 (I have no credit card debt.) (0) 1 - 50,000 (1) 50,001 - 100,000 (2) 100,001 - 150,000 (3) 150,001 - 200,000 (4) 200,001-250,000 (5) 250,001-300,000 (6) 300,001-350,000 (7) 350,000 (please specify) (8) 350,000 (please specify) (TEXT) |
2023AQ | | | How much do you owe for educational or education-related expenses in your name? | 0 (I have no education-related debt.) (0) 1 - 50,000 (1) 50,001 - 100,000 (2) 100,001 - 150,000 (3) 150,001 - 200,000 (4) 200,001-250,000 (5) 250,001-300,000 (6) 300,001-350,000 (7) 350,000 (please specify): (8) 350,000 (please specify): (TEXT) |
2023AQ | | | How much do you owe for medical bills that you were unable to pay in full? | 0 (I have no medical debt.) (0) 1 - 50,000 (1) 50,001 - 100,000 (2) 100,001 - 150,000 (3) 150,001 - 200,000 (4) 200,001-250,000 (5) 250,001-300,000 (6) 300,001-350,000 (7) 350,000 (please specify): (8) 350,000 (please specify): (TEXT) |
2023AQ | | | What is your highest education level completed? | No schooling (1) Nursery school to high school, no diploma (2) High school graduate or equivalent (e.g., GED) (3) Trade/Technical/Vocational training (4) Some college (5) 2-year college degree (6) 4-year college degree (7) Masters degree (8) Doctoral degree (9) Professional degree (e.g., M.D., J.D., M.B.A.) (10) |
2023AQ | | | In the PAST 12 MONTHS, at any time, were you held in jail, prison, or juvenile detention? | Yes (1) No (0) |
2023AQ | | | In the PAST 12 MONTHS, have you spent any nights sleeping in a shelter or public place including buildings, cars, stairwells, streets, parks, or other outside areas? Please do not include recreational camping. | Yes (1) No (0) |
2023AQ | | HMLS_YR | Approximately how many nights in the PAST 12 MONTHS have you spent sleeping in a shelter or public place including buildings, cars, stairwells, streets, parks, or other outside areas? Please do not include recreational camping. | Text Entry (-) |
2023AQ | | | In the PAST 12 MONTHS, have you spent any nights living temporarily doubled up with others, where you were in a transitional or transitory setting, or you had no fixed address? | Yes (1) No (0) |
2023AQ | | UNSTB_YR | Approximately how many nights in the PAST 12 MONTHS have you been living temporarily doubled up with others, where you were in a transitional or transitory setting, or you had no fixed address? | Text Entry (-) |
2023AQ | | | What are your current living arrangements? | Living in house/apartment/condo I own alone or with others (with a mortgage or that you own free and clear) (1) Living in house/apartment/condo I rent alone or with others (2) Living with partner(s), spouse(s), or other person(s) who pay(s) for the housing (3) Living with parents or family I grew up with (4) Living in campus/university housing (5) Living in military barracks (6) Living in a foster group home or other foster care (7) Living in a nursing home or other adult care facility (8) Living in a hospital (9) Living in a hotel or motel that I pay for myself (10) Living in a hotel or motel with an emergency shelter voucher (11) Living temporarily with friends or family because I cannot afford my own housing (12) Living in transitional housing/halfway house (13) Living on the street, in a car, in an abandoned building, in a park, or a place that is NOT a house, apartment, shelter, or other housing (14) Living in a homeless shelter (15) Living in a domestic violence shelter (16) Living in a shelter that is not a homeless shelter or domestic violence shelter (17) A living arrangement not listed above (please describe) (18) A living arrangement not listed above (please describe) (TEXT) |
2023AQ | | | How many people, including yourself, live in your household who are 18 years of age or older? | Text Entry (-) |
2023AQ | | | How many people live in your household who are younger than 18 years of age? | Text Entry (-) |
2023AQ | | | In the PAST 12 MONTHS, have you experienced harassment or name calling from strangers in public? | Yes (1) No (0) |
2023AQ | | YRHARASS | Do you think you were targeted for this harassment or name calling that occurred in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2023AQ | | | In the PAST 12 MONTHS, have you been physically attacked or deliberately injured? | Yes (1) No (0) |
2023AQ | | YRATTACK | Do you think you were targeted for these physical attacks or injuries that occurred in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2023AQ | | | In the PAST 12 MONTHS, have you experienced physical violence from a romantic or sexual partner? | Yes (1) No (0) |
2023AQ | | YRDV | Do you think you were targeted for this physical violence from a romantic or sexual partner that occurred in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2023AQ | | | In the PAST 12 MONTHS, have you been treated unfairly at work or when applying/interviewing for a job? | Yes (1) No (0) Not applicable, I have not worked and have not applied for jobs in the past 12 months (99) |
2023AQ | | YRJOBDISC | Do you think you were targeted for this unfair treatment at work or while applying for jobs in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2023AQ | | | In the PAST 12 MONTHS, have you been treated unfairly while trying to rent an apartment or buy a home, or been unfairly evicted from your residence? | Yes (1) No (0) |
2023AQ | | YRHOUSDISC | Do you think you were targeted for this unfair treatment in housing/eviction in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2023AQ | | | In the PAST 12 MONTHS, have you received poorer service than other people in restaurants, stores, other businesses or agencies? | Yes (1) No (0) |
2023AQ | | YRSERVDISC | Do you think you were targeted for this poorer service in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2023AQ | | | In the PAST 12 MONTHS, have you been treated unfairly while you were a student at school or in another educational setting? | Yes (1) No (0) Not applicable, I have not been in an educational setting in the past 12 months (99) |
2023AQ | | YRSCHDISC | Do you think you were targeted for this unfair treatment in educational settings in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2023AQ | | | In the PAST 12 MONTHS, have you been denied or given lower quality medical care? | Yes (1) No (0) Not applicable, I have not received or tried to receive medical care in the past 12 months (99) |
2023AQ | | YRMED | Do you think you were targeted for this discrimination in a medical setting in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2023AQ | | | Was there a time in the PAST 12 MONTHS when you needed to see a health care provider but did not because you thought you would be disrespected or mistreated? | Yes (1) No (0) |
2023AQ | | ANTMEDDISC | When you put off seeing a health care provider in the PAST 12 MONTHS because you thought you were going to be disrespected or mistreated, were you concerned you would be disrespected or mistreated because of your... (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2023AQ | | | In the PAST 12 MONTHS, have you been denied or given lower quality mental health care? | Yes (1) No (0) Not applicable, I have not received or tried to receive mental health care in the past 12 months (99) |
2023AQ | | YRMENTAL | Do you think you were targeted for this discrimination in a mental health setting in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2023AQ | | | In the PAST 12 MONTHS, have you experienced unfair treatment or harassment from the police or another law enforcement officer? | Yes (1) No (0) |
2023AQ | | YRPOLICE | Do you think you were targeted for this unfair treatment or harassment from a law enforcement officer in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2023AQ | | | In the PAST 12 MONTHS, have you experienced unwanted sexual contact? | Yes (1) No (0) |
2023AQ | | YRSA | Do you think you were targeted for this unwanted sexual contact that occurred in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender/Gender identity (5) Money or income (9) Race and/or ethnicity (6) Religion and/or spirituality (10) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2023AQ | | | Over the LAST 12 MONTHS, how often did your partner(s): physically hurt you? | Never (1) Rarely (2) Sometimes (3) Fairly often (4) Frequently (5) No partner(s) in the last 12 months (0) |
2023AQ | | | Over the LAST 12 MONTHS, how often did your partner(s): insult you or talk down to you? | Never (1) Rarely (2) Sometimes (3) Fairly often (4) Frequently (5) No partner(s) in the last 12 months (0) |
2023AQ | | | Over the LAST 12 MONTHS, how often did your partner(s): threaten you with harm? | Never (1) Rarely (2) Sometimes (3) Fairly often (4) Frequently (5) No partner(s) in the last 12 months (0) |
2023AQ | | | Over the LAST 12 MONTHS, how often did your partner(s): scream or curse at you? | Never (1) Rarely (2) Sometimes (3) Fairly often (4) Frequently (5) No partner(s) in the last 12 months (0) |
2023AQ | | | Over the LAST 12 MONTHS, how often did your partner(s): force you to have sexual activities? | Never (1) Rarely (2) Sometimes (3) Fairly often (4) Frequently (5) No partner(s) in the last 12 months (0) |
2023AQ | | | Thank you for answering these questions to better our understanding of LGBTQIA people's experiences with sexual violence. We realize that answering questions about sexual violence can be difficult. If you'd like to talk with someone about these experiences, please consider reaching out to the National Sexual Assault Hotline (800-656-4673), operated by Rape, Abuse, & Incest National Network (RAINN; rainn.org). | No Answers |
2023AQ | | | I have someone who will listen to me when I need to talk. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2023AQ | | | I have someone to confide in or talk to about myself or my problems. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2023AQ | | | I have someone who makes me feel appreciated. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2023AQ | | | I have someone to talk with when I have a bad day. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2023AQ | | | I feel left out. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2023AQ | | | I feel that people barely know me. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2023AQ | | | I feel isolated from others. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2023AQ | | | I feel that people are around me but not with me. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2023AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? Members of your immediate family (for example, parents and siblings) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2023AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2023AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? People you socialize with (for example, friends and acquaintances) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2023AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) Not applicable. I do not work or go to school. (11) |
2023AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2023AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? Your health care providers | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2023AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Members of your immediate family (for example, parents and siblings) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2023AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2023AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? People you socialize with (for example, friends and acquaintances) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2023AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) Not applicable. I do not work or go to school. (11) |
2023AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2023AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Your health care providers | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2023AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? Members of your immediate family (for example, parents and siblings) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2023AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2023AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? People you socialize with (for example, friends and acquaintances) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2023AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) Not applicable. I do not work or go to school. (11) |
2023AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)?Strangers (for example, someone you have a casual conversation with in line at the store) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2023AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? Your health care providers | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2023AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Members of your immediate family (for example, parents and siblings) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2023AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2023AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? People you socialize with (for example, friends and acquaintances) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2023AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) Not applicable. I do not work or go to school. (11) |
2023AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2023AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Your health care providers | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2023AQ | | | The following questions concern types of unwanted sexual experiences that you may have had. Your responses to these questions help us better understand the unwanted sexual experiences of LGBTQ people. We understand that responding to these questions may bring up memories of very difficult experiences. Please indicate if you would like to complete these questions, or if you would like to skip these questions and move on to the next topic. | Yes, I would like to complete these questions (1) No, I would like to skip these questions (0) |
2023AQ | | | How many times has this happened in the PAST 12 MONTHS?Someone fondled, kissed, or rubbed up against the private areas of my body (lips, breast/chest, crotch, or butt) or removed some of my clothes without my consent (but DID NOT attempt sexual penetration) | 0 (0) 1 (1) 2 (2) 3 (3) |
2023AQ | | | How many times has this happened in the PAST 12 MONTHS? Someone had oral sex with me or made me have oral sex with them without my consent. | 0 (0) 1 (1) 2 (2) 3 (3) |
2023AQ | | VAGINA_BRANCH | How many times has this happened in the PAST 12 MONTHS? Someone put their penis, fingers, or objects into my butt and/or vagina without my consent. | 0 (0) 1 (1) 2 (2) 3 (3) |
2023AQ | | VAGINA_BRANCH | How many times has this happened in the PAST 12 MONTHS? Someone put their penis, fingers, or objects into my butt and/or frontal genital opening without my consent. | 0 (0) 1 (1) 2 (2) 3 (3) |
2023AQ | | VAGINA_BRANCH | How many times has this happened in the PAST 12 MONTHS? Even though it didn't happen, someone TRIED to make me have oral sex with them, or TRIED to put fingers, objects, or a penis into my butt and/or vagina. | 0 (0) 1 (1) 2 (2) 3 (3) |
2023AQ | | VAGINA_BRANCH | How many times has this happened in the PAST 12 MONTHS? Even though it didn't happen, someone TRIED to make me have oral sex with them, or TRIED to put fingers, objects, or a penis into my butt and/or frontal genital opening. | 0 (0) 1 (1) 2 (2) 3 (3) |
2023AQ | | | Have you been sexually assaulted and/or raped in the PAST 12 MONTHS? | Yes (1) No (0) |
2023AQ | | SES1_YR | Thank you for answering these questions to better our understanding of LGBTQIA people's experiences with sexual violence. We realize that recalling past experiences with sexual violence can be difficult. If you'd like to talk with someone about these experiences, please consider reaching out to the National Sexual Assault Hotline (800-656-4673), operated by Rape, Abuse, & Incest National Network (RAINN; rainn.org). | No Answers |
2023AQ | | CYOA | I wish I weren't genderqueer, transgender, or gender minority. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2023AQ | | CYOA | In general, I have tried to stop identifying with a gender that differs from my assigned sex at birth. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2023AQ | | CYOA | If someone offered me the chance to have a gender that conformed with my sex assigned at birth, I would accept the chance. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2023AQ | | CYOA | I feel that being genderqueer, transgender, or gender minority is a personal shortcoming for me. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2023AQ | | CYOA | I would like to get professional help in order to have a gender that conforms with my sex assigned at birth. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2023AQ | | CYOA | I am proud of my gender. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2023AQ | | CYOA | I think my life is better because I am genderqueer, transgender, or gender minority. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2023AQ | | CYOA | We are excited to know about people's positive experiences in relation to their gender identity! Please tell us what you are most proud about being genderqueer/transgender/gender non-binary or a gender minority. | Text Entry (-) |
2023AQ | | CYOA | We are excited to know about people's positive experiences in relation to their sexual orientation! Please tell us what you most like about being or are most proud of being gay/lesbian/bisexual or a sexual minority. | Text Entry (-) |
2023AQ | | CYOA | To what extent do you think about your identity as a gender minority (for example: genderqueer, non-binary, questioning one's gender identity, transgender) person? (Choose one.) | Almost never (0) Several times a year (1) Once a month (2) Once a week (3) A few times a week (4) Once a day (5) Many times a day (6) |
2023AQ | | CYOA | I wish I weren't lesbian/gay/bisexual/asexual/sexual minority. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2023AQ | | CYOA | I have tried to stop being attracted to people of the same gender in general. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) Not applicable because I am not attracted to people of my gender (0) |
2023AQ | | CYOA | If someone offered me the chance to be completely heterosexual, I would accept the chance. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2023AQ | | ORIENTATION CYOA | If someone offered me the chance to be completely gay/lesbian, I would accept the chance. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2023AQ | | CYOA | I feel that being lesbian/gay/bisexual/asexual/sexual minority is a personal shortcoming for me. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2023AQ | | CYOA | I would like to get professional help in order to change my sexual orientation from lesbian/gay/bisexual/asexual/sexual minority to heterosexual. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2023AQ | | CYOA | I am proud of my sexual orientation. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2023AQ | | CYOA | I think my life is better because of my sexual orientation. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2023AQ | | CYOA | To what extent do you think about your identity as a sexual minority (for example: asexual, bisexual, gay, lesbian, queer, questioning one's sexual orientation) person? (Choose one.) | Almost never (0) Several times a year (1) Once a month (2) Once a week (3) A few times a week (4) Once a day (5) Many times a day (6) |
2023AQ | | | Did you become a parent in the PAST 12 MONTHS? | Yes (1) No (0) |
2023AQ | | PARENT | To how many children did you become a parent in the PAST 12 MONTHS? | Text Entry (-) |
2023AQ | | | We are going to ask you a question about the children who you became a parent to in the PAST 12 MONTHS. To help you remember which child we are asking a question about, please type in the child's first name, initials, or nickname. We will use these names in the following questions. | Text Entry (-) |
2023AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/1}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2023AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/2}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2023AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/3}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2023AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/4}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2023AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/5}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2023AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/6}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2023AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/7}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2023AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/8}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2023AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/9}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2023AQ | | | In the PAST 12 MONTHS, have you been in therapy or been part of a program or group intended to change your gender or gender identity to be consistent with the sex assigned to you at birth? (This is sometimes called "conversion therapy.") | Yes (1) No (0) |
2023AQ | | GICONVTX | Who provided the therapy, program, or group intended to change your gender or gender identity to be consistent with the sex assigned to you at birth? (Check all that apply.) | A licensed mental health provider (1) A religious group or leader (2) Someone or something else (please specify) (3) Someone or something else (please specify) (TEXT) |
2023AQ | | | In the PAST 12 MONTHS, have you been in therapy or been part of a program or group intended to change your sexual orientation to heterosexual/straight? (This is sometimes called "conversion therapy.") | Yes (1) No (0) |
2023AQ | | SOCONVTX | Who provided the therapy, program, or group intended to change your sexual orientation to heterosexual/straight? (Check all that apply.) | A licensed mental health provider (1) A religious group or leader (2) Someone or something else (please specify) (3) Someone or something else (please specify) (TEXT) |
2023AQ | | CYOA | Overall, how accepting of gender minority people is the community in which you currently live? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
2023AQ | | CYOA | Overall, how accepting of sexual minority people is the community in which you currently live? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
2023AQ | | | Overall, how safe for gender minority people is the community in which you currently live? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
2023AQ | | CYOA | Overall, how safe for sexual minority people is the community in which you currently live? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
2023AQ | | | How welcomed and accepted do you feel in LGBTQIA spaces (including community groups, social clubs, bars, etc.)? | Unaccepted/unwelcomed in all of these spaces (1) Unaccepted/unwelcomed in most of these spaces (but accepted/welcomed in at least one) (2) Accepted/welcomed in about half of these spaces (3) Accepted/welcomed in most, but not all, of these spaces (4) Accepted/welcomed in all of these spaces (5) |
2023AQ | | WELCOME | You mentioned feeling unaccepted/unwelcomed in some or all LGBTQIA spaces. People sometimes feel that these spaces are not welcoming towards them due to various aspects of their identities. Please select aspects of your identity that feel unwelcome in these spaces. (Check all that apply.) | My ability/disability status (1) My age (2) My body size, weight, or shape (3) My gender expression (4) My gender identity (5) The language I speak or sign (6) My participation in BDSM, kink, or other sexual activities (7) My political views (8) My race and/or ethnicity (9) My sexual orientation (10) My skin color (11) My spiritual/religious affiliation (12) People dont perceive me as LGBTQIA (14) Another reason (please specify) (13) Another reason (please specify) (TEXT) None of the above (0) |
2023AQ | | | Is there at least one LGBTQIA space (e.g., social club, group, bar, etc.) in which you feel safe? | Yes (1) No (0) |
2023AQ | | | Overall, how safe do you feel LGBTQIA spaces are for you? | Very unsafe (4) Somewhat unsafe (3) Neither safe nor unsafe (2) Mostly safe (1) Completely safe (0) |
2023AQ | | | Are you currently in a relationship? | Yes (1) No (0) |
2023AQ | | RELATIONSHIP | Which of the following best describes your current romantic relationship(s)? | I am in a romantic relationship with one person (1) I am in a romantic relationship with two or more people (polyamorous) (2) Other (please specify) (3) Other (please specify) (TEXT) |
2023AQ | | REL_TYPE | How many people are you currently in romantic relationships with? | 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 or more (6) |
2023AQ | | RELATIONSHIP | In general, how satisfied are you with your current romantic relationship(s)? | Very dissatisfied (0) Dissatisfied (1) Neutral (2) Satisfied (3) Very satisfied (4) |
2023AQ | | RELATIONSHIP | Which of the following scenarios best describes the current agreement that you have with your romantic partner(s)? | We cannot have any sex with an outside partner (0) We can have sex with outside partners but with some restrictions (1) We can have sex with outside partners without any restrictions (2) We do not have an agreement (3) I have different agreements with different partners (4) My romantic partner(s) and I do not engage in sexual activity (5) |
2023AQ | | | Do you live with your partner(s)? | Yes, I live with 1 partner (0) Yes, I live with 2 or more partners (1) No, I do not live with a partner (2) Something else (please specify) (3) Something else (please specify) (TEXT) |
2023AQ | | | What is your current legal marital status? | Married (1) Legally recognized civil union (2) Registered domestic partnership (3) Widowed (4) Divorced (5) Separated (6) Single, never married (7) |
2023AQ | | | What gender do you currently live in on a day-to-day basis? | Man (1) Woman (2) Genderqueer/Non-binary/neither man nor woman (3) Part time one gender/part time another gender (4) |
2023AQ | | | For people in your life who do not know you, what gender do they USUALLY think you are? (Choose one.) | Man (1) Non-binary/Genderqueer (2) Transgender Man (3) Transgender Woman (4) Two-spirit (5) Woman (6) Another gender (7) It varies (8) They cannot tell (9) I dont know what they think (88) |
2023AQ | | CYOA | There are many ways people can feel supported and affirmed as a gender minority person. Did any of your immediate family members who you grew up with (parents, siblings, grandparents, people who raised you, etc.) do any of these things to support you about your gender? (Check all that apply.) | Told you that they respect and/or support you (1) Used your preferred name even if it was not your legal name (2) Used your correct pronouns (such as he/she/they) (3) Supported your gender-affirming health care (other than financially) (9) Provided financial support to help with any part of your gender transition (4) Helped you change your name and/or gender on your identity documents (ID), like your drivers license (such as doing things like filling out papers or going with you to court) (5) Did research to learn how to best support you (such as reading books, using online information, or attending a conference) (6) Stood up for you with family, friends, or others (7) Listened to you when you had difficulties (10) Supported you in another way not listed above (please specify) (8) Supported you in another way not listed above (please specify) (TEXT) None of the above (0) |
2023AQ | | | For people in your life who do not know you, what sexual orientation do they USUALLY think you are? (Choose one.) | Asexual (1) Bisexual (2) Gay (3) Lesbian (4) Pansexual (5) Queer (6) Same-gender loving (7) Straight/Heterosexual (8) Two-spirit (9) They cannot tell (10) It varies (11) Another sexual orientation (12) I dont know what they think (88) |
2023AQ | | CYOA | There are many ways people can feel supported and affirmed as a sexual minority person. Did any of your immediate family members who you grew up with (parents, siblings, grandparents, people who raised you, etc.) do any of these things to support you about your sexual orientation? (Check all that apply.) | Told you that they respect and/or support you (1) Positively acknowledged your relationship to your partner(s) (2) Positively acknowledged your sexual and/or romantic orientation (3) Welcomed your partner(s) to a family event (4) Provided financial support related to your relationship(s) (e.g., first date, family building, moving in together) (5) Attended an event that you hosted with a partner(s) (6) Researched how to best support you (such as reading books, using online information, or attending a conference) (7) Stood up for you with family, friends, or others (8) Listened to you when you had difficulties (10) Supported you in another way not listed above (please specify) (9) Supported you in another way not listed above (please specify) (TEXT) None of the above (0) |
2023AQ | | | Coming out" about one's sexual orientation or gender is a process. People do not always come out to everyone at the same time. In the PAST 12 MONTHS, have you come out to any of the people who raised you? (Check all that apply.) | Yes, I came out about my sexual orientation (e.g., asexual, bisexual, gay, lesbian, queer, questioning ones sexual orientation, etc.) to someone who raised me (1) Yes, I came out about my gender identity (e.g., genderqueer, non-binary, questioning ones gender identity, transgender, etc.) to someone who raised me (2) No, I did not come out in the past 12 months to anyone who raised me (0) |
2023AQ | | COMEOUT_PSTYR | We are going to ask you follow-up questions about coming out about your sexual orientation (e.g., asexual, bisexual, gay, lesbian, queer, questioning one's sexual orientation, etc.) in the PAST 12 MONTHS to someone who raised you. To help you remember who we are asking about, please list the first names, initials, or nicknames of the person/people you came out to. We will use the name(s) in questions that follow. | Text Entry (-) |
2023AQ | | COMEOUTSO_NAMES | How is ${q://QID622/ChoiceTextEntryValue/1} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2023AQ | | COMEOUTSO_NAMES | When ${q://QID622/ChoiceTextEntryValue/1} initially learned about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2023AQ | | COMEOUTSO_NAMES | In your most recent interactions with ${q://QID622/ChoiceTextEntryValue/1}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2023AQ | | COMEOUTSO_NAMES | How did your communication with ${q://QID622/ChoiceTextEntryValue/1} change after they learned about your sexual orientation? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2023AQ | | COMEOUTSO_NAMES | How is ${q://QID622/ChoiceTextEntryValue/2} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2023AQ | | COMEOUTSO_NAMES | When ${q://QID622/ChoiceTextEntryValue/2} initially learned about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2023AQ | | COMEOUTSO_NAMES | In your most recent interactions with ${q://QID622/ChoiceTextEntryValue/2}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2023AQ | | COMEOUTSO_NAMES | How did your communication with ${q://QID622/ChoiceTextEntryValue/2} change after they learned about your sexual orientation? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2023AQ | | COMEOUTSO_NAMES | How is ${q://QID622/ChoiceTextEntryValue/3} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2023AQ | | COMEOUTSO_NAMES | When ${q://QID622/ChoiceTextEntryValue/3} initially learned about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2023AQ | | COMEOUTSO_NAMES | In your most recent interactions with ${q://QID622/ChoiceTextEntryValue/3}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2023AQ | | COMEOUTSO_NAMES | How did your communication with ${q://QID622/ChoiceTextEntryValue/3} change after they learned about your sexual orientation? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2023AQ | | COMEOUTSO_NAMES | How is ${q://QID622/ChoiceTextEntryValue/4} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2023AQ | | COMEOUTSO_NAMES | When ${q://QID622/ChoiceTextEntryValue/4} initially learned about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2023AQ | | COMEOUTSO_NAMES | In your most recent interactions with ${q://QID622/ChoiceTextEntryValue/4}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2023AQ | | COMEOUTSO_NAMES | How did your communication with ${q://QID622/ChoiceTextEntryValue/4} change after they learned about your sexual orientation? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2023AQ | | | We are going to ask you follow-up questions about coming out about your gender identity (e.g., genderqueer, non-binary, questioning one's gender identity, transgender, etc.) in the PAST 12 MONTHS to someone who raised you. To help you remember who we are asking about, please list the first names, initials, or nicknames of the person/people you came out to. We will use the name(s) in questions that follow. | Text Entry (-) |
2023AQ | | COMEOUTGI_NAMES | How is ${q://QID2154/ChoiceTextEntryValue/1} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2023AQ | | COMEOUTGI_NAMES | When ${q://QID2154/ChoiceTextEntryValue/1} initially learned about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2023AQ | | COMEOUTGI_NAMES | In your most recent interactions with ${q://QID2154/ChoiceTextEntryValue/1}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2023AQ | | COMEOUTGI_NAMES | How did your communication with ${q://QID2154/ChoiceTextEntryValue/1} change after they learned about your gender identity? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2023AQ | | COMEOUTGI_NAMES | How is ${q://QID2154/ChoiceTextEntryValue/2} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2023AQ | | COMEOUTGI_NAMES | When ${q://QID2154/ChoiceTextEntryValue/2} initially learned about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2023AQ | | COMEOUTGI_NAMES | In your most recent interactions with ${q://QID2154/ChoiceTextEntryValue/2}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2023AQ | | COMEOUTGI_NAMES | How did your communication with ${q://QID2154/ChoiceTextEntryValue/2} change after they learned about your gender identity? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2023AQ | | COMEOUTGI_NAMES | How is ${q://QID2154/ChoiceTextEntryValue/3} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2023AQ | | COMEOUTGI_NAMES | When ${q://QID2154/ChoiceTextEntryValue/3} initially learned about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2023AQ | | COMEOUTGI_NAMES | In your most recent interactions with ${q://QID2154/ChoiceTextEntryValue/3}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2023AQ | | COMEOUTGI_NAMES | How did your communication with ${q://QID2154/ChoiceTextEntryValue/3} change after they learned about your gender identity? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2023AQ | | COMEOUTGI_NAMES | How is ${q://QID2154/ChoiceTextEntryValue/4} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2023AQ | | COMEOUTGI_NAMES | When ${q://QID2154/ChoiceTextEntryValue/4} initially learned about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2023AQ | | COMEOUTGI_NAMES | In your most recent interactions with ${q://QID2154/ChoiceTextEntryValue/4}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2023AQ | | COMEOUTGI_NAMES | How did your communication with ${q://QID2154/ChoiceTextEntryValue/4} change after they learned about your gender identity? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2023AQ | | CYOA | The decision to hide or reveal my sexual orientation to others causes me significant distress. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2023AQ | | | Because of my sexual orientation, no one understands my pain or distress. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2023AQ | | | I was rejected by a family member or friend after telling them my sexual orientation. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2023AQ | | | I feel confused or conflicted by my sexual orientation. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2023AQ | | | I feel comfortable revealing my sexual attractions and/or behavior. | Strongly Disagree (6) Moderately Disagree (5) Slightly Disagree (4) Slightly Agree (3) Moderately Agree (2) Strongly Agree (1) |
2023AQ | | | The decision to hide or reveal my gender identity or that I am a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.) to others causes me significant distress. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2023AQ | | | Because of my gender identity, no one understands my pain or distress. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2023AQ | | | I was rejected by a family member or friend after telling them my gender identity. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2023AQ | | | I feel confused or conflicted by my gender identity. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2023AQ | | | I feel comfortable revealing my gender identity and/or expression and/or status as a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.). | Strongly Disagree (6) Moderately Disagree (5) Slightly Disagree (4) Slightly Agree (3) Moderately Agree (2) Strongly Agree (1) |
2023AQ | | | People treat me unfairly because of my race, ethnicity, sexual, and/or gender identity. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2023AQ | | | At times, I feel I stick out because of my race, ethnicity, sexual orientation, and/or gender identity. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2023AQ | | | Stereotypes about racial, ethnic, sexual, and gender minority people hurt my self-esteem or the way I see myself. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2023AQ | | | I believe the world is a dangerous place to be a racial, ethnic, sexual, and/or gender minority person. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2023AQ | | | You have completed the Social Health section! This is one of 4 sections! Phew! We know this survey is long and we thank you for the time and energy you have put into helping us advance our collective understanding of LGBTQIA health. Your answers are bringing us one step closer to LGBTQIA health equity! | No Answers |
2023AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Acid reflux (heartburn) (1) Anemia (2) Angina pectoris (angina) (3) Anxiety (4) Arthritis (13) Asthma (5) Atrial fibrillation (Afib) (6) Benign prostatic hypertrophy (BPH, enlarged prostate) (7) Bipolar disorder (8) Cancer (9) Cataracts (10) Chronic kidney disease (11) Chronic obstructive pulmonary disease (COPD) (12) None of these (0) |
2023AQ | | MEDHX1 | With what type(s) of cancer have you been diagnosed? (Check all that apply.) | Anal (1) Breast (2) Colon (3) Kidney (4) Lung (5) Leukemia/Lymphoma (6) Ovary (7) Pancreas (8) Prostate (9) Skin (melanoma) (10) Skin (non-melanoma) (11) Uterus (13) Other (please specify) (12) Other (please specify) (TEXT) |
2023AQ | | | How about any of these? Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Coagulation (bleeding or clotting) problem (1) Congestive heart failure (CHF) (2) Coronary artery disease (3) Depression (4) Diabetes mellitus (diabetes, sugar diabetes) (5) Diabetes (borderline) (6) Erectile dysfunction (7) Glaucoma (8) Heart attack (9) Heart murmur (10) Hepatitis B virus (HBV) (13) Hepatitis C virus (HCV) (14) High cholesterol (11) HIV (12) None of these (0) |
2023AQ | | | Here's the last set! Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Hypertension (high blood pressure) (1) Inflammatory bowel disease (Crohns disease, ulcerative colitis) (2) Irritable bowel syndrome (IBS) (3) Kidney stone (nephrolithiasis) (4) Liver disease (5) Lupus (systemic lupus erythematous, SLE) (6) Menopause (7) Migraine headache (8) Obstructive sleep apnea (OSA) (9) Osteoporosis (19) Peripheral vascular disease (PVD) (10) Polycystic ovarian syndrome (PCOS) (11) Psoriasis (12) Pulmonary embolism (PE) (13) Seizure disorder (epilepsy) (14) Stroke (cerebrovascular accident, CVA) (15) Thyroid problem (hyperthyroidism, hypothyroidism) (16) Ulcer (stomach/peptic, duodenal) (17) Uterine fibroids (18) None of these (0) |
2023AQ | | | Please list up to five additional medical conditions that a doctor or other health care provider told you that you have. (One condition per line.) If no additional conditions, please click next. | Text Entry (-) |
2023AQ | | | Were any of these conditions diagnosed within the PAST 12 MONTHS? (Check all that apply.) | None of these were diagnosed in the past 12 months. (0) Acid reflux (heartburn) (1) Anemia (2) Angina pectoris (angina) (3) Anxiety (4) Arthritis (60) Asthma (5) Atrial fibrillation (Afib) (6) Benign prostatic hypertrophy (BPH, enlarged prostate) (7) Bipolar disorder (8) Cataracts (9) Chronic kidney disease (10) Chronic obstructive pulmonary disease (COPD) (11) Anal cancer (12) Breast cancer (13) Colon cancer (14) Kidney cancer (15) Lung cancer (16) Leukemia/Lymphoma (17) Ovarian cancer (18) Pancreatic cancer (19) Prostate cancer (20) Skin cancer (melanoma) (21) Skin cancer (non-melanoma) (22) Uterine cancer (23) q://QID901/ChoiceTextEntryValueቨ cancer (24) Coagulation (bleeding or clotting) problem (25) Congestive heart failure (CHF) (26) Coronary artery disease (27) Depression (28) Diabetes mellitus (diabetes, sugar diabetes) (29) Diabetes (borderline) (30) Erectile dysfunction (31) Glaucoma (32) Heart attack (33) Heart murmur (34) Hepatitis B virus (HBV) (61) Hepatitis C virus (HCV) (62) High cholesterol (35) HIV (36) Hypertension (high blood pressure) (37) Inflammatory bowel disease (Crohns disease, ulcerative colitis) (38) Irritable bowel syndrome (IBS) (39) Kidney stone (nephrolithiasis) (40) Liver disease (41) Lupus (systemic lupus erythematous, SLE) (42) Menopause (43) Migraine headache (44) Obstructive sleep apnea (OSA) (45) Osteoporosis (63) Peripheral vascular disease (PVD) (46) Polycystic ovarian syndrome (PCOS) (47) Psoriasis (48) Pulmonary embolism (PE) (49) Seizure disorder (epilepsy) (50) Stroke (cerebrovascular accident, CVA) (51) Thyroid problem (hyperthyroidism, hypothyroidism) (52) Ulcer (stomach/peptic, duodenal) (53) Uterine fibroids (54) q://QID895/ChoiceTextEntryValueǗ (55) q://QID895/ChoiceTextEntryValueǘ (56) q://QID895/ChoiceTextEntryValueǙ (57) q://QID895/ChoiceTextEntryValueǚ (58) q://QID895/ChoiceTextEntryValueǛ (59) |
2023AQ | | | During the PAST 12 MONTHS, have you experienced confusion or memory loss that is happening more often or is getting worse? | Yes (1) No (0) I dont know (88) |
2023AQ | | | In the PAST 12 MONTHS, have you had the following surgeries or procedures? (Check all that apply.) (Surgeries and procedures that are exclusively and/or primarily for gender affirmation or transition are asked about in greater depth later.) | Coronary stent placement (1) Coronary artery bypass graft (CABG, bypass surgery) (2) Heart valve replacement (3) Pacemaker implantation (4) Implantable cardiac defibrillator (ICD) implantation (5) Bone marrow transplant (6) Organ transplant (7) Gallbladder removal (cholecystectomy) (8) Appendix removal (appendectomy) (9) C section (cesarean section) (10) Uterus removal with cervix retained (supracervical hysterectomy) (11) Uterus removal with cervix removed (total hysterectomy) (12) Ovary removal (oophorectomy) (13) None of these (0) |
2023AQ | | SURGHX | Which organ(s) have you received through a transplant? (Check all that apply.) | Heart (1) Lung (2) Liver (3) Pancreas (4) Kidney (5) Small intestine (6) Other (please specify) (7) Other (please specify) (TEXT) |
2023AQ | | | In the PAST 12 MONTHS, have you had any of the following procedures for any reason (including gender affirmation or transition)? (Check all that apply.) | Electrolysis (long-term hair removal) (1) Fat grafting (e.g., face, hips, buttocks, breasts/chest) (2) None of these (3) |
2023AQ | | | Please list up to five additional general surgeries/procedures that you had in the PAST 12 MONTHS (not including surgeries or procedures that are exclusively and/or primarily for gender affirmation or transition, which we ask about later). Please write in one surgery/procedure per line. If no additional surgeries/procedures, please click next. | Text Entry (-) |
2023AQ | | | Have you had any gender-affirming or transition-related surgeries or procedures in the PAST 12 MONTHS? | Yes (1) No (0) |
2023AQ | | GAS_AQ | In the PAST 12 MONTHS, have you had any of the following gender-affirming or transition-related surgeries or procedures that involve your head or neck? (Check all that apply.) | Brow lift (1) Chin augmentation/contouring (genioplasty) (2) Forehead reconstruction/contouring (3) Jaw bone revision (mandible contouring) (4) Lip lift (5) Nose reconstruction (rhinoplasty) (6) Scalp advancement (7) Tracheal shave (reduction thyrochondroplasty) (8) Vocal cord/voice surgery (9) None of these (0) |
2023AQ | | GAS_AQ | In the PAST 12 MONTHS, have you had any of the following gender-affirming or transition-related surgeries or procedures that involve your chest? (Check all that apply.) | Breast augmentation (1) Breast/chest reduction (also called reduction mammoplasty) (2) Top surgery/chest reconstruction/mastectomy (for example with scars under the chest, double incision with nipple removal and WITHOUT re-attachment) (3) Top surgery/chest reconstruction/mastectomy (for example with scars under the chest, double incision with nipple removal and WITH re-attachment) (5) Top surgery/chest reconstruction/mastectomy (for example keyhole through the areola, periareolar with no re-positioning of the nipple) (4) None of these (0) |
2023AQ | | GAS_AQ | In the PAST 12 MONTHS, have you had any of the following gender-affirming or transition-related surgeries or procedures that involve your abdomen or pelvis? (Check all that apply.) | Creation of a new vagina using colon graft (vaginoplasty, colon graft) (1) Creation of a new vagina using penile tissue (vaginoplasty, penile inversion) (2) Creation of a new vagina using peritoneal tissue (vaginoplasty, peritoneal pull-through) (16) Creation of new labia without creation of new vagina (labiaplasty) (3) Creation of new scrotum (scrotoplasty) (4) Fallopian tube removal (salpingectomy) (5) Meta/meto or clitoral release (metoidioplasty) (6) Ovary removal (oophorectomy) (7) Penile implant insertion (8) Phallo/creation of a new penis (phalloplasty) (9) Removal of penis (penectomy) (10) Removal of testes (orchiectomy) (11) Removal of vaginal tissue (vaginectomy) (12) Testicular implant insertion (13) Uterus removal with cervix retained (supracervical hysterectomy) (14) Uterus removal with cervix removed (total hysterectomy) (15) None of these (0) |
