Survey!
1. Your sexual Identity: we don’t want to pidgeon hole you but please pick only one for now. bisexual dyke gay fag lesbian trans queer straight other
2. Your gender identity: we respect that you may identify as many, but please pick one butch femme transgender male-to-female transsexual female-to-male transgender genderqueer transsexual none female male female-to-male transsexual male-to-female transgender intersex
3. Your ethnic identity
4. Your age 16-19 19-21 21-25 26-29 30-35 35-39 40-49 50-59 60+
5. Your income level 0-10000 11000-19000 20000-29000 30000-39000 40000-50000 50000-59000 60000-69000 70000-100000 100000
6. Your zip code
7. Your email address
8. Completely optional, but helpful to us for outreach later... your first name
your last name
street address
city
state
9. Have you attended Homo A Go Go in the past. Please check all that apply.
10. Do you plan to attend Homo A Go Go 2009 in San Francisco, July 29-August 2, 2009? yes no maybe
11. Please feel free to give us any additional comments or suggestions.
