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Feedback form for Intersex Aotearoa
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8
Questions
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1
To be eligible for this survey, please respond to the following:
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Tick one or more that are applicable you to.
Do you have an intersex variation, or innate variation of sex characteristics?
Are you the parent or carer of someone with an intersex variation?
Are you the partner of someone with an intersex variation?
Are you another family member or friend of someone with an intersex variation?
Are you an allied provider of services to the intersex community?
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2
What is your Postcode?
If you are not based in Australia or Aotearoa/NZ, please list your country as well.
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3
When did you become a member of IPSA?
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4
When was the last time you remember paying a membership fee?
If you are able, please include an approximate date
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5
Type a question
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Type option 2
Type option 3
Type option 4
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6
When was the last time you remember paying a membership fee?
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Option 3
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Option 3
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Option 2
Option 3
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Please Select
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Option 3
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Option 2
Option 3
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Please Select
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Option 2
Option 3
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7
When was the last time you remember paying a membership fee?
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8
To be eligible for this survey, please respond to the following:
Do you have an intersex variation, or innate variation of sex characteristics?
Are you the parent or carer of someone with an intersex variation?
Are you the partner of someone with an intersex variation?
Are you another family member or friend of someone with an intersex variation?
Are you an allied provider of services to the intersex community?
What is your Postcode or country if not Australia or Aotearoa/NZ
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