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1. What is your age?
Younger than 18
18
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81
82
83
84
85
86
87
88
89
Older than 89
2. What is your sex assigned at birth?
Male
Female
Intersex
3. What is your gender? Please choose the one that fits the best.
Cisgender man
Cisgender woman
Trans masculine
Trans man / transgender man
Trans feminine
Trans woman / transgender woman
Nonbinary
Genderqueer
Genderfluid
Questioning
Two-Spirit
Agender
A gender not listed above, please specify:
4. Have you ever served in the U.S. military?
Yes
No
5. Which of the following best describes your services in the United States military?
Currently on Active Duty
Currently mobilized in the Army National Guard, Air National Guard, or Reserve Component
I have served in the Armed Forces on Active Duty in the past and retired from military service
I have served in the Armed Forces in the Army National Guard, Air National Guard, or Reserve duty and retired from military service
I have served in the Armed Forces in the past on Active Duty and separated from service, but did not retire
I have served in the Armed Forces in the past on National Guard, National Air Guard, or Reserve duty and separated from service, but did not retire
I have not served in the Armed Forces in any capacity
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