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Who or WHAT are you?

Please select the identities that contribute most to your self-worth:
(Choose ALL that apply)
Gender
Sexual Preference/Orientation
Religion
Race
Nationality
Political Party
Profession: Doctor, Veteran, Student, Housewife, etc.
Physical Appearance: Attractive, Hair Color, Height, Weight, etc.
Relational: Mom, Sister, Son, Best Friend, Husband, etc.
Socioeconomic Status: Income, Wealth, or Poverty
Hobbies: Fitness, Cooking, Sports, Art, etc.
Medical or Mental Health Diagnosis: Auto-immune disorder, Depressed, Bi-polar, etc.
Education: Level and Source (Ph.D. from Harvard, etc.)
None of these identities contribute to my self-worth.
Other
Please Specify:
Do you prefer to associate with people who also identify themselves in the same way(s)?
Yes
No
Do you have a negative opinion of those who do not identify the same way as you do?
Yes
No
What part of other people's identities do you notice first?
(Choose ALL that apply)
Gender
Sexual Preference/Orientation
Religion
Race
Nationality
Political Party
Profession: Doctor, Veteran, Student, Housewife, etc.
Physical Appearance: Attractive, Hair Color, Height, Weight, etc.
Relational: Mom, Sister, Son, Best Friend, Husband, etc.
Socioeconomic: Income, Wealth, or Poverty
Hobbies: Fitness, Cooking, Sports, Art, etc.
Medical or Mental Health Diagnosis: Auto-immune disorder, Depressed, Bi-polar, etc.
Education: Level and Source (Ph.D. from Harvard, etc.)
Other
Please Specify:
Please select which of your identities you find most limiting in life:
(Choose ALL that apply)
Gender
Sexual Preference/Orientation
Religion
Race
Nationality
Political Party
Profession: Doctor, Veteran, Student, Housewife, etc.
Physical Appearance: Attractive, Hair Color, Height, Weight, etc.
Relational: Mom, Sister, Son, Best Friend, Husband, etc.
Socioeconomic: Income, Wealth, or Poverty
Hobbies: Fitness, Cooking, Sports, Art, etc.
Medical or Mental Health Diagnosis: Auto-immune disorder, Depressed, Bi-polar, etc.
Education: Level and Source (Ph.D. from Harvard, etc.)
None. I don't find any of my identities limiting.
Other
Please Specify:
Have you ever tried to hide or mask an aspect of your identity in certain situations or when you're around certain people?
Yes
No
Which of your identities do you feel is "punishable" or worth hiding?
(Choose ALL that apply)
Gender
Sexual Preference/Orientation
Religion
Race
Nationality
Political Party
Profession: Doctor, Veteran, Student, Housewife, etc.
Physical Appearance: Attractive, Hair Color, Height, Weight, etc.
Relational: Mom, Sister, Son, Best Friend, Husband, etc.
Socioeconomic: Income, Wealth, or Poverty
Hobbies: Fitness, Cooking, Sports, Art, etc.
Medical or Mental Health Diagnosis: Auto-immune disorder, Depressed, Bi-polar, etc.
Education: Level and Source (Ph.D. from Harvard, etc.)
None. I don't feel a need to hide any of my identities.
Other
Please Specify:
If you could change this part of your identity, would you?
Yes
No
Which of your identities have you lost during your life?
(Choose ALL that apply)
Gender
Sexual Preference/Who do you love?
Religion
Race
Nationality
Political Party
Profession: Doctor, Veteran, Student, Housewife, etc.
Physical Appearance: Attractive, Hair Color, Height, Weight, etc.
Relational: Mom, Sister, Son, Best Friend, Husband, etc.
Socioeconomic: Income, Wealth, or Poverty
Hobbies: Fitness, Cooking, Sports, Art, etc.
Medical or Mental Health Diagnosis: Auto-immune disorder, Depressed, Bi-polar, etc.
Education: Level and Source (Ph.D. from Harvard, etc.)
None. I have never lost any of my identities.
Other
Please Specify:
Besides your race & nationality, which other identities do you feel that you did not have any choice in? In other words, you are 'forced' to hold these identities, whether you choose to or not.  
(Choose ALL that apply)
Gender
Sexual Preference/Orientation
Religion
Political Party
Profession: Doctor, Veteran, Student, Housewife, etc.
Physical Appearance: Attractive, Hair Color, Height, Weight, etc.
Relational: Mom, Sister, Son, Best Friend, Husband, etc.
Socioeconomic: Income, Wealth, or Poverty
Hobbies: Fitness, Cooking, Sports, Art, etc.
Medical or Mental Health Diagnosis: Auto-immune disorder, Depressed, Bi-polar, etc.
Education: Level and Source (Ph.D. from Harvard, etc.)
None. I CHOSE all my identities besides race & nationality.
Other
Please Specify:
Have any of your identities led you to cut certain people out of your life?
Yes
No
Have you experienced persecution for either identifying a certain way, or being perceived by others as holding a certain identity?
Yes
No
Have you felt divided from people based on one of your identities?
Yes
No
Which of your identities have made you feel divided from people?
(Choose ALL that apply)
Gender
Sexual Preference/Orientation
Religion
Race
Nationality
Political Party
Profession: Doctor, Veteran, Student, Housewife, etc.
Physical Appearance: Attractive, Hair Color, Height, Weight, etc.
Relational: Mom, Sister, Son, Best Friend, Husband, etc.
Socioeconomic: Income, Wealth, or Poverty
Hobbies: Fitness, Cooking, Sports, Art, etc.
Medical or Mental Health Diagnosis: Auto-immune disorder, Depressed, Bi-polar, etc.
Education: Level and Source (Ph.D. from Harvard, etc.)
None. I don't feel a need to hide any of my identities.
Other
Please Specify:
Have you ever tried to permanently escape from any of your identities?
Yes
No
How important is it to you that you gain ACCEPTANCE of your identities from the people in your life? (10: Extremely Important)
1
2
3
4
5
6
7
8
9
10
Do you feel that you receive any benefits due to any of your identities?
Yes
No
Reflect on the identities you hold dear: Did these identities originate within you? Or were they cast upon you by society?
Originated within me.
Cast upon me by society.
Both
Does the source of your identity (within you vs. Cast upon you by society) impact your level of personal attachment to the identity?
Yes
No
I am most attached to the aspects of my identity that:
Originated within me.
Were cast upon me by society.
Where did you hear about this survey?
Facebook
Instagram
Twitter
Reddit
Snapchat
Meetup
LinkedIn
Pinterest
Other
Please Specify:
Do you have any additional thoughts or feedback you would like to share?
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