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Lets talk about sex.... - Auckland District Health Board

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Appendix 4<br />

Questionnaire for Service Users<br />

Section One:<br />

How would you currently identify your <strong>sex</strong>uality? (please tick as many boxes as is relevant)<br />

1. A<strong>sex</strong>ual (no <strong>sex</strong>ual attraction)<br />

2. Bi<strong>sex</strong>ual male<br />

3. Bi<strong>sex</strong>ual female<br />

4. Fa’ afafine<br />

5. Gay<br />

6. Hetero<strong>sex</strong>ual/straight<br />

7. Lesbian<br />

8. MSM (men who have <strong>sex</strong> with men)<br />

9. Non-hetero<strong>sex</strong>ual<br />

10. Takataapui<br />

11. Queer<br />

12. Questioning<br />

13. WSW (women who have <strong>sex</strong> with women)<br />

14. Other<br />

please specify ____________________________________________________________<br />

How would you identify your gender? (please tick as many boxes as relevant)<br />

1. Female<br />

2. Male<br />

3. Transgender<br />

4. Transgender male to female<br />

5. Transgender female to male<br />

6. Whakawahine<br />

7. Fa’ afafine<br />

8. Inter<strong>sex</strong><br />

9. Gender queer<br />

10. Other<br />

please specify ____________________________________________________________<br />

Section Two:<br />

Have you ever discussed your <strong>sex</strong>uality with your key worker or Doctor? Yes No<br />

95

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