2023AQ | | GAS_AQ | In the PAST 12 MONTHS, have you had any hair-related procedures for gender-affirming or transition-related reasons? | Yes, hair transplant (1) Yes, facial hair removal (2) Yes, forearm hair removal (3) Yes, chest hair removal (4) Yes, leg hair removal (5) Yes, pubic hair removal (8) Yes, hair removal in another body region (please specify location) (6) Yes, hair removal in another body region (please specify location) (TEXT) Yes, something else (please specify) (7) Yes, something else (please specify) (TEXT) None of these (0) |
2023AQ | | GAS_AQ | Please list up to five additional gender-affirming surgeries/procedures that you had in the PAST 12 MONTHS. (One surgery/procedure per line.) If no additional surgeries/procedures, please click next. | Text Entry (-) |
2023AQ | | | Have you EVER taken a medication meant to stop or delay puberty? | Yes (1) No (0) |
2023AQ | | PUB_SUPP_EV20 | How old were you when you first took a medication meant to stop or delay puberty? | 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) |
2023AQ | | | Are you CURRENTLY taking hormones or medications for the purposes of gender affirmation (also called gender transition)? | Yes (1) No (0) |
2023AQ | | GAHORMONE_AN | Which hormones or medications for the purposes of gender affirmation (also called gender transition) are you CURRENTLY taking? (Check all that apply.) | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histrelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) Another hormone/medication not listed here (please specify) (17) Another hormone/medication not listed here (please specify) (TEXT) I have (also) taken some other hormone(s)/medication(s), but I am not sure what it is called. (18) |
2023AQ | | | Were any of the following hormones or medications that you used in the PAST 12 MONTHS for the purposes of gender affirmation (also called gender transition) prescribed by a doctor or health care provider? | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histrelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium or Provera) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) q://QID2316/ChoiceTextEntryValueቭ (17) I have (also) taken some other hormone(s)/medication(s), but I am not sure what it is called. (18) None of these were prescribed by a doctor or health care provider. (0) |
2023AQ | | GAHORMONE_ANYRX | Was all of the cyproterone acetate (sometimes called: CPA or Cyprostat) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | GAHORMONE_ANYRX | Was all of the dutasteride (sometimes called: Avodart) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | GAHORMONE_ANYRX | Was all of the depo leuprolide or leuprolide acetate (sometimes called: Lupron) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | GAHORMONE_ANYRX | Was all of the depo (Injection) provera (sometimes called: “Depo” or medroxyprogesterone acetate) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | GAHORMONE_ANYRX | Was all of the estrogen (any type in any formulation such as: gel, injection, patch, pill) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | GAHORMONE_ANYRX | Was all of the estradiol valerate (a specific type of estrogen) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | GAHORMONE_ANYRX | Was all of the estradiol cypionate (a specific type of estrogen) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | GAHORMONE_ANYRX | Was all of the finasteride (sometimes called: Proscar or Propecia) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | GAHORMONE_ANYRX | Was all of the histrelin acetate (sometimes called: Vantas or Supprelin) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | GAHORMONE_ANYRX | Was all of the progesterone (sometimes called: progestagen or progestins) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | GAHORMONE_ANYRX | Was all of the micronized progesterone (sometimes called: Prometrium) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | GAHORMONE_ANYRX | Was all of the spironolactone (sometimes called: “Spiro” or Aldactone) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | GAHORMONE_ANYRX | Was all of the testosterone (any type in any formulation such as: gel, injection, patch) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | GAHORMONE_ANYRX | Was all of the testosterone cypionate (a specific type of testosterone) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | GAHORMONE_ANYRX | Was all of the testosterone enanthate (a specific type of testosterone) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | GAHORMONE_ANYRX | Was all of the testosterone undecanoate (a specific type of testosterone) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | GAHORMONE_ANYRX | Was all of the ${q://QID2316/ChoiceTextEntryValue/17} used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2023AQ | | | In the PAST 12 MONTHS, did you start or stop taking any hormones or medications for the purposes of gender affirmation (also called gender transition)? (Check all that apply.) | Yes, I started taking some hormones/medications for gender affirmation in the PAST 12 MONTHS. (1) Yes, I stopped taking some hormones/medications for gender affirmation in the PAST 12 MONTHS. (0) No, I did not start or stop taking hormones/medications for gender affirmation in the PAST 12 MONTHS. (2) |
2023AQ | | GAHORMONE_CHANGE_YR | Which hormones or medications for the purposes of gender affirmation (also called gender transition) did you START in the PAST 12 MONTHS? (Check all that apply.) | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histrelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) Another hormone/medication not listed here (please specify) (17) Another hormone/medication not listed here (please specify) (TEXT) I have (also) taken some other hormone(s)/medication(s), but I am not sure what it is called. (18) |
2023AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking cyproterone acetate (sometimes called: CPA or Cyprostat) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking dutasteride (sometimes called: Avodart) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking depo leuprolide or leuprolide acetate (sometimes called: Lupron) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking depo (injection) provera (sometimes called: “Depo” or medroxyprogesterone acetate) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking estrogen (any type in any formulation such as: gel, injection, patch, pill) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking estradiol valerate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking estradiol cypionate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking finasteride (sometimes called: Proscar or Propecia) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking histrelin acetate (sometimes called: Vantas or Supprelin) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking progesterone (sometimes called: progestagen or progestins) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking micronized progesterone (sometimes called: Prometrium) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking spironolactone (sometimes called: "Spiro" or Aldactone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking testosterone (any type in any formulation such as: gel, injection, patch) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking testosterone cypionate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking testosterone enanthate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking testosterone undecanoate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking ${q://QID2317/ChoiceTextEntryValue/17} for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_CHANGE_YR | Which hormones or medications for the purposes of gender affirmation (also called gender transition) did you STOP in the PAST 12 MONTHS? (Check all that apply.) | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histrelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) Another hormone/medication not listed here (please specify) (17) Another hormone/medication not listed here (please specify) (TEXT) I have (also) taken some other hormone(s)/medication(s), but I am not sure what it is called. (18) |
2023AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking cyproterone acetate (sometimes called: CPA or Cyprostat) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking cyproterone acetate (sometimes called CPA or Cyprostat), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) For fertility and/or family building reasons (e.g., fertility preservation, pregnancy, IVF, chest/body feeding, etc.) (7) My state restricted access to gender-affirming hormones and medication (8) Another reason(s) (please specify) (9) Another reason(s) (please specify) (TEXT) |
2023AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking dutasteride (sometimes called: Avodart) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking dutasteride (sometimes called: Avodart), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) For fertility and/or family building reasons (e.g., fertility preservation, pregnancy, IVF, chest/body feeding, etc.) (7) My state restricted access to gender-affirming hormones and medication (8) Another reason(s) (please specify) (9) Another reason(s) (please specify) (TEXT) |
2023AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking depo leuprolide or leuprolide acetate (sometimes called: Lupron) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking depo leuprolide or leuprolide acetate (sometimes called: Lupron), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) For fertility and/or family building reasons (e.g., fertility preservation, pregnancy, IVF, chest/body feeding, etc.) (7) My state restricted access to gender-affirming hormones and medication (8) Another reason(s) (please specify) (9) Another reason(s) (please specify) (TEXT) |
2023AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking depo (injection) provera (sometimes called: "Depo" or medroxyprogesterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking depo (Injection) provera (sometimes called: “Depo” or medroxyprogesterone acetate), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) For fertility and/or family building reasons (e.g., fertility preservation, pregnancy, IVF, chest/body feeding, etc.) (7) My state restricted access to gender-affirming hormones and medication (8) Another reason(s) (please specify) (9) Another reason(s) (please specify) (TEXT) |
2023AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking estrogen (any type in any formulation such as: gel, injection, patch, pill) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking estrogen (any type in any formulation such as: gel, injection, patch, pill), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) For fertility and/or family building reasons (e.g., fertility preservation, pregnancy, IVF, chest/body feeding, etc.) (7) My state restricted access to gender-affirming hormones and medication (8) Another reason(s) (please specify) (9) Another reason(s) (please specify) (TEXT) |
2023AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking estradiol valerate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking estradiol valerate (a specific type of estrogen), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) For fertility and/or family building reasons (e.g., fertility preservation, pregnancy, IVF, chest/body feeding, etc.) (7) My state restricted access to gender-affirming hormones and medication (8) Another reason(s) (please specify) (9) Another reason(s) (please specify) (TEXT) |
2023AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking estradiol cypionate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking estradiol cypionate (a specific type of estrogen), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) For fertility and/or family building reasons (e.g., fertility preservation, pregnancy, IVF, chest/body feeding, etc.) (7) My state restricted access to gender-affirming hormones and medication (8) Another reason(s) (please specify) (9) Another reason(s) (please specify) (TEXT) |
2023AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking finasteride (sometimes called: Proscar or Propecia) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking finasteride (sometimes called: Proscar or Propecia), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) For fertility and/or family building reasons (e.g., fertility preservation, pregnancy, IVF, chest/body feeding, etc.) (7) My state restricted access to gender-affirming hormones and medication (8) Another reason(s) (please specify) (9) Another reason(s) (please specify) (TEXT) |
2023AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking histrelin acetate (sometimes called: Vantas or Supprelin) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking histrelin acetate (sometimes called: Vantas or Supprelin), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) For fertility and/or family building reasons (e.g., fertility preservation, pregnancy, IVF, chest/body feeding, etc.) (7) My state restricted access to gender-affirming hormones and medication (8) Another reason(s) (please specify) (9) Another reason(s) (please specify) (TEXT) |
2023AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking micronized progesterone (sometimes called: Prometrium) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking micronized progesterone (sometimes called: Prometrium), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) For fertility and/or family building reasons (e.g., fertility preservation, pregnancy, IVF, chest/body feeding, etc.) (7) My state restricted access to gender-affirming hormones and medication (8) Another reason(s) (please specify) (9) Another reason(s) (please specify) (TEXT) |
2023AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking progesterone (sometimes called: progestagen or progestins) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking progesterone (sometimes called: progestagen or progestins), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) For fertility and/or family building reasons (e.g., fertility preservation, pregnancy, IVF, chest/body feeding, etc.) (7) My state restricted access to gender-affirming hormones and medication (8) Another reason(s) (please specify) (9) Another reason(s) (please specify) (TEXT) |
2023AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking spironolactone (sometimes called: "Spiro" or Aldactone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking spironolactone (sometimes called: “Spiro” or Aldactone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) For fertility and/or family building reasons (e.g., fertility preservation, pregnancy, IVF, chest/body feeding, etc.) (7) My state restricted access to gender-affirming hormones and medication (8) Another reason(s) (please specify) (9) Another reason(s) (please specify) (TEXT) |
2023AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking testosterone (any type in any formulation such as: gel, injection, patch) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking testosterone (any type in any formulation such as: gel, injection, patch), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) For fertility and/or family building reasons (e.g., fertility preservation, pregnancy, IVF, chest/body feeding, etc.) (7) My state restricted access to gender-affirming hormones and medication (8) Another reason(s) (please specify) (9) Another reason(s) (please specify) (TEXT) |
2023AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking testosterone cypionate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking testosterone cypionate (a specific type of testosterone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) For fertility and/or family building reasons (e.g., fertility preservation, pregnancy, IVF, chest/body feeding, etc.) (7) My state restricted access to gender-affirming hormones and medication (8) Another reason(s) (please specify) (9) Another reason(s) (please specify) (TEXT) |
2023AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking testosterone enanthate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking testosterone enanthate (a specific type of testosterone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) For fertility and/or family building reasons (e.g., fertility preservation, pregnancy, IVF, chest/body feeding, etc.) (7) My state restricted access to gender-affirming hormones and medication (8) Another reason(s) (please specify) (9) Another reason(s) (please specify) (TEXT) |
2023AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking testosterone undecanoate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking testosterone undecanoate (a specific type of testosterone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) For fertility and/or family building reasons (e.g., fertility preservation, pregnancy, IVF, chest/body feeding, etc.) (7) My state restricted access to gender-affirming hormones and medication (8) Another reason(s) (please specify) (9) Another reason(s) (please specify) (TEXT) |
2023AQ | | GAHORMONE_STOP_YR | Please tell us when you STOPPED taking ${q://QID2317/ChoiceTextEntryValue/17} for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | GAHORMONE_STOP_YR | Because you indicated that you are no longer taking ${q://QID2317/ChoiceTextEntryValue/17}, please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) For fertility and/or family building reasons (e.g., fertility preservation, pregnancy, IVF, chest/body feeding, etc.) (7) My state restricted access to gender-affirming hormones and medication (8) Another reason(s) (please specify) (9) Another reason(s) (please specify) (TEXT) |
2023AQ | | | Have you had COVID? | Yes, confirmed by a positive test at home or with a health care provider (1) Yes, I think I had COVID but did not have a positive test (2) No (0) I dont know (88) |
2023AQ | | COVID_DX | How many times have you had COVID? | 1 (1) 2 (2) 3 (3) 4 (4) 5 or more (5) |
2023AQ | | COVID_DX | Did you receive any medical care for COVID at any time? (Check all that apply.) | No, I recovered on my own (1) Yes, I went to the emergency room (2) Yes, I saw a health care provider in a clinic (including urgent care) (3) Yes, I was hospitalized (4) |
2023AQ | | COVID_MEDICALCARE | Were you on a ventilator for COVID? | Yes (1) No (2) |
2023AQ | | COVID_DX | Which treatments did you receive for COVID? (Check all that apply.) | I did not receive any treatments for COVID (6) Paxlovid (also called nirmatrelvir with ritonavir) (1) Veklury (also called remdesivir) (2) Bebtelovimab (3) Molnupiravir (also called Legevrio) (4) Something else (please specify) (5) Something else (please specify) (TEXT) |
2023AQ | | COVID_DX | Do you have any of the following long COVID or post-COVID symptoms? (Check all that apply.) | No, I dont have any long COVID or post-COVID symptoms (1) Tiredness or fatigue that interferes with daily life (2) Symptoms that get worse after physical or mental effort (also known as post-exertional malaise) (20) Fever (21) Difficulty breathing or shortness of breath (5) Cough (22) Chest pain (23) Fast-beating or pounding heart (also known as heart palpitations) (24) Difficulty thinking or concentrating (sometimes referred to as brain fog) (9) Headache (25) Sleep problems (26) Dizziness when you stand up (lightheadedness) (27) Pins-and-needles feelings (28) Change in smell or taste (29) Depression or anxiety (30) Diarrhea (16) Stomach pain (34) Joint or muscle pain (18) Rash (35) Changes in menstrual cycles (36) Something else (please specify, separate multiple symptoms with commas) (32) Something else (please specify, separate multiple symptoms with commas) (TEXT) |
2023AQ | | | Which best describes you? | I dont want to get the COVID vaccine ever (1) I want to wait to get the COVID vaccine (2) I want to get the COVID vaccine as soon as possible (3) I already received one or more doses of the COVID vaccine (4) |
2023AQ | | VACCINATION_STATUS | What are your reasons for NOT wanting to get the COVID vaccine? (Check all that apply.) | I have a health condition that could be worsened by the COVID vaccine. (1) I dont think that the COVID vaccine is safe. (2) I dont trust the development of the COVID vaccines. (3) I dont believe in any vaccines. (4) I have a fear of needles. (5) I believe I will get COVID from the vaccine. (6) I dont believe the COVID vaccine will protect me from getting COVID. (7) I dont think the COVID vaccine was tested on people like me. (8) I think I already had COVID and am protected from getting it again. (9) I am allergic to polyethylene glycol (PEG) or polysorbate. (10) I am concerned about the side effects. (11) I dont want to get the vaccine due to my religious or spiritual beliefs. (12) Something else (please specify) (13) Something else (please specify) (TEXT) |
2023AQ | | VACCINATION_STATUS | What are your reasons for wanting to wait to get the COVID vaccine? (Check all that apply.) | I am not yet eligible to receive the vaccine. (1) I have a health condition that could be worsened by the COVID vaccine. (2) I dont think that the COVID vaccine is safe. (3) I dont trust the development of the COVID vaccine. (4) I dont believe in any vaccines. (5) I have a fear of needles. (6) I believe I will get COVID from the vaccine. (7) I dont believe the COVID vaccine will protect me from getting COVID. (8) I dont think the COVID vaccine was tested on people like me. (9) I think other people should get the COVID vaccine before me. (10) I want to see if the COVID vaccine is safe. (11) I think I already had COVID and am protected from getting it again. (12) I received convalescent plasma or monoclonal antibodies to treat COVID. (13) I currently have or just recently had COVID. (14) I was told by my doctor or health care professional to wait. (15) I received a vaccine (not for COVID) in the past 14 days. (16) Something else (please specify) (17) Something else (please specify) (TEXT) |
2023AQ | | VACCINE_NEVER | Please list the health condition(s) you have that could be worsened by the COVID vaccine. (One condition per box, please) | Text Entry (-) |
2023AQ | | VACCINATION_STATUS | Which company/companies made the COVID vaccine doses (including boosters) that you received? (Check all that apply.) | AstraZeneca (1) Johnson & Johnson (2) Moderna (3) Novavax (4) Pfizer/BioNTech (5) Another company (please specify) (6) Another company (please specify) (TEXT) I dont know (88) |
2023AQ | | VACCINATION_STATUS | How many doses of the COVID vaccine (including boosters) did you receive? | 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 or more (6) I dont know (88) |
2023AQ | | VACCINE_DOSES | Did you experience any of the following side effects after receiving your COVID vaccine (any dose)? (Check all that apply.) | I did not experience any side effects. (0) Pain at the injection site (1) Redness at the injection site (2) Swelling at the injection site (3) Fatigue / Tiredness (4) Chills (5) Fever (6) New or worsening muscle pain/ache (myalgia) (7) New or worsening joint pain/ache (arthralgia) (8) Itching (9) Full-body rash (10) Hives (urticaria) (11) Headache (12) Nausea (13) Vomiting (14) Diarrhea (15) Wheezing (16) Cough (17) Voice hoarseness (18) Tongue swelling (19) Swollen lips (20) Difficulty breathing (21) Anaphylaxis (22) Allergic reaction (23) Bells Palsy (24) Another side effect(s) (please list all additional side effects) (25) Another side effect(s) (please list all additional side effects) (TEXT) |
2023AQ | | | Have you ever had an allergic reaction to any of the following? (Check all that apply.) | Vaccines other than the COVID vaccine (1) Eggs (2) Injectable medications (3) Polyethylene glycol (PEG) or polysorbate (4) None of these (0) |
2023AQ | | | In general, would you say your health is... | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2023AQ | | | In general, would you say your quality of life is... | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2023AQ | | | In general, how would you rate your physical health? | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2023AQ | | | In general, how would you rate your mental health, including your mood and your ability to think? | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2023AQ | | | In general, how would you rate your satisfaction with your social activities and relationships? | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2023AQ | | | In general, please rate how well you carry out your usual social activities and roles. (This includes activities at home, at work and in your community, and responsibilities as a parent, child, spouse, employee, friend, etc.) | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2023AQ | | | To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair? | Completely (5) Mostly (4) Moderately (3) A little (2) Not at all (1) |
2023AQ | | | In the PAST 7 DAYS, how often have you been bothered by emotional problems, such as feeling anxious, depressed or irritable? | Never (5) Rarely (4) Sometimes (3) Often (2) Always (1) |
2023AQ | | | In the PAST 7 DAYS, how would you rate your fatigue on average? | None (5) Mild (4) Moderate (3) Severe (2) Very severe (1) |
2023AQ | | | In the PAST 7 DAYS, how would you rate your pain on average? | 0 No pain (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Worst imaginable pain (10) |
2023AQ | | PROMIS10 | In the PAST 7 DAYS, how much did pain interfere with your enjoyment of life? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very much (5) |
2023AQ | | PROMIS10 | In the PAST 7 DAYS, how much did pain interfere with your ability to concentrate? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very much (5) |
2023AQ | | PROMIS10 | In the PAST 7 DAYS, how much did pain interfere with your day to day activities? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very much (5) |
2023AQ | | PROMIS10 | In the PAST 7 DAYS, how much did pain interfere with your enjoyment of recreational activities? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very much (5) |
2023AQ | | PROMIS10 | In the PAST 7 DAYS, how much did pain interfere with doing your tasks away from home (e.g., getting groceries, running errands)? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very much (5) |
2023AQ | | PROMIS10 | In the PAST 7 DAYS, how often did pain keep you from socializing with others? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2023AQ | | | On the images below, CHECK ALL areas of your body where you have felt persistent or recurrent pain present for the last 3 months or longer (chronic pain). If you do not have ANY chronic pain anywhere in your body, please select "No Chronic Pain" and advance to the next screen. | No Chronic Pain (1) |
2023AQ | | CHRONIC_PAIN | In the list below, CHECK ALL areas of your body where you have felt persistent or recurrent pain present for the last 3 months or longer (chronic pain). If you do not have chronic pain in any of these body areas, check the "No Chronic Pain" box. | No chronic pain in this any of these body areas (0) Face (1) Right jaw (2) Left jaw (3) Right chest/breast (4) Left chest/breast (5) Abdomen (6) Pelvis (7) Right groin (8) Left groin (9) Genitals (10) Right upper arm (11) Right elbow (12) Right lower arm (13) Right wrist/hand (14) Left upper arm (15) Left elbow (16) Left lower arm (17) Left wrist/hand (18) Right upper leg (19) Right knee (20) Right lower leg (21) Right ankle/foot (22) Left upper leg (23) Left knee (24) Left lower leg (25) Left ankle/foot (26) |
2023AQ | | CHRONIC_PAIN | In the list below, CHECK ALL areas of your body where you have felt persistent or recurrent pain present for the last 3 months or longer (chronic pain). If you do not have chronic pain in any of these body areas, check the "No Chronic Pain" box. | No chronic pain in this any of these body areas (0) Head (1) Neck (2) Left shoulder (3) Right shoulder (4) Upper back (5) Lower back (6) Left hip (7) Right hip (8) Left buttocks (9) Right buttocks (10) Anus (11) |
2023AQ | | ORGANS_BORN VAGINA_BRANCH | In the PAST 12 MONTHS, have you had a Pap smear or Pap test? (A Pap smear or Pap test is a routine test in which a health care provider places an instrument inside the vagina, examines the cervix, and takes a few cells from the cervix with a small stick or brush to look for abnormal or cancer cells.) | Yes (1) No (0) I dont know (88) |
2023AQ | | ORGANS_BORN VAGINA_BRANCH | In the PAST 12 MONTHS, have you had a Pap smear or Pap test? (A Pap smear or Pap test is a routine test in which a health care provider places an instrument inside the frontal genital opening, examines the cervix, and takes a few cells from the cervix with a small stick or brush to look for abnormal or cancer cells.) | Yes (1) No (0) I dont know (88) |
2023AQ | | PAP_YR_V | Have you had a Pap smear or Pap test in the PAST 12 MONTHS where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2023AQ | | PAP_YR_V | An HPV test is sometimes added to the Pap test for cervical cancer screening. Did you have an HPV test with a Pap test in the PAST 12 MONTHS? | Yes (1) No (0) I dont know (88) |
2023AQ | | HPV_RECENTPAP | Have you had a cervical HPV test in the PAST 12 MONTHS where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2023AQ | | ORGANS_NOW | In the PAST 12 MONTHS, have you had a mammogram? A mammogram is when breast/chest tissue is squeezed between two firm surfaces to obtain X-rays/pictures of the breast/chest tissue. | Yes (1) No (0) I dont know (88) |
2023AQ | | MAMMO_YR | Have you had a mammogram in the PAST 12 MONTHS where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2023AQ | | ORGANS_BORN | In the PAST 12 MONTHS, have you had a PSA test? A PSA test is a blood test to detect prostate cancer. It is also called a prostate-specific antigen test. | Yes (1) No (0) I dont know (88) |
2023AQ | | PSA_YR | Have you had a PSA test in the PAST 12 MONTHS where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2023AQ | | | Colon or rectal cancer tests include blood stool tests, colonoscopy, and sigmoidoscopy. A blood stool test or occult blood test, also known as the fecal immunochemical (FIT) test, determines whether you have blood in your stool or bowel movement. These tests can be done at home using a kit. You use a stick or brush to obtain a small amount of stool at home and send it back to the doctor or lab. A sigmoidoscopy and colonoscopy are exams in which a tube is inserted in the rectum to view the colon for signs of cancer or other health problems. For a sigmoidoscopy, the doctor checks only part of the colon and you are fully awake. For a colonoscopy, the doctor checks the entire colon, and you are given medication through a needle in your arm to make you sleepy, and told to have someone drive you home. Before a sigmoidoscopy or colonoscopy, you are asked to take a medication that intentionally causes diarrhea. In the PAST 12 MONTHS, have you had any of these tests for colon or rectal cancer? (Check all that apply.) | None of these (0) Blood stool test (FIT test) (1) Sigmoidoscopy (2) Colonoscopy (3) |
2023AQ | | COLON_TEST | In the PAST 12 MONTHS, have you had a blood stool test (FIT) where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2023AQ | | COLON_TEST | In the PAST 12 MONTHS, have you had a sigmoidoscopy where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2023AQ | | COLON_TEST | In the PAST 12 MONTHS, have you had a colonoscopy where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2023AQ | | | In the PAST 12 MONTHS, have you had any of the following tests as an evaluation for anal or rectal cancer? (Check all that apply.) | Digital anal rectal exam (an examination where a doctor or health care provider inserts their finger into your anus (butt)) (1) Anal HPV test (a routine test with a swab that tests for human papillomavirus, HPV) (2) Anal Pap smear (a routine test in which a health care provider takes a few cells from the anus using a swab to look for abnormal or cancer cells) (3) High-Resolution Anoscopy (HRA) (an exam with a microscope of the rectum and anus) (4) I dont know (88) None of these (0) |
2023AQ | | ANORECTCA_SCREEN_YR | In the PAST 12 MONTHS, have you had a digital anal/rectal examination where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2023AQ | | ANORECTCA_SCREEN_YR | In the PAST 12 MONTHS, have you had an anal HPV examination where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2023AQ | | ANORECTCA_SCREEN_YR | In the PAST 12 MONTHS, have you had an anal Pap smear where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2023AQ | | ANORECTCA_SCREEN_YR | In the PAST 12 MONTHS, have you had a high-resolution anoscopy (HRA) where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2023AQ | | | How many DAYS PER WEEK do you do LIGHT OR MODERATE leisure-time physical activities for AT LEAST 10 MINUTES that cause ONLY LIGHT sweating or a SLIGHT to MODERATE increase in breathing or heart rate? Examples include walking, golf, moving boxes, and gardening. | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2023AQ | | MOD_DAYS | About how long (in minutes) do you do these light or moderate leisure-time physical activities each time? | Text Entry (-) |
2023AQ | | | How many DAYS PER WEEK do you do VIGOROUS leisure-time physical activities for AT LEAST 10 MINUTES that cause HEAVY sweating or LARGE increases in breathing or heart rate? Examples include aerobics, tennis, bicycling up hills, and running. | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2023AQ | | VIG_DAYS | About how long (in minutes) do you do these vigorous leisure-time physical activities each time? | Text Entry (-) |
2023AQ | | | How many DAYS PER WEEK do you do leisure-time physical activities specifically designed to STRENGTHEN your muscles such as lifting weights or doing calisthenics? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2023AQ | | | During the PAST 12 MONTHS, have you had a flu vaccine - usually a shot in your arm or sprayed in your nose by a doctor or other health professional? These are usually given in the fall and protect against influenza for the flu season. | Yes (1) No (0) I dont know (88) |
2023AQ | | | During the PAST 12 MONTHS, how many doses of the Mpox (monkeypox) vaccine did you receive? | Zero (0) (0) One (1) (1) Two (2) (2) Three (3) or more (3) |
2023AQ | | | During the PAST 12 MONTHS, did you have Mpox (monkeypox)? | Yes (1) No (0) |
2023AQ | | MPOX | When you had Mpox (monkeypox), did you receive treatment with TPOXX (also called tecovirimat or ST-246)? | Yes (1) No (0) |
2023AQ | | | Have you EVER had a pneumonia shot? This shot is usually given only once or twice in a person's lifetime and is different from the flu shot. It is also called the pneumococcal vaccine. | Yes (1) No (2) I dont know (88) |
2023AQ | | | Have you EVER received the hepatitis B vaccine? This is given in three separate doses and has been available since 1991. It is recommended for newborn infants, adolescents, and people such as health care workers, who may be exposed to the hepatitis B virus. | Yes (1) No (2) I dont know (88) |
2023AQ | | | The hepatitis A vaccine is given as a two-dose series routinely to some children starting at 1 year of age, and to some adults and people who travel outside the United States. Although it can be given as a combination vaccine with hepatitis B, it is different from the hepatitis B shot, and has only been available since 1995. Have you ever received the hepatitis A vaccine? | Yes (1) No (2) I dont know (88) |
2023AQ | | | Shingles is an outbreak of a rash or blisters on the skin that may be associated with severe pain. The pain is generally on one side of the body or face. Shingles is caused by the chicken pox virus. A vaccine for shingles has been available since May 2006. Have you ever had the Zoster or Shingles vaccine, also called Zostavax®? | Yes (1) No (2) I dont know (88) |
2023AQ | | | Have you ever received an HPV shot or vaccine? HPV stands for human papillomavirus. The vaccines are sometimes called CERVARIX® or GARDASIL®. The HPV vaccine is given as a three-dose series routinely to people from age 9-26. It was released in 2006. | Yes (0) No (1) Doctor refused when asked (2) I dont know (88) |
2023AQ | | HPVSHOT | How many HPV vaccine shots did you have? | One (1) Two (2) Three (3) I dont know (88) |
2023AQ | | | Is there a place that you USUALLY go to when you are sick or need advice about your health? | Yes (1) There is NO place (2) There is MORE THAN ONE place (3) I dont know (88) |
2023AQ | | PLACESICK | What kind of place do you go to MOST often – a clinic, doctor's office, emergency room, or some other place? | Clinic or health center (1) Doctors office or HMO (2) Hospital emergency room (3) Hospital outpatient department (4) Some other place (5) I dont go to one place most often (6) I dont know (88) |
2023AQ | | PLACESICK | Is that the same place you USUALLY go when you need routine or preventive care, such as a physical examination or check up? | Yes (1) No (0) I dont know (88) |
2023AQ | | PLACEROUTINE | What kind of place do you USUALLY go to when you need routine or preventive care, such as a physical examination or check-up? | I dont get routine or preventative care anywhere (0) Clinic or health center (1) Doctors office or HMO (2) Hospital emergency room (3) Hospital outpatient department (4) Some other place (5) I dont go to one place most often (6) I dont know (88) |
2023AQ | | | During the PAST 12 MONTHS, did you have any trouble finding a general doctor or health care provider who would see you? | Yes (1) No (0) I havent tried to see a doctor or health care provider in the past 12 months. (2) I dont know (88) |
2023AQ | | | In the PAST 12 MONTHS, have you seen or talked to any of the following health care providers about your own health? (Check all that apply.) | A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker (1) An optometrist, ophthalmologist, or eye doctor (someone who prescribes eye glasses) (2) A foot doctor (a podiatrist) (3) A chiropractor (4) A physical therapist, speech therapist, respiratory therapist, audiologist, or occupational therapist (5) A nurse practitioner, physician assistant, or midwife (6) A doctor who specializes in reproductive, genital, and sexual health (an obstetrician/gynecologist) (7) A medical doctor who specializes in a particular medical disease or problem (other than obstetrician/gynecologist, psychiatrist, or ophthalmologist) (8) A general doctor who treats a variety of illnesses (a doctor in general practice, family medicine, or internal medicine) (9) I have not seen or talked to any of these providers. (0) |
2023AQ | | | During the PAST 12 MONTHS, have you had an appointment with a doctor, nurse, or other health professional by video or by phone? (Check all that apply.) | Yes, on the phone (1) Yes, via video (2) No (0) |
2023AQ | | TELEHEALTH | What type of visit(s) have you had via telehealth in the PAST 12 MONTHS? (Check all that apply.) | Primary Care (1) Specialist Care (please specify) (2) Specialist Care (please specify) (TEXT) Psychotherapy or therapy for mental health or well-being (3) Gender-Affirming Care (4) Something else (please specify) (5) Something else (please specify) (TEXT) |
2023AQ | | | A primary care provider is a health care provider who takes care of your overall general health and may coordinate your care with other medical specialists. Do you have a primary care provider (PCP)? | Yes (1) No (0) I dont know (88) |
2023AQ | | PCP | Have you seen your primary care provider in the PAST 12 MONTHS? | Yes (1) No (0) I dont know (88) |
2023AQ | | | In the PAST 12 MONTHS, have you seen any of the following specialists? (Check all that apply.) | I did not see any specialists (0) Addiction medicine specialist (1) Allergist or immunologist (allergy doctor) (2) Cardiologist (heart doctor) (3) Dermatologist (skin doctor) (4) Endocrinologist (hormone doctor) (5) Gastroenterologist (digestive doctor) (6) Gynecologist (reproductive and genital/urinary doctor) (7) Hematologist (blood doctor) (8) Hepatologist (liver doctor) (9) Infectious disease specialist (10) Oncologist (cancer doctor) (11) Nephrologist (kidney doctor) (12) Neurologist (brain and nerve doctor) (13) Neurosurgeon (brain and spine surgeon) (14) Ophthalmologist (eye doctor) (15) Orthopedist (bone and joint doctor) (16) Otorhinolaryngologist (ear, nose, and throat doctor) (17) Pain management specialist (18) Plastic surgeon (repair, reconstruction, and physical replacement surgeon) (19) Podiatrist (foot doctor) (20) Psychiatric nurse practitioner (21) Psychiatrist (mental health doctor) (22) Psychologist, psychotherapist, or other mental health counselor (23) Pulmonologist (lung doctor) (24) Rheumatologist (joint and inflammation doctor (25) Sleep specialist (26) Speech/language therapist (27) Urologist (genital/urinary health doctor) (28) Someone not listed here (please specify) (29) Someone not listed here (please specify) (TEXT) I did not see any specialist (0) |
2023AQ | | CYOA | In the PAST 12 MONTHS, have you gone to a doctor, health care provider, or clinic for transgender-related health care (such as hormone treatment)? | Yes (1) No (0) I dont know (88) |
2023AQ | | TRANS_DOC | Does the person or place who provides your transgender-related health care also take care of your overall general health? | Yes (1) No (0) I dont know (88) |
2023AQ | | | In the PAST 12 MONTHS, have you visited a doctor, health care provider, or clinic that focuses on sexual or reproductive health (such as sexually transmitted infections, PrEP, birth control, abortion, etc.)? | Yes (1) No (0) I dont know (88) |
2023AQ | | SEX_DOC | Does the person or place who provides your sexual or reproductive health care also take care of your overall general health? | Yes (1) No (0) I dont know (88) |
2023AQ | | | During the PAST 12 MONTHS, how many times have you gone to a hospital emergency room about your health? (If you are not sure exactly how many times, please estimate.) | Text Entry (-) |
2023AQ | | ER | For what reason(s) did you go the emergency room? | Text Entry (-) |
2023AQ | | | During the PAST 12 MONTHS, have you been hospitalized overnight? | Yes (1) No (2) |
2023AQ | | HOSP | How many different times in the PAST 12 MONTHS have you been hospitalized overnight? | Text Entry (-) |
2023AQ | | HOSP | For what reason(s) were you hospitalized (e.g., shortness of breath, heart attack, chest pain, depression)? | Text Entry (-) |
2023AQ | | HOSP | How many days total were you hospitalized in the PAST 12 MONTHS? (If you are not sure exactly how many days, please estimate.) | Text Entry (-) |
2023AQ | | | In the PAST 12 MONTHS, was there any time when you did NOT have ANY health insurance or coverage? In other words, were you uninsured for any time during the previous 12 months? | Yes (1) No (0) I dont know (88) |
2023AQ | | UNINSUR | In the PAST 12 MONTHS, about how many months were you without coverage? | Less than one month (0) 1 month (1) 2 months (2) 3 months (3) 4 months (4) 5 months (5) 6 months (6) 7 months (7) 8 months (8) 9 months (9) 10 months (10) 11 months (11) 12 months (12) |
2023AQ | | | Are you CURRENTLY covered by any health insurance or health coverage plan? | Yes (1) No (0) I dont know (88) |
2023AQ | | INSURANCE | Are you CURRENTLY covered by any of the following types of health insurance or health coverage plans? (If you have more than one insurance/coverage plans, please select your primary insurance/coverage plan.) | Insurance through my current or former employer or union (1) Insurance through someone elses current or former employer or union (2) Insurance purchased through HealthCare.gov or another health insurance marketplace (sometimes called Obamacare or the Affordable Care Act) (3) Insurance purchased directly from an insurance company (4) Medicare (for people 65 and older or people with certain disabilities) (5) Medicaid (government-assistance plan for those with low incomes or a disability) (6) TRICARE or other military health care (7) Veterans Affairs (VA) (8) Indian Health Service (9) Other (10) Other (TEXT) |
2023AQ | | | In the PAST 12 MONTHS, were you delayed in getting medical care, tests, or treatments that you or a health care provider believed necessary? | Yes (1) No (0) |
2023AQ | | DELAYCARE | Which of these reasons describes why you were delayed in getting medical care, tests, or treatments you or a health care provider believed necessary? (Check all that apply.) | I couldnt afford care (0) My insurance company wouldnt approve, cover, or pay for care (1) Health care provider refused to accept the insurance plan (2) Problems getting to health care providers office (3) The health care provider could not schedule me in a timely fashion (4) I speak a different language (5) I couldnt get time off work or school (6) I dont know where to go to get care (7) I was refused services (8) I thought I would be mistreated or disrespected on the basis of my sexual orientation (9) I thought I would be mistreated or disrespected on the basis of my gender identity (10) I thought I would be mistreated or disrespected on the basis of my HIV status (11) I couldnt get child care (12) I didnt have time or took too long (13) Other (please specify) (14) Other (please specify) (TEXT) |
2023AQ | | | In the PAST 12 MONTHS, were you unable to obtain medical care, tests, or treatments that you or a health care provider believed necessary? | Yes (1) No (0) |
2023AQ | | NOCARE | Which of these best describes the reason(s) you were unable to get medical care, tests, or treatments you or a health care provider believed necessary? (Check all that apply.) | I couldnt afford care (0) My insurance company wouldnt approve, cover, or pay for care (1) Doctor refused to accept the insurance plan (2) Problems getting to doctors office (3) The health care provider could not schedule me in a timely fashion (4) I speak a different language (5) I couldnt get time off work or school (6) I dont know where to go to get care (7) I was refused services (8) I thought I would be mistreated or disrespected on the basis of my sexual orientation (9) I thought I would be mistreated or disrespected on the basis of my gender identity (10) I thought I would be mistreated or disrespected on the basis of my HIV status (11) I couldnt get child care (12) I didnt have time or took too long (13) Other (please specify) (14) Other (please specify) (TEXT) |
2023AQ | | | In the PAST 12 MONTHS, about how much did you spend in total for medical care (including transgender care) and dental care? Please include copays, coinsurance, prescription medications, etc. Please do NOT include your monthly health insurance premiums, over-the-counter drugs, or costs that you will be reimbursed for. | Zero (0) 1 - 499 (1) 500 - 1,999 (2) 2,000 - 2,999 (3) 3,000 - 4,999 (4) 5,000 or more (5) I dont know (88) |
2023AQ | | | In the PAST 12 MONTHS, about how much did you spend for prescription medications? | Zero (0) 1 - 499 (1) 500 - 1,999 (2) 2,000 - 2,999 (3) 3,000 - 4,999 (4) 5,000 or more (5) I dont know (88) |
2023AQ | | | In the PAST 12 MONTHS, did you borrow money to pay for health care? Please do NOT count health insurance premiums, over the counter drugs, or costs that you will be reimbursed for. | Yes (1) No (0) |
