Att 10_Summary of Changes Table (24BY)

Table 1. Summary of Changes to Demographic Questions Related to Sex and Gender in Survey Instruments

Original Question	Change Proposed	Reason for Change Proposed
Which of the following BEST represents how you think about yourself? Lesbian or gay Straight, that is not lesbian or gay Bisexual Something else Decline to answer	Which of the following BEST represents how you think about yourself? Lesbian or gay Straight, that is not lesbian or gay Bisexual Something else: ____________ Decline to answer	Key stakeholder input, project goals
Do you currently describe yourself as male, female, or transgender? Male Female Transgender male Transgender female None of these Decline to answer	[If American Indian or Alaskan Native is not checked] How do you currently describe yourself? (Check all that apply) Woman, including transgender woman Man, including transgender man Nonbinary, including gender nonconforming, and genderqueer A different gender identity: _________ Don’t know Decline to answer [If American Indian or Alaskan Native is checked] How do you currently describe yourself? (Check all that apply) Woman, including transgender woman Man, including transgender man Nonbinary, including gender nonconforming, and genderqueer Two-Spirit A different gender identity: _________ Don’t know Decline to answer	Key stakeholder input, project goals
Beyond the gender identities listed above, are there any other identities that you would use to describe yourself? (Select all that apply) Gender non-conforming Genderfluid Genderqueer Non-binary Two-spirit Another identity, please specify: None of these Decline to answer	None	Removed as redundant with changes to the prior question (outlined in the row above).
What sex were you assigned at birth, on your original birth certificate? Male Female Decline to answer	What sex were you assigned at birth, on your original birth certificate? Male Female Intersex Decline to answer	Key stakeholder input, project goals
Follow-up survey only
None	At your last survey on [pipe in date], you reported thinking about yourself as [pipe in sexual orientation]. Has the way you think about yourself changed? Yes No Decline to answer [if yes to A1; otherwise skip to main survey] Which of the following BEST represents how you think about yourself? Lesbian or gay Straight, that is not lesbian or gay Bisexual Something else, please specify_____________ Decline to answer [If American Indian or Alaskan Native is not checked on screener] At your last survey on [pipe in date], you described yourself as [pipe in gender]. Has the way you describe yourself changed? Yes No Decline to answer [if yes to A3; otherwise skip to B1] How do you currently describe yourself? (Check all that apply) Woman, including transgender woman Man, including transgender man Nonbinary, including gender nonconforming, and genderqueer A different gender identity, please specify ____________ Don’t know Decline to answer [If American Indian or Alaskan Native is checked on screener] How do you currently describe yourself? (Check all that apply) Woman, including transgender woman Man, including transgender man Nonbinary, including gender nonconforming, and genderqueer Two-Spirit A different gender identity, please specify ____________ Don’t know Decline to answer	To capture changes to sexual orientation and gender identity over the course of study follow-up