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GAY LATE BLOOMER QUESTIONNAIRE

As part of our ongoing evaluation of the Gay Late Bloomer (GLB), please complete the following questions. All information will be treated confidentially. Please be as objective as possible - all comments will be taken into account.

 

Participant Details

Participant Name: 

Gender/Pronouns: 

Sexuality: 

Age: 

Ethnicity: 

Additional Identifiers:

Coming Out Age: 

Units of Offspring: 


Please score on a scale of 1-5, where 1= “Not” and 5 = “Very”

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Additional Questions

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Completed forms may be sent to nathan@yellowperilproductions.com