2023AQ | | | Are you taking any of the following supplements? (Check all that apply.) | None of these (0) Biotin (1) Calcium (2) Coenzyme (3) Cranberry (pills, capsules) (4) Echinacea (5) Fiber Supplement (6) Fish Oil/Omega-3 Fatty Acids (7) Folate/Folic Acid (B-9) (8) Garlic supplements (9) Ginkgo biloba (10) Ginseng (11) Glucosamine and/or chondroitin (12) Iron (13) Magnesium (14) Melatonin (15) Multivitamin - not prenatal vitamin (17) Prenatal vitamins (18) Probiotics/prebiotics (19) Turmeric (20) Vitamin B-12 (21) Vitamin B Complex (22) Vitamin C (23) Vitamin D (24) Zinc (25) Other (please specify, enter 1 item only) (26) Other (please specify, enter 1 item only) (TEXT) Other (please specify, enter 1 item only) (27) Other (please specify, enter 1 item only) (TEXT) Other (please specify, enter 1 item only) (28) Other (please specify, enter 1 item only) (TEXT) None of these (0) |
2023AQ | | | During the PAST 12 MONTHS, were you able to visit a dentist? Include all types of dentists, such as orthodontists, oral surgeons, and all other dental specialists, as well as dental hygienists. | Yes (1) No (0) |
2023AQ | | | During the PAST 12 MONTHS, was there a time when you needed dental care but could not get it at that time? | Yes (1) No (0) |
2023AQ | | DENTCARE_NO | What were the reasons that you could not get the dental care you needed? (Check all that apply.) | I could not afford the cost (0) I did not want to spend the money (1) Insurance did not cover recommended procedures (2) Dental office is too far away (3) Dental office is not open at convenient times (4) Another dentist recommended not doing it (5) I was afraid or do not like dentists (6) I was unable to take time off from work or school (7) I was too busy (8) I did not think anything serious was wrong/expected dental problems to go away (9) I thought I would be mistreated or disrespected on the basis of my sexual orientation (10) I thought I would be mistreated or disrespected on the basis of my gender identity (11) I thought I would be mistreated or disrespected on the basis of my HIV status (12) I did not have dental insurance (14) Other (13) Other (TEXT) |
2023AQ | | | During the PAST 12 MONTHS, have you had an exam for oral cancer in which the doctor or dentist pulls on your tongue, sometimes with gauze wrapped around it, and feels under the tongue and inside the cheeks? | Yes (1) No (0) |
2023AQ | | | How often during the PAST 12 MONTHS have you had painful aching anywhere in your mouth? Would you say…? | Very often (4) Fairly often (3) Occasionally (2) Hardly ever (1) Never (0) |
2023AQ | | | On average, how many hours of sleep do you get in a 24-HOUR PERIOD? (Please round to the nearest whole hour.) | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) |
2023AQ | | | In the PAST WEEK, how many times did you have trouble falling asleep? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) More than 7 (8) |
2023AQ | | | In the PAST WEEK, how many times did you have trouble staying asleep? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) More than 7 (8) |
2023AQ | | | In the PAST WEEK, how many times did you take medication to help you fall asleep or stay asleep? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) More than 7 (8) |
2023AQ | | | In the PAST WEEK, on how many days did you wake up feeling well rested? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2023AQ | | | I worried whether my food would run out before I got money to buy more. Was that often true, sometimes true, or never true for you in the LAST 12 MONTHS? | Often true (2) Sometimes true (1) Never true (0) I dont know (88) |
2023AQ | | | The food that I bought just didn't last, and I didn't have money to get more. Was that often, sometimes, or never true for you in the LAST 12 MONTHS? | Often true (2) Sometimes true (1) Never true (0) I dont know (88) |
2023AQ | | | I couldn't afford to eat balanced meals. Was that often, sometimes, or never true for you in the LAST 12 MONTHS? | Often true (2) Sometimes true (1) Never true (0) I dont know (88) |
2023AQ | | USDA_HH2 | In the LAST 12 MONTHS, did you ever cut the size of your meals or skip meals because there wasn't enough money for food? | Yes (1) No (0) I dont know (88) |
2023AQ | | USDA_AD1 | How often did this happen—almost every month, some months but not every month, or in only 1 or 2 months? | Almost every month (1) Some months but not every month (0) Only 1 or 2 months (88) I dont know (89) |
2023AQ | | USDA_HH2 | In the LAST 12 MONTHS, did you ever eat less than you felt you should because there wasn't enough money for food? | Yes (1) No (0) I dont know (88) |
2023AQ | | USDA_HH2 | In the LAST 12 MONTHS, were you ever hungry but didn't eat because there wasn't enough money for food? | Yes (1) No (0) I dont know (88) |
2023AQ | | USDA_HH2 | In the LAST 12 MONTHS, did you lose weight because there wasn't enough money for food? | Yes (1) No (0) I dont know (88) |
2023AQ | | USDA_AD1 | In the LAST 12 MONTHS, did you ever not eat for a whole day because there wasn't enough money for food? | Yes (1) No (0) I dont know (88) |
2023AQ | | USDA_AD5 | How often did this happen—almost every month, some months but not every month, or in only 1 or 2 months? | Almost every month (1) Some months but not every month (0) Only 1 or 2 months (2) I dont know (88) |
2023AQ | | SAAB | In the PAST 12 MONTHS, has your sperm (also known as semen, cum, nut, ejaculate) resulted in a pregnancy? | Yes (1) No (0) Not applicable. I dont produce sperm (99) I dont know (88) |
2023AQ | | PREGNANT_SPERM | How many pregnancies in the PAST 12 MONTHS resulted from your sperm? (If you are unsure, please estimate.) | Text Entry (-) |
2023AQ | | ORGANS_BORN | Have you had at least one menstrual period in the PAST 12 MONTHS? Please do not include bleedings caused by medical conditions, hormone therapy, or surgeries. | Yes (1) No (0) I dont know (88) |
2023AQ | | MENSES_YEAR | What is the reason(s) that you have not had a period in the PAST 12 MONTHS? (Check all that apply.) | Pregnancy (1) Breastfeeding/chestfeeding (2) Hysterectomy (removal of the uterus) (3) Menopause/change of life (4) Hormones, medications, or devices (like an IUD) to stop my periods (5) Other (please specify) (6) Other (please specify) (TEXT) I dont know (88) |
2023AQ | | MENSES_NOYEAR | About how old were you when you had your last menstrual period? (Please enter “88” if you don't know.) | Text Entry (-) |
2023AQ | | ORGANS_NOW MENSES_NOYEAR | Are you personally planning to be pregnant in the next year? | Yes (1) No (0) I dont know (88) |
2023AQ | | ORGANS_BORN | Have you been trying to personally become pregnant over the PAST 12 MONTHS? | Yes (1) No (0) I dont know (88) |
2023AQ | | ORGANS_BORN | In the PAST 12 MONTHS, have you been to a doctor or other medical provider because you have been unable to become pregnant? | Yes (1) No (0) I dont know (88) |
2023AQ | | ORGANS_BORN | Have you been pregnant in the PAST 12 MONTHS? | Yes (1) No (0) I dont know (88) |
2023AQ | | ORGANS_NOW PREG_YR MENSES_NOYEAR | Are you pregnant now? | Yes (1) No (0) I dont know (88) |
2023AQ | | PREG_YR | How many times have you been pregnant in the PAST 12 MONTHS? (Please count all your pregnancies including current pregnancy, live births, miscarriages, stillbirths, tubal pregnancies, and abortions.) (Please enter "88" if you don't know.) | Text Entry (-) |
2023AQ | | PREG_TIMES | Did any of your pregnancies in the PAST 12 MONTHS result in a delivery? | Yes (1) No (0) |
2023AQ | | PREG_DEL | How many vaginal deliveries have you had in the PAST 12 MONTHS? (Please count the number of deliveries [for example, twins count as 1 delivery] and please include stillbirths and live births.) (Please enter “88” if you don't know.) | Text Entry (-) |
2023AQ | | PREG_DEL | How many frontal genital opening deliveries have you had in the PAST 12 MONTHS? (Please count the number of deliveries [for example, twins count as 1 delivery] and please include stillbirths and live births.) (Please enter “88” if you don't know.) | Text Entry (-) |
2023AQ | | PREG_DEL | How many cesarean deliveries, also known as C-sections, have you had in the PAST 12 MONTHS? (Please count the number of deliveries [for example, twins count as 1 delivery] and please include stillbirths and live births.) (Please enter “88” if you don't know.) | Text Entry (-) |
2023AQ | | PREG_DEL | How many of your deliveries resulted in a live birth in the PAST 12 MONTHS? (Please count the number of deliveries [for example, twins count as 1 delivery].) (Please enter “88” if you don't know.) | Text Entry (-) |
2023AQ | | PREG_YR | How many miscarriages have you had in the PAST 12 MONTHS? (A miscarriage is a pregnancy that ends naturally during the first 20 weeks of pregnancy.) (Please enter “88” if you don't know.) | Text Entry (-) |
2023AQ | | PREG_YR | How many tubal pregnancies have you had in the PAST 12 MONTHS? (A tubal pregnancy also known as an 'ectopic pregnancy' is a pregnancy that occurs in the fallopian tube.) (Please enter “88” if you don't know.) | Text Entry (-) |
2023AQ | | PREG_YR | How many abortions have you had in the PAST 12 MONTHS? (An abortion is a pregnancy that is ended during the first 6 months using any of the following: medications, D&C, vacuum extraction, suction, and saline injections.) (Please enter “88” if you don't know.) | Text Entry (-) |
2023AQ | | LIVE_BIRTH | Please tell us the month and year of your FIRST live birth in the PAST 12 MONTHS. | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | LIVE_BIRTH | Please tell us the month and year of your MOST RECENT live birth in the PAST 12 MONTHS. | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | ORGANS_NOW | Have you breast/chest fed a child in the PAST 12 MONTHS? | Yes (1) No (0) |
2023AQ | | BREASTFED | Were the children that you breast/chest fed in the PAST 12 MONTHS born as a result of…? | My own pregnancy and delivery (1) Another persons pregnancy and delivery (2) Both, I have breast/chest fed both a child that I have delivered as well as a child that another person delivered (3) |
2023AQ | | ORGANS_BORN MENSES_NOYEAR | In the PAST 12 MONTHS, have you used any type of birth control method for the prevention of pregnancy? | Yes (1) No (0) I dont know (88) |
2023AQ | | BIRTHCONTROL_YR | Please select the birth control method(s) you have used for the prevention of pregnancy in the PAST 12 MONTHS. (Check all that apply.) | No sex with a person who produces sperm that could result in pregnancy (1) Condoms (2) Diaphragm (3) Arm implant (4) Injection (5) Intrauterine Device (IUD) -- Copper -- has no hormones (6) Intrauterine Device (IUD) -- Mirena, Skyla, or Liletta -- has hormones (7) Intrauterine Device (IUD) -- Im not sure what type (8) Menopause (9) Pill (10) Rhythm method (11) Spermicide (12) Sponge (13) Surgical (permanent) sterilization (e.g., tubal ligation, tubes tied) (14) Surgical (permanent) sterilization of your partner (e.g., vasectomy) (15) Patch/transdermal (16) Vaginal/frontal genital opening ring (17) Withdrawal (18) Another method not listed here (please specify) (19) Another method not listed here (please specify) (TEXT) None of these (0) |
2023AQ | | ORGANS_BORN | In the PAST 12 MONTHS, have you used any birth control method(s) for ANY reason OTHER THAN prevention of pregnancy? | Yes (1) No (0) I dont know (88) |
2023AQ | | BIRTHCTRL_YR_NONCON | What are the reasons that you have used birth control (OTHER THAN pregnancy prevention) in the PAST 12 MONTHS? (Check all that apply.) | To affirm my gender (1) To avoid getting a sexually-transmitted infection (STI) from someone else (2) To avoid spreading a sexually-transmitted infection (STI) that I have (3) To avoid symptoms associated with my period like: chest tenderness, bloating, acne, pain from cramping, heavy bleeding (sometimes referred to as pre-menstrual syndrome or PMS) (4) To stop having a period/reduce the amount of bleeding (5) Prevent hair growth (hirsutism) (6) To reduce chronic pelvic pain (including endometriosis) (7) To treat another medical condition (8) Not listed (please specify) (9) Not listed (please specify) (TEXT) None of these (0) |
2023AQ | | BIRTHCTRL_YR_NONCON | Please select the birth control method(s) you have used for any reason OTHER THAN prevention of pregnancy in the PAST 12 MONTHS. (Check all that apply.) | Abstinence (no sex with a person who produces sperm that could result in pregnancy) (1) Condoms (2) Diaphragm (3) Arm implant (4) Injection (5) Intrauterine Device (IUD) -- Copper -- has no hormones (6) Intrauterine Device (IUD) -- Mirena, Skyla, Liletta -- has hormones (7) Intrauterine Device (IUD) -- Im not sure what type (8) Menopause (9) Pill (10) Rhythm method (11) Spermicide (12) Sponge (13) Surgical (permanent) sterilization (e.g., tubal ligation, tubes tied) (14) Surgical (permanent) sterilization of your partner (e.g., vasectomy) (15) Patch/transdermal (16) Vaginal/frontal genital opening ring (17) Withdrawal (18) Another method not listed here (please specify) (19) Another method not listed here (please specify) (TEXT) None of these (0) |
2023AQ | | | In the PAST 30 DAYS, how interested have you been in sexual activity? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very (5) |
2023AQ | | | In the PAST 30 DAYS, how often have you felt like you wanted to have sexual activity? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2023AQ | | | In the PAST 30 DAYS, did you have any type of sexual activity? (This means ANY kind of sexual activity including masturbation.) | No (0) Yes (1) |
2023AQ | | SFSCR202 VAGINA_BRANCH | There are many reasons why people may not have had sexual activity during the month. What are the reasons why you did not have sexual activity in the past 30 days? Please read the list carefully and check every reason that applies to you, even if it happened only one time during the PAST 30 DAYS. | Was not interested in having sexual activity (1) Dryness or pain in or around my vagina (2) Difficulties with orgasm/climax (3) Dont enjoy sexual activity (4) Health condition (5) No partner(s) (6) Partner(s) was away (7) Partner(s) was not interested in sexual activity (8) Health condition of my partner(s) (9) Some other reason (please specify) (10) Some other reason (please specify) (TEXT) |
2023AQ | | SFSCR202 VAGINA_BRANCH | There are many reasons why people may not have had sexual activity during the month. What are the reasons why you did not have sexual activity in the past 30 days? Please read the list carefully and check every reason that applies to you, even if it happened only one time during the PAST 30 DAYS. | Was not interested in having sexual activity (1) Dryness or pain in or around my frontal genital opening (2) Difficulties with orgasm/climax (3) Dont enjoy sexual activity (4) Health condition (5) No partner(s) (6) Partner(s) was away (7) Partner(s) was not interested in sexual activity (8) Health condition of my partner(s) (9) Some other reason (please specify) (10) Some other reason (please specify) (TEXT) |
2023AQ | | SFSCR202 | In the PAST 30 DAYS, how often did you become lubricated ("wet") during sexual activity? (Note here lubrication or wetness refers to spontaneous lubrication or wetness without the use of lubricants, gels, creams, oils, etc.) | Almost always or always (1) Most times (more than half the time) (2) Sometimes (about half the time) (3) A few times (less than half the time) (4) Almost never or never (5) |
2023AQ | | SFSCR202 | In the PAST 30 DAYS, how difficult was it to become lubricated ("wet") during sexual activity? (Note here lubrication or wetness refers to spontaneous lubrication or wetness without the use of lubricants, gels, creams, oils, etc.) | Extremely difficult or impossible (1) Very difficult (2) Difficult (3) Slightly difficult (4) Not difficult (5) |
2023AQ | | SFSCR202 | In the PAST 30 DAYS, how difficult was it to maintain your lubrication ("wetness") until completion of sexual activity? (Note here lubrication or wetness refers to spontaneous lubrication or wetness without the use of lubricants, gels, creams, oils, etc.) | Extremely difficult or impossible (1) Very difficult (2) Difficult (3) Slightly difficult (4) Not difficult (5) |
2023AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you felt inside your vagina? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2023AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you felt inside your frontal genital opening? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2023AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you felt inside your vagina? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2023AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you felt inside your frontal genital opening? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2023AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you had in your labia (lips around the opening of the vagina)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have labia (6) |
2023AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you had in your labia (lips around the opening of the frontal genital opening)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have labia (6) |
2023AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you had in your labia (lips around the opening of the vagina)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have labia (6) |
2023AQ | | SFSCR202 VAGINA_BRANCH | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you had in your labia (lips around the opening of the frontal genital opening)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have labia (6) |
2023AQ | | SFSCR202 | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you had in your clitoris (clit)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have a clitoris (6) |
2023AQ | | SFSCR202 | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you had in your clitoris (clit)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) Not applicable, I dont have a clitoris (6) |
2023AQ | | SFSCR202 | There are many reasons why people may not have had sexual activity during the month. What are the reasons why you did not have sexual activity in the past 30 days? Please read the list carefully and check every reason that applies to you, even if it happened only one time during the PAST 30 DAYS. | Was not interested in having sexual activity (1) Difficulties with my erections (penis/phallus not hard or is painful) (2) Difficulties with orgasm/climax (3) Dont enjoy sexual activity (4) Health condition (5) No partner(s) (6) Partner(s) was away (7) Partner(s) was not interested in sexual activity (8) Health condition of my partner(s) (9) Some other reason (please specify) (10) Some other reason (please specify) (TEXT) |
2023AQ | | | In the PAST 30 DAYS, how often were you able to get an erection (get hard) during sexual activity? | Almost never/never (1) A few times (much less than half the time) (2) Sometimes (about half the time) (3) Most times (much more than half the time) (4) Almost always/always (5) |
2023AQ | | | In the PAST 30 DAYS, when you had erections with sexual stimulation how often were your erections hard enough for penetration? | I was not attempting to penetrate a partner (0) Almost never/never (1) A few times (much less than half the time) (2) Sometimes (about half the time) (3) Most times (much more than half the time) (4) Almost always/always (5) |
2023AQ | | | In the PAST 30 DAYS, during sexual intercourse how often were you able to maintain your erection (stay hard) after you had penetrated (entered) your partner? | I was not attempting to penetrate a partner (0) Almost never/never (1) A few times (much less than half the time) (2) Sometimes (about half the time) (3) Most times (much more than half the time) (4) Almost always/always (5) |
2023AQ | | SFSCR202 | In the PAST 30 DAYS, how often have you been able to have an orgasm/climax when you wanted to? | Have not tried to have an orgasm/climax in the past 30 days (0) Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2023AQ | | SFSCR202 | In the PAST 30 DAYS, how satisfying have your orgasms or climaxes been? | Have not had an orgasm/climax in the past 30 days (0) Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very (5) |
2023AQ | | SFSCR202 | In the PAST 30 DAYS, how much pleasure have your orgasms or climaxes given you? | Have not had an orgasm/climax in the past 30 days (0) None (1) A little bit (2) Some (3) Quite a bit (4) Very much (5) |
2023AQ | | SFSCR202 | In the PAST 30 DAYS, how often have you had discomfort in your mouth during sexual activity? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2023AQ | | SFSCR202 | In the PAST 30 DAYS, how often have you had pain in your mouth during sexual activity? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2023AQ | | SFSCR202 | In the PAST 30 DAYS, how often have you had dryness in your mouth during sexual activity? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2023AQ | | SFSCR202 | In the PAST 30 DAYS, when you have had sexual activity, how dry has your mouth been? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very (5) |
2023AQ | | SFSCR202 | In the PAST 30 DAYS, when you have had sexual activity, how much discomfort have you had in or around your anus or rectum (butt)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2023AQ | | SFSCR202 | In the PAST 30 DAYS, when you have had sexual activity, how much pain have you had in or around your anus or rectum (butt)? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2023AQ | | SFSCR202 | In the PAST 30 DAYS, how satisfied have you been with your sex life? | Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very (5) |
2023AQ | | SFSCR202 | In the PAST 30 DAYS, how much pleasure has your sex life given you? | None (1) A little bit (2) Some (3) Quite a bit (4) A lot (5) |
2023AQ | | SFSCR202 | In the PAST 30 DAYS, how often have you thought that your sex life is wonderful? | Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) |
2023AQ | | SFSCR202 | In the PAST 30 DAYS, how satisfied have you been with your sexual relationship(s)? | Have not had a sexual relationship with another person in the past 30 days (0) Not at all (1) A little bit (2) Somewhat (3) Quite a bit (4) Very (5) |
2023AQ | | | Sexual Health and Activities The next questions will ask you about your sexual activities including specific sexual behaviors and acts. If you wish to opt out of this section because of this, please indicate below. | I wish to answer this section. (1) I wish to skip this section. (0) |
2023AQ | | | Some people engage in sexual activities with another person(s) using object(s) not made of human skin that are shaped like a cylinder or penis/phallus. Do you have that kind of sex? | Yes (1) No (0) |
2023AQ | | PROSTHESIS_SEX_HAVE | What do you call that object or object(s)? | Text Entry (-) |
2023AQ | | PROSTHESIS_SEX_HAVE | How do you use this object? (Check all that apply.) | I insert the object into someones body (1) I receive the object into my body (2) I use this object in another way (please describe) (3) I use this object in another way (please describe) (TEXT) |
2023AQ | | PROSTHESIS_HOW_USE | How do you use this object when you insert the object into someone else's body? (Check all that apply.) | I insert the object into someones mouth (1) I insert the object into someones vagina/frontal genital opening. (2) I insert the object into someones anus (3) I insert the object into another part of someones body (please specify) (4) I insert the object into another part of someones body (please specify) (TEXT) |
2023AQ | | PROSTHESIS_INSERT | How often do you insert that object into the mouth of a sexual partner(s)? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2023AQ | | PROSTHESIS_INSERT | How often do you insert that object into the vagina/frontal genital opening of a sexual partner(s)? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2023AQ | | PROSTHESIS_INSERT | How often do you insert that object into the anus of a sexual partner(s)? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2023AQ | | PROSTHESIS_HOW_USE | How do you use this object when inserted into your body? (Check all that apply.) | I receive the object into my mouth (1) I receive the object into my vagina/frontal genital opening. (2) I receive the object into my anus (3) I receive the object into another part of my body (please specify) (4) I receive the object into another part of my body (please specify) (TEXT) |
2023AQ | | PROSTHESIS_REC | How often do you have the object inserted into your mouth by a sexual partner(s)? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2023AQ | | PROSTHESIS_REC | How often do you have the object inserted into your vagina/frontal genital opening by a sexual partner(s)? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2023AQ | | PROSTHESIS_REC | How often do you have the object inserted into your anus by a sexual partner(s)? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2023AQ | | | In the PAST 12 MONTHS, have you masturbated? Masturbation is touching yourself for sexual pleasure. | Yes (1) No (0) |
2023AQ | | MASTURBATE_YR | How often do you masturbate? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2023AQ | | MASTURBATE_YR | Have you masturbated in the presence of an intimate or romantic partner in PAST 12 MONTHS? | Yes (1) No (0) |
2023AQ | | | Have you engaged in any kind of sexual activity with another person in the PAST 12 MONTHS? | Yes (1) No (0) |
2023AQ | | SEX_PASTYR | In the PAST 12 MONTHS, what are the gender identities of the people that you had any sexual activity with? (Check all that apply.) | Cisgender men or individuals who identify as men and were assigned male sex at birth (1) Cisgender women or individuals who identify as women and were assigned female sex at birth (2) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned female sex at birth (5) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned male sex at birth (6) Transgender men or individuals who identify as men and were assigned female sex at birth (3) Transgender women or individuals who identify as women and were assigned male sex at birth (4) Person of another gender(s) (please specify) (7) Person of another gender(s) (please specify) (TEXT) I dont know (88) Decline to state (99) |
2023AQ | | SEX_PASTYR VAGINA_BRANCH | In the PAST 12 MONTHS, have you had receptive vaginal sex where a penis/phallus (made of flesh and permanently connected to your body) is put in your vagina? | Yes (1) No (0) |
2023AQ | | SEX_PASTYR VAGINA_BRANCH | In the PAST 12 MONTHS, have you had receptive frontal genital opening sex where a penis/phallus (made of flesh and permanently connected to your body) is put in your frontal genital opening? | Yes (1) No (0) |
2023AQ | | VAGSEX_VAG_22_V | How often do you have receptive vaginal sex where a penis/phallus (made of flesh and permanently connected to your body) is put in your vagina? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2023AQ | | VAGSEX_VAG_22_FGO | How often do you have receptive frontal genital opening sex where a penis/phallus (made of flesh and permanently connected to your body) is put in your frontal genital opening? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2023AQ | | SEX_PASTYR | In the PAST 12 MONTHS, have you had insertive vaginal sex where you put your penis/phallus (made of flesh and permanently connected to your body) in someone's vagina? | Yes (1) No (0) |
2023AQ | | VAGSEX_PEN_22_V | How often do you have insertive vaginal sex where you put penis/phallus (made of flesh and permanently connected to your body) in someone's vagina? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2023AQ | | SEX_PASTYR | In the PAST 12 MONTHS, have you had insertive frontal genital opening sex where you put your penis/phallus (made of flesh and permanently connected to your body) in someone's frontal genital opening? | Yes (1) No (0) |
2023AQ | | VAGSEX_PEN_22_FGO | How often do you have insertive frontal genital opening sex where you put penis/phallus (made of flesh and permanently connected to your body) in someone's frontal genital opening? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2023AQ | | SEX_PASTYR VAGINA_BRANCH | In the PAST 12 MONTHS, have you had sex where your vagina is touching another person's vagina? | Yes (1) No (0) |
2023AQ | | SEX_PASTYR VAGINA_BRANCH | In the PAST 12 MONTHS, have you had sex where your frontal genital opening is touching another person's frontal genital opening? | Yes (1) No (0) |
2023AQ | | VAG2VAG_YR_V | How often do you have sex where your vagina is touching another person's vagina? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2023AQ | | VAG2VAG_YR_FGO | How often do you have sex where your frontal genital opening is touching another person's frontal genital opening? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2023AQ | | SEX_PASTYR | Have you performed oral sex where you put your mouth on another person's genitals in the PAST 12 MONTHS? (Check all that apply.) | Yes, on a person with a penis/phallus (made of flesh and permanently connected to their body) (1) Yes, on a person with a vagina (2) No (0) |
2023AQ | | SEX_PASTYR | Have you performed oral sex where you put your mouth on another person's genitals in the PAST 12 MONTHS? (Check all that apply.) | Yes, on a person with a penis/phallus (made of flesh and permanently connected to their body) (1) Yes, on a person with a frontal genital opening (2) No (0) |
2023AQ | | ORAL_GIVE_PASTYR22_V | How often do you perform oral sex on a person with a penis/phallus (made of flesh and permanently connected to someone's body)? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2023AQ | | ORAL_GIVE_PASTYR22_V | How often do you perform oral sex on a person with a vagina? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2023AQ | | ORAL_GIVE_PASTYR_FGO | How often do you perform oral sex on a person with a frontal genital opening? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2023AQ | | SEX_PASTYR | Have you received oral sex where someone put their mouth on your genitals in the PAST 12 MONTHS? | Yes (1) No (0) |
2023AQ | | ORAL_GET_PASTYR_22 | How often have you received oral sex where someone put their mouth on your genitals? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2023AQ | | SEX_PASTYR | Have you performed oral-anal sex (also called "rimming") where there was contact between your mouth and someone's anus or butt in the PAST 12 MONTHS? | Yes (1) No (0) |
2023AQ | | RIM_PASTYR_22 | How often do you perform oral-anal sex (also called "rimming") where there is contact between your mouth and someone's anus or butt? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2023AQ | | SEX_PASTYR | Have you performed or received digital penetration (also called "fingering") in the PAST 12 MONTHS? (Check all that apply.) | Yes, I performed digital penetration and had contact between my finger(s) and someones vagina (1) Yes, I performed digital penetration and had contact between my finger(s) and someones anus or butt (2) Yes, I received digital penetration and had contact between my vagina and someone elses fingers (3) Yes, I received digital penetration and had contact between my anus or butt and someone elses fingers (4) No (0) |
2023AQ | | SEX_PASTYR | Have you performed or received digital penetration (also called "fingering") in the PAST 12 MONTHS? (Check all that apply.) | Yes, I performed digital penetration and had contact between my finger(s) and someones frontal genital opening (1) Yes, I performed digital penetration and had contact between my finger(s) and someones anus or butt (2) Yes, I received digital penetration and had contact between my frontal genital opening and someone elses fingers (3) Yes, I received digital penetration and had contact between my anus or butt and someone elses fingers (4) No (0) |
2023AQ | | FINGER_PASTYR_V_22 | How often do you perform digital penetration (also called "fingering") by putting your fingers into someone's vagina? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2023AQ | | FINGER_PASTYR_FGO_22 | How often do you perform digital penetration (also called "fingering") by putting your fingers into someone's frontal genital opening? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2023AQ | | FINGER_PASTYR_V_22 | How often do you perform digital penetration (also called "fingering") by putting your fingers into someone's anus or butt? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2023AQ | | SEX_PASTYR | In the PAST 12 MONTHS, have you had anal sex where there is contact between a penis/phallus (made of flesh and permanently connected to someone's body) and your anus or butt? | Yes (1) No (0) |
2023AQ | | ANAL_VAG_22 | How often do you have anal sex where there is contact between a penis/phallus (made of flesh and permanently connected to your body) and your anus or butt? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2023AQ | | SEX_PASTYR | Have you had anal sex in the PAST 12 MONTHS? (Check all that apply.) | Yes, I have had contact between my penis/phallus (made of flesh and permanently connected to your body) and someones anus or butt (also known as insertive anal sex or topping) (1) Yes, I have had contact between someones penis/phallus (made of flesh and permanently connected to someones body) and my anus or butt (also known as receptive anal sex or bottoming) (2) No (0) |
2023AQ | | ANAL_PEN_PASTYR | How often do you have contact between your penis/phallus (made of flesh and permanently connected to your body) and someone's anus or butt (also known as insertive anal sex or "topping")? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2023AQ | | ANAL_PEN_PASTYR | How often do you have contact between someone's penis/phallus (made of flesh and permanently connected to someone's body) and your anus or butt (also known as receptive anal sex or "bottoming")? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2023AQ | | SEX_PASTYR | In the PAST 12 MONTHS, with how many different people have you had any kind of sex? (If you are unsure, please estimate as best you can.) | Text Entry (-) |
2023AQ | | VAG2VAG_YR_V | In the PAST 12 MONTHS, with how many people have you had sex where your vagina touches another person's vagina? | Text Entry (-) |
2023AQ | | VAG2VAG_YR_FGO | In the PAST 12 MONTHS, with how many people have you had sex where your frontal genital opening touches another person's frontal genital opening? | Text Entry (-) |
2023AQ | | VAG2VAG_YR_V | In the PAST 12 MONTHS, about how often have you had sex where your vagina touches another person's vagina without protection from sexually transmitted infections like a dental dam, plastic wrap, latex gloves etc.? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2023AQ | | VAG2VAG_YR_FGO | In the PAST 12 MONTHS, about how often have you had sex where your frontal genital opening touches another person's frontal genital opening without protection from sexually transmitted infections like a dental dam, plastic wrap, latex gloves etc.? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2023AQ | | VAGSEX_PEN_22_V | In the PAST 12 MONTHS, with how many people have you had insertive vaginal sex where you put your penis/phallus (made of flesh and permanently connected to your body) in someone's vagina? | Text Entry (-) |
2023AQ | | VAGSEX_PEN_22_V | In the PAST 12 MONTHS, about how often have you had insertive vaginal sex without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2023AQ | | VAGSEX_INS_NOCON_V | In the PAST 12 MONTHS, with how many different people have you had insertive vaginal sex without a condom? | Text Entry (-) |
2023AQ | | VAGSEX_PEN_22_FGO | In the PAST 12 MONTHS, with how many people have you had insertive vaginal sex where you put your penis/phallus (made of flesh and permanently connected to your body) in someone's frontal genital opening. | Text Entry (-) |
2023AQ | | VAGSEX_PEN_22_FGO | In the PAST 12 MONTHS, about how often have you had insertive frontal genital opening sex without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2023AQ | | VAGSEX_INS_NOCON_FGO | In the PAST 12 MONTHS, with how many different people have you had insertive frontal genital opening sex without a condom? | Text Entry (-) |
2023AQ | | VAGSEX_VAG_22_V | In the PAST 12 MONTHS, with how many people have you had receptive vaginal sex where someone put their penis/phallus (made of flesh and permanently connected to your body) in your vagina? | Text Entry (-) |
2023AQ | | VAGSEX_VAG_22_FGO | In the PAST 12 MONTHS, with how many people have you had receptive vaginal sex where someone put their penis/phallus (made of flesh and permanently connected to your body) in your frontal genital opening? | Text Entry (-) |
2023AQ | | VAGSEX_VAG_22_V | In the PAST 12 MONTHS, about how often have you had receptive vaginal sex without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2023AQ | | VAGSEX_VAG_22_FGO | In the PAST 12 MONTHS, about how often have you had receptive frontal genital opening sex without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2023AQ | | VAGSEX_RECEP_NOCON_V | In the PAST 12 MONTHS, with how many different people have you had receptive vaginal sex without a condom? | Text Entry (-) |
2023AQ | | VAGSEX_RECEP_NOCON_F | In the PAST 12 MONTHS, with how many different people have you had receptive frontal genital opening sex without a condom? | Text Entry (-) |
2023AQ | | ANAL_PEN_PASTYR | In the PAST 12 MONTHS, with how many people have you "bottomed" or had receptive anal sex where there was contact between a penis/phallus (made of flesh and permanently connected to someone's body) and your anus or butt? (If you are unsure, please estimate as best you can.) | Text Entry (-) |
2023AQ | | ANAL_PEN_PASTYR | In the PAST 12 MONTHS, about how often have you "bottomed" or had receptive anal sex without using a condom where there was contact between a penis/phallus (made of flesh and permanently connected to someone's body) and your anus or butt? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2023AQ | | ANALSEX_NOCON_22 | In the PAST 12 MONTHS, with how many different people have you "bottomed" or had receptive anal sex without a condom where there was contact between a penis/phallus (made of flesh and permanently connected to someone's body) and your anus or butt? | Text Entry (-) |
2023AQ | | | In the PAST 12 MONTHS, with how many people have you "topped" or had insertive anal sex where there was contact between your penis/phallus penis/phallus (made of flesh and permanently connected to your body) and someone's anus or butt? | Text Entry (-) |
2023AQ | | ANAL_PEN_PASTYR | In the PAST 12 MONTHS, about how often have you "topped" or had insertive anal sex without using a condom where there was contact between your penis/phallus (made of flesh and permanently connected to your body) and someone's anus or butt? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2023AQ | | TOP_NOCON_22 | In the PAST 12 MONTHS, with how many different people have you "topped" or had insertive anal sex without a condom where there was contact between your penis/phallus (made of flesh and permanently connected to your body) and someone's anus or butt.) (If you are unsure, please estimate as best you can.) | Text Entry (-) |
2023AQ | | | In the PAST 12 MONTHS, have you had any of these of types of sex that we haven't already asked about? (Check all that apply.) | None of these (0) BDSM (1) Chemsex / Party and Play (PNP) (2) Electrical stimulation (e-stim) (3) Restricting breathing or erotic asphyxiation (4) Fisting (that is, hand/fist inserted into a person) (5) Group sex (6) Latex/rubber play (7) Phone/video sex (8) Role play (9) Rubbing through clothing (10) Rubbing with clothing off (11) Sexting (12) Sex toys (for example, dildos, butt plugs) (13) Sounding (that is, inserting something into urethra/pee hole) (14) Urine play (for example, golden showers, watersports) (15) Voyeurism (16) Another type(s) of sex (please specify) (17) Another type(s) of sex (please specify) (TEXT) |
2023AQ | | | At The PRIDE Study, we know that we may not know or understand everything about every kind of sexual interaction or activity. If you have other kinds of sex that we haven't already asked about, please describe that below. | Text Entry (-) |
2023AQ | | ORGANS_BORN | In the PAST 12 MONTHS, have you been treated for an infection in your fallopian tubes, uterus or ovaries, also called a pelvic infection, pelvic inflammatory disease, or PID? | Yes (1) No (0) I dont know (88) |
2023AQ | | | In the PAST 12 MONTHS, has a doctor or other health care professional told you that you had any of the following? (Check all that apply.) | Chlamydia (1) Genital herpes (2) Genital warts (3) Gonorrhea, sometimes called GC or the clap (4) Human papillomavirus or HPV (5) Syphilis (6) Trichomonas, sometimes called Trich (7) Bacterial vaginosis, sometimes called BV (8) None of these (0) |
2023AQ | | | Regardless of your current HIV status, in the LAST 12 MONTHS, have you taken anti-HIV medications (post-exposure prophylaxis or “PEP”) after potentially being exposed to HIV? | Yes (1) No (0) |
2023AQ | | MEDHX2 | Have you been tested for HIV in the PAST 12 MONTHS? | Yes (1) No (0) I dont know (88) |
2023AQ | | MEDHX2 | What is your HIV status? | Positive (I have HIV.) (1) Negative (I do not have HIV.) (0) I dont know (I dont know whether or not I have HIV.) (88) |
2023AQ | | HIVSTATUS | Do you have a doctor or other health care provider who manages your HIV care? This person may be the same as your primary care provider or it may be another provider, such as a HIV specialist. | Yes (1) No (0) I dont know (88) |
2023AQ | | HIVDOC | How frequently do you see this health care provider? | Monthly (0) Every 1-3 months (1) Every 4-6 months (2) Every 7-12 months (3) Less than every 12 months (4) |
2023AQ | | MEDHX2 | How frequently do you have HIV blood work (lab tests) done? | Monthly (1) Every 1-3 months (2) Every 4-6 months (3) Every 7-12 months (4) Less than every 12 months (5) I dont know (88) I have never had these lab tests done (0) |
2023AQ | | HIVSTATUS | Are you on HIV medications, sometimes call anti-retrovirals (ARVs) or anti-retroviral therapy (ART)? | Yes (1) No (0) I dont know (88) |
2023AQ | | HIVSTATUS | When was the last time that you had your HIV viral load checked? A viral load test is a lab test that measures the number of HIV virus particles in a milliliter of your blood. These particles are called “copies.” | Within the last month (1) 1-3 months ago (2) 4-6 months ago (3) 7-12 months ago (4) More than 1 year ago (5) I dont know (88) I have never had my HIV viral load checked (0) |
2023AQ | | HIVSTATUS | Is your HIV viral load “suppressed” or “undetectable”? This means that the number of copies of the HIV virus in your blood is at a very low level or not detectable by modern medical tests. This does not mean that your HIV is cured. | Yes (1) No (0) I dont know (88) |
2023AQ | | MEDHX2 HIVSTATUS | PrEP (pre-exposure prophylaxis) is when HIV-negative people take anti-HIV medications (like Truvada, Descovy, or Apretude) on a regular basis to prevent HIV infection. Are you USING PrEP to prevent HIV infection? | Yes (1) No (0) |
2023AQ | | PREP_NOW | Which PrEP medication are you currently using? | Apretude injections (long-acting cabotegravir) (1) Descovy (emtricitabine/tenofovir alafenamide) FTC/TAF (2) Truvada (emtricitabine/tenofovir disoproxil fumarate) FTC/TDF, including generic forms (4) Another medication (please specify) (3) Another medication (please specify) (TEXT) |
2023AQ | | PREP_NOW | Which PrEP regimen do you currently use? | I take PrEP daily. (1) I take PrEP on demand. This is two pills 24 hours before sex, one pill 24 hours later, and another one pill 24 hours after that. (2) I take PrEP via an injection every 2 months. (5) I take PrEP a different way (please specify) (4) I take PrEP a different way (please specify) (TEXT) I do not use a specific PrEP regimen. (3) |
2023AQ | | PREP_REGIMEN | In the PAST 7 DAYS, how many days did you take your daily PrEP pill? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2023AQ | | PREP_NOW | Are you using PrEP as part of a clinical or research study? | Yes (1) No (0) |
2023AQ | | PREP_NOW | In the PAST 12 MONTHS, were you previously on pre-exposure prophylaxis (PrEP) for HIV prevention but stopped taking it? | Yes (1) No (0) |
2023AQ | | PREP_STOP_YR | Why are you no longer on PrEP? (Check all that apply.) | My risk of getting HIV is now less because I am in a relationship and/or having less risky sexual activity. (1) PrEP is too expensive. (2) My insurance coverage has changed or I have lost insurance coverage. (3) I forgot to take it most of the time so I decided to stop. (4) It is too much of a hassle to get labs every 3 months. (5) I was having side effects so I decided to stop. (6) My doctor or health care provider said that I needed to stop the medication because of my lab results. (7) I feel discriminated against or stigmatized because I am on PrEP. (8) I acquired HIV. (9) Something else (10) Something else (TEXT) |
2023AQ | | HIVSTATUS | If you are interested in learning more about PrEP, we encourage you to check out the following resources and talk with your medical provider. For information about PrEP from the Centers for Disease Control and Prevention, please visit: cdc.gov/hiv/risk/prep/ To find a PrEP provider near you, please visit: pleaseprepme.org | No Answers |
2023AQ | | HIVSTATUS | Although PrEP is for individuals who are HIV negative, we want to share more information about PrEP with individuals who are living with HIV in case they wish to pass this along to other individuals close to them. PrEP (pre-exposure prophylaxis) is when HIV-negative people take anti-HIV medications (like Truvada, Descovy, or Apretude) on a regular basis to prevent HIV infection For information about PrEP from the Centers for Disease Control and Prevention, please visit: cdc.gov/hiv/risk/prep/ To find a PrEP provider near you, please visit: pleaseprepme.org | No Answers |
2023AQ | | | Some people take doxycycline ("doxy") within 72 hours of having sex in order to prevent against bacterial sexually-transmitted infections (like chlamydia, gonorrhea, and syphilis). Some people take doxycycline ("doxy") daily in order to prevent against bacterial sexually-transmitted infections (like chlamydia, gonorrhea, and syphilis). Are you USING doxycycline to prevent sexually-transmitted infections? | Yes, I take doxycycline after having sex (sometimes called DoxyPEP) to prevent STIs. (1) Yes, I take doxycycline daily (sometimes called DoxyPrEP) to prevent STIs. (2) No, I am not taking doxycycline for this purpose (0) |
2023AQ | | | Have you donated blood in the PAST 12 MONTHS? | Yes (1) No (0) |
2023AQ | | | In the PAST 12 MONTHS, have you used “binding”? (Binding refers to flattening your chest using materials such as bandages, cloth strips, layering of shirts, etc.) | Yes (1) No (0) |
