Yes
No
Woman
Man
Transgender
Non-binary/Non-conforming
Prefer not to respond
Heterosexual
Homosexual
Gay
Lesbian
Bisexual
Queer
Asexual
I don't know
Prefer not to respond
Yes
No
Yes
No
Yes
No
Single
In a relationship
Married
Divorced
Widowed
Other
Excellent
Good
Fair
Poor
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Excellent
Good
Fair
Poor
Excellent
Good
Fair
Poor
Excellent
Good
Fair
Poor
Video
Phone Telehealth