Chuck Stewart, Ph.D.

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APPENDIX A PERQ PART 4 Gender Identity, Sexual Identity, Emotional Identity

This is a copy of PART 4 Gender Identity, Sexual Identity, Emotional Identity from the PERQ developed for this research

Note: All responses are confidential, will not be shared with any persons other than the researcher, will not be shared with any agency or institution, and will be destroyed at the end of the research. Please answer as you truly believe and feel, not how you think you are supposed to answer.

This section assesses your relationship to other people and your sexual orientation. Please bubble in the response that best reflects your feelings.

Relationships
65. Current relationship
T A. single
T B. coupled living together
T C. coupled living apart

66. Current sexual activity
T A. no sexual partners
T B. one committed partner
T C. multiple partners

Sexual orientation
67. I identify myself as:
T A. Exclusively homosexual
T B. Predominantly homosexual
T C. Bisexual
T D. Predominantly heterosexual
T E. Exclusively heterosexual

68. In the future, I would like to identify myself as:
T A. Exclusively homosexual
T B. Predominantly homosexual
T C. Bisexual
T D. Predominantly heterosexual
T E. Exclusively heterosexual

69. In terms of comfort with my current sexual orientation, I would say that I am:
T A. Very comfortable
T B. Mostly comfortable
T C. Comfortable
T D. Not very comfortable
T E. Very uncomfortable

This section assesses your understanding of your gender, sexual and emotional identities. Please use the following scale to mark the response that best reflects your feelings:
A. Exclusively female
B. Mostly female with some male component
C. Equal female and male components
D. Mostly male with some female component
E. Exclusively male
[female h male]
ItemABCDEPhysical Identity70.I was born a biological _____.T T T T T Future Physical Identity71.Ideally, I wish I had been born as a biological _____.T T T T T Gender Identity72.I think of myself as a physical _____.T T T T T 73.In my sexual fantasies, I imagine myself as a physical ____.T T T T T Future Gender Identity74.Ideally, I would like to think of myself as a physical _____.T T T T T 75.In my sexual fantasies, I wish I could imagine myself as a physical ____.T T T T T Sex-Role Identity76.My interest, attitudes, appearance and behaviors would be considered to be _____ (as traditionally defined).T T T T T Future Sex-Role Identity77.I wish my interests, attitudes, appearance, and behaviors would be considered to be _____ (as traditionally defined).T T T T T Sexual Orientation Identity78.My sexual behavior has been with _____.T T T T T 79.My sexual fantasies have been with _____.T T T T T 80.My emotional attachments (not necessarily sexual) have been with _____.T T T T T Future Sexual Orientation Identity81.I wish my sexual behavior would be with _____.T T T T T 82.I wish my sexual fantasies would be with _____.T T T T T 83.I wish my emotional attachments (not necessarily sexual) would be with _____.T T T T T