2023AQ | | BINDING | Please indicate below which of the following health problems you have had in the PAST 12 MONTHS, and you believe that they were caused by binding. (Check all that apply.) | Pain (for example, abdominal, back, chest, breast, shoulder) (1) Headache (2) Breast tenderness (3) Bad Posture (4) Rib or spine changes (5) Bone or joint issues (for example, popping joints, rib fractures) (6) Fatigue and Weakness (7) Feeling lightheaded or dizzy (8) Numbness (9) Chest/Breast changes (for example, muscle wasting, scarring, swelling) (10) Digestive issues or heartburn (11) Respiratory Issues (for example, cough, shortness of breath, respiratory infections, collapsed lung/pneumothorax) (12) Skin Changes (for example, itch, rash, acne, infections) (13) Another health problem not listed here (please describe) (14) Another health problem not listed here (please describe) (TEXT) None or no health problems from binding (0) |
2023AQ | | | In the PAST 12 MONTHS, have you used “packing”? (Packing refers to placing an object in one's underwear to resemble the appearance of a penis/phallus.) | Yes (1) No (0) |
2023AQ | | PACKING | Please indicate below which of the following health problems you have had in the PAST 12 MONTHS, and you believe that they were caused by packing. (Check all that apply.) | Skin rashes (1) Skin infections (2) Other skin changes (for example, thickening, color changes, pubic hair changes, scars, etc.) (3) Urinary tract or bladder infections (4) Pain/numbness in the groin area (5) Another health problem not listed here (please describe) (6) Another health problem not listed here (please describe) (TEXT) None or no health problems from packing (0) |
2023AQ | | | In the PAST 12 MONTHS, have you used “stuffing”? (Stuffing refers to changing the appearance of your chest/breasts using materials such as push-up bras, gel pads, cloth strips, cotton gauze, tape, etc.) | Yes (1) No (0) |
2023AQ | | | In the PAST 12 MONTHS, have you used “tucking”? (Tucking refers to concealing one's genitals by placing them between and behind one's legs, and/or by pushing them inside your groin/abdomen.) | Yes (1) No (0) |
2023AQ | | TUCKING | Please indicate below which of the following health problems you have had in the PAST 12 MONTHS, and you believe that they were caused by tucking. (Check all that apply.) | Skin rashes (1) Skin infections (2) Other skin changes (for example, thickening, color changes, pubic hair changes, scars, etc.) (3) Itching (4) Urinary tract or bladder infection(s) (5) Problems ejaculating (6) Problems urinating (7) Pain in penis (8) Pain in testicles (9) Numbness in the penis or testicles (10) Another health problem not listed here (please describe) (11) Another health problem not listed here (please describe) (TEXT) None or no health problems from tucking (0) |
2023AQ | | | In the PAST 12 MONTHS, have you injected a substance (fillers) to fill out your face or make your figure more curvy (for example, silicone)? | Yes (1) No (0) |
2023AQ | | SILICONE | Please indicate below which of the following health problems you have had in the PAST 12 MONTHS, and you believe that they were caused by the injections. (Check all that apply.) | Skin rashes (1) Skin infections (2) Other skin changes (for example, thickening, color changes, scars, swelling etc.) (3) Whole body infections (for example, blood bacterial infection, HIV, Hepatitis C) (4) Breathing problems (5) Pain in the areas of injection (6) Another health problem not listed here (please describe) (7) Another health problem not listed here (please describe) (TEXT) None or no health problems from silicone/other substance injections (0) |
2023AQ | | SILICONE | Where did you get your injections? (Check all that apply.) | Injections from a licensed medical provider (1) Injections during a group session (for example, pumping party) (2) Individual injections from someone who is not a medical provider (3) Another place (please describe) (4) Another place (please describe) (TEXT) |
2023AQ | | | In the PAST 12 MONTHS, have you used “stand-to-pee” or STP device to stand up to pee? | Yes (1) No (0) |
2023AQ | | STP | Please indicate below which of the following health problems you have had in the PAST 12 MONTHS, and you believe that they were caused by using a “stand-to-pee” (STP) device. (Check all that apply.) | Skin rashes (1) Skin infections (2) Other skin changes (for example, thickening, color changes, pubic hair changes, scars, etc.) (3) Urinary tract or bladder infections (4) Pain/numbness in the groin area (5) Another health problem not listed here (please describe) (6) Another health problem not listed here (please describe) (TEXT) None or no health problems from using an STP device (0) |
2023AQ | | | Do you currently use medical cannabis/marijuana to manage any physical or mental health conditions? | Yes, it is legal in my state and/or I have a health care providers recommendation to do so (2) Yes, but it is not legal in my state and/or I do not have a health care providers recommendation to do so (1) No (0) |
2023AQ | | MEDMJ | What problems or conditions do you use medical cannabis/marijuana to manage? (One problem or condition per line.) | Text Entry (-) |
2023AQ | | MEDMJ | How effective has medical cannabis/marijuana been in managing this/these problem(s) or condition(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2023AQ | | MEDMJ | What forms of medical cannabis/marijuana have you used in the past month? (Check all that apply.) | Smoking cannabis/marijuana in flower/plant form (1) Vaporizing cannabis/marijuana in flower/plant form or as an extract (2) Dabbing cannabis/marijuana concentrates (e.g., wax, shatter) (3) Eating cannabis/marijuana in capsules or food products (4) Applying cannabis-containing balms, tinctures, or other products (5) Other (please specify) (6) Other (please specify) (TEXT) |
2023AQ | | | You have completed the Physical Health Block! This is one of 4 blocks! WOOHOO - another one done! Each block you complete helps us understand LGBTQIA people's unique lives and health experiences as we work towards helping LGBTQIA people thrive. Thank you for bringing us closer to health equity for LGBTQIA people. | No Answers |
2023AQ | | | As far as you know, without searching the internet or asking anyone, does the state where you currently live have a state-level law or policy that prohibits discrimination against a person because of their sexual orientation in any of the following areas? (Check all that apply.) | Adoption/fostering (1) Education (4) Employment (5) Health care (6) Housing (7) Public accommodations/public places (8) I dont know (9) None of these (10) |
2023AQ | | | As far as you know, without searching the internet or asking anyone, does the state where you currently live have a state-level law or policy that prohibits discrimination against a person because of their gender identity in any of the following areas? (Check all that apply.) | Adoption/fostering (1) Education (4) Employment (5) Health care (6) Housing (7) Public accommodations/public places (8) I dont know (9) None of these (10) |
2023AQ | | | Without searching the internet or asking anyone, please tell us about the specific types of laws or policies in your state that impact LGBTQIA people, and please tell us how these have impacted your life. | Text Entry (-) |
2023AQ | | | At any time in the PAST 12 MONTHS, have you served at any time in the U.S. Armed Forces, Reserves, or National Guard? As a reminder, your answers are confidential and cannot be used against you. To protect your privacy, we have obtained a Certificate of Confidentiality from the National Institutes of Health. We can use this Certificate to legally refuse to disclose information that may identify you in any federal, state, or local civil, criminal, administrative, legislative, or other proceedings (for example, if there is a court subpoena). | Now on active duty (1) Only on active duty for training in the Reserves or National Guard (2) On active duty in the past but not now (3) Never served in the military (0) |
2023AQ | | MIL_YR | In the PAST 12 MONTHS, did you join or leave the military? | Yes, I joined the military in the PAST 12 MONTHS. (1) Yes, I left the military in the PAST 12 MONTHS. (2) No, I left the military before the PAST 12 MONTHS. (3) No, I am currently still serving in the military. (0) |
2023AQ | | | What is your current or most recent branch of service? | Air Force (1) Air Force Reserve (2) Air National Guard (3) Army (4) Army Reserve (5) Army National Guard (6) Coast Guard (7) Coast Guard Reserve (8) Marine Corps (9) Marine Corps Reserve (10) Navy (11) Navy Reserve (12) Space Force (13) |
2023AQ | | MIL_NOW | What was your character of discharge? | Entry level separation (1) Honorable (2) General (3) Medical (4) Other-than-honorable (5) Bad conduct (6) Dishonorable (7) None of these (please specify) (8) None of these (please specify) (TEXT) |
2023AQ | | MIL_NOW | When did you begin your military service? (If you can't recall precisely, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | MIL_NOW | When did you separate from military service? (If you can't recall precisely, please estimate.) | January (1) January 2023 (2) January 2024 (3) January I dont know/remember (4) February (5) February 2023 (6) February 2024 (7) February I dont know/remember (8) March (9) March 2023 (10) March 2024 (11) March I dont know/remember (12) April (13) April 2023 (14) April 2024 (15) April I dont know/remember (16) May (17) May 2022 (18) May 2023 (19) May 2024 (20) May I dont know/remember (21) June (22) June 2022 (23) June 2023 (24) June 2024 (25) June I dont know/remember (26) July (27) July 2022 (28) July 2023 (29) July 2024 (30) July I dont know/remember (31) August (32) August 2022 (33) August 2023 (34) August 2024 (35) August I dont know/remember (36) September (37) September 2022 (38) September 2023 (39) September 2024 (40) September I dont know/remember (41) October (42) October 2022 (43) October 2023 (44) October I dont know/remember (45) November (46) November 2022 (47) November 2023 (48) November I dont know/remember (49) December (50) December 2022 (51) December 2023 (52) December I dont know/remember (53) I dont know/remember (54) I dont know/remember 2022 (55) I dont know/remember 2023 (56) I dont know/remember 2024 (57) I dont know/remember I dont know/remember (58) |
2023AQ | | | In the PAST 12 MONTHS, did you receive any type of health care through the Department of Veterans Affairs (VA)? | Yes (1) No (0) |
2023AQ | | | We at The PRIDE Study are interested in what makes people thrive. Therefore, can you tell us a bit about what brings you joy? | Text Entry (-) |
2023AQ | | | Is there anything else you would like to share with us about your health or well-being? | Text Entry (-) |
2023AQ | | | YOU ARE ALMOST DONE WITH THIS SURVEY - PLEASE READ BELOW AND THEN CLICK NEXT This is required in order for the system to mark your survey as "Complete." Thank you for completing the 2023 Annual Questionnaire and for advancing scientific knowledge about the health of LGBTQIA people! If you have questions or concerns about this survey, please send an email to support@pridestudy.org or call The PRIDE Study hotline at (855) 421-9991 In addition to our commitment to communicating findings from the study back to our community in the future, we also want to connect our participants with some resources that may be helpful to them now. Please find below a list of websites, organizations, and hotlines that may be helpful in promoting LGBTQIA people's health, safety, and wellbeing. - Find an LGBTQIA center near you with Centerlink, The Community of LGBT Centers: www.lgbtcenters.org - Find free HIV testing in your area through the Centers for Disease Control's GetTested program: https://gettested.cdc.gov/ - Find an LGBTQIA -friendly doctor through GLMA: Health Professionals Advancing LGBT Equality: https://lgbtqhealthcaredirectory.org/ - Talk with someone 24/7 if you are in crisis or thinking of suicide: National Suicide Prevention Lifeline: National Suicide Prevention Lifeline at 1-800-273-8255 (a 24/7 Lifeline and an online chat function at www.suicidepreventionlifeline.org) or the LGBT National Hotline at 1-888-843-4564 (www.glbthotline.org) to talk with someone. - Talk with someone 24/7 if you need support related to being a survivor of sexual assault: National Sexual Assault Hotline at 1-800-656-4673 Thank you again for completing the 2023 Annual Questionnaire. We deeply appreciate for your time, your interest in The PRIDE Study, and your investment in research that will help our communities understand how the experience of being LGBTQIA is related to all aspects of health and life. TO LOG YOUR SURVEY AS COMPLETE, PLEASE ADVANCE TO THE NEXT SCREEN and then select "Back to Dashboard" | No Answers |
LHES | | | What is your current gender identity? (Check all that apply.) | Agender (1) Cisgender man (2) Cisgender woman (3) Genderqueer (4) Man (5) Non-binary (6) Questioning (7) Transgender man (8) Transgender woman (9) Two-spirit (10) Woman (11) Another gender identity (please specify) (12) Another gender identity (please specify) (TEXT) |
LHES | | | What was the sex assigned to you at birth, for example on your original birth certificate? | Female (2) Male (1) |
LHES | | | What is your current sexual orientation? (Check all that apply.) | Asexual (1) Bisexual (2) Gay (3) Lesbian (4) Pansexual (5) Queer (6) Questioning (7) Same-gender loving (8) Straight/Heterosexual (9) Two-spirit (10) Another sexual orientation (please specify) (11) Another sexual orientation (please specify) (TEXT) |
LHES | | | Do you identify as intersex? | Yes (1) No (0) |
LHES | | | What does being intersex mean to you? | Text Entry (-) |
LHES | | | I would like to complete a survey designed for: | Gender minority people (for example: genderqueer, non-binary, questioning ones gender identity, transgender, etc.) (0) Sexual minority people (for example: asexual, bisexual, gay, lesbian, queer, questioning ones sexual orientation, etc.) (1) People who identify as both a sexual AND gender minority (2) |
LHES | | | Which categories describe you? (Check all that apply.) | American Indian or Alaska Native (For example: Aztec, Blackfeet Tribe, Mayan, Navajo Nation, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, etc.) (1) Asian (For example: Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, etc.) (2) Black, African American or African (For example: African American, Ethiopian, Haitian, Jamaican, Nigerian, Somali, etc.) (3) Hispanic, Latino or Spanish (For example: Colombian, Cuban, Dominican, Mexican or Mexican American, Puerto Rican, Salvadoran, etc.) (4) Middle Eastern or North African (For example: Algerian, Egyptian, Iranian, Lebanese, Moroccan, Syrian, etc.) (5) Native Hawaiian or other Pacific Islander (For example: Chamorro, Fijian, Marshallese, Native Hawaiian, Tongan, etc.) (6) White (For example: English, European, French, German, Irish, Italian, Polish, etc.) (7) None of these fully describe me. (please specify) (8) None of these fully describe me. (please specify) (TEXT) |
LHES | | | Which additional categories describe you? (Check all that apply.) | American Indian (1) Alaska Native (2) Central or South American Indian (3) None of these fully describe me (please tell us about additional categories that describe you) (4) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
LHES | | | Please provide the name of the tribe(s) in which you are enrolled or affiliated or your tribal descent. (For example, Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, etc.) Please list tribes separated by commas.For example, one answer may be: "Navajo Nation, Pomo" | Text Entry (-) |
LHES | | | Which additional categories describe you? (Check all that apply.) | Asian Indian (1) Cambodian (2) Chinese (3) Filipino (4) Hmong (5) Japanese (6) Korean (7) Pakistani (8) Vietnamese (9) None of these fully describe me (please tell us about additional categories that describe you) (10) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
LHES | | | Which additional categories describe you? (Check all that apply.) | African American (1) Barbadian (2) Caribbean (3) Ethiopian (4) Ghanaian (5) Haitian (6) Jamaican (7) Liberian (8) Nigerian (9) Somali (10) South African (11) None of these fully describe me (please tell us about additional categories that describe you) (12) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
LHES | | | Which additional categories describe you? (Check all that apply.) | Colombian (1) Cuban (2) Dominican (3) Ecuadorian (4) Honduran (5) Mexican or Mexican American (6) Puerto Rican (7) Salvadoran (8) Spanish (9) None of these fully describe me (please tell us about additional categories that describe you) (10) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
LHES | | | Which additional categories describe you? (Check all that apply.) | Afghan (1) Algerian (2) Egyptian (3) Iranian (4) Iraqi (5) Israeli (6) Lebanese (7) Moroccan (8) Syrian (9) Tunisian (10) None of these fully describe me (please tell us about additional categories that describe you) (11) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
LHES | | | Which additional categories describe you? (Check all that apply?) | Chamorro (1) Chuukese (2) Fijian (3) Marshallese (4) Native Hawaiian (5) Palauan (6) Samoan (7) Tahitian (8) Tongan (9) None of these fully describe me (please tell us about additional categories that describe you) (10) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
LHES | | | Which additional categories describe you? (Check all that apply?) | English (1) European (2) French (3) German (4) Irish (5) Italian (6) Polish (7) None of these fully describe me (please tell us about additional categories that describe you) (8) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
LHES | | | With which ethnic and/or cultural group(s) DO YOU IDENTIFY? (Please list all the ethnic and/or cultural groups with which you identify. Please list only one ethnic or cultural group per box.) | Text Entry (-) |
LHES | | | I have a strong sense of BELONGING to my ethnic/cultural group: ${q://QID1403/ChoiceTextEntryValue/1} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
LHES | | | I have a strong sense of IDENTIFICATION with my ethnic/cultural group: ${q://QID1403/ChoiceTextEntryValue/1} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
LHES | | | I have a strong sense of BELONGING to my ethnic/cultural group: ${q://QID1403/ChoiceTextEntryValue/2} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
LHES | | | I have a strong sense of IDENTIFICATION with my ethnic/cultural group: ${q://QID1403/ChoiceTextEntryValue/2} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
LHES | | | I have a strong sense of BELONGING to my ethnic/cultural group: ${q://QID1403/ChoiceTextEntryValue/3} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
LHES | | | I have a strong sense of IDENTIFICATION with my ethnic/cultural group: ${q://QID1403/ChoiceTextEntryValue/3} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
LHES | | | I have a strong sense of BELONGING to my ethnic/cultural group: ${q://QID1403/ChoiceTextEntryValue/4} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
LHES | | | I have a strong sense of IDENTIFICATION with my ethnic/cultural group: ${q://QID1403/ChoiceTextEntryValue/4} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
LHES | | | I have a strong sense of BELONGING to my ethnic/cultural group: ${q://QID1403/ChoiceTextEntryValue/5} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
LHES | | | I have a strong sense of IDENTIFICATION with my ethnic/cultural group: ${q://QID1403/ChoiceTextEntryValue/5} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
LHES | | | If you had to choose only one of the following terms, which best describes your current gender identity? ("Cisgender" here means identifying with the sex assigned to you at birth. For example, a cisgender woman identifies as a woman and was assigned female sex at birth.) | Cisgender man (1) Cisgender woman (2) Non-binary (3) Transgender man (4) Transgender woman (5) Another gender identity (6) |
LHES | | | If you had to choose only one of the following terms, which best describes your current sexual orientation? | Asexual/Demisexual/Gray-Ace (1) Bisexual/Pansexual (2) Gay/Lesbian (3) Queer (4) Straight/Heterosexual (5) Another sexual orientation (6) |
LHES | | | We would like to know more about your romantic feelings toward other people. Please select all of the people you have EVER had romantic feelings for: (Check all that apply.) | Cisgender men (identify as men and were assigned male sex at birth) (1) Transgender men (identify as men and were assigned female sex at birth) (2) Cisgender women (identify as women and were assigned female sex at birth) (3) Transgender women (identify as women and were assigned male sex at birth) (4) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned female sex at birth (5) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned male sex at birth (6) I am romantically attracted to people of another gender(s) (please specify) (7) I am romantically attracted to people of another gender(s) (please specify) (TEXT) I am not romantically attracted to people of any gender (0) I dont know (88) |
LHES | | | We would like to know more about your sexual attractions to other people. Please select all of the people you have EVER been attracted to: (Check all that apply.) | Cisgender men (identify as men and were assigned male sex at birth) (1) Transgender men (identify as men and were assigned female sex at birth) (2) Cisgender women (identifies as women and were assigned female sex at birth) (3) Transgender women (identify as women and were assigned male sex at birth) (4) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned female sex at birth (5) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned male sex at birth (6) I am sexually attracted to people of another gender(s) (please specify) (7) I am sexually attracted to people of another gender(s) (please specify) (TEXT) I am not sexually attracted to people of any gender (0) I dont know (88) |
LHES | | | Has a mental health professional or health care provider EVER told you that you have any of the following? (Check all that apply.) | Depression (1) Bipolar Disorder (2) Any anxiety disorder (3) Generalized Anxiety Disorder (4) Post-Traumatic Stress Disorder (PTSD) (5) None of the above (6) |
LHES | | | Has a mental health professional or health care provider EVER told you that you have any of the following? (Check all that apply.) | Agoraphobia or Panic Disorder (1) Social Phobia or Social Anxiety Disorder (2) Schizophrenia or a psychotic disorder or that you had a psychotic episode or psychotic break (3) Obsessive Compulsive Disorder (OCD) (4) Chronic Tic Disorder or Tourette Syndrome (5) None of the above (6) |
LHES | | | Has a mental health professional or health care provider EVER told you that you have any of the following? (Check all that apply.) | Trichotillomania (hair pulling disorder) (1) Chronic skin picking or Excoriation Disorder (2) Body Dysmorphic Disorder (BDD) (3) Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD) (4) Any personality disorder (such as Borderline Personality Disorder or Narcissistic Personality Disorder) (5) None of the above (6) |
LHES | | | Has a mental health professional or health care provider EVER told you that you have any of the following? (Check all that apply.) | Alcoholism or Alcohol Use Disorder (1) Drug or Substance Use Disorder (2) Any eating disorder (such as anorexia or bulimia) (3) Insomnia or another sleep disorder (4) Hypochondriasis or Illness Anxiety Disorder (5) Dissociative Identity Disorder or another dissociative disorder (6) None of the above (7) |
LHES | | | Have you EVER thought that you had depression? | I have never had this problem (0) I have had this problem (1) |
LHES | | | Have you EVER thought that you had a problem with anxiety? | I have never had this problem (0) I have had this problem (1) |
LHES | | | Have you EVER thought that you had an eating disorder or a problem with eating? | I have never had this problem (0) I have had this problem (1) |
LHES | | | Have you EVER thought that you had a problem with alcohol use? | I have never had this problem (0) I have had this problem (1) |
LHES | | | Have you EVER thought that you had a problem with drug or substance use (other than alcohol)? | I have never had this problem (0) I have had this problem (1) |
LHES | | | Which of the following best describes your use of medications for stress or mental health problems? | I have never taken medication for these reasons (0) I have taken medication for these reasons (1) |
LHES | | | Which of the following best describes your use of psychotherapy/counseling for stress or mental health problems? | I have never been in psychotherapy/counseling for these reasons (0) I have been in psychotherapy/counseling for these reasons (1) |
LHES | | | Which of the following best describes your use of medications for substance use problems? | I have never taken medication for this reason (0) I have taken medication for this reason (1) |
LHES | | | Which of the following best describes your use of psychotherapy/counseling for substance use problems? | I have never been in psychotherapy/counseling for this reason (0) I have been in psychotherapy/counseling for this reason (1) |
LHES | | | Have you EVER tried cigarette smoking, even one or two puffs? | Yes (1) No (0) |
LHES | | | Have you smoked at least 100 cigarettes in your ENTIRE LIFE? | Yes (1) No (0) |
LHES | | | Have you EVER used any tobacco or nicotine products other than cigarettes? (Check all that apply.) | Blunt (with another substance) (1) Blunt (without any other substance) (2) Bidi (3) Chewing tobacco (chew) (4) Other cigars with tobacco inside (e.g., cigarillos, little cigars, bidis) (5) Other cigars with another substance (e.g., cigarillos, little cigars, bidis) (6) Dip (7) E-cigarette or vape device with nicotine (8) E-cigarette or vape device without nicotine (9) Nicotine replacement products (e.g., patch, gum, lozenge) (10) Snuff (11) Snus (12) Other tobacco or nicotine containing product (please specify) (13) Other tobacco or nicotine containing product (please specify) (TEXT) I have never used any tobacco product other than cigarettes (14) I have never used any tobacco- or nicotine-containing products (0) |
LHES | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Little interest or pleasure in doing things | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
LHES | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling down, depressed, or hopeless | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
LHES | | | In the PAST MONTH, how much have you been bothered by the following problem: Repeated, disturbing memories, thoughts, or images of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
LHES | | | In the PAST MONTH, how much have you been bothered by the following problem: Feeling very upset when something reminded you of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
LHES | | | In the PAST MONTH, how much have you been bothered by the following problem: Avoided activities or situations because they reminded you of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
LHES | | | In the PAST MONTH, how much have you been bothered by the following problem: Feeling distant or cut off from other people? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
LHES | | | In the PAST MONTH, how much have you been bothered by the following problem: Feeling irritable or having angry outbursts? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
LHES | | | In the PAST MONTH, how much have you been bothered by the following problem: Having difficulty concentrating? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
LHES | | | Sometimes things happen to people that are unusually or especially frightening, horrible, or traumatic. For example: a serious accident or fire, a physical or sexual assault or abuse, an earthquake or flood, a war, seeing someone be killed or seriously injured, having a loved one die through homicide or suicide.Have you EVER experienced this kind of event? | Yes (1) No (0) |
LHES | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling nervous, anxious or on edge | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
LHES | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Not being able to stop or control worrying | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
LHES | | | How often did you have a drink containing alcohol in the PAST YEAR? | Never (0) Monthly or less (1) 2-4 times a month (2) 2-3 times a week (3) 4 or more times a week (4) |
LHES | | | How many drinks containing alcohol did you have on a typical day when you were drinking in the past year? | 1 or 2 (0) 3 or 4 (1) 5 or 6 (2) 7 to 9 (3) 10 or more (4) |
LHES | | | How often do you have six or more drinks on one occasion? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
LHES | | | Have you EVER purposefully physically harmed or injured yourself (for example, cutting or burning yourself)? | Yes (1) No (0) |
LHES | | | The next question is about suicide. Like many of the questions in this survey, this question is used in other studies. This may bring up negative emotions for some people.Have you EVER thought about or attempted to kill yourself? | Never (0) It was just a brief passing thought. (1) I have had a plan at least once to kill myself but did not try to do it. (2) I have had a plan at least once to kill myself and really wanted to die. (3) I have attempted to kill myself, but did not want to die. (4) I have attempted to kill myself, and really hoped to die. (5) |
LHES | | | We at The PRIDE Study value you and your health. Suicide has taken too many of us. We sincerely urge you to get help, as we know that things can get better with help. Please consider reaching out for services in your area, and also consider calling 1-800-273-8255 (National Suicide Prevention Lifeline) or 1-888-843-4564 (LGBT National Hotline) to talk with someone. Go to the emergency room or call 911 if you are in crisis and don't know where to get help. The PRIDE Study team cares about you and the health of our community. | No Answers |
LHES | | | You have completed the Mental Health section! This is one of 4 sections! Thank you for the time and energy you have put into helping us understand LGBTQ people's diverse and vibrant lives as we work towards helping LGBTQ people thrive! Your answers are bringing us closer to health equity for LGBTQ people. Thank you! | No Answers |
LHES | | | Have you EVER identified as a person with a disability? | Yes (1) No (2) |
LHES | | | What condition(s) or problem(s) were related to your disability identity? (Check all that apply.) | Arthritis/rheumatism (1) Autism (38) Back or neck problem (2) Benign tumors, cysts (3) Birth defect (4) Cancer (5) Circulation problems (including blood clots) (6) Depression/anxiety/emotional problem (7) Diabetes (8) Epilepsy, seizures (9) Fibromyalgia, lupus (10) Fracture, bone/joint injury (11) Hearing problem (12) Heart problem (13) Hernia (14) Hypertension/high blood pressure (15) Intellectual/developmental disability (16) Kidney, bladder or renal problems (17) Knee problems (not arthritis, not joint injury) (18) Lung/breathing problem(for example, asthma and emphysema) (19) Memory (20) Migraine headaches (not just headaches) (21) Missing limbs (fingers, toes or digits), amputee (22) Multiple Sclerosis (MS), Muscular Dystrophy (MD) (23) Osteoporosis, tendinitis (24) Other developmental problem (for example cerebral palsy) (25) Other injury (26) Other nerve damage, including carpal tunnel syndrome (27) Parkinsons disease, other tremors (28) Polio(myelitis), paralysis, para/quadriplegia (29) Stroke problem (30) Thyroid problems, Graves disease, gout (31) Ulcer (32) Varicose veins, hemorrhoids (33) Vision/problem seeing (34) Weight problem (35) Other impairment/problem (please specify one) (36) Other impairment/problem (please specify one) (TEXT) Other impairment/problem (please specify one) (37) Other impairment/problem (please specify one) (TEXT) |
LHES | | | Are you deaf or do you have serious difficulty hearing? | Yes (1) No (0) |
LHES | | | Are you blind or do you have serious difficulty seeing, even when wearing glasses? | Yes (1) No (0) |
LHES | | | Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions? | Yes (1) No (0) |
LHES | | | Do you have serious difficulty walking or climbing stairs? | Yes (1) No (0) |
LHES | | | Do you have difficulty dressing or bathing? | Yes (1) No (0) |
LHES | | | Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor's office or shopping? | Yes (1) No (0) |
LHES | | | Have you EVER been held in jail, prison, or juvenile detention? | Yes (1) No (0) |
LHES | | | Have you EVER spent any nights sleeping in a shelter or public space including buildings, cars, stairwells, streets, parks, or other outside areas? Please do not include recreational camping. | Yes (1) No (0) |
LHES | | | Have you EVER spent any nights living temporarily doubled up with others, where you were in a transitional or transitory setting, or you had no fixed address? | Yes (1) No (0) |
LHES | | | Are you a parent? | Yes (1) No (2) |
LHES | | | To how many people are you/have you been a parent?This includes people who are now adults, are deceased, or are not biologically related to you. | Text Entry (-) |
LHES | | | We are going to ask you a question about the different people that you parent/have parented. To help you remember which person we are asking a question about, please type in the person's first name, initials, or nickname. We will use these names in the following questions. | Text Entry (-) |
LHES | | | Please indicate how you became a parent to ${q://QID1752/ChoiceTextEntryValue/1}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
LHES | | | Please indicate how you became a parent to ${q://QID1752/ChoiceTextEntryValue/2}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
LHES | | | Please indicate how you became a parent to ${q://QID1752/ChoiceTextEntryValue/3}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
LHES | | | Please indicate how you became a parent to ${q://QID1752/ChoiceTextEntryValue/4}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
LHES | | | Please indicate how you became a parent to ${q://QID1752/ChoiceTextEntryValue/5}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
LHES | | | Please indicate how you became a parent to ${q://QID1752/ChoiceTextEntryValue/6}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
LHES | | | Please indicate how you became a parent to ${q://QID1752/ChoiceTextEntryValue/7}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
LHES | | | Please indicate how you became a parent to ${q://QID1752/ChoiceTextEntryValue/8}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
LHES | | | Please indicate how you became a parent to ${q://QID1752/ChoiceTextEntryValue/9}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
LHES | | | Please indicate how you became a parent to ${q://QID1752/ChoiceTextEntryValue/10}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
LHES | | | Please indicate how you became a parent to ${q://QID1752/ChoiceTextEntryValue/11}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
LHES | | | Please indicate how you became a parent to ${q://QID1752/ChoiceTextEntryValue/12}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
LHES | | | Please indicate how you became a parent to ${q://QID1752/ChoiceTextEntryValue/13}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
LHES | | | Please indicate how you became a parent to ${q://QID1752/ChoiceTextEntryValue/14}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
LHES | | | Has a mental health professional or health care provider EVER told you that you have Autism Spectrum Disorder or Asperger's Syndrome? | Yes (1) No (0) I dont know (88) |
LHES | | | At what age were you first told by a mental health professional or health care provider that you have Autism Spectrum Disorder or Asperger's Syndrome? If you are not sure, please provide your best guess. | Text Entry (-) |
LHES | | | Have you EVER experienced harassment or name calling from strangers in public? | Yes (1) No (0) |
LHES | | | Do you think you were targeted for this harassment or name calling from strangers in public due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
LHES | | | Have you EVER been physically attacked or deliberately injured? | Yes (1) No (0) |
LHES | | | Do you think you were targeted for these physical attacks or injuries due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
LHES | | | Have you EVER experienced physical violence from a romantic or sexual partner? | Yes (1) No (0) |
LHES | | | Do you think you were targeted for this physical violence from a romantic or sexual partner due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
LHES | | | Have you EVER been treated unfairly at work or when applying/interviewing for a job? | Yes (1) No (0) |
LHES | | | Do you think you were targeted for this unfair treatment in employment due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
LHES | | | Have you EVER been treated unfairly while trying to rent an apartment or buy a home, or been unfairly evicted from your residence? | Yes (1) No (0) |
LHES | | | Do you think you were targeted for this unfair treatment in housing/eviction due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
LHES | | | Have you EVER received poorer service than other people in restaurants, stores, other businesses or agencies? | Yes (1) No (0) |
LHES | | | Do you think you were targeted for the poorer service due to your… (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
LHES | | | Have you EVER been treated unfairly while you were a student at school or in another educational setting? | Yes (1) No (0) |
LHES | | | Do you think you were targeted for this unfair treatment in educational settings due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
LHES | | | Have you EVER been denied or given lower quality medical care? | Yes (1) No (0) |
LHES | | | Do you think you were targeted for this discrimination in a medical setting due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
LHES | | | Have you EVER been denied or given lower quality mental health care? | Yes (1) No (0) |
LHES | | | Do you think you were targeted for this discrimination in a mental health setting due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
LHES | | | Have you EVER experienced unfair treatment or harassment from the police or another law enforcement officer? | Yes (1) No (0) |
LHES | | | Do you think you were targeted for this unfair treatment or harassment from a law enforcement officer due to … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
LHES | | | Have you EVER experienced unwanted sexual contact? | Yes (1) No (0) |
LHES | | | Do you think you were targeted for this unwanted sexual contact due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
LHES | | | How old were you when this unwanted sexual contact occurred? (Check all that apply.) | Child (0-12 years) (1) Adolescent (12-17 years) (2) Adult (18 years) (3) |
LHES | | | We realize that recalling past experiences with sexual violence can be difficult. If you'd like to talk with someone about these experiences, please consider reaching out to the National Sexual Assault Hotline (800-656-4673), operated by Rape, Abuse, & Incest National Network (RAINN; rainn.org). | No Answers |
LHES | | | Overall, how accepting of gender minority (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.) people was the community in which you were raised? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
LHES | | | Overall, how accepting of sexual minority (for example: asexual, bisexual, gay, lesbian, queer, etc.) people was the community in which you were raised? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
LHES | | | Overall, how safe for gender minority people was the community in which you were raised? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
LHES | | | Overall, how safe for sexual minority people was the community in which you were raised? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
LHES | | | Have you EVER been in therapy or been part of a program or group intended to change your gender or gender identity to be consistent with the sex assigned to you at birth? (This is sometimes called "conversion therapy.") | Yes (1) No (0) |
LHES | | | Who provided the therapy, program, or group intended to change your gender or gender identity to be consistent with your sex assigned at birth? (Check all that apply.) | A licensed mental health provider (1) A religious group or leader (2) Someone or something else (please specify) (3) Someone or something else (please specify) (TEXT) |
LHES | | | How old were you when you FIRST were in therapy or part of a program or group intended to change your gender or gender identity to be consistent with your sex assigned at birth? | Text Entry (-) |
LHES | | | How old were you when you LAST were in therapy or part of a program or group intended to change your gender or gender identity to be consistent with your sex assigned at birth? | Text Entry (-) |
LHES | | | Have you EVER been in therapy or been part of a program or group intended to change your sexual orientation to heterosexual/straight? (This is sometimes called "conversion therapy.") | Yes (1) No (0) |
LHES | | | Who provided the therapy, program, or group intended to change your sexual orientation to heterosexual/straight? (Check all that apply.) | A licensed mental health provider (1) A religious group or leader (2) Someone or something else (please specify) (3) Someone or something else (please specify) (TEXT) |
LHES | | | How old were you when you FIRST were in therapy or part of a program or group intended to change your sexual orientation to heterosexual/straight? | Text Entry (-) |
LHES | | | How old were you when you LAST were in therapy or part of a program or group intended to change your sexual orientation to heterosexual/straight? | Text Entry (-) |
LHES | | | The following questions are about types of unwanted sexual experiences that you may have had. Your responses to these questions help us better understand the unwanted sexual experiences of LGBTQ people. We understand that responding to these questions may bring up memories of very difficult experiences. Please indicate if you would like to complete these questions, or if you would like to skip these questions and move on to the next topic. | Yes, I would like to complete these questions (1) No, I would like to skip these questions (0) |
LHES | | | How many times has this happened to you SINCE AGE 14?Someone fondled, kissed, or rubbed up against the private areas of my body (lips, breast/chest, crotch, or butt) or removed some of my clothes without my consent (but DID NOT attempt sexual penetration) | 0 (0) 1 (1) 2 (2) 3 (3) |
LHES | | | How many times did this happen to you BEFORE AGE 14? Someone fondled, kissed, or rubbed up against the private areas of my body (lips, breast/chest, crotch, or butt) or removed some of my clothes without my consent (but DID NOT attempt sexual penetration) | 0 (0) 1 (1) 2 (2) 3 (3) |
LHES | | | How many times has this happened to you SINCE AGE 14?Someone had oral sex with me or made me have oral sex with them without my consent. | 0 (0) 1 (1) 2 (2) 3 (3) |
LHES | | | How many times did this happen to you BEFORE AGE 14?Someone had oral sex with me or made me have oral sex with them without my consent. | 0 (0) 1 (1) 2 (2) 3 (3) |
LHES | | | Note: People have a wide range of language or terms for their physical anatomy. This is especially true among members of our national LGBTQ communities. Some participants in The PRIDE Study use the term ‘vagina'; some use the term ‘frontal genital opening'; and some prefer other terms. The PRIDE Study includes the terms ‘vagina' and ‘frontal genital opening' to incorporate the terms used by most participants. How many times has this happened to you SINCE AGE 14? Someone put their penis, fingers, or objects into my butt and/or vagina/frontal genital opening without my consent. | 0 (0) 1 (1) 2 (2) 3 (3) |
LHES | | | How many times did this happen to you BEFORE AGE 14?Someone put their penis, fingers, or objects into my butt and/or vagina/frontal genital opening without my consent. | 0 (0) 1 (1) 2 (2) 3 (3) |
LHES | | | How many times has this happened SINCE AGE 14?Even though it didn't happen, someone TRIED to make me have oral sex with them, or TRIED to put fingers, objects, or a penis into my butt and/or vagina/frontal genital opening. | 0 (0) 1 (1) 2 (2) 3 (3) |
LHES | | | How many times did this happen to you BEFORE AGE 14?Even though it didn't happen, someone TRIED to make me have oral sex with them, or TRIED to put fingers, objects, or a penis into my butt and/or vagina/frontal genital opening. | 0 (0) 1 (1) 2 (2) 3 (3) |
LHES | | | Have you EVER been sexually assaulted and/or raped? | Yes (1) No (0) |
LHES | | | Were you raised with spiritual or religious involvement? | Yes (1) No (2) |
LHES | | | How accepting of gender minority people (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.) was the religious community in which you were raised? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
LHES | | | How accepting of sexual minority people (for example: asexual, bisexual, gay, lesbian, queer, etc.) was the religious community in which you were raised? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
LHES | | | In which religion or spiritual tradition(s) were you raised? (Check all that apply.) | Agnostic (1) Atheist (2) Bahai (3) Buddhist (4) Christian (5) Confucianist (6) Druid (7) Hindu (8) Jain (9) Jehovahs Witness (10) Jewish (11) Muslim (12) Native American Traditional Practitioner or Ceremonial (13) Pagan (14) Rastafarian (15) Scientologist (16) Secular Humanist (17) Shinto (18) Sikh (19) Taoist (20) Tenrikyo (21) Unitarian Universalist (25) Wiccan (22) Spiritual, but no religious affiliation (23) No affiliation (0) A religious affiliation or spiritual identity not listed above (please specify) (24) A religious affiliation or spiritual identity not listed above (please specify) (TEXT) |
LHES | | | In which Christian affiliation(s) were you raised? (Check all that apply.) | African Methodist Episcopal (1) African Methodist Episcopal Zion (2) Assembly of God (3) Baptist (4) Catholic/Roman Catholic (5) Church of Christ (6) Church of God in Christ (7) Christian Orthodox (8) Christian Methodist Episcopal (9) Christian Reformed Church (CRC) (10) Episcopalian (11) Evangelical (12) Greek Orthodox (13) Lutheran (14) Mennonite (15) Moravian (16) Nondenominational Christian (17) Pentecostal (18) Presbyterian (19) Protestant (20) Protestant Reformed Church (21) Quaker (22) Reformed Church of America (RCA) (23) Russian Orthodox (24) Seventh Day Adventist (25) The Church of Jesus Christ of Latter-day Saints (26) United Methodist (27) Unitarian Universalist (28) United Church of Christ (29) A Christian affiliation not listed above (please specify) (30) A Christian affiliation not listed above (please specify) (TEXT) |
