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Community Issues group - 250504

Please provide us with your First and Last Name

Please provide us with your email address.

In which state do you live?

Are you registered to vote at that address?

Yes

I would like to ask you about different kinds of people that you may or may not know personally. First, do you personally know or work with anyone who is non-binary person? (Please select all that apply)

I would like to ask you about different kinds of people that you may or may not know personally. First, do you personally know or work with anyone who is non-binary person? (Please select all that apply)

Yes, I am a non-binary person

Yes, someone in my immediate family is a non-binary person (like a parent, child, partner or spouse)

Yes, another family member is a non-binary person (like a cousin or Aunt)

Yes, a friend is a non-binary person

Yes, an acquaintance is a non-binary person

Yes, a co-worker is a non-binary person

No, I don't personally know anyone who is a non-binary person

Using a scale from zero to ten, where a zero means you feel completely uncomfortable and a ten means you feel completely comfortable, please indicate how comfortable you personally feel around a ...

	0	1	2	3	4	5	6	7	8	9	10
A transgender
Non-binary person
A gay man
A lesbian woman