LHES | | | In which Jewish affiliation(s) were you raised? (Check all that apply.) | Conservative (1) Hasidic (2) Humanist (3) Orthodox (4) Reconstructionist (5) Reform (6) A Jewish affiliation not listed above (please specify) (7) A Jewish affiliation not listed above (please specify) (TEXT) |
LHES | | | In which Muslim affiliation(s) were you raised? (Check all that apply.) | Muslim (not specifically Sunni or Shia) (1) Sunni (for example, Hanafi, Maliki, Shafi, or Hanbali) (2) Shia (for example, Ithna Ashari/Twelver or Ismaili/Sevener) (3) A Muslim affiliation not listed above (please specify) (4) A Muslim affiliation not listed above (please specify) (TEXT) |
LHES | | | Are you currently spiritual or religious? | Yes (1) No (0) |
LHES | | | How accepting of gender minority people (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.) is your current spiritual or religious community? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not apply to me, I dont have a spiritual or religious community (5) |
LHES | | | How accepting of sexual minority people (for example: asexual, bisexual, gay, lesbian, queer, etc.) is your current spiritual or religious community? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not apply to me, I dont have a spiritual or religious community (5) |
LHES | | | What is your current religious or spiritual identity? (Check all that apply.) | Agnostic (1) Atheist (2) Bahai (3) Buddhist (4) Christian (5) Confucianist (6) Druid (7) Hindu (8) Jain (9) Jehovahs Witness (10) Jewish (11) Muslim (12) Native American Traditional Practitioner or Ceremonial (13) Pagan (14) Rastafarian (15) Scientologist (16) Secular Humanist (17) Shinto (18) Sikh (19) Taoist (20) Tenrikyo (21) Unitarian Universalist (22) Wiccan (23) Spiritual, but no religious affiliation (24) No affiliation (0) A religious affiliation or spiritual identity not listed above (please specify) (25) A religious affiliation or spiritual identity not listed above (please specify) (TEXT) |
LHES | | | Please select your Christian affiliation(s). (Check all that apply.) | African Methodist Episcopal (1) African Methodist Episcopal Zion (2) Assembly of God (3) Baptist (4) Catholic/Roman Catholic (5) Church of Christ (6) Church of God in Christ (7) Christian Orthodox (8) Christian Methodist Episcopal (9) Christian Reformed Church (CRC) (10) Episcopalian (11) Evangelical (12) Greek Orthodox (13) Lutheran (14) Mennonite (15) Moravian (16) Nondenominational Christian (17) Pentecostal (18) Presbyterian (19) Protestant (20) Protestant Reformed Church (21) Quaker (22) Reformed Church of America (RCA) (23) Russian Orthodox (24) Seventh Day Adventist (25) The Church of Jesus Christ of Latter-day Saints (26) United Methodist (27) Unitarian Universalist (28) United Church of Christ (29) A Christian affiliation not listed above (please specify) (30) A Christian affiliation not listed above (please specify) (TEXT) |
LHES | | | Please select your Jewish affiliation(s). (Check all that apply.) | Conservative (1) Hasidic (2) Humanist (3) Orthodox (4) Reconstructionist (5) Reform (6) A Jewish affiliation not listed above (please specify) (7) A Jewish affiliation not listed above (please specify) (TEXT) |
LHES | | | Please select your Muslim affiliation(s). (Check all that apply.) | Muslim (not specifically Sunni or Shia) (1) Sunni (for example, Hanafi, Maliki, Shafi, or Hanbali) (2) Shia (for example, Ithna Ashari/Twelver or Ismaili/Sevener) (3) A Muslim affiliation not listed above (please specify) (4) A Muslim affiliation not listed above (please specify) (TEXT) |
LHES | | | At about what age did you begin to feel that your gender was “different” from your assigned birth sex? | 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) 31 (31) 32 (32) 33 (33) 34 (34) 35 (35) 36 (36) 37 (37) 38 (38) 39 (39) 40 (40) 41 (41) 42 (42) 43 (43) 44 (44) 45 (45) 46 (46) 47 (47) 48 (48) 49 (49) 50 (50) 51 (51) 52 (52) 53 (53) 54 (54) 55 (55) 56 (56) 57 (57) 58 (58) 59 (59) 60 (60) 61 (61) 62 (62) 63 (63) 64 (64) 65 (65) 66 (66) 67 (67) 68 (68) 69 (69) 70 (70) 71 (71) 72 (72) 73 (73) 74 (74) 75 (75) 76 (76) 77 (77) 78 (78) 79 (79) 80 (80) 81 (81) 82 (82) 83 (83) 84 (84) 85 (85) 86 (86) 87 (87) 88 (88) 89 (89) 90 (90) 91 (91) 92 (92) 93 (93) 94 (94) 95 (95) 96 (96) 97 (97) 98 (98) 99 (99) 100 (100) |
LHES | | | At about what age did you start to think you were a gender minority person (for example: genderqueer, non-binary, questioning your gender identity, transgender) even if you did not know the words for it? | 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) 31 (31) 32 (32) 33 (33) 34 (34) 35 (35) 36 (36) 37 (37) 38 (38) 39 (39) 40 (40) 41 (41) 42 (42) 43 (43) 44 (44) 45 (45) 46 (46) 47 (47) 48 (48) 49 (49) 50 (50) 51 (51) 52 (52) 53 (53) 54 (54) 55 (55) 56 (56) 57 (57) 58 (58) 59 (59) 60 (60) 61 (61) 62 (62) 63 (63) 64 (64) 65 (65) 66 (66) 67 (67) 68 (68) 69 (69) 70 (70) 71 (71) 72 (72) 73 (73) 74 (74) 75 (75) 76 (76) 77 (77) 78 (78) 79 (79) 80 (80) 81 (81) 82 (82) 83 (83) 84 (84) 85 (85) 86 (86) 87 (87) 88 (88) 89 (89) 90 (90) 91 (91) 92 (92) 93 (93) 94 (94) 95 (95) 96 (96) 97 (97) 98 (98) 99 (99) 100 (100) |
LHES | | | At about what age did you start to tell others that you were a gender minority person (for example: genderqueer, non-binary, questioning your gender identity, transgender) even if you did not use those words? | I have not told others. (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) 31 (31) 32 (32) 33 (33) 34 (34) 35 (35) 36 (36) 37 (37) 38 (38) 39 (39) 40 (40) 41 (41) 42 (42) 43 (43) 44 (44) 45 (45) 46 (46) 47 (47) 48 (48) 49 (49) 50 (50) 51 (51) 52 (52) 53 (53) 54 (54) 55 (55) 56 (56) 57 (57) 58 (58) 59 (59) 60 (60) 61 (61) 62 (62) 63 (63) 64 (64) 65 (65) 66 (66) 67 (67) 68 (68) 69 (69) 70 (70) 71 (71) 72 (72) 73 (73) 74 (74) 75 (75) 76 (76) 77 (77) 78 (78) 79 (79) 80 (80) 81 (81) 82 (82) 83 (83) 84 (84) 85 (85) 86 (86) 87 (87) 88 (88) 89 (89) 90 (90) 91 (91) 92 (92) 93 (93) 94 (94) 95 (95) 96 (96) 97 (97) 98 (98) 99 (99) 100 (100) |
LHES | | | At about what age did you begin to feel that that you had sexual/romantic attractions that were different than or not only heterosexual/straight? | 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) 31 (31) 32 (32) 33 (33) 34 (34) 35 (35) 36 (36) 37 (37) 38 (38) 39 (39) 40 (40) 41 (41) 42 (42) 43 (43) 44 (44) 45 (45) 46 (46) 47 (47) 48 (48) 49 (49) 50 (50) 51 (51) 52 (52) 53 (53) 54 (54) 55 (55) 56 (56) 57 (57) 58 (58) 59 (59) 60 (60) 61 (61) 62 (62) 63 (63) 64 (64) 65 (65) 66 (66) 67 (67) 68 (68) 69 (69) 70 (70) 71 (71) 72 (72) 73 (73) 74 (74) 75 (75) 76 (76) 77 (77) 78 (78) 79 (79) 80 (80) 81 (81) 82 (82) 83 (83) 84 (84) 85 (85) 86 (86) 87 (87) 88 (88) 89 (89) 90 (90) 91 (91) 92 (92) 93 (93) 94 (94) 95 (95) 96 (96) 97 (97) 98 (98) 99 (99) 100 (100) |
LHES | | | At about what age did you start to think you were a sexual minority person (for example: asexual, bisexual, gay, lesbian, queer, questioning your sexual orientation, etc.) even if you did not know the words for it? | 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) 31 (31) 32 (32) 33 (33) 34 (34) 35 (35) 36 (36) 37 (37) 38 (38) 39 (39) 40 (40) 41 (41) 42 (42) 43 (43) 44 (44) 45 (45) 46 (46) 47 (47) 48 (48) 49 (49) 50 (50) 51 (51) 52 (52) 53 (53) 54 (54) 55 (55) 56 (56) 57 (57) 58 (58) 59 (59) 60 (60) 61 (61) 62 (62) 63 (63) 64 (64) 65 (65) 66 (66) 67 (67) 68 (68) 69 (69) 70 (70) 71 (71) 72 (72) 73 (73) 74 (74) 75 (75) 76 (76) 77 (77) 78 (78) 79 (79) 80 (80) 81 (81) 82 (82) 83 (83) 84 (84) 85 (85) 86 (86) 87 (87) 88 (88) 89 (89) 90 (90) 91 (91) 92 (92) 93 (93) 94 (94) 95 (95) 96 (96) 97 (97) 98 (98) 99 (99) 100 (100) |
LHES | | | At about what age did you start to tell others that you were a sexual minority person (for example: asexual, bisexual, gay, lesbian, queer, questioning your sexual orientation, etc.) even if you did not use those words? | I have not told others. (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) 31 (31) 32 (32) 33 (33) 34 (34) 35 (35) 36 (36) 37 (37) 38 (38) 39 (39) 40 (40) 41 (41) 42 (42) 43 (43) 44 (44) 45 (45) 46 (46) 47 (47) 48 (48) 49 (49) 50 (50) 51 (51) 52 (52) 53 (53) 54 (54) 55 (55) 56 (56) 57 (57) 58 (58) 59 (59) 60 (60) 61 (61) 62 (62) 63 (63) 64 (64) 65 (65) 66 (66) 67 (67) 68 (68) 69 (69) 70 (70) 71 (71) 72 (72) 73 (73) 74 (74) 75 (75) 76 (76) 77 (77) 78 (78) 79 (79) 80 (80) 81 (81) 82 (82) 83 (83) 84 (84) 85 (85) 86 (86) 87 (87) 88 (88) 89 (89) 90 (90) 91 (91) 92 (92) 93 (93) 94 (94) 95 (95) 96 (96) 97 (97) 98 (98) 99 (99) 100 (100) |
LHES | | | We are going to ask you questions about up to four different people who raised you (for example: parents, family members, or parental figures). To help you remember which person we are asking a question about, please type in the person's first name, initials, or nickname. We will use these names in the questions that follow. | Text Entry (-) |
LHES | | | How is ${q://QID2077/ChoiceTextEntryValue/1} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
LHES | | | How is ${q://QID2077/ChoiceTextEntryValue/2} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
LHES | | | How is ${q://QID2077/ChoiceTextEntryValue/3} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
LHES | | | How is ${q://QID2077/ChoiceTextEntryValue/4} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
LHES | | | At any time during your childhood (prior to age 18), did any of the following people ever identify as LGBTQ (or another sexual minority or gender minority identity)? (Check all that apply.) | q://QID2077/ChoiceTextEntryValueǗ (1) q://QID2077/ChoiceTextEntryValueǘ (2) q://QID2077/ChoiceTextEntryValueǙ (3) q://QID2077/ChoiceTextEntryValueǚ (4) None of these people identified as LGBTQ (or another sexual minority or gender minority identity) (5) |
LHES | | | Does ${q://QID2077/ChoiceTextEntryValue/1} know about your gender identity? If no longer alive, did ${q://QID2077/ChoiceTextEntryValue/1} know about your gender identity? | Yes (1) No (0) |
LHES | | | When ${q://QID2077/ChoiceTextEntryValue/1} INITIALLY LEARNED about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
LHES | | | In your most RECENT INTERACTIONS with ${q://QID2077/ChoiceTextEntryValue/1} (even if no longer alive), how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
LHES | | | Did your communication with ${q://QID2077/ChoiceTextEntryValue/1} change after they learned about your gender identity? | It got a lot better. (5) It got somewhat better. (4) It did not change. (3) It got somewhat worse. (2) It got a lot worse. (1) We stopped communicating after I came out. (0) |
LHES | | | Did your communication with ${q://QID2077/ChoiceTextEntryValue/1} eventually get better? | Yes (1) No (0) |
LHES | | | Are you still in touch with ${q://QID2077/ChoiceTextEntryValue/1}? | Yes (1) No (0) Person is not alive but we were in touch before their death (2) Person is no longer alive and we were not in touch before their death (3) |
LHES | | | Does ${q://QID2077/ChoiceTextEntryValue/2} know about your gender identity? If no longer alive, did ${q://QID2077/ChoiceTextEntryValue/2} know about your gender identity? | Yes (1) No (0) |
LHES | | | When ${q://QID2077/ChoiceTextEntryValue/2} INITIALLY LEARNED about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
LHES | | | In your most RECENT INTERACTIONS with ${q://QID2077/ChoiceTextEntryValue/2} (even if no longer alive), how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
LHES | | | Did your communication with ${q://QID2077/ChoiceTextEntryValue/2} change after they learned about your gender identity? | It got a lot better. (5) It got somewhat better. (4) It did not change. (3) It got somewhat worse. (2) It got a lot worse. (1) We stopped communicating after I came out. (0) |
LHES | | | Did your communication with ${q://QID2077/ChoiceTextEntryValue/2} eventually get better? | Yes (1) No (0) |
LHES | | | Are you still in touch with ${q://QID2077/ChoiceTextEntryValue/2}? | Yes (1) No (0) Person is not alive but we were in touch before their death (2) Person in no longer alive and we were not in touch before their death (3) |
LHES | | | Does ${q://QID2077/ChoiceTextEntryValue/3} know about your gender identity? If no longer alive, did ${q://QID2077/ChoiceTextEntryValue/3} know about your gender identity? | Yes (1) No (0) |
LHES | | | When ${q://QID2077/ChoiceTextEntryValue/3} INITIALLY LEARNED about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
LHES | | | In your most RECENT INTERACTIONS with ${q://QID2077/ChoiceTextEntryValue/3} (even if no longer alive), how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
LHES | | | Did your communication with ${q://QID2077/ChoiceTextEntryValue/3} change after they learned about your gender identity? | It got a lot better. (5) It got somewhat better. (4) It did not change. (3) It got somewhat worse. (2) It got a lot worse. (1) We stopped communicating after I came out. (0) |
LHES | | | Did your communication with ${q://QID2077/ChoiceTextEntryValue/3} eventually get better? | Yes (1) No (0) |
LHES | | | Are you still in touch with ${q://QID2077/ChoiceTextEntryValue/3}? | Yes (1) No (0) Person is not alive but we were in touch before their death (2) Person in no longer alive and we were not in touch before their death (3) |
LHES | | | Does ${q://QID2077/ChoiceTextEntryValue/4} know about your gender identity? If no longer alive, did ${q://QID2077/ChoiceTextEntryValue/4} know about your gender identity? | Yes (1) No (0) |
LHES | | | When ${q://QID2077/ChoiceTextEntryValue/4} INITIALLY LEARNED about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
LHES | | | In your most RECENT INTERACTIONS with ${q://QID2077/ChoiceTextEntryValue/4} (even if no longer alive), how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
LHES | | | Did your communication with ${q://QID2077/ChoiceTextEntryValue/4} change after they learned about your gender identity? | It got a lot better. (5) It got somewhat better. (4) It did not change. (3) It got somewhat worse. (2) It got a lot worse. (1) We stopped communicating after I came out. (0) |
LHES | | | Did your communication with ${q://QID2077/ChoiceTextEntryValue/4} eventually get better? | Yes (1) No (0) |
LHES | | | Are you still in touch with ${q://QID2077/ChoiceTextEntryValue/4}? | Yes (1) No (0) Person is not alive but we were in touch before their death (2) Person in no longer alive and we were not in touch before their death (3) |
LHES | | | Does ${q://QID2077/ChoiceTextEntryValue/1} know about your sexual orientation? If no longer alive, did ${q://QID2077/ChoiceTextEntryValue/1} know about your sexual orientation? | Yes (1) No (0) |
LHES | | | When ${q://QID2077/ChoiceTextEntryValue/1} INITIALLY LEARNED about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
LHES | | | In your most RECENT INTERACTIONS with ${q://QID2077/ChoiceTextEntryValue/1} (even if no longer alive), how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
LHES | | | Did your communication with ${q://QID2077/ChoiceTextEntryValue/1} change after they learned about your sexual orientation? | It got a lot better. (5) It got somewhat better. (4) It did not change. (3) It got somewhat worse. (2) It got a lot worse. (1) We stopped communicating after I came out (0) |
LHES | | | Did your communication with ${q://QID2077/ChoiceTextEntryValue/1} eventually get better? | Yes (1) No (0) |
LHES | | | Are you still in touch with ${q://QID2077/ChoiceTextEntryValue/1}? | Yes (1) No (0) Person is not alive but we were in touch before their death (2) Person in no longer alive and we were not in touch before their death (3) |
LHES | | | Does ${q://QID2077/ChoiceTextEntryValue/2} know about your sexual orientation? If no longer alive, did ${q://QID2077/ChoiceTextEntryValue/2} know about your sexual orientation? | Yes (1) No (0) |
LHES | | | When ${q://QID2077/ChoiceTextEntryValue/2} INITIALLY LEARNED about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
LHES | | | In your most RECENT INTERACTIONS with ${q://QID2077/ChoiceTextEntryValue/2} (even if no longer alive), how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
LHES | | | Did your communication with ${q://QID2077/ChoiceTextEntryValue/2} change after they learned about your sexual orientation? | It got a lot better. (5) It got somewhat better. (4) It did not change. (3) It got somewhat worse. (2) It got a lot worse. (1) We stopped communicating after I came out (0) |
LHES | | | Did your communication with ${q://QID2077/ChoiceTextEntryValue/2} eventually get better? | Yes (1) No (0) |
LHES | | | Are you still in touch with ${q://QID2077/ChoiceTextEntryValue/2}? | Yes (1) No (0) Person is not alive but we were in touch before their death (2) Person is no longer alive and we were not in touch before their death (3) |
LHES | | | Does ${q://QID2077/ChoiceTextEntryValue/3} know about your sexual orientation? If no longer alive, did ${q://QID2077/ChoiceTextEntryValue/3} know about your sexual orientation? | Yes (1) No (0) |
LHES | | | When ${q://QID2077/ChoiceTextEntryValue/3} INITIALLY LEARNED about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
LHES | | | In your most RECENT INTERACTIONS with ${q://QID2077/ChoiceTextEntryValue/3} (even if no longer alive), how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
LHES | | | Did your communication with ${q://QID2077/ChoiceTextEntryValue/3} change after they learned about your sexual orientation? | It got a lot better. (5) It got somewhat better. (4) It did not change. (3) It got somewhat worse. (2) It got a lot worse. (1) We stopped communicating after I came out (0) |
LHES | | | Did your communication with ${q://QID2077/ChoiceTextEntryValue/3} eventually get better? | Yes (1) No (0) |
LHES | | | Are you still in touch with ${q://QID2077/ChoiceTextEntryValue/3}? | Yes (1) No (2) Person is not alive but we were in touch before their death (3) Person in no longer alive and we were not in touch before their death (4) |
LHES | | | Does ${q://QID2077/ChoiceTextEntryValue/4} know about your sexual orientation? If no longer alive, did ${q://QID2077/ChoiceTextEntryValue/4} know about your sexual orientation? | Yes (1) No (0) |
LHES | | | When ${q://QID2077/ChoiceTextEntryValue/4} INITIALLY LEARNED about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
LHES | | | In your most RECENT INTERACTIONS with ${q://QID2077/ChoiceTextEntryValue/4} (even if no longer alive), how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
LHES | | | Did your communication with ${q://QID2077/ChoiceTextEntryValue/4} change after they learned about your sexual orientation? | It got a lot better. (5) It got somewhat better. (4) It did not change. (3) It got somewhat worse. (2) It got a lot worse. (1) We stopped communicating after I came out (0) |
LHES | | | Did your communication with ${q://QID2077/ChoiceTextEntryValue/4} eventually get better? | Yes (1) No (0) |
LHES | | | Are you still in touch with ${q://QID2077/ChoiceTextEntryValue/4}? | Yes (1) No (0) Person is not alive but we were in touch before their death (2) Person in no longer alive and we were not in touch before their death (3) |
LHES | | | Think back to when you were growing up. Did you have role models, in the following groups, who were gender minority (for example: genderqueer, non-binary, transgender, etc.) people? (Check all that apply.) | I had no gender minority role models (0) Family members (1) Members of my community (2) Peers (3) People in an online community (4) People in the media (5) Other (please specify) (6) Other (please specify) (TEXT) |
LHES | | | Think back to when you were growing up. Did you have role models, in the following groups, who were sexual minority (for example: asexual, bisexual, gay, lesbian, queer, etc.) people? (Check all that apply.) | I had no sexual minority role models (0) Family members (1) Members of my community (2) Peers (3) People in an online community (4) People in the media (5) Other (please specify) (6) Other (please specify) (TEXT) |
LHES | | | I often notice small sounds when others do not. | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
LHES | | | When I'm reading a story I find it difficult to work out the characters' intentions. | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
LHES | | | I find it easy to 'read between the lines' when someone is talking to me. | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
LHES | | | I usually concentrate more on the whole picture, rather than the small details. | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
LHES | | | I know how to tell if someone listening to me is getting bored. | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
LHES | | | I find it easy to do more than one thing at once. | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
LHES | | | I find it easy to work out what someone is thinking or feeling just by looking at their face. | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
LHES | | | If there is an interruption, I can switch back to what I was doing very quickly. | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
LHES | | | I like to collect information about categories of things (e.g., types of cars, types of birds, types of trains, types of plants, etc.) | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
LHES | | | I find it difficult to work out people's intentions. | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
LHES | | | You have completed the Social Health section! This is one of 4 sections! Phew! We know this survey is long and we thank you for the time and energy you have put into helping us advance our collective understanding of LGBTQ health. Your answers are bringing us one step closer to LGBTQ health equity! | No Answers |
LHES | | | Has a doctor or health care provider EVER told you that you have the following conditions? (Check all that apply.)Although this list of conditions may seem to repeat what you may have filled out as part of "My Health," we want to make sure everything is as up-to-date as possible. | Acid reflux (heartburn) (1) Anemia (2) Angina pectoris (angina) (3) Anxiety (4) Asthma (5) Atrial fibrillation (Afib) (6) Benign prostatic hypertrophy (BPH, enlarged prostate) (7) Bipolar disorder (8) Cancer (9) Cataracts (10) Chronic kidney disease (11) Chronic obstructive pulmonary disease (COPD) (12) None of these (0) |
LHES | | | With what type(s) of cancer have you been diagnosed? (Check all that apply.) | Anal (1) Breast (2) Colon (3) Kidney (4) Lung (5) Leukemia/Lymphoma (6) Ovary (7) Pancreas (8) Prostate (9) Skin (melanoma) (10) Skin (non-melanoma) (11) Uterus (13) Other (please specify) (12) Other (please specify) (TEXT) |
LHES | | | In what year were you diagnosed with anal cancer? | Text Entry (-) |
LHES | | | In what year were you diagnosed with breast cancer? | Text Entry (-) |
LHES | | | In what year were you diagnosed with colon cancer? | Text Entry (-) |
LHES | | | In what year were you diagnosed with kidney cancer? | Text Entry (-) |
LHES | | | In what year were you diagnosed with leukemia/lymphoma? | Text Entry (-) |
LHES | | | In what year were you diagnosed with lung cancer? | Text Entry (-) |
LHES | | | In what year were you diagnosed with melanoma? | Text Entry (-) |
LHES | | | In what year were you diagnosed with non-melanoma skin cancer? | Text Entry (-) |
LHES | | | In what year were you diagnosed with ovarian cancer? | Text Entry (-) |
LHES | | | In what year were you diagnosed with pancreatic cancer? | Text Entry (-) |
LHES | | | In what year were you diagnosed with prostate cancer? | Text Entry (-) |
LHES | | | In what year were you diagnosed with cancer of the uterus? | Text Entry (-) |
LHES | | | In what year were you diagnosed with ${q://QID2030/ChoiceTextEntryValue/12} cancer? | Text Entry (-) |
LHES | | | How about any of these? Has a doctor or other health care provider EVER told you that you have the following conditions? (Check all that apply.) | Coagulation (bleeding or clotting) problem (1) Congestive heart failure (CHF) (2) Coronary artery disease (3) Depression (4) Diabetes mellitus (diabetes, sugar diabetes) (5) Diabetes (borderline) (6) Erectile dysfunction (7) Glaucoma (8) Heart attack (9) Heart murmur (10) High cholesterol (11) HIV (12) None of these (0) |
LHES | | | In what year were you diagnosed with HIV? | Text Entry (-) |
LHES | | | Here's the last set! Has a doctor or other health care provider EVER told you that you have the following conditions? (Check all that apply.) | Hypertension (high blood pressure) (1) Inflammatory bowel disease (Crohns disease, ulcerative colitis) (2) Irritable bowel syndrome (IBS) (3) Kidney stone (nephrolithiasis) (4) Liver disease (5) Lupus (systemic lupus erythematous, SLE) (6) Menopause (7) Migraine headache (8) Obstructive sleep apnea (OSA) (9) Peripheral vascular disease (PVD) (10) Polycystic ovarian syndrome (PCOS) (11) Psoriasis (12) Pulmonary embolism (PE) (13) Seizure disorder (epilepsy) (14) Stroke (cerebrovascular accident, CVA) (15) Thyroid problem (hyperthyroidism, hypothyroidism) (16) Ulcer (stomach/peptic, duodenal) (17) Uterine fibroids (18) None of these (0) |
LHES | | | Please list up to five additional medical conditions that a doctor or other health care provider told you that you have (One condition per line). If no additional conditions, please click next. | Text Entry (-) |
LHES | | | Have you EVER had the following surgeries or procedures? (Check all that apply.) (Gender-affirming or transition-related surgeries and procedures are asked about later.)Although this list of procedures may seem to repeat what you may have entered in "My Health," getting the most up-to-date information will make sure that we can customize the survey for you. | Coronary stent placement (1) Coronary artery bypass graft (CABG, bypass surgery) (2) Heart valve replacement (3) Pacemaker implantation (4) Implantable cardiac defibrillator (ICD) implantation (5) Bone marrow transplant (6) Organ transplant (7) Gallbladder removal (cholecystectomy) (8) Appendix removal (appendectomy) (9) C section (cesarean section) (10) Uterus removal with cervix retained (supracervical hysterectomy) (11) Uterus removal with cervix removed (total hysterectomy) (12) Ovary removal (oophorectomy) (13) Hip replacement (one or both) (14) Knee replacement (one or both) (15) None of these (16) |
LHES | | | Which organ(s) have you received through a transplant? (Check all that apply.) | Heart (1) Lung (2) Liver (3) Pancreas (4) Kidney (5) Small intestine (6) Other (please specify) (7) Other (please specify) (TEXT) |
LHES | | | Have you EVER had any of the following procedures for any reason (including gender affirmation)? (Check all that apply.) | Electrolysis (long-term hair removal) (1) Fat grafting (e.g., face, hips, buttocks, breasts/chest) (2) None of these (3) |
LHES | | | Please list up to five additional general surgeries/procedures that you had (not including gender-affirming or transition-related surgeries or procedures, which we ask about later). Please write in one surgery/procedure per line. If no additional surgeries/procedures, please click next. | Text Entry (-) |
LHES | | | Have you EVER used hormones or medications for the purposes of gender affirmation (also called gender transition)? | Yes (1) No (0) I dont know (88) |
LHES | | | Which hormones or medications for the purposes of gender affirmation (also called gender transition) have you EVER taken? (Check all that apply.) | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histarelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium or Provera) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) Another hormone/medication not listed here (please specify) (17) Another hormone/medication not listed here (please specify) (TEXT) I have (also) taken some other hormone(s)/medication(s), but I am not sure what it is called. (18) None of the above (19) |
LHES | | | Of the hormones or medications for the purposes of gender affirmation (also called gender transition) that you ever took, please indicate the hormones or medications that you are CURRENTLY taking. (Check all that apply.) | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histarelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium or Provera) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) q://QID2025/ChoiceTextEntryValueቭ (17) I am not currently taking any hormones for gender affirmation (18) |
LHES | | | Please tell us when you STARTED taking cyproterone acetate (sometimes called: CPA or Cyprostat) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) 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dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Please tell us when you STOPPED taking cyproterone acetate (sometimes called: CPA or Cyprostat) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) February 2001 (52) February 2000 (53) February 1999 (54) February 1998 (55) February 1997 (56) February 1996 (57) February 1995 (58) February 1994 (59) February 1993 (60) February 1992 or earlier (61) February I dont know/remember (62) March (63) March 2020 (64) March 2019 (65) March 2018 (66) March 2017 (67) March 2016 (68) March 2015 (69) March 2014 (70) March 2013 (71) March 2012 (72) March 2011 (73) March 2010 (74) March 2009 (75) March 2008 (76) March 2007 (77) March 2006 (78) March 2005 (79) March 2004 (80) March 2003 (81) March 2002 (82) March 2001 (83) March 2000 (84) March 1999 (85) March 1998 (86) March 1997 (87) March 1996 (88) March 1995 (89) March 1994 (90) March 1993 (91) March 1992 or earlier (92) March I dont know/remember (93) April (94) April 2020 (95) April 2019 (96) April 2018 (97) April 2017 (98) April 2016 (99) April 2015 (100) April 2014 (101) April 2013 (102) April 2012 (103) April 2011 (104) April 2010 (105) April 2009 (106) April 2008 (107) 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dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Because you indicated that you are no longer taking cyproterone acetate (sometimes called CPA or Cyprostat), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
LHES | | | Please tell us when you STARTED taking dutasteride (sometimes called: Avodart) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) February 2001 (52) February 2000 (53) February 1999 (54) February 1998 (55) February 1997 (56) February 1996 (57) February 1995 (58) February 1994 (59) February 1993 (60) February 1992 or earlier (61) February I dont know/remember (62) March (63) March 2020 (64) March 2019 (65) March 2018 (66) March 2017 (67) March 2016 (68) March 2015 (69) March 2014 (70) March 2013 (71) March 2012 (72) March 2011 (73) March 2010 (74) March 2009 (75) March 2008 (76) March 2007 (77) March 2006 (78) March 2005 (79) March 2004 (80) March 2003 (81) March 2002 (82) March 2001 (83) March 2000 (84) March 1999 (85) March 1998 (86) March 1997 (87) March 1996 (88) March 1995 (89) March 1994 (90) March 1993 (91) March 1992 or earlier (92) March I dont know/remember (93) April (94) April 2020 (95) April 2019 (96) April 2018 (97) April 2017 (98) April 2016 (99) April 2015 (100) April 2014 (101) April 2013 (102) April 2012 (103) April 2011 (104) April 2010 (105) April 2009 (106) April 2008 (107) 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dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Please tell us when you STOPPED taking dutasteride (sometimes called: Avodart) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) February 2001 (52) February 2000 (53) February 1999 (54) February 1998 (55) February 1997 (56) February 1996 (57) February 1995 (58) February 1994 (59) February 1993 (60) February 1992 or earlier (61) February I dont know/remember (62) March (63) March 2020 (64) March 2019 (65) March 2018 (66) March 2017 (67) March 2016 (68) March 2015 (69) March 2014 (70) March 2013 (71) March 2012 (72) March 2011 (73) March 2010 (74) March 2009 (75) March 2008 (76) March 2007 (77) March 2006 (78) March 2005 (79) March 2004 (80) March 2003 (81) March 2002 (82) March 2001 (83) March 2000 (84) March 1999 (85) March 1998 (86) March 1997 (87) March 1996 (88) March 1995 (89) March 1994 (90) March 1993 (91) March 1992 or earlier (92) March I dont know/remember (93) April (94) April 2020 (95) April 2019 (96) April 2018 (97) April 2017 (98) April 2016 (99) April 2015 (100) April 2014 (101) April 2013 (102) April 2012 (103) April 2011 (104) April 2010 (105) April 2009 (106) April 2008 (107) 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dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Because you indicated that you are no longer taking dutasteride (sometimes called: Avodart), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
LHES | | | Please tell us when you STARTED taking depo leuprolide or leuprolide acetate (sometimes called: Lupron) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) February 2001 (52) February 2000 (53) February 1999 (54) February 1998 (55) February 1997 (56) February 1996 (57) February 1995 (58) February 1994 (59) February 1993 (60) February 1992 or earlier (61) February I dont know/remember (62) March (63) March 2020 (64) March 2019 (65) March 2018 (66) March 2017 (67) March 2016 (68) March 2015 (69) March 2014 (70) March 2013 (71) March 2012 (72) March 2011 (73) March 2010 (74) March 2009 (75) March 2008 (76) March 2007 (77) March 2006 (78) March 2005 (79) March 2004 (80) March 2003 (81) March 2002 (82) March 2001 (83) March 2000 (84) March 1999 (85) March 1998 (86) March 1997 (87) March 1996 (88) March 1995 (89) March 1994 (90) March 1993 (91) March 1992 or earlier (92) March I dont know/remember (93) April (94) April 2020 (95) April 2019 (96) April 2018 (97) April 2017 (98) April 2016 (99) April 2015 (100) April 2014 (101) April 2013 (102) April 2012 (103) April 2011 (104) April 2010 (105) April 2009 (106) April 2008 (107) 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(168) June 2008 (169) June 2007 (170) June 2006 (171) June 2005 (172) June 2004 (173) June 2003 (174) June 2002 (175) June 2001 (176) June 2000 (177) June 1999 (178) June 1998 (179) June 1997 (180) June 1996 (181) June 1995 (182) June 1994 (183) June 1993 (184) June 1992 or earlier (185) June I dont know/remember (186) July (187) July 2020 (188) July 2019 (189) July 2018 (190) July 2017 (191) July 2016 (192) July 2015 (193) July 2014 (194) July 2013 (195) July 2012 (196) July 2011 (197) July 2010 (198) July 2009 (199) July 2008 (200) July 2007 (201) July 2006 (202) July 2005 (203) July 2004 (204) July 2003 (205) July 2002 (206) July 2001 (207) July 2000 (208) July 1999 (209) July 1998 (210) July 1997 (211) July 1996 (212) July 1995 (213) July 1994 (214) July 1993 (215) July 1992 or earlier (216) July I dont know/remember (217) August (218) August 2020 (219) August 2019 (220) August 2018 (221) August 2017 (222) August 2016 (223) August 2015 (224) August 2014 (225) August 2013 (226) August 2012 (227) August 2011 (228) August 2010 (229) August 2009 (230) August 2008 (231) August 2007 (232) August 2006 (233) August 2005 (234) August 2004 (235) August 2003 (236) August 2002 (237) August 2001 (238) August 2000 (239) August 1999 (240) August 1998 (241) August 1997 (242) August 1996 (243) August 1995 (244) August 1994 (245) August 1993 (246) August 1992 or earlier (247) August I dont know/remember (248) September (249) September 2020 (250) September 2019 (251) September 2018 (252) September 2017 (253) September 2016 (254) September 2015 (255) September 2014 (256) September 2013 (257) September 2012 (258) September 2011 (259) September 2010 (260) September 2009 (261) September 2008 (262) September 2007 (263) September 2006 (264) September 2005 (265) September 2004 (266) September 2003 (267) September 2002 (268) September 2001 (269) September 2000 (270) September 1999 (271) September 1998 (272) September 1997 (273) September 1996 (274) September 1995 (275) September 1994 (276) September 1993 (277) September 1992 or earlier (278) September I dont know/remember (279) October (280) October 2020 (281) October 2019 (282) October 2018 (283) October 2017 (284) October 2016 (285) October 2015 (286) October 2014 (287) October 2013 (288) October 2012 (289) October 2011 (290) October 2010 (291) October 2009 (292) October 2008 (293) October 2007 (294) October 2006 (295) October 2005 (296) October 2004 (297) October 2003 (298) October 2002 (299) October 2001 (300) October 2000 (301) October 1999 (302) October 1998 (303) October 1997 (304) October 1996 (305) October 1995 (306) October 1994 (307) October 1993 (308) October 1992 or earlier (309) October I dont know/remember (310) November (311) November 2020 (312) November 2019 (313) November 2018 (314) November 2017 (315) November 2016 (316) November 2015 (317) November 2014 (318) November 2013 (319) November 2012 (320) November 2011 (321) November 2010 (322) November 2009 (323) November 2008 (324) November 2007 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dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Please tell us when you STOPPED taking depo leuprolide or leuprolide acetate (sometimes called: Lupron) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) February 2001 (52) February 2000 (53) February 1999 (54) February 1998 (55) February 1997 (56) February 1996 (57) February 1995 (58) February 1994 (59) February 1993 (60) February 1992 or earlier (61) February I dont know/remember (62) March (63) March 2020 (64) March 2019 (65) March 2018 (66) March 2017 (67) March 2016 (68) March 2015 (69) March 2014 (70) March 2013 (71) March 2012 (72) March 2011 (73) March 2010 (74) March 2009 (75) March 2008 (76) March 2007 (77) March 2006 (78) March 2005 (79) March 2004 (80) March 2003 (81) March 2002 (82) March 2001 (83) March 2000 (84) March 1999 (85) March 1998 (86) March 1997 (87) March 1996 (88) March 1995 (89) March 1994 (90) March 1993 (91) March 1992 or earlier (92) March I dont know/remember (93) April (94) April 2020 (95) April 2019 (96) April 2018 (97) April 2017 (98) April 2016 (99) April 2015 (100) April 2014 (101) April 2013 (102) April 2012 (103) April 2011 (104) April 2010 (105) April 2009 (106) April 2008 (107) April 2007 (108) April 2006 (109) April 2005 (110) April 2004 (111) April 2003 (112) April 2002 (113) April 2001 (114) April 2000 (115) April 1999 (116) April 1998 (117) April 1997 (118) April 1996 (119) April 1995 (120) April 1994 (121) April 1993 (122) April 1992 or earlier (123) April I dont know/remember (124) May (125) May 2020 (126) May 2019 (127) May 2018 (128) May 2017 (129) May 2016 (130) May 2015 (131) May 2014 (132) May 2013 (133) May 2012 (134) May 2011 (135) May 2010 (136) May 2009 (137) May 2008 (138) May 2007 (139) May 2006 (140) May 2005 (141) May 2004 (142) May 2003 (143) May 2002 (144) May 2001 (145) May 2000 (146) May 1999 (147) May 1998 (148) May 1997 (149) May 1996 (150) May 1995 (151) May 1994 (152) May 1993 (153) May 1992 or earlier (154) May I dont know/remember (155) June (156) June 2020 (157) June 2019 (158) June 2018 (159) June 2017 (160) June 2016 (161) June 2015 (162) June 2014 (163) June 2013 (164) June 2012 (165) June 2011 (166) June 2010 (167) June 2009 (168) June 2008 (169) June 2007 (170) June 2006 (171) June 2005 (172) June 2004 (173) June 2003 (174) June 2002 (175) June 2001 (176) June 2000 (177) June 1999 (178) June 1998 (179) June 1997 (180) June 1996 (181) June 1995 (182) June 1994 (183) June 1993 (184) June 1992 or earlier (185) June I dont know/remember (186) July (187) July 2020 (188) July 2019 (189) July 2018 (190) July 2017 (191) July 2016 (192) July 2015 (193) July 2014 (194) July 2013 (195) July 2012 (196) July 2011 (197) July 2010 (198) July 2009 (199) July 2008 (200) July 2007 (201) July 2006 (202) July 2005 (203) July 2004 (204) July 2003 (205) July 2002 (206) July 2001 (207) July 2000 (208) July 1999 (209) July 1998 (210) July 1997 (211) July 1996 (212) July 1995 (213) July 1994 (214) July 1993 (215) July 1992 or earlier (216) July I dont know/remember (217) August (218) August 2020 (219) August 2019 (220) August 2018 (221) August 2017 (222) August 2016 (223) August 2015 (224) August 2014 (225) August 2013 (226) August 2012 (227) August 2011 (228) August 2010 (229) August 2009 (230) August 2008 (231) August 2007 (232) August 2006 (233) August 2005 (234) August 2004 (235) August 2003 (236) August 2002 (237) August 2001 (238) August 2000 (239) August 1999 (240) August 1998 (241) August 1997 (242) August 1996 (243) August 1995 (244) August 1994 (245) August 1993 (246) August 1992 or earlier (247) August I dont know/remember (248) September (249) September 2020 (250) September 2019 (251) September 2018 (252) September 2017 (253) September 2016 (254) September 2015 (255) September 2014 (256) September 2013 (257) September 2012 (258) September 2011 (259) September 2010 (260) September 2009 (261) September 2008 (262) September 2007 (263) September 2006 (264) September 2005 (265) September 2004 (266) September 2003 (267) September 2002 (268) September 2001 (269) September 2000 (270) September 1999 (271) September 1998 (272) September 1997 (273) September 1996 (274) September 1995 (275) September 1994 (276) September 1993 (277) September 1992 or earlier (278) September I dont know/remember (279) October (280) October 2020 (281) October 2019 (282) October 2018 (283) October 2017 (284) October 2016 (285) October 2015 (286) October 2014 (287) October 2013 (288) October 2012 (289) October 2011 (290) October 2010 (291) October 2009 (292) October 2008 (293) October 2007 (294) October 2006 (295) October 2005 (296) October 2004 (297) October 2003 (298) October 2002 (299) October 2001 (300) October 2000 (301) October 1999 (302) October 1998 (303) October 1997 (304) October 1996 (305) October 1995 (306) October 1994 (307) October 1993 (308) October 1992 or earlier (309) October I dont know/remember (310) November (311) November 2020 (312) November 2019 (313) November 2018 (314) November 2017 (315) November 2016 (316) November 2015 (317) November 2014 (318) November 2013 (319) November 2012 (320) November 2011 (321) November 2010 (322) November 2009 (323) November 2008 (324) November 2007 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dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Because you indicated that you are no longer taking depo leuprolide or leuprolide acetate (sometimes called: Lupron), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
LHES | | | Please tell us when you STARTED taking depo (injection) provera (sometimes called: “Depo” or medroxyprogesterone acetate) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) February 2001 (52) February 2000 (53) February 1999 (54) February 1998 (55) February 1997 (56) February 1996 (57) February 1995 (58) February 1994 (59) February 1993 (60) February 1992 or earlier (61) February I dont know/remember (62) March (63) March 2020 (64) March 2019 (65) March 2018 (66) March 2017 (67) March 2016 (68) March 2015 (69) March 2014 (70) March 2013 (71) March 2012 (72) March 2011 (73) March 2010 (74) March 2009 (75) March 2008 (76) March 2007 (77) March 2006 (78) March 2005 (79) March 2004 (80) March 2003 (81) March 2002 (82) March 2001 (83) March 2000 (84) March 1999 (85) March 1998 (86) March 1997 (87) March 1996 (88) March 1995 (89) March 1994 (90) March 1993 (91) March 1992 or earlier (92) March I dont know/remember (93) April (94) April 2020 (95) April 2019 (96) April 2018 (97) April 2017 (98) April 2016 (99) April 2015 (100) April 2014 (101) April 2013 (102) April 2012 (103) April 2011 (104) April 2010 (105) April 2009 (106) April 2008 (107) 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(276) September 1993 (277) September 1992 or earlier (278) September I dont know/remember (279) October (280) October 2020 (281) October 2019 (282) October 2018 (283) October 2017 (284) October 2016 (285) October 2015 (286) October 2014 (287) October 2013 (288) October 2012 (289) October 2011 (290) October 2010 (291) October 2009 (292) October 2008 (293) October 2007 (294) October 2006 (295) October 2005 (296) October 2004 (297) October 2003 (298) October 2002 (299) October 2001 (300) October 2000 (301) October 1999 (302) October 1998 (303) October 1997 (304) October 1996 (305) October 1995 (306) October 1994 (307) October 1993 (308) October 1992 or earlier (309) October I dont know/remember (310) November (311) November 2020 (312) November 2019 (313) November 2018 (314) November 2017 (315) November 2016 (316) November 2015 (317) November 2014 (318) November 2013 (319) November 2012 (320) November 2011 (321) November 2010 (322) November 2009 (323) November 2008 (324) November 2007 (325) November 2006 (326) November 2005 (327) November 2004 (328) November 2003 (329) November 2002 (330) November 2001 (331) November 2000 (332) November 1999 (333) November 1998 (334) November 1997 (335) November 1996 (336) November 1995 (337) November 1994 (338) November 1993 (339) November 1992 or earlier (340) November I dont know/remember (341) December (342) December 2020 (343) December 2019 (344) December 2018 (345) December 2017 (346) December 2016 (347) December 2015 (348) December 2014 (349) December 2013 (350) December 2012 (351) December 2011 (352) December 2010 (353) December 2009 (354) December 2008 (355) December 2007 (356) December 2006 (357) December 2005 (358) December 2004 (359) December 2003 (360) December 2002 (361) December 2001 (362) December 2000 (363) December 1999 (364) December 1998 (365) December 1997 (366) December 1996 (367) December 1995 (368) December 1994 (369) December 1993 (370) December 1992 or earlier (371) December I dont know/remember (372) I dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Please tell us when you STOPPED taking depo (injection) provera (sometimes called: "Depo" or medroxyprogesterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) February 2001 (52) February 2000 (53) February 1999 (54) February 1998 (55) February 1997 (56) February 1996 (57) February 1995 (58) February 1994 (59) February 1993 (60) February 1992 or earlier (61) February I dont know/remember (62) March (63) March 2020 (64) March 2019 (65) March 2018 (66) March 2017 (67) March 2016 (68) March 2015 (69) March 2014 (70) March 2013 (71) March 2012 (72) March 2011 (73) March 2010 (74) March 2009 (75) March 2008 (76) March 2007 (77) March 2006 (78) March 2005 (79) March 2004 (80) March 2003 (81) March 2002 (82) March 2001 (83) March 2000 (84) March 1999 (85) March 1998 (86) March 1997 (87) March 1996 (88) March 1995 (89) March 1994 (90) March 1993 (91) March 1992 or earlier (92) March I dont know/remember (93) April (94) April 2020 (95) April 2019 (96) April 2018 (97) April 2017 (98) April 2016 (99) April 2015 (100) April 2014 (101) April 2013 (102) April 2012 (103) April 2011 (104) April 2010 (105) April 2009 (106) April 2008 (107) April 2007 (108) April 2006 (109) April 2005 (110) April 2004 (111) April 2003 (112) April 2002 (113) April 2001 (114) April 2000 (115) April 1999 (116) April 1998 (117) April 1997 (118) April 1996 (119) April 1995 (120) April 1994 (121) April 1993 (122) April 1992 or earlier (123) April I dont know/remember (124) May (125) May 2020 (126) May 2019 (127) May 2018 (128) May 2017 (129) May 2016 (130) May 2015 (131) May 2014 (132) May 2013 (133) May 2012 (134) May 2011 (135) May 2010 (136) May 2009 (137) May 2008 (138) May 2007 (139) May 2006 (140) May 2005 (141) May 2004 (142) May 2003 (143) May 2002 (144) May 2001 (145) May 2000 (146) May 1999 (147) May 1998 (148) May 1997 (149) May 1996 (150) May 1995 (151) May 1994 (152) May 1993 (153) May 1992 or earlier (154) May I dont know/remember (155) June (156) June 2020 (157) June 2019 (158) June 2018 (159) June 2017 (160) June 2016 (161) June 2015 (162) June 2014 (163) June 2013 (164) June 2012 (165) June 2011 (166) June 2010 (167) June 2009 (168) June 2008 (169) June 2007 (170) June 2006 (171) June 2005 (172) June 2004 (173) June 2003 (174) June 2002 (175) June 2001 (176) June 2000 (177) June 1999 (178) June 1998 (179) June 1997 (180) June 1996 (181) June 1995 (182) June 1994 (183) June 1993 (184) June 1992 or earlier (185) June I dont know/remember (186) July (187) July 2020 (188) July 2019 (189) July 2018 (190) July 2017 (191) July 2016 (192) July 2015 (193) July 2014 (194) July 2013 (195) July 2012 (196) July 2011 (197) July 2010 (198) July 2009 (199) July 2008 (200) July 2007 (201) July 2006 (202) July 2005 (203) July 2004 (204) July 2003 (205) July 2002 (206) July 2001 (207) July 2000 (208) July 1999 (209) July 1998 (210) July 1997 (211) July 1996 (212) July 1995 (213) July 1994 (214) July 1993 (215) July 1992 or earlier (216) July I dont know/remember (217) August (218) August 2020 (219) August 2019 (220) August 2018 (221) August 2017 (222) August 2016 (223) August 2015 (224) August 2014 (225) August 2013 (226) August 2012 (227) August 2011 (228) August 2010 (229) August 2009 (230) August 2008 (231) August 2007 (232) August 2006 (233) August 2005 (234) August 2004 (235) August 2003 (236) August 2002 (237) August 2001 (238) August 2000 (239) August 1999 (240) August 1998 (241) August 1997 (242) August 1996 (243) August 1995 (244) August 1994 (245) August 1993 (246) August 1992 or earlier (247) August I dont know/remember (248) September (249) September 2020 (250) September 2019 (251) September 2018 (252) September 2017 (253) September 2016 (254) September 2015 (255) September 2014 (256) September 2013 (257) September 2012 (258) September 2011 (259) September 2010 (260) September 2009 (261) September 2008 (262) September 2007 (263) September 2006 (264) September 2005 (265) September 2004 (266) September 2003 (267) September 2002 (268) September 2001 (269) September 2000 (270) September 1999 (271) September 1998 (272) September 1997 (273) September 1996 (274) September 1995 (275) September 1994 (276) September 1993 (277) September 1992 or earlier (278) September I dont know/remember (279) October (280) October 2020 (281) October 2019 (282) October 2018 (283) October 2017 (284) October 2016 (285) October 2015 (286) October 2014 (287) October 2013 (288) October 2012 (289) October 2011 (290) October 2010 (291) October 2009 (292) October 2008 (293) October 2007 (294) October 2006 (295) October 2005 (296) October 2004 (297) October 2003 (298) October 2002 (299) October 2001 (300) October 2000 (301) October 1999 (302) October 1998 (303) October 1997 (304) October 1996 (305) October 1995 (306) October 1994 (307) October 1993 (308) October 1992 or earlier (309) October I dont know/remember (310) November (311) November 2020 (312) November 2019 (313) November 2018 (314) November 2017 (315) November 2016 (316) November 2015 (317) November 2014 (318) November 2013 (319) November 2012 (320) November 2011 (321) November 2010 (322) November 2009 (323) November 2008 (324) November 2007 (325) November 2006 (326) November 2005 (327) November 2004 (328) November 2003 (329) November 2002 (330) November 2001 (331) November 2000 (332) November 1999 (333) November 1998 (334) November 1997 (335) November 1996 (336) November 1995 (337) November 1994 (338) November 1993 (339) November 1992 or earlier (340) November I dont know/remember (341) December (342) December 2020 (343) December 2019 (344) December 2018 (345) December 2017 (346) December 2016 (347) December 2015 (348) December 2014 (349) December 2013 (350) December 2012 (351) December 2011 (352) December 2010 (353) December 2009 (354) December 2008 (355) December 2007 (356) December 2006 (357) December 2005 (358) December 2004 (359) December 2003 (360) December 2002 (361) December 2001 (362) December 2000 (363) December 1999 (364) December 1998 (365) December 1997 (366) December 1996 (367) December 1995 (368) December 1994 (369) December 1993 (370) December 1992 or earlier (371) December I dont know/remember (372) I dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Because you indicated that you are no longer taking depo (Injection) provera (sometimes called: “Depo” or medroxyprogesterone acetate), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
LHES | | | Please tell us when you STARTED taking estrogen (any type in any formulation such as: gel, injection, patch, pill) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) February 2001 (52) February 2000 (53) February 1999 (54) February 1998 (55) February 1997 (56) February 1996 (57) February 1995 (58) February 1994 (59) February 1993 (60) February 1992 or earlier (61) February I dont know/remember (62) March (63) March 2020 (64) March 2019 (65) March 2018 (66) March 2017 (67) March 2016 (68) March 2015 (69) March 2014 (70) March 2013 (71) March 2012 (72) March 2011 (73) March 2010 (74) March 2009 (75) March 2008 (76) March 2007 (77) March 2006 (78) March 2005 (79) March 2004 (80) March 2003 (81) March 2002 (82) March 2001 (83) March 2000 (84) March 1999 (85) March 1998 (86) March 1997 (87) March 1996 (88) March 1995 (89) March 1994 (90) March 1993 (91) March 1992 or earlier (92) March I dont know/remember (93) April (94) April 2020 (95) April 2019 (96) April 2018 (97) April 2017 (98) April 2016 (99) April 2015 (100) April 2014 (101) April 2013 (102) April 2012 (103) April 2011 (104) April 2010 (105) April 2009 (106) April 2008 (107) April 2007 (108) April 2006 (109) April 2005 (110) April 2004 (111) April 2003 (112) April 2002 (113) April 2001 (114) April 2000 (115) April 1999 (116) April 1998 (117) April 1997 (118) April 1996 (119) April 1995 (120) April 1994 (121) April 1993 (122) April 1992 or earlier (123) April I dont know/remember (124) May (125) May 2020 (126) May 2019 (127) May 2018 (128) May 2017 (129) May 2016 (130) May 2015 (131) May 2014 (132) May 2013 (133) May 2012 (134) May 2011 (135) May 2010 (136) May 2009 (137) May 2008 (138) May 2007 (139) May 2006 (140) May 2005 (141) May 2004 (142) May 2003 (143) May 2002 (144) May 2001 (145) May 2000 (146) May 1999 (147) May 1998 (148) May 1997 (149) May 1996 (150) May 1995 (151) May 1994 (152) May 1993 (153) May 1992 or earlier (154) May I dont know/remember (155) June (156) June 2020 (157) June 2019 (158) June 2018 (159) June 2017 (160) June 2016 (161) June 2015 (162) June 2014 (163) June 2013 (164) June 2012 (165) June 2011 (166) June 2010 (167) June 2009 (168) June 2008 (169) June 2007 (170) June 2006 (171) June 2005 (172) June 2004 (173) June 2003 (174) June 2002 (175) June 2001 (176) June 2000 (177) June 1999 (178) June 1998 (179) June 1997 (180) June 1996 (181) June 1995 (182) June 1994 (183) June 1993 (184) June 1992 or earlier (185) June I dont know/remember (186) July (187) July 2020 (188) July 2019 (189) July 2018 (190) July 2017 (191) July 2016 (192) July 2015 (193) July 2014 (194) July 2013 (195) July 2012 (196) July 2011 (197) July 2010 (198) July 2009 (199) July 2008 (200) July 2007 (201) July 2006 (202) July 2005 (203) July 2004 (204) July 2003 (205) July 2002 (206) July 2001 (207) July 2000 (208) July 1999 (209) July 1998 (210) July 1997 (211) July 1996 (212) July 1995 (213) July 1994 (214) July 1993 (215) July 1992 or earlier (216) July I dont know/remember (217) August (218) August 2020 (219) August 2019 (220) August 2018 (221) August 2017 (222) August 2016 (223) August 2015 (224) August 2014 (225) August 2013 (226) August 2012 (227) August 2011 (228) August 2010 (229) August 2009 (230) August 2008 (231) August 2007 (232) August 2006 (233) August 2005 (234) August 2004 (235) August 2003 (236) August 2002 (237) August 2001 (238) August 2000 (239) August 1999 (240) August 1998 (241) August 1997 (242) August 1996 (243) August 1995 (244) August 1994 (245) August 1993 (246) August 1992 or earlier (247) August I dont know/remember (248) September (249) September 2020 (250) September 2019 (251) September 2018 (252) September 2017 (253) September 2016 (254) September 2015 (255) September 2014 (256) September 2013 (257) September 2012 (258) September 2011 (259) September 2010 (260) September 2009 (261) September 2008 (262) September 2007 (263) September 2006 (264) September 2005 (265) September 2004 (266) September 2003 (267) September 2002 (268) September 2001 (269) September 2000 (270) September 1999 (271) September 1998 (272) September 1997 (273) September 1996 (274) September 1995 (275) September 1994 (276) September 1993 (277) September 1992 or earlier (278) September I dont know/remember (279) October (280) October 2020 (281) October 2019 (282) October 2018 (283) October 2017 (284) October 2016 (285) October 2015 (286) October 2014 (287) October 2013 (288) October 2012 (289) October 2011 (290) October 2010 (291) October 2009 (292) October 2008 (293) October 2007 (294) October 2006 (295) October 2005 (296) October 2004 (297) October 2003 (298) October 2002 (299) October 2001 (300) October 2000 (301) October 1999 (302) October 1998 (303) October 1997 (304) October 1996 (305) October 1995 (306) October 1994 (307) October 1993 (308) October 1992 or earlier (309) October I dont know/remember (310) November (311) November 2020 (312) November 2019 (313) November 2018 (314) November 2017 (315) November 2016 (316) November 2015 (317) November 2014 (318) November 2013 (319) November 2012 (320) November 2011 (321) November 2010 (322) November 2009 (323) November 2008 (324) November 2007 (325) November 2006 (326) November 2005 (327) November 2004 (328) November 2003 (329) November 2002 (330) November 2001 (331) November 2000 (332) November 1999 (333) November 1998 (334) November 1997 (335) November 1996 (336) November 1995 (337) November 1994 (338) November 1993 (339) November 1992 or earlier (340) November I dont know/remember (341) December (342) December 2020 (343) December 2019 (344) December 2018 (345) December 2017 (346) December 2016 (347) December 2015 (348) December 2014 (349) December 2013 (350) December 2012 (351) December 2011 (352) December 2010 (353) December 2009 (354) December 2008 (355) December 2007 (356) December 2006 (357) December 2005 (358) December 2004 (359) December 2003 (360) December 2002 (361) December 2001 (362) December 2000 (363) December 1999 (364) December 1998 (365) December 1997 (366) December 1996 (367) December 1995 (368) December 1994 (369) December 1993 (370) December 1992 or earlier (371) December I dont know/remember (372) I dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Please tell us when you STOPPED taking estrogen (any type in any formulation such as: gel, injection, patch, pill) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) February 2001 (52) February 2000 (53) February 1999 (54) February 1998 (55) February 1997 (56) February 1996 (57) February 1995 (58) February 1994 (59) February 1993 (60) February 1992 or earlier (61) February I dont know/remember (62) March (63) March 2020 (64) March 2019 (65) March 2018 (66) March 2017 (67) March 2016 (68) March 2015 (69) March 2014 (70) March 2013 (71) March 2012 (72) March 2011 (73) March 2010 (74) March 2009 (75) March 2008 (76) March 2007 (77) March 2006 (78) March 2005 (79) March 2004 (80) March 2003 (81) March 2002 (82) March 2001 (83) March 2000 (84) March 1999 (85) March 1998 (86) March 1997 (87) March 1996 (88) March 1995 (89) March 1994 (90) March 1993 (91) March 1992 or earlier (92) March I dont know/remember (93) April (94) April 2020 (95) April 2019 (96) April 2018 (97) April 2017 (98) April 2016 (99) April 2015 (100) April 2014 (101) April 2013 (102) April 2012 (103) April 2011 (104) April 2010 (105) April 2009 (106) April 2008 (107) 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(168) June 2008 (169) June 2007 (170) June 2006 (171) June 2005 (172) June 2004 (173) June 2003 (174) June 2002 (175) June 2001 (176) June 2000 (177) June 1999 (178) June 1998 (179) June 1997 (180) June 1996 (181) June 1995 (182) June 1994 (183) June 1993 (184) June 1992 or earlier (185) June I dont know/remember (186) July (187) July 2020 (188) July 2019 (189) July 2018 (190) July 2017 (191) July 2016 (192) July 2015 (193) July 2014 (194) July 2013 (195) July 2012 (196) July 2011 (197) July 2010 (198) July 2009 (199) July 2008 (200) July 2007 (201) July 2006 (202) July 2005 (203) July 2004 (204) July 2003 (205) July 2002 (206) July 2001 (207) July 2000 (208) July 1999 (209) July 1998 (210) July 1997 (211) July 1996 (212) July 1995 (213) July 1994 (214) July 1993 (215) July 1992 or earlier (216) July I dont know/remember (217) August (218) August 2020 (219) August 2019 (220) August 2018 (221) August 2017 (222) August 2016 (223) August 2015 (224) August 2014 (225) August 2013 (226) 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(276) September 1993 (277) September 1992 or earlier (278) September I dont know/remember (279) October (280) October 2020 (281) October 2019 (282) October 2018 (283) October 2017 (284) October 2016 (285) October 2015 (286) October 2014 (287) October 2013 (288) October 2012 (289) October 2011 (290) October 2010 (291) October 2009 (292) October 2008 (293) October 2007 (294) October 2006 (295) October 2005 (296) October 2004 (297) October 2003 (298) October 2002 (299) October 2001 (300) October 2000 (301) October 1999 (302) October 1998 (303) October 1997 (304) October 1996 (305) October 1995 (306) October 1994 (307) October 1993 (308) October 1992 or earlier (309) October I dont know/remember (310) November (311) November 2020 (312) November 2019 (313) November 2018 (314) November 2017 (315) November 2016 (316) November 2015 (317) November 2014 (318) November 2013 (319) November 2012 (320) November 2011 (321) November 2010 (322) November 2009 (323) November 2008 (324) November 2007 (325) November 2006 (326) November 2005 (327) November 2004 (328) November 2003 (329) November 2002 (330) November 2001 (331) November 2000 (332) November 1999 (333) November 1998 (334) November 1997 (335) November 1996 (336) November 1995 (337) November 1994 (338) November 1993 (339) November 1992 or earlier (340) November I dont know/remember (341) December (342) December 2020 (343) December 2019 (344) December 2018 (345) December 2017 (346) December 2016 (347) December 2015 (348) December 2014 (349) December 2013 (350) December 2012 (351) December 2011 (352) December 2010 (353) December 2009 (354) December 2008 (355) December 2007 (356) December 2006 (357) December 2005 (358) December 2004 (359) December 2003 (360) December 2002 (361) December 2001 (362) December 2000 (363) December 1999 (364) December 1998 (365) December 1997 (366) December 1996 (367) December 1995 (368) December 1994 (369) December 1993 (370) December 1992 or earlier (371) December I dont know/remember (372) I dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Because you indicated that you are no longer taking estrogen (any type in any formulation such as: gel, injection, patch, pill), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
LHES | | | Please tell us when you STARTED taking estradiol valerate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) February 2001 (52) February 2000 (53) February 1999 (54) February 1998 (55) February 1997 (56) February 1996 (57) February 1995 (58) February 1994 (59) February 1993 (60) February 1992 or earlier (61) February I dont know/remember (62) March (63) March 2020 (64) March 2019 (65) March 2018 (66) March 2017 (67) March 2016 (68) March 2015 (69) March 2014 (70) March 2013 (71) March 2012 (72) March 2011 (73) March 2010 (74) March 2009 (75) March 2008 (76) March 2007 (77) March 2006 (78) March 2005 (79) March 2004 (80) March 2003 (81) March 2002 (82) March 2001 (83) March 2000 (84) March 1999 (85) March 1998 (86) March 1997 (87) March 1996 (88) March 1995 (89) March 1994 (90) March 1993 (91) March 1992 or earlier (92) March I dont know/remember (93) April (94) April 2020 (95) April 2019 (96) April 2018 (97) April 2017 (98) April 2016 (99) April 2015 (100) April 2014 (101) April 2013 (102) April 2012 (103) April 2011 (104) April 2010 (105) April 2009 (106) April 2008 (107) April 2007 (108) April 2006 (109) April 2005 (110) April 2004 (111) April 2003 (112) April 2002 (113) April 2001 (114) April 2000 (115) April 1999 (116) April 1998 (117) April 1997 (118) April 1996 (119) April 1995 (120) April 1994 (121) April 1993 (122) April 1992 or earlier (123) April I dont know/remember (124) May (125) May 2020 (126) May 2019 (127) May 2018 (128) May 2017 (129) May 2016 (130) May 2015 (131) May 2014 (132) May 2013 (133) May 2012 (134) May 2011 (135) May 2010 (136) May 2009 (137) May 2008 (138) May 2007 (139) May 2006 (140) May 2005 (141) May 2004 (142) May 2003 (143) May 2002 (144) May 2001 (145) May 2000 (146) May 1999 (147) May 1998 (148) May 1997 (149) May 1996 (150) May 1995 (151) May 1994 (152) May 1993 (153) May 1992 or earlier (154) May I dont know/remember (155) June (156) June 2020 (157) June 2019 (158) June 2018 (159) June 2017 (160) June 2016 (161) June 2015 (162) June 2014 (163) June 2013 (164) June 2012 (165) June 2011 (166) June 2010 (167) June 2009 (168) June 2008 (169) June 2007 (170) June 2006 (171) June 2005 (172) June 2004 (173) June 2003 (174) June 2002 (175) June 2001 (176) June 2000 (177) June 1999 (178) June 1998 (179) June 1997 (180) June 1996 (181) June 1995 (182) June 1994 (183) June 1993 (184) June 1992 or earlier (185) June I dont know/remember (186) July (187) July 2020 (188) July 2019 (189) July 2018 (190) July 2017 (191) July 2016 (192) July 2015 (193) July 2014 (194) July 2013 (195) July 2012 (196) July 2011 (197) July 2010 (198) July 2009 (199) July 2008 (200) July 2007 (201) July 2006 (202) July 2005 (203) July 2004 (204) July 2003 (205) July 2002 (206) July 2001 (207) July 2000 (208) July 1999 (209) July 1998 (210) July 1997 (211) July 1996 (212) July 1995 (213) July 1994 (214) July 1993 (215) July 1992 or earlier (216) July I dont know/remember (217) August (218) August 2020 (219) August 2019 (220) August 2018 (221) August 2017 (222) August 2016 (223) August 2015 (224) August 2014 (225) August 2013 (226) August 2012 (227) August 2011 (228) August 2010 (229) August 2009 (230) August 2008 (231) August 2007 (232) August 2006 (233) August 2005 (234) August 2004 (235) August 2003 (236) August 2002 (237) August 2001 (238) August 2000 (239) August 1999 (240) August 1998 (241) August 1997 (242) August 1996 (243) August 1995 (244) August 1994 (245) August 1993 (246) August 1992 or earlier (247) August I dont know/remember (248) September (249) September 2020 (250) September 2019 (251) September 2018 (252) September 2017 (253) September 2016 (254) September 2015 (255) September 2014 (256) September 2013 (257) September 2012 (258) September 2011 (259) September 2010 (260) September 2009 (261) September 2008 (262) September 2007 (263) September 2006 (264) September 2005 (265) September 2004 (266) September 2003 (267) September 2002 (268) September 2001 (269) September 2000 (270) September 1999 (271) September 1998 (272) September 1997 (273) September 1996 (274) September 1995 (275) September 1994 (276) September 1993 (277) September 1992 or earlier (278) September I dont know/remember (279) October (280) October 2020 (281) October 2019 (282) October 2018 (283) October 2017 (284) October 2016 (285) October 2015 (286) October 2014 (287) October 2013 (288) October 2012 (289) October 2011 (290) October 2010 (291) October 2009 (292) October 2008 (293) October 2007 (294) October 2006 (295) October 2005 (296) October 2004 (297) October 2003 (298) October 2002 (299) October 2001 (300) October 2000 (301) October 1999 (302) October 1998 (303) October 1997 (304) October 1996 (305) October 1995 (306) October 1994 (307) October 1993 (308) October 1992 or earlier (309) October I dont know/remember (310) November (311) November 2020 (312) November 2019 (313) November 2018 (314) November 2017 (315) November 2016 (316) November 2015 (317) November 2014 (318) November 2013 (319) November 2012 (320) November 2011 (321) November 2010 (322) November 2009 (323) November 2008 (324) November 2007 (325) November 2006 (326) November 2005 (327) November 2004 (328) November 2003 (329) November 2002 (330) November 2001 (331) November 2000 (332) November 1999 (333) November 1998 (334) November 1997 (335) November 1996 (336) November 1995 (337) November 1994 (338) November 1993 (339) November 1992 or earlier (340) November I dont know/remember (341) December (342) December 2020 (343) December 2019 (344) December 2018 (345) December 2017 (346) December 2016 (347) December 2015 (348) December 2014 (349) December 2013 (350) December 2012 (351) December 2011 (352) December 2010 (353) December 2009 (354) December 2008 (355) December 2007 (356) December 2006 (357) December 2005 (358) December 2004 (359) December 2003 (360) December 2002 (361) December 2001 (362) December 2000 (363) December 1999 (364) December 1998 (365) December 1997 (366) December 1996 (367) December 1995 (368) December 1994 (369) December 1993 (370) December 1992 or earlier (371) December I dont know/remember (372) I dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Please tell us when you STOPPED taking estradiol valerate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) February 2001 (52) February 2000 (53) February 1999 (54) February 1998 (55) February 1997 (56) February 1996 (57) February 1995 (58) February 1994 (59) February 1993 (60) February 1992 or earlier (61) February I dont know/remember (62) March (63) March 2020 (64) March 2019 (65) March 2018 (66) March 2017 (67) March 2016 (68) March 2015 (69) March 2014 (70) March 2013 (71) March 2012 (72) March 2011 (73) March 2010 (74) March 2009 (75) March 2008 (76) March 2007 (77) March 2006 (78) March 2005 (79) March 2004 (80) March 2003 (81) March 2002 (82) March 2001 (83) March 2000 (84) March 1999 (85) March 1998 (86) March 1997 (87) March 1996 (88) March 1995 (89) March 1994 (90) March 1993 (91) March 1992 or earlier (92) March I dont know/remember (93) April (94) April 2020 (95) April 2019 (96) April 2018 (97) April 2017 (98) April 2016 (99) April 2015 (100) April 2014 (101) April 2013 (102) April 2012 (103) April 2011 (104) April 2010 (105) April 2009 (106) April 2008 (107) April 2007 (108) April 2006 (109) April 2005 (110) April 2004 (111) April 2003 (112) April 2002 (113) April 2001 (114) April 2000 (115) April 1999 (116) April 1998 (117) April 1997 (118) April 1996 (119) April 1995 (120) April 1994 (121) April 1993 (122) April 1992 or earlier (123) April I dont know/remember (124) May (125) May 2020 (126) May 2019 (127) May 2018 (128) May 2017 (129) May 2016 (130) May 2015 (131) May 2014 (132) May 2013 (133) May 2012 (134) May 2011 (135) May 2010 (136) May 2009 (137) May 2008 (138) May 2007 (139) May 2006 (140) May 2005 (141) May 2004 (142) May 2003 (143) May 2002 (144) May 2001 (145) May 2000 (146) May 1999 (147) May 1998 (148) May 1997 (149) May 1996 (150) May 1995 (151) May 1994 (152) May 1993 (153) May 1992 or earlier (154) May I dont know/remember (155) June (156) June 2020 (157) June 2019 (158) June 2018 (159) June 2017 (160) June 2016 (161) June 2015 (162) June 2014 (163) June 2013 (164) June 2012 (165) June 2011 (166) June 2010 (167) June 2009 (168) June 2008 (169) June 2007 (170) June 2006 (171) June 2005 (172) June 2004 (173) June 2003 (174) June 2002 (175) June 2001 (176) June 2000 (177) June 1999 (178) June 1998 (179) June 1997 (180) June 1996 (181) June 1995 (182) June 1994 (183) June 1993 (184) June 1992 or earlier (185) June I dont know/remember (186) July (187) July 2020 (188) July 2019 (189) July 2018 (190) July 2017 (191) July 2016 (192) July 2015 (193) July 2014 (194) July 2013 (195) July 2012 (196) July 2011 (197) July 2010 (198) July 2009 (199) July 2008 (200) July 2007 (201) July 2006 (202) July 2005 (203) July 2004 (204) July 2003 (205) July 2002 (206) July 2001 (207) July 2000 (208) July 1999 (209) July 1998 (210) July 1997 (211) July 1996 (212) July 1995 (213) July 1994 (214) July 1993 (215) July 1992 or earlier (216) July I dont know/remember (217) August (218) August 2020 (219) August 2019 (220) August 2018 (221) August 2017 (222) August 2016 (223) August 2015 (224) August 2014 (225) August 2013 (226) August 2012 (227) August 2011 (228) August 2010 (229) August 2009 (230) August 2008 (231) August 2007 (232) August 2006 (233) August 2005 (234) August 2004 (235) August 2003 (236) August 2002 (237) August 2001 (238) August 2000 (239) August 1999 (240) August 1998 (241) August 1997 (242) August 1996 (243) August 1995 (244) August 1994 (245) August 1993 (246) August 1992 or earlier (247) August I dont know/remember (248) September (249) September 2020 (250) September 2019 (251) September 2018 (252) September 2017 (253) September 2016 (254) September 2015 (255) September 2014 (256) September 2013 (257) September 2012 (258) September 2011 (259) September 2010 (260) September 2009 (261) September 2008 (262) September 2007 (263) September 2006 (264) September 2005 (265) September 2004 (266) September 2003 (267) September 2002 (268) September 2001 (269) September 2000 (270) September 1999 (271) September 1998 (272) September 1997 (273) September 1996 (274) September 1995 (275) September 1994 (276) September 1993 (277) September 1992 or earlier (278) September I dont know/remember (279) October (280) October 2020 (281) October 2019 (282) October 2018 (283) October 2017 (284) October 2016 (285) October 2015 (286) October 2014 (287) October 2013 (288) October 2012 (289) October 2011 (290) October 2010 (291) October 2009 (292) October 2008 (293) October 2007 (294) October 2006 (295) October 2005 (296) October 2004 (297) October 2003 (298) October 2002 (299) October 2001 (300) October 2000 (301) October 1999 (302) October 1998 (303) October 1997 (304) October 1996 (305) October 1995 (306) October 1994 (307) October 1993 (308) October 1992 or earlier (309) October I dont know/remember (310) November (311) November 2020 (312) November 2019 (313) November 2018 (314) November 2017 (315) November 2016 (316) November 2015 (317) November 2014 (318) November 2013 (319) November 2012 (320) November 2011 (321) November 2010 (322) November 2009 (323) November 2008 (324) November 2007 (325) November 2006 (326) November 2005 (327) November 2004 (328) November 2003 (329) November 2002 (330) November 2001 (331) November 2000 (332) November 1999 (333) November 1998 (334) November 1997 (335) November 1996 (336) November 1995 (337) November 1994 (338) November 1993 (339) November 1992 or earlier (340) November I dont know/remember (341) December (342) December 2020 (343) December 2019 (344) December 2018 (345) December 2017 (346) December 2016 (347) December 2015 (348) December 2014 (349) December 2013 (350) December 2012 (351) December 2011 (352) December 2010 (353) December 2009 (354) December 2008 (355) December 2007 (356) December 2006 (357) December 2005 (358) December 2004 (359) December 2003 (360) December 2002 (361) December 2001 (362) December 2000 (363) December 1999 (364) December 1998 (365) December 1997 (366) December 1996 (367) December 1995 (368) December 1994 (369) December 1993 (370) December 1992 or earlier (371) December I dont know/remember (372) I dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Because you indicated that you are no longer taking estradiol valerate (a specific type of estrogen), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
LHES | | | Please tell us when you STARTED taking estradiol cypionate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) February 2001 (52) February 2000 (53) February 1999 (54) February 1998 (55) February 1997 (56) February 1996 (57) February 1995 (58) February 1994 (59) February 1993 (60) February 1992 or earlier (61) February I dont know/remember (62) March (63) March 2020 (64) March 2019 (65) March 2018 (66) March 2017 (67) March 2016 (68) March 2015 (69) March 2014 (70) March 2013 (71) March 2012 (72) March 2011 (73) March 2010 (74) March 2009 (75) March 2008 (76) March 2007 (77) March 2006 (78) March 2005 (79) March 2004 (80) March 2003 (81) March 2002 (82) March 2001 (83) March 2000 (84) March 1999 (85) March 1998 (86) March 1997 (87) March 1996 (88) March 1995 (89) March 1994 (90) March 1993 (91) March 1992 or earlier (92) March I dont know/remember (93) April (94) April 2020 (95) April 2019 (96) April 2018 (97) April 2017 (98) April 2016 (99) April 2015 (100) April 2014 (101) April 2013 (102) April 2012 (103) April 2011 (104) April 2010 (105) April 2009 (106) April 2008 (107) 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dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Please tell us when you STOPPED taking estradiol cypionate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) February 2001 (52) February 2000 (53) February 1999 (54) February 1998 (55) February 1997 (56) February 1996 (57) February 1995 (58) February 1994 (59) February 1993 (60) February 1992 or earlier (61) February I dont know/remember (62) March (63) March 2020 (64) March 2019 (65) March 2018 (66) March 2017 (67) March 2016 (68) March 2015 (69) March 2014 (70) March 2013 (71) March 2012 (72) March 2011 (73) March 2010 (74) March 2009 (75) March 2008 (76) March 2007 (77) March 2006 (78) March 2005 (79) March 2004 (80) March 2003 (81) March 2002 (82) March 2001 (83) March 2000 (84) March 1999 (85) March 1998 (86) March 1997 (87) March 1996 (88) March 1995 (89) March 1994 (90) March 1993 (91) March 1992 or earlier (92) March I dont know/remember (93) April (94) April 2020 (95) April 2019 (96) April 2018 (97) April 2017 (98) April 2016 (99) April 2015 (100) April 2014 (101) April 2013 (102) April 2012 (103) April 2011 (104) April 2010 (105) April 2009 (106) April 2008 (107) 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(168) June 2008 (169) June 2007 (170) June 2006 (171) June 2005 (172) June 2004 (173) June 2003 (174) June 2002 (175) June 2001 (176) June 2000 (177) June 1999 (178) June 1998 (179) June 1997 (180) June 1996 (181) June 1995 (182) June 1994 (183) June 1993 (184) June 1992 or earlier (185) June I dont know/remember (186) July (187) July 2020 (188) July 2019 (189) July 2018 (190) July 2017 (191) July 2016 (192) July 2015 (193) July 2014 (194) July 2013 (195) July 2012 (196) July 2011 (197) July 2010 (198) July 2009 (199) July 2008 (200) July 2007 (201) July 2006 (202) July 2005 (203) July 2004 (204) July 2003 (205) July 2002 (206) July 2001 (207) July 2000 (208) July 1999 (209) July 1998 (210) July 1997 (211) July 1996 (212) July 1995 (213) July 1994 (214) July 1993 (215) July 1992 or earlier (216) July I dont know/remember (217) August (218) August 2020 (219) August 2019 (220) August 2018 (221) August 2017 (222) August 2016 (223) August 2015 (224) August 2014 (225) August 2013 (226) 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(276) September 1993 (277) September 1992 or earlier (278) September I dont know/remember (279) October (280) October 2020 (281) October 2019 (282) October 2018 (283) October 2017 (284) October 2016 (285) October 2015 (286) October 2014 (287) October 2013 (288) October 2012 (289) October 2011 (290) October 2010 (291) October 2009 (292) October 2008 (293) October 2007 (294) October 2006 (295) October 2005 (296) October 2004 (297) October 2003 (298) October 2002 (299) October 2001 (300) October 2000 (301) October 1999 (302) October 1998 (303) October 1997 (304) October 1996 (305) October 1995 (306) October 1994 (307) October 1993 (308) October 1992 or earlier (309) October I dont know/remember (310) November (311) November 2020 (312) November 2019 (313) November 2018 (314) November 2017 (315) November 2016 (316) November 2015 (317) November 2014 (318) November 2013 (319) November 2012 (320) November 2011 (321) November 2010 (322) November 2009 (323) November 2008 (324) November 2007 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dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Because you indicated that you are no longer taking estradiol cypionate (a specific type of estrogen), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
LHES | | | Please tell us when you STARTED taking finasteride (sometimes called: Proscar or Propecia) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) February 2001 (52) February 2000 (53) February 1999 (54) February 1998 (55) February 1997 (56) February 1996 (57) February 1995 (58) February 1994 (59) February 1993 (60) February 1992 or earlier (61) February I dont know/remember (62) March (63) March 2020 (64) March 2019 (65) March 2018 (66) March 2017 (67) March 2016 (68) March 2015 (69) March 2014 (70) March 2013 (71) March 2012 (72) March 2011 (73) March 2010 (74) March 2009 (75) March 2008 (76) March 2007 (77) March 2006 (78) March 2005 (79) March 2004 (80) March 2003 (81) March 2002 (82) March 2001 (83) March 2000 (84) March 1999 (85) March 1998 (86) March 1997 (87) March 1996 (88) March 1995 (89) March 1994 (90) March 1993 (91) March 1992 or earlier (92) March I dont know/remember (93) April (94) April 2020 (95) April 2019 (96) April 2018 (97) April 2017 (98) April 2016 (99) April 2015 (100) April 2014 (101) April 2013 (102) April 2012 (103) April 2011 (104) April 2010 (105) April 2009 (106) April 2008 (107) April 2007 (108) April 2006 (109) April 2005 (110) April 2004 (111) April 2003 (112) April 2002 (113) April 2001 (114) April 2000 (115) April 1999 (116) April 1998 (117) April 1997 (118) April 1996 (119) April 1995 (120) April 1994 (121) April 1993 (122) April 1992 or earlier (123) April I dont know/remember (124) May (125) May 2020 (126) May 2019 (127) May 2018 (128) May 2017 (129) May 2016 (130) May 2015 (131) May 2014 (132) May 2013 (133) May 2012 (134) May 2011 (135) May 2010 (136) May 2009 (137) May 2008 (138) May 2007 (139) May 2006 (140) May 2005 (141) May 2004 (142) May 2003 (143) May 2002 (144) May 2001 (145) May 2000 (146) May 1999 (147) May 1998 (148) May 1997 (149) May 1996 (150) May 1995 (151) May 1994 (152) May 1993 (153) May 1992 or earlier (154) May I dont know/remember (155) June (156) June 2020 (157) June 2019 (158) June 2018 (159) June 2017 (160) June 2016 (161) June 2015 (162) June 2014 (163) June 2013 (164) June 2012 (165) June 2011 (166) June 2010 (167) June 2009 (168) June 2008 (169) June 2007 (170) June 2006 (171) June 2005 (172) June 2004 (173) June 2003 (174) June 2002 (175) June 2001 (176) June 2000 (177) June 1999 (178) June 1998 (179) June 1997 (180) June 1996 (181) June 1995 (182) June 1994 (183) June 1993 (184) June 1992 or earlier (185) June I dont know/remember (186) July (187) July 2020 (188) July 2019 (189) July 2018 (190) July 2017 (191) July 2016 (192) July 2015 (193) July 2014 (194) July 2013 (195) July 2012 (196) July 2011 (197) July 2010 (198) July 2009 (199) July 2008 (200) July 2007 (201) July 2006 (202) July 2005 (203) July 2004 (204) July 2003 (205) July 2002 (206) July 2001 (207) July 2000 (208) July 1999 (209) July 1998 (210) July 1997 (211) July 1996 (212) July 1995 (213) July 1994 (214) July 1993 (215) July 1992 or earlier (216) July I dont know/remember (217) August (218) August 2020 (219) August 2019 (220) August 2018 (221) August 2017 (222) August 2016 (223) August 2015 (224) August 2014 (225) August 2013 (226) August 2012 (227) August 2011 (228) August 2010 (229) August 2009 (230) August 2008 (231) August 2007 (232) August 2006 (233) August 2005 (234) August 2004 (235) August 2003 (236) August 2002 (237) August 2001 (238) August 2000 (239) August 1999 (240) August 1998 (241) August 1997 (242) August 1996 (243) August 1995 (244) August 1994 (245) August 1993 (246) August 1992 or earlier (247) August I dont know/remember (248) September (249) September 2020 (250) September 2019 (251) September 2018 (252) September 2017 (253) September 2016 (254) September 2015 (255) September 2014 (256) September 2013 (257) September 2012 (258) September 2011 (259) September 2010 (260) September 2009 (261) September 2008 (262) September 2007 (263) September 2006 (264) September 2005 (265) September 2004 (266) September 2003 (267) September 2002 (268) September 2001 (269) September 2000 (270) September 1999 (271) September 1998 (272) September 1997 (273) September 1996 (274) September 1995 (275) September 1994 (276) September 1993 (277) September 1992 or earlier (278) September I dont know/remember (279) October (280) October 2020 (281) October 2019 (282) October 2018 (283) October 2017 (284) October 2016 (285) October 2015 (286) October 2014 (287) October 2013 (288) October 2012 (289) October 2011 (290) October 2010 (291) October 2009 (292) October 2008 (293) October 2007 (294) October 2006 (295) October 2005 (296) October 2004 (297) October 2003 (298) October 2002 (299) October 2001 (300) October 2000 (301) October 1999 (302) October 1998 (303) October 1997 (304) October 1996 (305) October 1995 (306) October 1994 (307) October 1993 (308) October 1992 or earlier (309) October I dont know/remember (310) November (311) November 2020 (312) November 2019 (313) November 2018 (314) November 2017 (315) November 2016 (316) November 2015 (317) November 2014 (318) November 2013 (319) November 2012 (320) November 2011 (321) November 2010 (322) November 2009 (323) November 2008 (324) November 2007 (325) November 2006 (326) November 2005 (327) November 2004 (328) November 2003 (329) November 2002 (330) November 2001 (331) November 2000 (332) November 1999 (333) November 1998 (334) November 1997 (335) November 1996 (336) November 1995 (337) November 1994 (338) November 1993 (339) November 1992 or earlier (340) November I dont know/remember (341) December (342) December 2020 (343) December 2019 (344) December 2018 (345) December 2017 (346) December 2016 (347) December 2015 (348) December 2014 (349) December 2013 (350) December 2012 (351) December 2011 (352) December 2010 (353) December 2009 (354) December 2008 (355) December 2007 (356) December 2006 (357) December 2005 (358) December 2004 (359) December 2003 (360) December 2002 (361) December 2001 (362) December 2000 (363) December 1999 (364) December 1998 (365) December 1997 (366) December 1996 (367) December 1995 (368) December 1994 (369) December 1993 (370) December 1992 or earlier (371) December I dont know/remember (372) I dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Please tell us when you STOPPED taking finasteride (sometimes called: Proscar or Propecia) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) February 2001 (52) February 2000 (53) February 1999 (54) February 1998 (55) February 1997 (56) February 1996 (57) February 1995 (58) February 1994 (59) February 1993 (60) February 1992 or earlier (61) February I dont know/remember (62) March (63) March 2020 (64) March 2019 (65) March 2018 (66) March 2017 (67) March 2016 (68) March 2015 (69) March 2014 (70) March 2013 (71) March 2012 (72) March 2011 (73) March 2010 (74) March 2009 (75) March 2008 (76) March 2007 (77) March 2006 (78) March 2005 (79) March 2004 (80) March 2003 (81) March 2002 (82) March 2001 (83) March 2000 (84) March 1999 (85) March 1998 (86) March 1997 (87) March 1996 (88) March 1995 (89) March 1994 (90) March 1993 (91) March 1992 or earlier (92) March I dont know/remember (93) April (94) April 2020 (95) April 2019 (96) April 2018 (97) April 2017 (98) April 2016 (99) April 2015 (100) April 2014 (101) April 2013 (102) April 2012 (103) April 2011 (104) April 2010 (105) April 2009 (106) April 2008 (107) April 2007 (108) April 2006 (109) April 2005 (110) April 2004 (111) April 2003 (112) April 2002 (113) April 2001 (114) April 2000 (115) April 1999 (116) April 1998 (117) April 1997 (118) April 1996 (119) April 1995 (120) April 1994 (121) April 1993 (122) April 1992 or earlier (123) April I dont know/remember (124) May (125) May 2020 (126) May 2019 (127) May 2018 (128) May 2017 (129) May 2016 (130) May 2015 (131) May 2014 (132) May 2013 (133) May 2012 (134) May 2011 (135) May 2010 (136) May 2009 (137) May 2008 (138) May 2007 (139) May 2006 (140) May 2005 (141) May 2004 (142) May 2003 (143) May 2002 (144) May 2001 (145) May 2000 (146) May 1999 (147) May 1998 (148) May 1997 (149) May 1996 (150) May 1995 (151) May 1994 (152) May 1993 (153) May 1992 or earlier (154) May I dont know/remember (155) June (156) June 2020 (157) June 2019 (158) June 2018 (159) June 2017 (160) June 2016 (161) June 2015 (162) June 2014 (163) June 2013 (164) June 2012 (165) June 2011 (166) June 2010 (167) June 2009 (168) June 2008 (169) June 2007 (170) June 2006 (171) June 2005 (172) June 2004 (173) June 2003 (174) June 2002 (175) June 2001 (176) June 2000 (177) June 1999 (178) June 1998 (179) June 1997 (180) June 1996 (181) June 1995 (182) June 1994 (183) June 1993 (184) June 1992 or earlier (185) June I dont know/remember (186) July (187) July 2020 (188) July 2019 (189) July 2018 (190) July 2017 (191) July 2016 (192) July 2015 (193) July 2014 (194) July 2013 (195) July 2012 (196) July 2011 (197) July 2010 (198) July 2009 (199) July 2008 (200) July 2007 (201) July 2006 (202) July 2005 (203) July 2004 (204) July 2003 (205) July 2002 (206) July 2001 (207) July 2000 (208) July 1999 (209) July 1998 (210) July 1997 (211) July 1996 (212) July 1995 (213) July 1994 (214) July 1993 (215) July 1992 or earlier (216) July I dont know/remember (217) August (218) August 2020 (219) August 2019 (220) August 2018 (221) August 2017 (222) August 2016 (223) August 2015 (224) August 2014 (225) August 2013 (226) August 2012 (227) August 2011 (228) August 2010 (229) August 2009 (230) August 2008 (231) August 2007 (232) August 2006 (233) August 2005 (234) August 2004 (235) August 2003 (236) August 2002 (237) August 2001 (238) August 2000 (239) August 1999 (240) August 1998 (241) August 1997 (242) August 1996 (243) August 1995 (244) August 1994 (245) August 1993 (246) August 1992 or earlier (247) August I dont know/remember (248) September (249) September 2020 (250) September 2019 (251) September 2018 (252) September 2017 (253) September 2016 (254) September 2015 (255) September 2014 (256) September 2013 (257) September 2012 (258) September 2011 (259) September 2010 (260) September 2009 (261) September 2008 (262) September 2007 (263) September 2006 (264) September 2005 (265) September 2004 (266) September 2003 (267) September 2002 (268) September 2001 (269) September 2000 (270) September 1999 (271) September 1998 (272) September 1997 (273) September 1996 (274) September 1995 (275) September 1994 (276) September 1993 (277) September 1992 or earlier (278) September I dont know/remember (279) October (280) October 2020 (281) October 2019 (282) October 2018 (283) October 2017 (284) October 2016 (285) October 2015 (286) October 2014 (287) October 2013 (288) October 2012 (289) October 2011 (290) October 2010 (291) October 2009 (292) October 2008 (293) October 2007 (294) October 2006 (295) October 2005 (296) October 2004 (297) October 2003 (298) October 2002 (299) October 2001 (300) October 2000 (301) October 1999 (302) October 1998 (303) October 1997 (304) October 1996 (305) October 1995 (306) October 1994 (307) October 1993 (308) October 1992 or earlier (309) October I dont know/remember (310) November (311) November 2020 (312) November 2019 (313) November 2018 (314) November 2017 (315) November 2016 (316) November 2015 (317) November 2014 (318) November 2013 (319) November 2012 (320) November 2011 (321) November 2010 (322) November 2009 (323) November 2008 (324) November 2007 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dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Because you indicated that you are no longer taking finasteride (sometimes called: Proscar or Propecia), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
LHES | | | Please tell us when you STARTED taking histarelin acetate (sometimes called: Vantas or Supprelin) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) February 2001 (52) February 2000 (53) February 1999 (54) February 1998 (55) February 1997 (56) February 1996 (57) February 1995 (58) February 1994 (59) February 1993 (60) February 1992 or earlier (61) February I dont know/remember (62) March (63) March 2020 (64) March 2019 (65) March 2018 (66) March 2017 (67) March 2016 (68) March 2015 (69) March 2014 (70) March 2013 (71) March 2012 (72) March 2011 (73) March 2010 (74) March 2009 (75) March 2008 (76) March 2007 (77) March 2006 (78) March 2005 (79) March 2004 (80) March 2003 (81) March 2002 (82) March 2001 (83) March 2000 (84) March 1999 (85) March 1998 (86) March 1997 (87) March 1996 (88) March 1995 (89) March 1994 (90) March 1993 (91) March 1992 or earlier (92) March I dont know/remember (93) April (94) April 2020 (95) April 2019 (96) April 2018 (97) April 2017 (98) April 2016 (99) April 2015 (100) April 2014 (101) April 2013 (102) April 2012 (103) April 2011 (104) April 2010 (105) April 2009 (106) April 2008 (107) 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(168) June 2008 (169) June 2007 (170) June 2006 (171) June 2005 (172) June 2004 (173) June 2003 (174) June 2002 (175) June 2001 (176) June 2000 (177) June 1999 (178) June 1998 (179) June 1997 (180) June 1996 (181) June 1995 (182) June 1994 (183) June 1993 (184) June 1992 or earlier (185) June I dont know/remember (186) July (187) July 2020 (188) July 2019 (189) July 2018 (190) July 2017 (191) July 2016 (192) July 2015 (193) July 2014 (194) July 2013 (195) July 2012 (196) July 2011 (197) July 2010 (198) July 2009 (199) July 2008 (200) July 2007 (201) July 2006 (202) July 2005 (203) July 2004 (204) July 2003 (205) July 2002 (206) July 2001 (207) July 2000 (208) July 1999 (209) July 1998 (210) July 1997 (211) July 1996 (212) July 1995 (213) July 1994 (214) July 1993 (215) July 1992 or earlier (216) July I dont know/remember (217) August (218) August 2020 (219) August 2019 (220) August 2018 (221) August 2017 (222) August 2016 (223) August 2015 (224) August 2014 (225) August 2013 (226) August 2012 (227) August 2011 (228) August 2010 (229) August 2009 (230) August 2008 (231) August 2007 (232) August 2006 (233) August 2005 (234) August 2004 (235) August 2003 (236) August 2002 (237) August 2001 (238) August 2000 (239) August 1999 (240) August 1998 (241) August 1997 (242) August 1996 (243) August 1995 (244) August 1994 (245) August 1993 (246) August 1992 or earlier (247) August I dont know/remember (248) September (249) September 2020 (250) September 2019 (251) September 2018 (252) September 2017 (253) September 2016 (254) September 2015 (255) September 2014 (256) September 2013 (257) September 2012 (258) September 2011 (259) September 2010 (260) September 2009 (261) September 2008 (262) September 2007 (263) September 2006 (264) September 2005 (265) September 2004 (266) September 2003 (267) September 2002 (268) September 2001 (269) September 2000 (270) September 1999 (271) September 1998 (272) September 1997 (273) September 1996 (274) September 1995 (275) September 1994 (276) September 1993 (277) September 1992 or earlier (278) September I dont know/remember (279) October (280) October 2020 (281) October 2019 (282) October 2018 (283) October 2017 (284) October 2016 (285) October 2015 (286) October 2014 (287) October 2013 (288) October 2012 (289) October 2011 (290) October 2010 (291) October 2009 (292) October 2008 (293) October 2007 (294) October 2006 (295) October 2005 (296) October 2004 (297) October 2003 (298) October 2002 (299) October 2001 (300) October 2000 (301) October 1999 (302) October 1998 (303) October 1997 (304) October 1996 (305) October 1995 (306) October 1994 (307) October 1993 (308) October 1992 or earlier (309) October I dont know/remember (310) November (311) November 2020 (312) November 2019 (313) November 2018 (314) November 2017 (315) November 2016 (316) November 2015 (317) November 2014 (318) November 2013 (319) November 2012 (320) November 2011 (321) November 2010 (322) November 2009 (323) November 2008 (324) November 2007 (325) November 2006 (326) November 2005 (327) November 2004 (328) November 2003 (329) November 2002 (330) November 2001 (331) November 2000 (332) November 1999 (333) November 1998 (334) November 1997 (335) November 1996 (336) November 1995 (337) November 1994 (338) November 1993 (339) November 1992 or earlier (340) November I dont know/remember (341) December (342) December 2020 (343) December 2019 (344) December 2018 (345) December 2017 (346) December 2016 (347) December 2015 (348) December 2014 (349) December 2013 (350) December 2012 (351) December 2011 (352) December 2010 (353) December 2009 (354) December 2008 (355) December 2007 (356) December 2006 (357) December 2005 (358) December 2004 (359) December 2003 (360) December 2002 (361) December 2001 (362) December 2000 (363) December 1999 (364) December 1998 (365) December 1997 (366) December 1996 (367) December 1995 (368) December 1994 (369) December 1993 (370) December 1992 or earlier (371) December I dont know/remember (372) I dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Please tell us when you STOPPED taking histarelin acetate (sometimes called: Vantas or Supprelin) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) February 2001 (52) February 2000 (53) February 1999 (54) February 1998 (55) February 1997 (56) February 1996 (57) February 1995 (58) February 1994 (59) February 1993 (60) February 1992 or earlier (61) February I dont know/remember (62) March (63) March 2020 (64) March 2019 (65) March 2018 (66) March 2017 (67) March 2016 (68) March 2015 (69) March 2014 (70) March 2013 (71) March 2012 (72) March 2011 (73) March 2010 (74) March 2009 (75) March 2008 (76) March 2007 (77) March 2006 (78) March 2005 (79) March 2004 (80) March 2003 (81) March 2002 (82) March 2001 (83) March 2000 (84) March 1999 (85) March 1998 (86) March 1997 (87) March 1996 (88) March 1995 (89) March 1994 (90) March 1993 (91) March 1992 or earlier (92) March I dont know/remember (93) April (94) April 2020 (95) April 2019 (96) April 2018 (97) April 2017 (98) April 2016 (99) April 2015 (100) April 2014 (101) April 2013 (102) April 2012 (103) April 2011 (104) April 2010 (105) April 2009 (106) April 2008 (107) April 2007 (108) April 2006 (109) April 2005 (110) April 2004 (111) April 2003 (112) April 2002 (113) April 2001 (114) April 2000 (115) April 1999 (116) April 1998 (117) April 1997 (118) April 1996 (119) April 1995 (120) April 1994 (121) April 1993 (122) April 1992 or earlier (123) April I dont know/remember (124) May (125) May 2020 (126) May 2019 (127) May 2018 (128) May 2017 (129) May 2016 (130) May 2015 (131) May 2014 (132) May 2013 (133) May 2012 (134) May 2011 (135) May 2010 (136) May 2009 (137) May 2008 (138) May 2007 (139) May 2006 (140) May 2005 (141) May 2004 (142) May 2003 (143) May 2002 (144) May 2001 (145) May 2000 (146) May 1999 (147) May 1998 (148) May 1997 (149) May 1996 (150) May 1995 (151) May 1994 (152) May 1993 (153) May 1992 or earlier (154) May I dont know/remember (155) June (156) June 2020 (157) June 2019 (158) June 2018 (159) June 2017 (160) June 2016 (161) June 2015 (162) June 2014 (163) June 2013 (164) June 2012 (165) June 2011 (166) June 2010 (167) June 2009 (168) June 2008 (169) June 2007 (170) June 2006 (171) June 2005 (172) June 2004 (173) June 2003 (174) June 2002 (175) June 2001 (176) June 2000 (177) June 1999 (178) June 1998 (179) June 1997 (180) June 1996 (181) June 1995 (182) June 1994 (183) June 1993 (184) June 1992 or earlier (185) June I dont know/remember (186) July (187) July 2020 (188) July 2019 (189) July 2018 (190) July 2017 (191) July 2016 (192) July 2015 (193) July 2014 (194) July 2013 (195) July 2012 (196) July 2011 (197) July 2010 (198) July 2009 (199) July 2008 (200) July 2007 (201) July 2006 (202) July 2005 (203) July 2004 (204) July 2003 (205) July 2002 (206) July 2001 (207) July 2000 (208) July 1999 (209) July 1998 (210) July 1997 (211) July 1996 (212) July 1995 (213) July 1994 (214) July 1993 (215) July 1992 or earlier (216) July I dont know/remember (217) August (218) August 2020 (219) August 2019 (220) August 2018 (221) August 2017 (222) August 2016 (223) August 2015 (224) August 2014 (225) August 2013 (226) August 2012 (227) August 2011 (228) August 2010 (229) August 2009 (230) August 2008 (231) August 2007 (232) August 2006 (233) August 2005 (234) August 2004 (235) August 2003 (236) August 2002 (237) August 2001 (238) August 2000 (239) August 1999 (240) August 1998 (241) August 1997 (242) August 1996 (243) August 1995 (244) August 1994 (245) August 1993 (246) August 1992 or earlier (247) August I dont know/remember (248) September (249) September 2020 (250) September 2019 (251) September 2018 (252) September 2017 (253) September 2016 (254) September 2015 (255) September 2014 (256) September 2013 (257) September 2012 (258) September 2011 (259) September 2010 (260) September 2009 (261) September 2008 (262) September 2007 (263) September 2006 (264) September 2005 (265) September 2004 (266) September 2003 (267) September 2002 (268) September 2001 (269) September 2000 (270) September 1999 (271) September 1998 (272) September 1997 (273) September 1996 (274) September 1995 (275) September 1994 (276) September 1993 (277) September 1992 or earlier (278) September I dont know/remember (279) October (280) October 2020 (281) October 2019 (282) October 2018 (283) October 2017 (284) October 2016 (285) October 2015 (286) October 2014 (287) October 2013 (288) October 2012 (289) October 2011 (290) October 2010 (291) October 2009 (292) October 2008 (293) October 2007 (294) October 2006 (295) October 2005 (296) October 2004 (297) October 2003 (298) October 2002 (299) October 2001 (300) October 2000 (301) October 1999 (302) October 1998 (303) October 1997 (304) October 1996 (305) October 1995 (306) October 1994 (307) October 1993 (308) October 1992 or earlier (309) October I dont know/remember (310) November (311) November 2020 (312) November 2019 (313) November 2018 (314) November 2017 (315) November 2016 (316) November 2015 (317) November 2014 (318) November 2013 (319) November 2012 (320) November 2011 (321) November 2010 (322) November 2009 (323) November 2008 (324) November 2007 (325) November 2006 (326) November 2005 (327) November 2004 (328) November 2003 (329) November 2002 (330) November 2001 (331) November 2000 (332) November 1999 (333) November 1998 (334) November 1997 (335) November 1996 (336) November 1995 (337) November 1994 (338) November 1993 (339) November 1992 or earlier (340) November I dont know/remember (341) December (342) December 2020 (343) December 2019 (344) December 2018 (345) December 2017 (346) December 2016 (347) December 2015 (348) December 2014 (349) December 2013 (350) December 2012 (351) December 2011 (352) December 2010 (353) December 2009 (354) December 2008 (355) December 2007 (356) December 2006 (357) December 2005 (358) December 2004 (359) December 2003 (360) December 2002 (361) December 2001 (362) December 2000 (363) December 1999 (364) December 1998 (365) December 1997 (366) December 1996 (367) December 1995 (368) December 1994 (369) December 1993 (370) December 1992 or earlier (371) December I dont know/remember (372) I dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Because you indicated that you are no longer taking histarelin acetate (sometimes called: Vantas or Supprelin), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
LHES | | | Please tell us when you STARTED taking progesterone (sometimes called: progestagen or progestins) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) February 2001 (52) February 2000 (53) February 1999 (54) February 1998 (55) February 1997 (56) February 1996 (57) February 1995 (58) February 1994 (59) February 1993 (60) February 1992 or earlier (61) February I dont know/remember (62) March (63) March 2020 (64) March 2019 (65) March 2018 (66) March 2017 (67) March 2016 (68) March 2015 (69) March 2014 (70) March 2013 (71) March 2012 (72) March 2011 (73) March 2010 (74) March 2009 (75) March 2008 (76) March 2007 (77) March 2006 (78) March 2005 (79) March 2004 (80) March 2003 (81) March 2002 (82) March 2001 (83) March 2000 (84) March 1999 (85) March 1998 (86) March 1997 (87) March 1996 (88) March 1995 (89) March 1994 (90) March 1993 (91) March 1992 or earlier (92) March I dont know/remember (93) April (94) April 2020 (95) April 2019 (96) April 2018 (97) April 2017 (98) April 2016 (99) April 2015 (100) April 2014 (101) April 2013 (102) April 2012 (103) April 2011 (104) April 2010 (105) April 2009 (106) April 2008 (107) April 2007 (108) April 2006 (109) April 2005 (110) April 2004 (111) April 2003 (112) April 2002 (113) April 2001 (114) April 2000 (115) April 1999 (116) April 1998 (117) April 1997 (118) April 1996 (119) April 1995 (120) April 1994 (121) April 1993 (122) April 1992 or earlier (123) April I dont know/remember (124) May (125) May 2020 (126) May 2019 (127) May 2018 (128) May 2017 (129) May 2016 (130) May 2015 (131) May 2014 (132) May 2013 (133) May 2012 (134) May 2011 (135) May 2010 (136) May 2009 (137) May 2008 (138) May 2007 (139) May 2006 (140) May 2005 (141) May 2004 (142) May 2003 (143) May 2002 (144) May 2001 (145) May 2000 (146) May 1999 (147) May 1998 (148) May 1997 (149) May 1996 (150) May 1995 (151) May 1994 (152) May 1993 (153) May 1992 or earlier (154) May I dont know/remember (155) June (156) June 2020 (157) June 2019 (158) June 2018 (159) June 2017 (160) June 2016 (161) June 2015 (162) June 2014 (163) June 2013 (164) June 2012 (165) June 2011 (166) June 2010 (167) June 2009 (168) June 2008 (169) June 2007 (170) June 2006 (171) June 2005 (172) June 2004 (173) June 2003 (174) June 2002 (175) June 2001 (176) June 2000 (177) June 1999 (178) June 1998 (179) June 1997 (180) June 1996 (181) June 1995 (182) June 1994 (183) June 1993 (184) June 1992 or earlier (185) June I dont know/remember (186) July (187) July 2020 (188) July 2019 (189) July 2018 (190) July 2017 (191) July 2016 (192) July 2015 (193) July 2014 (194) July 2013 (195) July 2012 (196) July 2011 (197) July 2010 (198) July 2009 (199) July 2008 (200) July 2007 (201) July 2006 (202) July 2005 (203) July 2004 (204) July 2003 (205) July 2002 (206) July 2001 (207) July 2000 (208) July 1999 (209) July 1998 (210) July 1997 (211) July 1996 (212) July 1995 (213) July 1994 (214) July 1993 (215) July 1992 or earlier (216) July I dont know/remember (217) August (218) August 2020 (219) August 2019 (220) August 2018 (221) August 2017 (222) August 2016 (223) August 2015 (224) August 2014 (225) August 2013 (226) 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LHES | | | Please tell us when you STOPPED taking progesterone (sometimes called: progestagen or progestins) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) 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dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Because you indicated that you are no longer taking progesterone (sometimes called: progestagen or progestins), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
LHES | | | Please tell us when you STARTED taking micronized progesterone (sometimes called: Prometrium or Provera) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) 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dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Please tell us when you STOPPED taking micronized progesterone (sometimes called: Prometrium or Provera) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) February 2001 (52) February 2000 (53) February 1999 (54) February 1998 (55) February 1997 (56) February 1996 (57) February 1995 (58) February 1994 (59) February 1993 (60) February 1992 or earlier (61) February I dont know/remember (62) March (63) March 2020 (64) March 2019 (65) March 2018 (66) March 2017 (67) March 2016 (68) March 2015 (69) March 2014 (70) March 2013 (71) March 2012 (72) March 2011 (73) March 2010 (74) March 2009 (75) March 2008 (76) March 2007 (77) March 2006 (78) March 2005 (79) March 2004 (80) March 2003 (81) March 2002 (82) March 2001 (83) March 2000 (84) March 1999 (85) March 1998 (86) March 1997 (87) March 1996 (88) March 1995 (89) March 1994 (90) March 1993 (91) March 1992 or earlier (92) March I dont know/remember (93) April (94) April 2020 (95) April 2019 (96) April 2018 (97) April 2017 (98) April 2016 (99) April 2015 (100) April 2014 (101) April 2013 (102) April 2012 (103) April 2011 (104) April 2010 (105) April 2009 (106) April 2008 (107) April 2007 (108) April 2006 (109) April 2005 (110) April 2004 (111) April 2003 (112) April 2002 (113) April 2001 (114) April 2000 (115) April 1999 (116) April 1998 (117) April 1997 (118) April 1996 (119) April 1995 (120) April 1994 (121) April 1993 (122) April 1992 or earlier (123) April I dont know/remember (124) May (125) May 2020 (126) May 2019 (127) May 2018 (128) May 2017 (129) May 2016 (130) May 2015 (131) May 2014 (132) May 2013 (133) May 2012 (134) May 2011 (135) May 2010 (136) May 2009 (137) May 2008 (138) May 2007 (139) May 2006 (140) May 2005 (141) May 2004 (142) May 2003 (143) May 2002 (144) May 2001 (145) May 2000 (146) May 1999 (147) May 1998 (148) May 1997 (149) May 1996 (150) May 1995 (151) May 1994 (152) May 1993 (153) May 1992 or earlier (154) May I dont know/remember (155) June (156) June 2020 (157) June 2019 (158) June 2018 (159) June 2017 (160) June 2016 (161) June 2015 (162) June 2014 (163) June 2013 (164) June 2012 (165) June 2011 (166) June 2010 (167) June 2009 (168) June 2008 (169) June 2007 (170) June 2006 (171) June 2005 (172) June 2004 (173) June 2003 (174) June 2002 (175) June 2001 (176) June 2000 (177) June 1999 (178) June 1998 (179) June 1997 (180) June 1996 (181) June 1995 (182) June 1994 (183) June 1993 (184) June 1992 or earlier (185) June I dont know/remember (186) July (187) July 2020 (188) July 2019 (189) July 2018 (190) July 2017 (191) July 2016 (192) July 2015 (193) July 2014 (194) July 2013 (195) July 2012 (196) July 2011 (197) July 2010 (198) July 2009 (199) July 2008 (200) July 2007 (201) July 2006 (202) July 2005 (203) July 2004 (204) July 2003 (205) July 2002 (206) July 2001 (207) July 2000 (208) July 1999 (209) July 1998 (210) July 1997 (211) July 1996 (212) July 1995 (213) July 1994 (214) July 1993 (215) July 1992 or earlier (216) July I dont know/remember (217) August (218) August 2020 (219) August 2019 (220) August 2018 (221) August 2017 (222) August 2016 (223) August 2015 (224) August 2014 (225) August 2013 (226) August 2012 (227) August 2011 (228) August 2010 (229) August 2009 (230) August 2008 (231) August 2007 (232) August 2006 (233) August 2005 (234) August 2004 (235) August 2003 (236) August 2002 (237) August 2001 (238) August 2000 (239) August 1999 (240) August 1998 (241) August 1997 (242) August 1996 (243) August 1995 (244) August 1994 (245) August 1993 (246) August 1992 or earlier (247) August I dont know/remember (248) September (249) September 2020 (250) September 2019 (251) September 2018 (252) September 2017 (253) September 2016 (254) September 2015 (255) September 2014 (256) September 2013 (257) September 2012 (258) September 2011 (259) September 2010 (260) September 2009 (261) September 2008 (262) September 2007 (263) September 2006 (264) September 2005 (265) September 2004 (266) September 2003 (267) September 2002 (268) September 2001 (269) September 2000 (270) September 1999 (271) September 1998 (272) September 1997 (273) September 1996 (274) September 1995 (275) September 1994 (276) September 1993 (277) September 1992 or earlier (278) September I dont know/remember (279) October (280) October 2020 (281) October 2019 (282) October 2018 (283) October 2017 (284) October 2016 (285) October 2015 (286) October 2014 (287) October 2013 (288) October 2012 (289) October 2011 (290) October 2010 (291) October 2009 (292) October 2008 (293) October 2007 (294) October 2006 (295) October 2005 (296) October 2004 (297) October 2003 (298) October 2002 (299) October 2001 (300) October 2000 (301) October 1999 (302) October 1998 (303) October 1997 (304) October 1996 (305) October 1995 (306) October 1994 (307) October 1993 (308) October 1992 or earlier (309) October I dont know/remember (310) November (311) November 2020 (312) November 2019 (313) November 2018 (314) November 2017 (315) November 2016 (316) November 2015 (317) November 2014 (318) November 2013 (319) November 2012 (320) November 2011 (321) November 2010 (322) November 2009 (323) November 2008 (324) November 2007 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dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Because you indicated that you are no longer taking micronized progesterone (sometimes called: Prometrium or Provera), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
LHES | | | Please tell us when you STARTED taking spironolactone (sometimes called: "Spiro" or Aldactone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) February 2001 (52) February 2000 (53) February 1999 (54) February 1998 (55) February 1997 (56) February 1996 (57) February 1995 (58) February 1994 (59) February 1993 (60) February 1992 or earlier (61) February I dont know/remember (62) March (63) March 2020 (64) March 2019 (65) March 2018 (66) March 2017 (67) March 2016 (68) March 2015 (69) March 2014 (70) March 2013 (71) March 2012 (72) March 2011 (73) March 2010 (74) March 2009 (75) March 2008 (76) March 2007 (77) March 2006 (78) March 2005 (79) March 2004 (80) March 2003 (81) March 2002 (82) March 2001 (83) March 2000 (84) March 1999 (85) March 1998 (86) March 1997 (87) March 1996 (88) March 1995 (89) March 1994 (90) March 1993 (91) March 1992 or earlier (92) March I dont know/remember (93) April (94) April 2020 (95) April 2019 (96) April 2018 (97) April 2017 (98) April 2016 (99) April 2015 (100) April 2014 (101) April 2013 (102) April 2012 (103) April 2011 (104) April 2010 (105) April 2009 (106) April 2008 (107) 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(168) June 2008 (169) June 2007 (170) June 2006 (171) June 2005 (172) June 2004 (173) June 2003 (174) June 2002 (175) June 2001 (176) June 2000 (177) June 1999 (178) June 1998 (179) June 1997 (180) June 1996 (181) June 1995 (182) June 1994 (183) June 1993 (184) June 1992 or earlier (185) June I dont know/remember (186) July (187) July 2020 (188) July 2019 (189) July 2018 (190) July 2017 (191) July 2016 (192) July 2015 (193) July 2014 (194) July 2013 (195) July 2012 (196) July 2011 (197) July 2010 (198) July 2009 (199) July 2008 (200) July 2007 (201) July 2006 (202) July 2005 (203) July 2004 (204) July 2003 (205) July 2002 (206) July 2001 (207) July 2000 (208) July 1999 (209) July 1998 (210) July 1997 (211) July 1996 (212) July 1995 (213) July 1994 (214) July 1993 (215) July 1992 or earlier (216) July I dont know/remember (217) August (218) August 2020 (219) August 2019 (220) August 2018 (221) August 2017 (222) August 2016 (223) August 2015 (224) August 2014 (225) August 2013 (226) 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(276) September 1993 (277) September 1992 or earlier (278) September I dont know/remember (279) October (280) October 2020 (281) October 2019 (282) October 2018 (283) October 2017 (284) October 2016 (285) October 2015 (286) October 2014 (287) October 2013 (288) October 2012 (289) October 2011 (290) October 2010 (291) October 2009 (292) October 2008 (293) October 2007 (294) October 2006 (295) October 2005 (296) October 2004 (297) October 2003 (298) October 2002 (299) October 2001 (300) October 2000 (301) October 1999 (302) October 1998 (303) October 1997 (304) October 1996 (305) October 1995 (306) October 1994 (307) October 1993 (308) October 1992 or earlier (309) October I dont know/remember (310) November (311) November 2020 (312) November 2019 (313) November 2018 (314) November 2017 (315) November 2016 (316) November 2015 (317) November 2014 (318) November 2013 (319) November 2012 (320) November 2011 (321) November 2010 (322) November 2009 (323) November 2008 (324) November 2007 (325) November 2006 (326) November 2005 (327) November 2004 (328) November 2003 (329) November 2002 (330) November 2001 (331) November 2000 (332) November 1999 (333) November 1998 (334) November 1997 (335) November 1996 (336) November 1995 (337) November 1994 (338) November 1993 (339) November 1992 or earlier (340) November I dont know/remember (341) December (342) December 2020 (343) December 2019 (344) December 2018 (345) December 2017 (346) December 2016 (347) December 2015 (348) December 2014 (349) December 2013 (350) December 2012 (351) December 2011 (352) December 2010 (353) December 2009 (354) December 2008 (355) December 2007 (356) December 2006 (357) December 2005 (358) December 2004 (359) December 2003 (360) December 2002 (361) December 2001 (362) December 2000 (363) December 1999 (364) December 1998 (365) December 1997 (366) December 1996 (367) December 1995 (368) December 1994 (369) December 1993 (370) December 1992 or earlier (371) December I dont know/remember (372) I dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Please tell us when you STOPPED taking spironolactone (sometimes called: "Spiro" or Aldactone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) February 2001 (52) February 2000 (53) February 1999 (54) February 1998 (55) February 1997 (56) February 1996 (57) February 1995 (58) February 1994 (59) February 1993 (60) February 1992 or earlier (61) February I dont know/remember (62) March (63) March 2020 (64) March 2019 (65) March 2018 (66) March 2017 (67) March 2016 (68) March 2015 (69) March 2014 (70) March 2013 (71) March 2012 (72) March 2011 (73) March 2010 (74) March 2009 (75) March 2008 (76) March 2007 (77) March 2006 (78) March 2005 (79) March 2004 (80) March 2003 (81) March 2002 (82) March 2001 (83) March 2000 (84) March 1999 (85) March 1998 (86) March 1997 (87) March 1996 (88) March 1995 (89) March 1994 (90) March 1993 (91) March 1992 or earlier (92) March I dont know/remember (93) April (94) April 2020 (95) April 2019 (96) April 2018 (97) April 2017 (98) April 2016 (99) April 2015 (100) April 2014 (101) April 2013 (102) April 2012 (103) April 2011 (104) April 2010 (105) April 2009 (106) April 2008 (107) April 2007 (108) April 2006 (109) April 2005 (110) April 2004 (111) April 2003 (112) April 2002 (113) April 2001 (114) April 2000 (115) April 1999 (116) April 1998 (117) April 1997 (118) April 1996 (119) April 1995 (120) April 1994 (121) April 1993 (122) April 1992 or earlier (123) April I dont know/remember (124) May (125) May 2020 (126) May 2019 (127) May 2018 (128) May 2017 (129) May 2016 (130) May 2015 (131) May 2014 (132) May 2013 (133) May 2012 (134) May 2011 (135) May 2010 (136) May 2009 (137) May 2008 (138) May 2007 (139) May 2006 (140) May 2005 (141) May 2004 (142) May 2003 (143) May 2002 (144) May 2001 (145) May 2000 (146) May 1999 (147) May 1998 (148) May 1997 (149) May 1996 (150) May 1995 (151) May 1994 (152) May 1993 (153) May 1992 or earlier (154) May I dont know/remember (155) June (156) June 2020 (157) June 2019 (158) June 2018 (159) June 2017 (160) June 2016 (161) June 2015 (162) June 2014 (163) June 2013 (164) June 2012 (165) June 2011 (166) June 2010 (167) June 2009 (168) June 2008 (169) June 2007 (170) June 2006 (171) June 2005 (172) June 2004 (173) June 2003 (174) June 2002 (175) June 2001 (176) June 2000 (177) June 1999 (178) June 1998 (179) June 1997 (180) June 1996 (181) June 1995 (182) June 1994 (183) June 1993 (184) June 1992 or earlier (185) June I dont know/remember (186) July (187) July 2020 (188) July 2019 (189) July 2018 (190) July 2017 (191) July 2016 (192) July 2015 (193) July 2014 (194) July 2013 (195) July 2012 (196) July 2011 (197) July 2010 (198) July 2009 (199) July 2008 (200) July 2007 (201) July 2006 (202) July 2005 (203) July 2004 (204) July 2003 (205) July 2002 (206) July 2001 (207) July 2000 (208) July 1999 (209) July 1998 (210) July 1997 (211) July 1996 (212) July 1995 (213) July 1994 (214) July 1993 (215) July 1992 or earlier (216) July I dont know/remember (217) August (218) August 2020 (219) August 2019 (220) August 2018 (221) August 2017 (222) August 2016 (223) August 2015 (224) August 2014 (225) August 2013 (226) August 2012 (227) August 2011 (228) August 2010 (229) August 2009 (230) August 2008 (231) August 2007 (232) August 2006 (233) August 2005 (234) August 2004 (235) August 2003 (236) August 2002 (237) August 2001 (238) August 2000 (239) August 1999 (240) August 1998 (241) August 1997 (242) August 1996 (243) August 1995 (244) August 1994 (245) August 1993 (246) August 1992 or earlier (247) August I dont know/remember (248) September (249) September 2020 (250) September 2019 (251) September 2018 (252) September 2017 (253) September 2016 (254) September 2015 (255) September 2014 (256) September 2013 (257) September 2012 (258) September 2011 (259) September 2010 (260) September 2009 (261) September 2008 (262) September 2007 (263) September 2006 (264) September 2005 (265) September 2004 (266) September 2003 (267) September 2002 (268) September 2001 (269) September 2000 (270) September 1999 (271) September 1998 (272) September 1997 (273) September 1996 (274) September 1995 (275) September 1994 (276) September 1993 (277) September 1992 or earlier (278) September I dont know/remember (279) October (280) October 2020 (281) October 2019 (282) October 2018 (283) October 2017 (284) October 2016 (285) October 2015 (286) October 2014 (287) October 2013 (288) October 2012 (289) October 2011 (290) October 2010 (291) October 2009 (292) October 2008 (293) October 2007 (294) October 2006 (295) October 2005 (296) October 2004 (297) October 2003 (298) October 2002 (299) October 2001 (300) October 2000 (301) October 1999 (302) October 1998 (303) October 1997 (304) October 1996 (305) October 1995 (306) October 1994 (307) October 1993 (308) October 1992 or earlier (309) October I dont know/remember (310) November (311) November 2020 (312) November 2019 (313) November 2018 (314) November 2017 (315) November 2016 (316) November 2015 (317) November 2014 (318) November 2013 (319) November 2012 (320) November 2011 (321) November 2010 (322) November 2009 (323) November 2008 (324) November 2007 (325) November 2006 (326) November 2005 (327) November 2004 (328) November 2003 (329) November 2002 (330) November 2001 (331) November 2000 (332) November 1999 (333) November 1998 (334) November 1997 (335) November 1996 (336) November 1995 (337) November 1994 (338) November 1993 (339) November 1992 or earlier (340) November I dont know/remember (341) December (342) December 2020 (343) December 2019 (344) December 2018 (345) December 2017 (346) December 2016 (347) December 2015 (348) December 2014 (349) December 2013 (350) December 2012 (351) December 2011 (352) December 2010 (353) December 2009 (354) December 2008 (355) December 2007 (356) December 2006 (357) December 2005 (358) December 2004 (359) December 2003 (360) December 2002 (361) December 2001 (362) December 2000 (363) December 1999 (364) December 1998 (365) December 1997 (366) December 1996 (367) December 1995 (368) December 1994 (369) December 1993 (370) December 1992 or earlier (371) December I dont know/remember (372) I dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Because you indicated that you are no longer taking spironolactone (sometimes called: “Spiro” or Aldactone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
LHES | | | Please tell us when you STARTED taking testosterone (any type in any formulation such as: gel, injection, patch) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) February 2001 (52) February 2000 (53) February 1999 (54) February 1998 (55) February 1997 (56) February 1996 (57) February 1995 (58) February 1994 (59) February 1993 (60) February 1992 or earlier (61) February I dont know/remember (62) March (63) March 2020 (64) March 2019 (65) March 2018 (66) March 2017 (67) March 2016 (68) March 2015 (69) March 2014 (70) March 2013 (71) March 2012 (72) March 2011 (73) March 2010 (74) March 2009 (75) March 2008 (76) March 2007 (77) March 2006 (78) March 2005 (79) March 2004 (80) March 2003 (81) March 2002 (82) March 2001 (83) March 2000 (84) March 1999 (85) March 1998 (86) March 1997 (87) March 1996 (88) March 1995 (89) March 1994 (90) March 1993 (91) March 1992 or earlier (92) March I dont know/remember (93) April (94) April 2020 (95) April 2019 (96) April 2018 (97) April 2017 (98) April 2016 (99) April 2015 (100) April 2014 (101) April 2013 (102) April 2012 (103) April 2011 (104) April 2010 (105) April 2009 (106) April 2008 (107) April 2007 (108) April 2006 (109) April 2005 (110) April 2004 (111) April 2003 (112) April 2002 (113) April 2001 (114) April 2000 (115) April 1999 (116) April 1998 (117) April 1997 (118) April 1996 (119) April 1995 (120) April 1994 (121) April 1993 (122) April 1992 or earlier (123) April I dont know/remember (124) May (125) May 2020 (126) May 2019 (127) May 2018 (128) May 2017 (129) May 2016 (130) May 2015 (131) May 2014 (132) May 2013 (133) May 2012 (134) May 2011 (135) May 2010 (136) May 2009 (137) May 2008 (138) May 2007 (139) May 2006 (140) May 2005 (141) May 2004 (142) May 2003 (143) May 2002 (144) May 2001 (145) May 2000 (146) May 1999 (147) May 1998 (148) May 1997 (149) May 1996 (150) May 1995 (151) May 1994 (152) May 1993 (153) May 1992 or earlier (154) May I dont know/remember (155) June (156) June 2020 (157) June 2019 (158) June 2018 (159) June 2017 (160) June 2016 (161) June 2015 (162) June 2014 (163) June 2013 (164) June 2012 (165) June 2011 (166) June 2010 (167) June 2009 (168) June 2008 (169) June 2007 (170) June 2006 (171) June 2005 (172) June 2004 (173) June 2003 (174) June 2002 (175) June 2001 (176) June 2000 (177) June 1999 (178) June 1998 (179) June 1997 (180) June 1996 (181) June 1995 (182) June 1994 (183) June 1993 (184) June 1992 or earlier (185) June I dont know/remember (186) July (187) July 2020 (188) July 2019 (189) July 2018 (190) July 2017 (191) July 2016 (192) July 2015 (193) July 2014 (194) July 2013 (195) July 2012 (196) July 2011 (197) July 2010 (198) July 2009 (199) July 2008 (200) July 2007 (201) July 2006 (202) July 2005 (203) July 2004 (204) July 2003 (205) July 2002 (206) July 2001 (207) July 2000 (208) July 1999 (209) July 1998 (210) July 1997 (211) July 1996 (212) July 1995 (213) July 1994 (214) July 1993 (215) July 1992 or earlier (216) July I dont know/remember (217) August (218) August 2020 (219) August 2019 (220) August 2018 (221) August 2017 (222) August 2016 (223) August 2015 (224) August 2014 (225) August 2013 (226) August 2012 (227) August 2011 (228) August 2010 (229) August 2009 (230) August 2008 (231) August 2007 (232) August 2006 (233) August 2005 (234) August 2004 (235) August 2003 (236) August 2002 (237) August 2001 (238) August 2000 (239) August 1999 (240) August 1998 (241) August 1997 (242) August 1996 (243) August 1995 (244) August 1994 (245) August 1993 (246) August 1992 or earlier (247) August I dont know/remember (248) September (249) September 2020 (250) September 2019 (251) September 2018 (252) September 2017 (253) September 2016 (254) September 2015 (255) September 2014 (256) September 2013 (257) September 2012 (258) September 2011 (259) September 2010 (260) September 2009 (261) September 2008 (262) September 2007 (263) September 2006 (264) September 2005 (265) September 2004 (266) September 2003 (267) September 2002 (268) September 2001 (269) September 2000 (270) September 1999 (271) September 1998 (272) September 1997 (273) September 1996 (274) September 1995 (275) September 1994 (276) September 1993 (277) September 1992 or earlier (278) September I dont know/remember (279) October (280) October 2020 (281) October 2019 (282) October 2018 (283) October 2017 (284) October 2016 (285) October 2015 (286) October 2014 (287) October 2013 (288) October 2012 (289) October 2011 (290) October 2010 (291) October 2009 (292) October 2008 (293) October 2007 (294) October 2006 (295) October 2005 (296) October 2004 (297) October 2003 (298) October 2002 (299) October 2001 (300) October 2000 (301) October 1999 (302) October 1998 (303) October 1997 (304) October 1996 (305) October 1995 (306) October 1994 (307) October 1993 (308) October 1992 or earlier (309) October I dont know/remember (310) November (311) November 2020 (312) November 2019 (313) November 2018 (314) November 2017 (315) November 2016 (316) November 2015 (317) November 2014 (318) November 2013 (319) November 2012 (320) November 2011 (321) November 2010 (322) November 2009 (323) November 2008 (324) November 2007 (325) November 2006 (326) November 2005 (327) November 2004 (328) November 2003 (329) November 2002 (330) November 2001 (331) November 2000 (332) November 1999 (333) November 1998 (334) November 1997 (335) November 1996 (336) November 1995 (337) November 1994 (338) November 1993 (339) November 1992 or earlier (340) November I dont know/remember (341) December (342) December 2020 (343) December 2019 (344) December 2018 (345) December 2017 (346) December 2016 (347) December 2015 (348) December 2014 (349) December 2013 (350) December 2012 (351) December 2011 (352) December 2010 (353) December 2009 (354) December 2008 (355) December 2007 (356) December 2006 (357) December 2005 (358) December 2004 (359) December 2003 (360) December 2002 (361) December 2001 (362) December 2000 (363) December 1999 (364) December 1998 (365) December 1997 (366) December 1996 (367) December 1995 (368) December 1994 (369) December 1993 (370) December 1992 or earlier (371) December I dont know/remember (372) I dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Please tell us when you STOPPED taking testosterone (any type in any formulation such as: gel, injection, patch) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) February 2001 (52) February 2000 (53) February 1999 (54) February 1998 (55) February 1997 (56) February 1996 (57) February 1995 (58) February 1994 (59) February 1993 (60) February 1992 or earlier (61) February I dont know/remember (62) March (63) March 2020 (64) March 2019 (65) March 2018 (66) March 2017 (67) March 2016 (68) March 2015 (69) March 2014 (70) March 2013 (71) March 2012 (72) March 2011 (73) March 2010 (74) March 2009 (75) March 2008 (76) March 2007 (77) March 2006 (78) March 2005 (79) March 2004 (80) March 2003 (81) March 2002 (82) March 2001 (83) March 2000 (84) March 1999 (85) March 1998 (86) March 1997 (87) March 1996 (88) March 1995 (89) March 1994 (90) March 1993 (91) March 1992 or earlier (92) March I dont know/remember (93) April (94) April 2020 (95) April 2019 (96) April 2018 (97) April 2017 (98) April 2016 (99) April 2015 (100) April 2014 (101) April 2013 (102) April 2012 (103) April 2011 (104) April 2010 (105) April 2009 (106) April 2008 (107) 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dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Because you indicated that you are no longer taking testosterone (any type in any formulation such as: gel, injection, patch), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
LHES | | | Please tell us when you STARTED taking testosterone cypionate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) February 2001 (52) February 2000 (53) February 1999 (54) February 1998 (55) February 1997 (56) February 1996 (57) February 1995 (58) February 1994 (59) February 1993 (60) February 1992 or earlier (61) February I dont know/remember (62) March (63) March 2020 (64) March 2019 (65) March 2018 (66) March 2017 (67) March 2016 (68) March 2015 (69) March 2014 (70) March 2013 (71) March 2012 (72) March 2011 (73) March 2010 (74) March 2009 (75) March 2008 (76) March 2007 (77) March 2006 (78) March 2005 (79) March 2004 (80) March 2003 (81) March 2002 (82) March 2001 (83) March 2000 (84) March 1999 (85) March 1998 (86) March 1997 (87) March 1996 (88) March 1995 (89) March 1994 (90) March 1993 (91) March 1992 or earlier (92) March I dont know/remember (93) April (94) April 2020 (95) April 2019 (96) April 2018 (97) April 2017 (98) April 2016 (99) April 2015 (100) April 2014 (101) April 2013 (102) April 2012 (103) April 2011 (104) April 2010 (105) April 2009 (106) April 2008 (107) 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(168) June 2008 (169) June 2007 (170) June 2006 (171) June 2005 (172) June 2004 (173) June 2003 (174) June 2002 (175) June 2001 (176) June 2000 (177) June 1999 (178) June 1998 (179) June 1997 (180) June 1996 (181) June 1995 (182) June 1994 (183) June 1993 (184) June 1992 or earlier (185) June I dont know/remember (186) July (187) July 2020 (188) July 2019 (189) July 2018 (190) July 2017 (191) July 2016 (192) July 2015 (193) July 2014 (194) July 2013 (195) July 2012 (196) July 2011 (197) July 2010 (198) July 2009 (199) July 2008 (200) July 2007 (201) July 2006 (202) July 2005 (203) July 2004 (204) July 2003 (205) July 2002 (206) July 2001 (207) July 2000 (208) July 1999 (209) July 1998 (210) July 1997 (211) July 1996 (212) July 1995 (213) July 1994 (214) July 1993 (215) July 1992 or earlier (216) July I dont know/remember (217) August (218) August 2020 (219) August 2019 (220) August 2018 (221) August 2017 (222) August 2016 (223) August 2015 (224) August 2014 (225) August 2013 (226) 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(276) September 1993 (277) September 1992 or earlier (278) September I dont know/remember (279) October (280) October 2020 (281) October 2019 (282) October 2018 (283) October 2017 (284) October 2016 (285) October 2015 (286) October 2014 (287) October 2013 (288) October 2012 (289) October 2011 (290) October 2010 (291) October 2009 (292) October 2008 (293) October 2007 (294) October 2006 (295) October 2005 (296) October 2004 (297) October 2003 (298) October 2002 (299) October 2001 (300) October 2000 (301) October 1999 (302) October 1998 (303) October 1997 (304) October 1996 (305) October 1995 (306) October 1994 (307) October 1993 (308) October 1992 or earlier (309) October I dont know/remember (310) November (311) November 2020 (312) November 2019 (313) November 2018 (314) November 2017 (315) November 2016 (316) November 2015 (317) November 2014 (318) November 2013 (319) November 2012 (320) November 2011 (321) November 2010 (322) November 2009 (323) November 2008 (324) November 2007 (325) November 2006 (326) November 2005 (327) November 2004 (328) November 2003 (329) November 2002 (330) November 2001 (331) November 2000 (332) November 1999 (333) November 1998 (334) November 1997 (335) November 1996 (336) November 1995 (337) November 1994 (338) November 1993 (339) November 1992 or earlier (340) November I dont know/remember (341) December (342) December 2020 (343) December 2019 (344) December 2018 (345) December 2017 (346) December 2016 (347) December 2015 (348) December 2014 (349) December 2013 (350) December 2012 (351) December 2011 (352) December 2010 (353) December 2009 (354) December 2008 (355) December 2007 (356) December 2006 (357) December 2005 (358) December 2004 (359) December 2003 (360) December 2002 (361) December 2001 (362) December 2000 (363) December 1999 (364) December 1998 (365) December 1997 (366) December 1996 (367) December 1995 (368) December 1994 (369) December 1993 (370) December 1992 or earlier (371) December I dont know/remember (372) I dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Please tell us when you STOPPED taking testosterone cypionate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) February 2001 (52) February 2000 (53) February 1999 (54) February 1998 (55) February 1997 (56) February 1996 (57) February 1995 (58) February 1994 (59) February 1993 (60) February 1992 or earlier (61) February I dont know/remember (62) March (63) March 2020 (64) March 2019 (65) March 2018 (66) March 2017 (67) March 2016 (68) March 2015 (69) March 2014 (70) March 2013 (71) March 2012 (72) March 2011 (73) March 2010 (74) March 2009 (75) March 2008 (76) March 2007 (77) March 2006 (78) March 2005 (79) March 2004 (80) March 2003 (81) March 2002 (82) March 2001 (83) March 2000 (84) March 1999 (85) March 1998 (86) March 1997 (87) March 1996 (88) March 1995 (89) March 1994 (90) March 1993 (91) March 1992 or earlier (92) March I dont know/remember (93) April (94) April 2020 (95) April 2019 (96) April 2018 (97) April 2017 (98) April 2016 (99) April 2015 (100) April 2014 (101) April 2013 (102) April 2012 (103) April 2011 (104) April 2010 (105) April 2009 (106) April 2008 (107) April 2007 (108) April 2006 (109) April 2005 (110) April 2004 (111) April 2003 (112) April 2002 (113) April 2001 (114) April 2000 (115) April 1999 (116) April 1998 (117) April 1997 (118) April 1996 (119) April 1995 (120) April 1994 (121) April 1993 (122) April 1992 or earlier (123) April I dont know/remember (124) May (125) May 2020 (126) May 2019 (127) May 2018 (128) May 2017 (129) May 2016 (130) May 2015 (131) May 2014 (132) May 2013 (133) May 2012 (134) May 2011 (135) May 2010 (136) May 2009 (137) May 2008 (138) May 2007 (139) May 2006 (140) May 2005 (141) May 2004 (142) May 2003 (143) May 2002 (144) May 2001 (145) May 2000 (146) May 1999 (147) May 1998 (148) May 1997 (149) May 1996 (150) May 1995 (151) May 1994 (152) May 1993 (153) May 1992 or earlier (154) May I dont know/remember (155) June (156) June 2020 (157) June 2019 (158) June 2018 (159) June 2017 (160) June 2016 (161) June 2015 (162) June 2014 (163) June 2013 (164) June 2012 (165) June 2011 (166) June 2010 (167) June 2009 (168) June 2008 (169) June 2007 (170) June 2006 (171) June 2005 (172) June 2004 (173) June 2003 (174) June 2002 (175) June 2001 (176) June 2000 (177) June 1999 (178) June 1998 (179) June 1997 (180) June 1996 (181) June 1995 (182) June 1994 (183) June 1993 (184) June 1992 or earlier (185) June I dont know/remember (186) July (187) July 2020 (188) July 2019 (189) July 2018 (190) July 2017 (191) July 2016 (192) July 2015 (193) July 2014 (194) July 2013 (195) July 2012 (196) July 2011 (197) July 2010 (198) July 2009 (199) July 2008 (200) July 2007 (201) July 2006 (202) July 2005 (203) July 2004 (204) July 2003 (205) July 2002 (206) July 2001 (207) July 2000 (208) July 1999 (209) July 1998 (210) July 1997 (211) July 1996 (212) July 1995 (213) July 1994 (214) July 1993 (215) July 1992 or earlier (216) July I dont know/remember (217) August (218) August 2020 (219) August 2019 (220) August 2018 (221) August 2017 (222) August 2016 (223) August 2015 (224) August 2014 (225) August 2013 (226) August 2012 (227) August 2011 (228) August 2010 (229) August 2009 (230) August 2008 (231) August 2007 (232) August 2006 (233) August 2005 (234) August 2004 (235) August 2003 (236) August 2002 (237) August 2001 (238) August 2000 (239) August 1999 (240) August 1998 (241) August 1997 (242) August 1996 (243) August 1995 (244) August 1994 (245) August 1993 (246) August 1992 or earlier (247) August I dont know/remember (248) September (249) September 2020 (250) September 2019 (251) September 2018 (252) September 2017 (253) September 2016 (254) September 2015 (255) September 2014 (256) September 2013 (257) September 2012 (258) September 2011 (259) September 2010 (260) September 2009 (261) September 2008 (262) September 2007 (263) September 2006 (264) September 2005 (265) September 2004 (266) September 2003 (267) September 2002 (268) September 2001 (269) September 2000 (270) September 1999 (271) September 1998 (272) September 1997 (273) September 1996 (274) September 1995 (275) September 1994 (276) September 1993 (277) September 1992 or earlier (278) September I dont know/remember (279) October (280) October 2020 (281) October 2019 (282) October 2018 (283) October 2017 (284) October 2016 (285) October 2015 (286) October 2014 (287) October 2013 (288) October 2012 (289) October 2011 (290) October 2010 (291) October 2009 (292) October 2008 (293) October 2007 (294) October 2006 (295) October 2005 (296) October 2004 (297) October 2003 (298) October 2002 (299) October 2001 (300) October 2000 (301) October 1999 (302) October 1998 (303) October 1997 (304) October 1996 (305) October 1995 (306) October 1994 (307) October 1993 (308) October 1992 or earlier (309) October I dont know/remember (310) November (311) November 2020 (312) November 2019 (313) November 2018 (314) November 2017 (315) November 2016 (316) November 2015 (317) November 2014 (318) November 2013 (319) November 2012 (320) November 2011 (321) November 2010 (322) November 2009 (323) November 2008 (324) November 2007 (325) November 2006 (326) November 2005 (327) November 2004 (328) November 2003 (329) November 2002 (330) November 2001 (331) November 2000 (332) November 1999 (333) November 1998 (334) November 1997 (335) November 1996 (336) November 1995 (337) November 1994 (338) November 1993 (339) November 1992 or earlier (340) November I dont know/remember (341) December (342) December 2020 (343) December 2019 (344) December 2018 (345) December 2017 (346) December 2016 (347) December 2015 (348) December 2014 (349) December 2013 (350) December 2012 (351) December 2011 (352) December 2010 (353) December 2009 (354) December 2008 (355) December 2007 (356) December 2006 (357) December 2005 (358) December 2004 (359) December 2003 (360) December 2002 (361) December 2001 (362) December 2000 (363) December 1999 (364) December 1998 (365) December 1997 (366) December 1996 (367) December 1995 (368) December 1994 (369) December 1993 (370) December 1992 or earlier (371) December I dont know/remember (372) I dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Because you indicated that you are no longer taking testosterone cypionate (a specific type of testosterone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
LHES | | | Please tell us when you STARTED taking testosterone enanthate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) 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know/remember (403) |
LHES | | | Please tell us when you STOPPED taking testosterone enanthate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) February 2001 (52) February 2000 (53) February 1999 (54) February 1998 (55) February 1997 (56) February 1996 (57) February 1995 (58) February 1994 (59) February 1993 (60) February 1992 or earlier (61) February I dont know/remember (62) March (63) March 2020 (64) March 2019 (65) March 2018 (66) March 2017 (67) March 2016 (68) March 2015 (69) March 2014 (70) March 2013 (71) March 2012 (72) March 2011 (73) March 2010 (74) March 2009 (75) March 2008 (76) March 2007 (77) March 2006 (78) March 2005 (79) March 2004 (80) March 2003 (81) March 2002 (82) March 2001 (83) March 2000 (84) March 1999 (85) March 1998 (86) March 1997 (87) March 1996 (88) March 1995 (89) March 1994 (90) March 1993 (91) March 1992 or earlier (92) March I dont know/remember (93) April (94) April 2020 (95) April 2019 (96) April 2018 (97) April 2017 (98) April 2016 (99) April 2015 (100) April 2014 (101) April 2013 (102) April 2012 (103) April 2011 (104) April 2010 (105) April 2009 (106) April 2008 (107) 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dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Because you indicated that you are no longer taking testosterone enanthate (a specific type of testosterone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
LHES | | | Please tell us when you STARTED taking testosterone undecanoate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) February 2001 (52) February 2000 (53) February 1999 (54) February 1998 (55) February 1997 (56) February 1996 (57) February 1995 (58) February 1994 (59) February 1993 (60) February 1992 or earlier (61) February I dont know/remember (62) March (63) March 2020 (64) March 2019 (65) March 2018 (66) March 2017 (67) March 2016 (68) March 2015 (69) March 2014 (70) March 2013 (71) March 2012 (72) March 2011 (73) March 2010 (74) March 2009 (75) March 2008 (76) March 2007 (77) March 2006 (78) March 2005 (79) March 2004 (80) March 2003 (81) March 2002 (82) March 2001 (83) March 2000 (84) March 1999 (85) March 1998 (86) March 1997 (87) March 1996 (88) March 1995 (89) March 1994 (90) March 1993 (91) March 1992 or earlier (92) March I dont know/remember (93) April (94) April 2020 (95) April 2019 (96) April 2018 (97) April 2017 (98) April 2016 (99) April 2015 (100) April 2014 (101) April 2013 (102) April 2012 (103) April 2011 (104) April 2010 (105) April 2009 (106) April 2008 (107) 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(168) June 2008 (169) June 2007 (170) June 2006 (171) June 2005 (172) June 2004 (173) June 2003 (174) June 2002 (175) June 2001 (176) June 2000 (177) June 1999 (178) June 1998 (179) June 1997 (180) June 1996 (181) June 1995 (182) June 1994 (183) June 1993 (184) June 1992 or earlier (185) June I dont know/remember (186) July (187) July 2020 (188) July 2019 (189) July 2018 (190) July 2017 (191) July 2016 (192) July 2015 (193) July 2014 (194) July 2013 (195) July 2012 (196) July 2011 (197) July 2010 (198) July 2009 (199) July 2008 (200) July 2007 (201) July 2006 (202) July 2005 (203) July 2004 (204) July 2003 (205) July 2002 (206) July 2001 (207) July 2000 (208) July 1999 (209) July 1998 (210) July 1997 (211) July 1996 (212) July 1995 (213) July 1994 (214) July 1993 (215) July 1992 or earlier (216) July I dont know/remember (217) August (218) August 2020 (219) August 2019 (220) August 2018 (221) August 2017 (222) August 2016 (223) August 2015 (224) August 2014 (225) August 2013 (226) 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(276) September 1993 (277) September 1992 or earlier (278) September I dont know/remember (279) October (280) October 2020 (281) October 2019 (282) October 2018 (283) October 2017 (284) October 2016 (285) October 2015 (286) October 2014 (287) October 2013 (288) October 2012 (289) October 2011 (290) October 2010 (291) October 2009 (292) October 2008 (293) October 2007 (294) October 2006 (295) October 2005 (296) October 2004 (297) October 2003 (298) October 2002 (299) October 2001 (300) October 2000 (301) October 1999 (302) October 1998 (303) October 1997 (304) October 1996 (305) October 1995 (306) October 1994 (307) October 1993 (308) October 1992 or earlier (309) October I dont know/remember (310) November (311) November 2020 (312) November 2019 (313) November 2018 (314) November 2017 (315) November 2016 (316) November 2015 (317) November 2014 (318) November 2013 (319) November 2012 (320) November 2011 (321) November 2010 (322) November 2009 (323) November 2008 (324) November 2007 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dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Please tell us when you STOPPED taking testosterone undecanoate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) February 2001 (52) February 2000 (53) February 1999 (54) February 1998 (55) February 1997 (56) February 1996 (57) February 1995 (58) February 1994 (59) February 1993 (60) February 1992 or earlier (61) February I dont know/remember (62) March (63) March 2020 (64) March 2019 (65) March 2018 (66) March 2017 (67) March 2016 (68) March 2015 (69) March 2014 (70) March 2013 (71) March 2012 (72) March 2011 (73) March 2010 (74) March 2009 (75) March 2008 (76) March 2007 (77) March 2006 (78) March 2005 (79) March 2004 (80) March 2003 (81) March 2002 (82) March 2001 (83) March 2000 (84) March 1999 (85) March 1998 (86) March 1997 (87) March 1996 (88) March 1995 (89) March 1994 (90) March 1993 (91) March 1992 or earlier (92) March I dont know/remember (93) April (94) April 2020 (95) April 2019 (96) April 2018 (97) April 2017 (98) April 2016 (99) April 2015 (100) April 2014 (101) April 2013 (102) April 2012 (103) April 2011 (104) April 2010 (105) April 2009 (106) April 2008 (107) April 2007 (108) April 2006 (109) April 2005 (110) April 2004 (111) April 2003 (112) April 2002 (113) April 2001 (114) April 2000 (115) April 1999 (116) April 1998 (117) April 1997 (118) April 1996 (119) April 1995 (120) April 1994 (121) April 1993 (122) April 1992 or earlier (123) April I dont know/remember (124) May (125) May 2020 (126) May 2019 (127) May 2018 (128) May 2017 (129) May 2016 (130) May 2015 (131) May 2014 (132) May 2013 (133) May 2012 (134) May 2011 (135) May 2010 (136) May 2009 (137) May 2008 (138) May 2007 (139) May 2006 (140) May 2005 (141) May 2004 (142) May 2003 (143) May 2002 (144) May 2001 (145) May 2000 (146) May 1999 (147) May 1998 (148) May 1997 (149) May 1996 (150) May 1995 (151) May 1994 (152) May 1993 (153) May 1992 or earlier (154) May I dont know/remember (155) June (156) June 2020 (157) June 2019 (158) June 2018 (159) June 2017 (160) June 2016 (161) June 2015 (162) June 2014 (163) June 2013 (164) June 2012 (165) June 2011 (166) June 2010 (167) June 2009 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LHES | | | Because you indicated that you are no longer taking testosterone undecanoate (a specific type of testosterone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
LHES | | | Please tell us when you STARTED taking ${q://QID2025/ChoiceTextEntryValue/17} for gender affirmation or gender transition. 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dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Please tell us when you STOPPED taking ${q://QID2025/ChoiceTextEntryValue/17} for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) 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dont know/remember (373) I dont know/remember 2020 (374) I dont know/remember 2019 (375) I dont know/remember 2018 (376) I dont know/remember 2017 (377) I dont know/remember 2016 (378) I dont know/remember 2015 (379) I dont know/remember 2014 (380) I dont know/remember 2013 (381) I dont know/remember 2012 (382) I dont know/remember 2011 (383) I dont know/remember 2010 (384) I dont know/remember 2009 (385) I dont know/remember 2008 (386) I dont know/remember 2007 (387) I dont know/remember 2006 (388) I dont know/remember 2005 (389) I dont know/remember 2004 (390) I dont know/remember 2003 (391) I dont know/remember 2002 (392) I dont know/remember 2001 (393) I dont know/remember 2000 (394) I dont know/remember 1999 (395) I dont know/remember 1998 (396) I dont know/remember 1997 (397) I dont know/remember 1996 (398) I dont know/remember 1995 (399) I dont know/remember 1994 (400) I dont know/remember 1993 (401) I dont know/remember 1992 or earlier (402) I dont know/remember I dont know/remember (403) |
LHES | | | Because you indicated that you are no longer taking ${q://QID2025/ChoiceTextEntryValue/17}, please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
LHES | | | Have you had any gender-affirming or transition-related surgeries or procedures?Although this question and the ones that follow about procedures may seem to repeat what you may have entered in "My Health," getting the most up-to-date information will make sure that we can customize the survey for you. | Yes (1) No (2) |
LHES | | | Have you EVER had any of the following gender-affirming or transition-related surgeries or procedures that involve your head or neck? (Check all that apply.) | Brow lift (1) Chin augmentation (genioplasty) (2) Forehead reconstruction/contouring (3) Jaw bone revision (mandible contouring) (4) Lip lift (5) Nose reconstruction (rhinoplasty) (6) Scalp advancement (7) Tracheal shave (reduction thyrochondroplasty) (8) Vocal cord/voice surgery (9) None of these (10) |
LHES | | | Have you EVER had any of the following gender-affirming or transition-related surgeries or procedures that involve your chest? (Check all that apply.) | Breast augmentation (1) Breast/chest reduction (reduction mammoplasty) (2) Top surgery/chest reconstruction/mastectomy (scars under the chest, double incision) (3) Top surgery/chest reconstruction/mastectomy (keyhole, through the areola, periareolar) (4) None of these (5) |
LHES | | | Have you EVER had any of the following gender-affirming or transition-related surgeries or procedures that involve your abdomen or pelvis? (Check all that apply.) | Creation of a new vagina using colon graft (vaginoplasty, colon graft) (1) Creation of a new vagina using penile tissue (vaginoplasty, penile inversion) (2) Creation of new labia without creation of new vagina (labiaplasty) (3) Creation of new scrotum (scrotoplasty) (4) Fallopian tube removal (salpingectomy) (5) Meta/meto or clitoral release (metoidioplasty) (6) Ovary removal (oophorectomy) (7) Penile implant insertion (8) Phallo/creation of a new penis (phalloplasty) (9) Removal of penis (penectomy) (10) Removal of testes (orchiectomy) (11) Removal of vaginal tissue (vaginectomy) (12) Testicular implant insertion (13) Uterus removal with cervix retained (supracervical hysterectomy) (14) Uterus removal with cervix removed (total hysterectomy) (15) None of these (0) |
LHES | | | Please list up to five additional gender-affirming surgeries/procedures that you have EVER had. (One surgery/procedure per line.) If no additional surgeries/procedures, please click next. | Text Entry (-) |
LHES | | | To understand your health and customize this survey for you, we need to know what organs you were born with. People have a wide range of language or terms for their physical anatomy (not all of which are listed here). Which of the following organs were you born with? (Check all that apply.) | Cervix (you likely have/had this if you were assigned female sex at birth) (1) Ovaries (2) Penis/Phallus (not including a prosthetic) (3) Prostate (you likely have/had this if you were assigned male sex at birth) (4) Testicles (5) Uterus/Womb (6) Vagina/Frontal genital opening (7) |
LHES | | | Have you EVER had breasts or breast tissue? | Yes (1) No (0) I dont know (88) |
LHES | | | Which of the following organs do you have now? (Check all that apply.) | Breasts or breast tissue (1) Cervix (you likely have this if you have a uterus or womb) (2) Ovaries (3) Penis/Phallus (not including a prosthetic) (4) Prostate (you likely have this if you were assigned male sex at birth) (5) Testicles (6) Uterus/Womb (7) Vagina/Frontal genital opening (8) |
LHES | | | You have indicated that you currently have a vagina/frontal genital opening. In order to customize the rest of this questionnaire, please select the term you would like us to use to describe your vagina/frontal genital opening. | Please use the term vagina. (1) Please use the term frontal genital opening. (2) |
LHES | | | Have you EVER had a PSA test? A PSA test is a blood test to detect prostate cancer. It is also called a prostate-specific antigen test. | Yes (1) No (0) I dont know (88) |
LHES | | | Who first suggested the PSA test? | I did (0) My health care provider did (1) Someone else (2) I dont know (88) |
LHES | | | Did a doctor or health care provider EVER talk with you about the advantages of the PSA test? | Yes (1) No (0) I dont know (88) |
LHES | | | How long has it been since your last PSA test? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) Over 5 years ago (4) I dont know (88) |
LHES | | | Have you EVER had a mammogram? A mammogram is when breast/chest tissue is squeezed between two firm surfaces to obtain X-rays/pictures of the breast/chest tissue. | Yes (1) No (0) I dont know (88) |
LHES | | | How long has it been since your last mammogram? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) Over 5 years ago (4) I dont know (88) |
LHES | | | Have you EVER had a mammogram where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
LHES | | | Have you EVER had a Pap smear or Pap test? (A Pap smear or Pap test is a routine test in which a health care provider places an instrument inside the vagina, examines the cervix, and takes a few cells from the cervix with a small stick or brush to look for abnormal or cancer cells.) | Yes (1) No (0) I dont know (88) |
LHES | | | Have you EVER had a Pap smear or Pap test? (A Pap smear or Pap test is a routine test in which a health care provider places an instrument inside the frontal genital opening, examines the cervix, and takes a few cells from the cervix with a small stick or brush to look for abnormal or cancer cells.) | Yes (1) No (0) I dont know (88) |
LHES | | | How long has it been since your last Pap smear or Pap test? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) Over 5 years ago (4) I dont know (88) |
LHES | | | What is the most important reason you have NEVER had a Pap test? | I do not have a reason or I never thought about it (0) I did not know I needed this type of test (1) My health care provider told me I did not need it (2) I have not had any problems (3) I put it off or I did not get around to it (4) It was too expensive or I have no insurance (5) It was too painful, unpleasant, or embarrassing (6) I do not have a cervix or I have had a hysterectomy (7) I do not have a provider (8) I had an HPV vaccine (9) I am under the age of 21 (10) I dont know (11) |
LHES | | | What is the most important reason you have NOT had a Pap test in the LAST 5 YEARS? | I do not have a reason or I never thought about it (0) I did not know I needed this type of test (1) My health care provider told me I did not need it (2) I was told I could stop screening or I am over the age of 65 (12) I have not had any problems (3) I put it off or I did not get around to it (4) It was too expensive or I have no insurance (5) It was too painful, unpleasant, or embarrassing (6) I do not have a cervix or I have had a hysterectomy (7) I do not have a provider (8) I had an HPV vaccine (9) I dont know (10) |
LHES | | | Have you EVER had a Pap test where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
LHES | | | Was your most recent Pap test NOT normal? | Yes (1) No (0) I dont know (88) |
LHES | | | Have you EVER heard of HPV? HPV stands for human papillomavirus. Some types of HPV increase risk for cervical or anal cancer while others do not. | Yes (1) No (0) I dont know (88) |
LHES | | | An HPV test is sometimes added to the Pap test for cervical cancer screening. Have you EVER had an HPV test with along with your cervical Pap test? | Yes (1) No (0) I dont know (88) |
LHES | | | Have you EVER had a HPV test where the results were positive (meaning you were positive for HPV virus)? | Yes (1) No (0) I dont know (88) |
LHES | | | Colon or rectal cancer tests include blood stool tests, colonoscopy, and sigmoidoscopy. A blood stool test or occult blood test, also known as the fecal immunochemical (FIT) test, determines whether you have blood in your stool or bowel movement. These tests can be done at home using a kit. You use a stick or brush to obtain a small amount of stool at home and send it back to the doctor or lab. A sigmoidoscopy and colonoscopy are exams in which a tube is inserted in the rectum to view the colon for signs of cancer or other health problems. For a sigmoidoscopy, the doctor or another health care provider checks only part of the colon and you are fully awake. For a colonoscopy, the doctor or another health care provider checks the entire colon, and you are given medication through a needle in your arm to make you sleepy, and told to have someone drive you home. Before a sigmoidoscopy or colonoscopy, you are asked to take a medication that causes diarrhea. Have you EVER had any of these tests for colon or rectal cancer? (Check all that apply.) | None of these (0) Blood stool test (FIT test) (1) Sigmoidoscopy (2) Colonoscopy (3) |
LHES | | | How long has it been since your last blood stool test (FIT test)? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) More than 5 years ago but not more than 10 years (4) Over 10 years ago (5) I dont know (88) |
LHES | | | Have you EVER had a blood stool test (FIT) where the results were NOT normal? | Yes (1) No (2) I dont know (88) |
LHES | | | How long has it been since your last sigmoidoscopy? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) More than 5 years ago but not more than 10 years (4) Over 10 years ago (5) I dont know (88) |
LHES | | | Have you EVER had a sigmoidoscopy where the results were NOT normal? | Yes (1) No (2) I dont know (88) |
LHES | | | How long has it been since your last colonoscopy? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) More than 5 years ago but not more than 10 years (4) Over 10 years ago (5) I dont know (88) |
LHES | | | Have you EVER had a colonoscopy where the results were NOT normal? | Yes (1) No (2) I dont know (88) |
LHES | | | Have you EVER had any of the following tests as an evaluation for anal or rectal cancer? (Check all that apply.) | Digital anal rectal exam (an examination where a doctor or health care provider inserts their finger into your anus (butt) (1) Anal HPV test (a routine test with a swab that tests for human papillomavirus, HPV) (2) Anal Pap smear (a routine test in which a health care provider takes a few cells from the anus (butt) using a swab to look for abnormal or cancer cells) (3) High-Resolution Anoscopy (HRA) (an exam with a microscope of the rectum and anus/butt) (4) I dont know (5) None of these (6) |
LHES | | | Have you EVER had a digital anal/rectal examination test where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
LHES | | | Have you EVER had an anal HPV test where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
LHES | | | Have you EVER had an anal Pap test where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
LHES | | | Have you EVER had a high-resolution anoscopy (HRA) test where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
LHES | | | Have you EVER had genetic testing to see if you have, or are more likely to develop a certain health condition, such as specific cancers or heart problems? | Yes (1) No (0) I dont know (88) |
LHES | | | About how long has it been since you last visited a dentist? Include all types of dentists, such as orthodontists, oral surgeons, and all other dental specialists, as well as dental hygienists. | 6 months or less (0) More than 6 months, but not more than 1 year ago (1) More than 1 year, but not more than 2 years ago (2) More than 2 years, but not more than 3 years ago (3) More than 3 years, but not more than 5 years ago (4) More than 5 years ago (5) Never have been to dentist (6) |
LHES | | | Have you EVER received an HPV shot or vaccine? HPV stands for human papillomavirus. The vaccines are sometimes called CERVARIX® or GARDASIL®. The HPV vaccine is given as a three-dose series routinely to people from age 9-45. It was released in 2006. | Yes (1) No (0) Doctor or another health care provider refused to give it to me when I asked for it (2) I dont know (88) |
LHES | | | How many HPV vaccine shots did you have? | One (1) Two (2) Three (3) I dont know (88) |
LHES | | | The hepatitis A vaccine is given as a two-dose series routinely to some children starting at 1 year of age, and to some adults and people who travel outside the United States. Although it can be given as a combination vaccine with hepatitis B, it is different from the hepatitis B shot, and has only been available since 1995. Have you EVER received the hepatitis A vaccine? | Yes (1) No (0) I dont know (88) |
LHES | | | Have you EVER received the hepatitis B vaccine? This is given in three separate doses and has been available since 1991. It is recommended for newborn infants, adolescents, and people such as health care workers, who may be exposed to the hepatitis B virus. | Yes (1) No (0) I dont know (88) |
LHES | | | Have you EVER had a pneumonia shot? This shot is usually given only once or twice in a person's lifetime and is different from the flu shot. It is also called the pneumococcal vaccine. | Yes (1) No (0) I dont know (88) |
LHES | | | Have you EVER had a meningitis shot? This shot is given only once or twice in a person's lifetime if you are HIV-negative. If you are living with HIV, it is usually given every five years. It is also called the meningococcal vaccine. | Yes (1) No (0) I dont know (88) |
LHES | | | Shingles is an outbreak of a rash or blisters on the skin that may be associated with severe pain. The pain is generally on one side of the body or face. Shingles is caused by the chicken pox virus. A vaccine for shingles has been available since May 2006. Have you EVER had the Zoster or Shingles vaccine, also called Zostavax®? | Yes (1) No (0) I dont know (88) |
LHES | | | Have you EVER masturbated? Masturbation is touching yourself for sexual pleasure. | Yes (1) No (2) |
LHES | | | Have you EVER engaged in any kind of sexual activity with another person? | Yes (1) No (0) |
LHES | | | Have you EVER performed digital penetration (also called "fingering")? This means putting your fingers into someone's vagina or someone's anus or butt. (Check all that apply.) | Yes, I have had contact between my finger(s) and someones vagina (1) Yes, I have had contact between my finger(s) and someones anus or butt (2) No (0) |
LHES | | | Have you EVER performed digital penetration (also called "fingering")? This means putting your fingers into someone's frontal genital opening or someone's anus or butt. (Check all that apply.) | Yes, I have had contact between my finger(s) and someones frontal genital opening (1) Yes, I have had contact between my finger(s) and someones anus or butt (2) No (0) |
LHES | | | Have you EVER performed oral-anal sex (also called "rimming")? This means contact between your mouth and someone's anus or butt. | Yes (1) No (0) |
LHES | | | Have you EVER used sex toys (such as dildos, butt plugs) with a sexual partner? (Check all that apply.) | Yes, I inserted the sex toy into someones body (1) Yes, I received the sex toy into my body (2) No (0) |
LHES | | | Have you EVER performed oral sex? This means putting your mouth on another person's genitals. (Check all that apply.) | Yes, on a person with a penis/phallus (not including a prosthetic) (1) Yes, on a person with a vagina/frontal genital opening (2) No (0) |
LHES | | | Have you EVER received oral sex? This means someone put their mouth on your genitals. | Yes (1) No (0) |
LHES | | | Have you EVER had sex where your vagina is touching another person's vagina? | Yes (1) No (0) |
LHES | | | Have you EVER had sex where your frontal genital opening is touching another person's frontal genital opening? | Yes (1) No (0) |
LHES | | | Have you EVER had insertive vaginal sex? This means putting your penis/phallus (not including a prosthetic) in someone's vagina. | Yes (1) No (0) |
LHES | | | Have you EVER had insertive frontal genital opening sex? This means putting your penis/phallus (not including a prosthetic) in someone's frontal genital opening. | Yes (1) No (0) |
LHES | | | Have you EVER had receptive vaginal sex? This means a penis/phallus (not including a prosthetic) in your vagina. | Yes (1) No (0) |
LHES | | | Have you EVER had receptive frontal genital opening sex? This means a penis/phallus (not including a prosthetic) in your frontal genital opening. | Yes (1) No (0) |
LHES | | | Have you EVER had anal sex? (Check all that apply.) | Yes, I have had contact between my penis/phallus (not including a prosthetic) and someones anus or butt (also known as insertive anal sex or topping) (1) Yes, I have had contact between someones penis/phallus (not including a prosthetic) and my anus or butt (also known as receptive anal sex or bottoming) (2) No (0) |
LHES | | | Have you EVER had receptive anal sex? This means contact between a penis/phallus (not including a prosthetic) and your anus or butt. | Yes (1) No (0) |
LHES | | | How old were you the first time you had any kind of sex with another person including vaginal, oral, and anal? (Do not include masturbation.) | Text Entry (-) |
LHES | | | How old were you the first time you had any kind of sex with another person including frontal genital opening, oral, and anal? (Do not include masturbation.) | Text Entry (-) |
LHES | | | In your LIFETIME, with how many different people have you had any kind of sex? (Please enter whole numbers only. If you are unsure, please estimate as best you can.) | Text Entry (-) |
LHES | | | In your LIFETIME, what are the gender identities of the people that you had any sexual activity with? (Check all that apply.) | Cisgender man (identifies as a man and was assigned male sex at birth) (1) Cisgender woman (identifies as a woman and was assigned female sex at birth) (2) Transgender man (identifies as a man and was assigned female sex at birth) (3) Transgender woman (identifies as a woman and was assigned male sex at birth) (4) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned female sex at birth (5) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned male sex at birth (6) People of gender(s) not mentioned here (please specify) (7) People of gender(s) not mentioned here (please specify) (TEXT) I dont know (88) Decline to state (0) |
LHES | | | Except for tests that you may have had as part of blood donations, have you EVER been tested for HIV? | Yes (1) No (0) I dont know (88) |
LHES | | | Regardless of your current HIV status, have you EVER taken anti-HIV medications (post-exposure prophylaxis or "PEP") after potentially being exposed to HIV? | Yes (1) No (0) |
LHES | | | PrEP (pre-exposure prophylaxis) is when HIV-negative people take anti-HIV medications (like Truvada) on a regular basis to prevent HIV infection. Regardless of your current HIV status, have you EVER been on PrEP to prevent HIV infection? | Yes (1) No (0) |
LHES | | | Has a doctor or other health care professional EVER told you that you had any of the following? (Check all that apply.) | Chlamydia (1) Genital herpes (2) Genital warts (3) Gonorrhea, sometimes called GC or the clap (4) HPV or human papillomavirus (5) Syphilis (6) None of these (0) |
LHES | | | Have you EVER been treated for an infection in your fallopian tubes, uterus or ovaries, also called a pelvic infection, pelvic inflammatory disease, or PID? | Yes (1) No (0) I dont know (88) |
LHES | | | Has your sperm (also known as semen, cum, nut, ejaculate) EVER resulted in a pregnancy? | Yes (1) No (0) I dont know (88) |
LHES | | | How many pregnancies? (If you are unsure, please estimate.) | Text Entry (-) |
LHES | | | Have you EVER had a menstrual period? | Yes (1) No (0) I dont know (88) |
LHES | | | How old were you when your menstrual period started? (Please enter “88” if you don't know.) | Text Entry (-) |
LHES | | | Have you had at least one menstrual period in the PAST 12 MONTHS? Please do not include bleedings caused by medical conditions, hormone therapy, or surgeries. | Yes (1) No (0) I dont know (88) |
LHES | | | What is the reason(s) that you have not had a period in the PAST 12 MONTHS? (Check all that apply.) | Pregnancy (1) Breastfeeding/chestfeeding (2) Hysterectomy (removal of the uterus) (3) Menopause/change of life (4) Hormones, medications, or devices (like an IUD) to stop my periods (5) Other (please specify) (6) Other (please specify) (TEXT) I dont know (88) |
LHES | | | About how old were you when you had your last menstrual period? (Please enter “88” if you don't know.) | Text Entry (-) |
LHES | | | Have you EVER been pregnant? Please include any current pregnancy, live births, miscarriages, stillbirths, tubal pregnancies, and abortions. | Yes (1) No (0) I dont know (88) |
LHES | | | Are you pregnant now? | Yes (1) No (0) I dont know (88) |
LHES | | | How many times have you been pregnant? (Please count all your pregnancies including current pregnancy, live births, miscarriages, stillbirths, tubal pregnancies, and abortions.) (Please enter "88" if you don't know.) | Text Entry (-) |
LHES | | | Did any of your pregnancies result in a delivery? | Yes (1) No (0) |
LHES | | | How many of your deliveries resulted in a live birth? (Please count the number of deliveries [for example, twins count as 1 delivery].) (Please enter “88” if you don't know.) | Text Entry (-) |
LHES | | | How many vaginal deliveries have you had? (Please count the number of deliveries [for example, twins count as 1 delivery] and please include stillbirths and live births.) (Please enter “88” if you don't know.) | Text Entry (-) |
LHES | | | How many frontal genital opening deliveries have you had? (Please count the number of deliveries [for example, twins count as 1 delivery] and please include stillbirths and live births.) (Please enter “88” if you don't know.) | Text Entry (-) |
LHES | | | How many cesarean deliveries, also known as C-sections, have you had? (Please count the number of deliveries [for example, twins count as 1 delivery] and please include stillbirths and live births.) (Please enter “88” if you don't know.) | Text Entry (-) |
LHES | | | How many tubal pregnancies have you had? (A tubal pregnancy also known as an 'ectopic pregnancy' is a pregnancy that occurs in the fallopian tube.) (Please enter “88” if you don't know.) | Text Entry (-) |
LHES | | | How many miscarriages have you had? (A miscarriage is a pregnancy that ends naturally during the first 20 weeks of pregnancy.) (Please enter “88” if you don't know.) | Text Entry (-) |
LHES | | | How many abortions have you had? (An abortion is a pregnancy that is ended during the first 6 months using medications, D&C, vacuum extraction, suction, and saline injections.) (Please enter “88” if you don't know.) | Text Entry (-) |
LHES | | | How old were you when you became pregnant with your first pregnancy? (Please enter “88” if you don't know.) | Text Entry (-) |
LHES | | | Please tell us the month and year of your FIRST live birth. | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) 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LHES | | | Please tell us the month and year of your MOST RECENT live birth. | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 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know/remember (403) |
LHES | | | Have you EVER attempted to become pregnant over a period of at least a year without becoming pregnant? | Yes (1) No (0) I dont know (88) |
LHES | | | Have you EVER been to a doctor or other health care provider because you have been unable to become pregnant? | Yes (1) No (0) I dont know (88) |
LHES | | | Are you personally planning to be pregnant in the next year? | Yes (1) No (0) I dont know (88) |
LHES | | | Have you EVER used any type of method for birth control (prevention of pregnancy)? | Yes (1) No (0) I dont know (88) |
LHES | | | Please select the method(s) of birth control you have EVER used for prevention of pregnancy. (Check all that apply.) | Abstinence (no sex with a person who produces sperm that could result in pregnancy) (1) Condoms (2) Diaphragm (3) Arm implant (4) Injection (5) Intrauterine Device (IUD) -- Copper -- has no hormones (6) Intrauterine Device (IUD) -- Mirena, Skyla, or Liletta -- has hormones (7) Intrauterine Device (IUD) -- Im not sure what type (8) Menopause (9) Pill (10) Rhythm method (11) Spermicide (12) Sponge (13) Surgical (permanent) sterilization (e.g., tubal ligation, tubes tied) (14) Surgical (permanent) sterilization of your partner (e.g., vasectomy) (15) Patch/transdermal (16) Vaginal ring (17) Withdrawal (18) Another method not listed here (please specify) (19) Another method not listed here (please specify) (TEXT) None of these (20) |
LHES | | | Have you EVER used any birth control method(s) for ANY reason OTHER THAN prevention of pregnancy? | Yes (1) No (0) I dont know (88) |
LHES | | | What are the reasons that you have EVER used birth control (OTHER THAN pregnancy prevention)? (Check all that apply.) | To affirm my gender (1) To avoid getting a sexually-transmitted infection (STI) from someone else (2) To avoid spreading a sexually-transmitted infection (STI) that I have (3) To avoid symptoms associated with my period like: chest tenderness, bloating, acne, pain from cramping, heavy bleeding (sometimes referred to as pre-menstrual syndrome or PMS) (4) To stop having a period/reduce the amount of bleeding (5) Prevent hair growth (hirsutism) (6) To reduce chronic pelvic pain (including endometriosis) (7) To treat another medical condition (8) Not listed (please specify) (9) Not listed (please specify) (TEXT) None of these (0) |
LHES | | | Please select the birth control method(s) you have EVER used for any reason OTHER THAN prevention of pregnancy? (Check all that apply.) | Abstinence (no sex with a person who produces sperm that could result in pregnancy) (1) Condoms (2) Diaphragm (3) Arm implant (4) Injection (5) Intrauterine Device (IUD) -- Copper -- has no hormones (6) Intrauterine Device (IUD) -- Mirena, Skyla, Liletta -- has hormones (7) Intrauterine Device (IUD) -- Im not sure what type (8) Menopause (9) Pill (10) Rhythm method (11) Spermicide (12) Sponge (13) Surgical (permanent) sterilization (e.g., tubal ligation, tubes tied) (14) Surgical (permanent) sterilization of your partner (e.g., vasectomy) (15) Patch/transdermal (16) Vaginal ring (17) Withdrawal (18) Another method not listed here (please specify) (19) Another method not listed here (please specify) (TEXT) None of these (0) |
LHES | | | Have you EVER breast/chest fed a child? | Yes (1) No (0) |
LHES | | | Were the children that you breast/chest fed born as a result of…? | My own pregnancy and delivery (1) Another persons pregnancy and delivery (2) Both, I have breast/chest fed both a child that I have delivered as well as a child that another person delivered (3) |
LHES | | | Have you EVER engaged in sex or sexual activity in exchange for money (sex work) or worked in the sex industry (such as erotic dancing, webcam work, or porn films)? | Yes (1) No (0) |
LHES | | | What type of sex work or work in the sex industry have you EVER done? (Check all that apply.) | SEXWORK1 (1) SEXWORK2 (2) SEXWORK3 (3) SEXWORK4 (4) SEXWORK5 (5) SEXWORK6 (6) SEXWORK7 (7) SEXWORK8 (8) SEXWORK9 (9) SEXWORK10 (10) SEXWORK11 (11) SEXWORK11 (TEXT) |
LHES | | | Have you EVER engaged in sex or sexual activity in exchange for a place to sleep? | Yes (1) No (0) |
LHES | | | Have you EVER engaged in sex or sexual activity in exchange for drugs? | Yes (1) No (0) |
LHES | | | Have you EVER engaged in sex or sexual activity in exchange for food? | Yes (1) No (0) |
LHES | | | Have you EVER used the following drugs/supplements for the purpose of enhancing appearance or performance? (Check all that apply.) | Anabolic Steroids (1) Protein supplements (such as whey protein, protein shakes, protein bars) (2) Creatine supplements (including creatine monohydrate, creatine ethyl ester, and others (3) Synthetic muscle enhancers (such as testosterone replacement therapy, clenbuterol, human growth hormone) (4) Diuretics/water pills (such as furosemide (Lasix, hydrochlorothiazide, spironolactone, and others) (5) I have never used these drugs or supplements. (0) |
LHES | | | I use anabolic steroids primarily for | Performance (including athletic performance) (1) Appearance (2) Both performance and appearance (3) Neither performance or appearance (4) |
LHES | | | In the PAST 28 DAYS, I have used anabolic steroids for approximately: | No days (0) 1-5 days (1) 6-12 days (2) 13-15 days (3) 16-22 days (4) 23-27 days (5) Every day (6) |
LHES | | | I use the protein supplements (such as whey protein, protein shakes, protein bars) primarily for | Performance (including athletic performance) (1) Appearance (2) Both performance and appearance (3) Neither performance or appearance (4) |
LHES | | | In the PAST 28 DAYS, I have used protein supplements (such as whey protein, protein shakes, protein bars) for approximately: | No days (0) 1-5 days (1) 6-12 days (2) 13-15 days (3) 16-22 days (4) 23-27 days (5) Every day (6) |
LHES | | | I use creatine supplements (including creatine monohydrate, creatine ethyl ester, and others) primarily for | Performance (including athletic performance) (1) Appearance (2) Both performance and appearance (3) Neither performance or appearance (4) |
LHES | | | In the PAST 28 DAYS, I have used creatine supplements (including creatine monohydrate, creatine ethyl ester, and others) for approximately: | No days (0) 1-5 days (1) 6-12 days (2) 13-15 days (3) 16-22 days (4) 23-27 days (5) Every day (6) |
LHES | | | I use synthetic muscle enhancers (such as testosterone replacement therapy, clenbuterol, human growth hormone) primarily for: | Performance (including athletic performance) (1) Appearance (2) Both performance and appearance (3) Neither performance or appearance (4) |
LHES | | | In the PAST 28 DAYS, I have used synthetic muscle enhancers (such as testosterone replacement therapy, clenbuterol, human growth hormone) for approximately: | No days (0) 1-5 days (1) 6-12 days (2) 13-15 days (3) 16-22 days (4) 23-27 days (5) Every day (6) |
LHES | | | I use diuretics/water pills (such as furosemide (Lasix), hydrochlorothiazide, spironolactone, and others) primarily for | Performance (including athletic performance) (1) Appearance (2) Both performance and appearance (3) Neither performance or appearance (4) |
LHES | | | In the PAST 28 DAYS, I have used diuretics/water pills (such as furosemide (Lasix), hydrochlorothiazide, spironolactone, and others) for approximately: | No days (0) 1-5 days (1) 6-12 days (2) 13-15 days (3) 16-22 days (4) 23-27 days (5) Every day (6) |
LHES | | | You have completed the Physical Health section! This is one of 4 sections! WOOHOO - another one done! Each section you fill out helps us understand LGBTQ people's unique lives and health experiences as we work towards helping LGBTQ people thrive. Thank you for bringing us closer to health equity for LGBTQ people. | No Answers |
LHES | | | In what ZIP code did you spend most of your childhood (until age 18)? (If you do not remember or if it was not within the United States, please leave blank.) | Text Entry (-) |
LHES | | | Please provide the city and state (and country if outside the United States) where you spent most of your childhood (until age 18). | Text Entry (-) |
LHES | | | What is your citizenship or immigration status in the U.S.? As a reminder, your answers are confidential and cannot be used against you. You can choose to skip this question if you desire, but filling out this question will help us understand more about your health and the health of our communities. To protect your privacy, we have obtained a Certificate of Confidentiality from the National Institutes of Health. We can use this Certificate to legally refuse to disclose information that may identify you in any federal, state, or local civil, criminal, administrative, legislative, or other proceedings (for example, if there is a court subpoena). | U.S. citizen by birth (1) U.S. citizen by naturalization (2) Permanent resident (Green card holder) (3) A visa holder (such as F-1, J-1, H-1B, and U) (4) DACA (Deferred Action for Childhood Arrival) (5) Refugee status (6) Undocumented resident (7) Currently under a withholding of removal status (8) Other documented status not mentioned above (9) Id prefer not to disclose this (10) |
LHES | | | Have you EVER served on active duty in the U.S. Armed Forces, Reserves, or National Guard? As a reminder, your answers are confidential and cannot be used against you. You can choose to skip this question if you desire, but filling out this question will help us understand more about your health and the health of our communities. To protect your privacy, we have obtained a Certificate of Confidentiality from the National Institutes of Health. We can use this Certificate to legally refuse to disclose information that may identify you in any federal, state, or local civil, criminal, administrative, legislative, or other proceedings (for example, if there is a court subpoena). | Now on active duty (1) Only on active duty for training in the Reserves or National Guard (2) On active duty in the past but not now (3) Never served in the military (0) |
LHES | | | Are you still serving in the military including Reserves and National Guard? As a reminder, your answers are confidential and cannot be used against you. You can choose to skip this question if you desire, but filling out this question will help us understand more about your health and the health of our communities. To protect your privacy, we have obtained a Certificate of Confidentiality from the National Institutes of Health. We can use this Certificate to legally refuse to disclose information that may identify you in any federal, state, or local civil, criminal, administrative, legislative, or other proceedings (for example, if there is a court subpoena). | Yes (1) No (0) |
LHES | | | What is your current or most recent branch of service? | Air Force (1) Air Force Reserve (2) Air National Guard (3) Army (4) Army Reserve (5) Army National Guard (6) Coast Guard (7) Coast Guard Reserve (8) Marine Corps (9) Marine Corps Reserve (10) Navy (11) Navy Reserve (12) |
LHES | | | When did you begin your military service? (If you can't recall precisely, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) 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LHES | | | When did you separate from military service? (If you can't recall precisely, please estimate.) | January (1) January 2020 (2) January 2019 (3) January 2018 (4) January 2017 (5) January 2016 (6) January 2015 (7) January 2014 (8) January 2013 (9) January 2012 (10) January 2011 (11) January 2010 (12) January 2009 (13) January 2008 (14) January 2007 (15) January 2006 (16) January 2005 (17) January 2004 (18) January 2003 (19) January 2002 (20) January 2001 (21) January 2000 (22) January 1999 (23) January 1998 (24) January 1997 (25) January 1996 (26) January 1995 (27) January 1994 (28) January 1993 (29) January 1992 or earlier (30) January I dont know/remember (31) February (32) February 2020 (33) February 2019 (34) February 2018 (35) February 2017 (36) February 2016 (37) February 2015 (38) February 2014 (39) February 2013 (40) February 2012 (41) February 2011 (42) February 2010 (43) February 2009 (44) February 2008 (45) February 2007 (46) February 2006 (47) February 2005 (48) February 2004 (49) February 2003 (50) February 2002 (51) 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LHES | | | What was your character of discharge? | Entry level separation (1) Honorable (2) General (3) Medical (4) Other-than-honorable (5) Bad conduct (6) Dishonorable (7) None of these (please specify) (8) None of these (please specify) (TEXT) |
LHES | | | Did you EVER get any type of health care through the Department of Veterans Affairs (VA)? | Yes (1) No (0) |
LHES | | | Do you own a scale that can measure your weight? It does not need to be a digital scale or a "smart" scale that is connected to the Internet. | Yes (1) No (0) I dont know (88) |
LHES | | | Do you own an automatic (digital) blood pressure cuff that goes around your upper arm (not your wrist)? | Yes (1) No (0) I dont know (88) |
LHES | | | Do you own a glucometer (a device that checks your blood sugar level using a small drop of blood obtained by a fingerstick)? | Yes (1) No (0) I dont know (88) |
LHES | | | Would you be willing to participate in research studies that request that you submit a saliva (spit) sample? | Yes (1) No (0) I dont know (88) |
LHES | | | Would you be willing to participate in research studies that request that you submit a urine (pee) sample? | Yes (1) No (0) I dont know (88) |
LHES | | | Would you be willing to participate in research studies that request that you submit a hair sample? | Yes (1) No (0) I dont know (88) |
LHES | | | Would you be willing to participate in research studies that request that you submit a blood sample? | Yes (1) No (0) I dont know (88) |
LHES | | | Would you be willing to participate in research studies that request that you submit a cheek scraping (where you gently scrape the inside of your cheek to get cells from inside your mouth)? This is also known as a buccal swab. | Yes (1) No (0) I dont know (88) |
LHES | | | If you have any specific ideas or concerns that you would like to share with us about giving biological samples to The PRIDE Study, please describe them here. | Text Entry (-) |
LHES | | | Have you EVER done DNA genetic testing with any of the following companies? (Check all that apply.) | 23andMe (1) AncestryDNA (2) CRI Genetics (3) FamilyTree DNA (4) HomeDNA (5) Living DNA (6) MyHeritage DNA (7) National Geographic Genographic Project (8) Another company (please specify) (9) Another company (please specify) (TEXT) None of these (0) |
LHES | | | Would you be willing to share your DNA genetic testing results with The PRIDE Study? | Yes (1) No (0) I dont know (88) |
LHES | | | Is there anything else you would like to share with us about your health or well-being? | Text Entry (-) |
LHES | | | YOU ARE ALMOST DONE WITH THIS SURVEY - PLEASE READ BELOW AND THEN CLICK NEXT This is required in order for the system to mark your survey as "Complete." Thank you for completing the Lifetime Health & Experiences Questionnaire and for advancing scientific knowledge about the health of LGBTQ people! In addition to our commitment to communicating findings from the study back to our community in the future, we also want to connect our participants with some resources that may be helpful to them now. Please find below a list of websites, organizations, and hotlines that may be helpful in promoting LGBTQ people's health, safety, and wellbeing. - Find an LGBTQ center near you with Centerlink, The Community of LGBT Centers: lgbtcenters.org - Find free HIV testing in your area through the Centers for Disease Control's GetTested program: https://gettested.cdc.gov/ - Find an LGBTQ -friendly doctor through GLMA: Health Professionals Advancing LGBTQ Equality (the LGBTQ Healthcare Association): https://glmaimpak.networkats.com/members_online_new/members/dir_provider.asp - Talk with someone 24/7 if you are in crisis or thinking of suicide: National Suicide Prevention Lifeline: 1-800-273-8255 - Talk with someone 24/7 if you need support related to being a survivor of sexual assault: National Sexual Assault Hotline: 1-800-656-4673 TO LOG YOUR SURVEY AS COMPLETE, PLEASE ADVANCE TO NEXT SCREEN and then select "Back to Dashboard | No Answers |