D. Examples of Inclusive Questions for Child Welfare Forms

Child welfare organizations can design forms that include all children and youth. Inclusive forms can create the opportunity to have a conversation with a child or youth about what services and supports will be most responsive to their individual needs. Below are examples of how questions about sex, gender identity and sexual orientation can be asked using inclusive language.

1. What are your legal first and last names?

2. What are your chosen first and last names?

3. What is the sex that was assigned to you at birth?

a) Female
b) Male
c) Intersex
d) Another sex/assigned sex (please specify: _______________)
e) Prefer not to answer

4. How do you currently identify your sex?

a) Female
b) Male
c) Transexual
d) Intersex
e) Another sex/assigned sex (please specify: _______________)
f) Prefer not to answer

5. What is your current gender identity (please select all that apply)?

a. Cisgender girl/woman
a. Cisgender boy/man
b. Transgender girl/woman
c. Transgender girl/woman
d. Transgender boy/man
e. Trans
f. Two-Spirit
g. Gender Diverse (e.g., genderqueer, gender fluid, gender creative, non-binary)
h. Queer
i. Agender
j. Another gender identity (please specify: _______________)
k. Prefer not to answer

6. What is your sexual orientation (sometimes referred to as attraction; please select all that apply)?

a. Gay
b. Lesbian
c. Bisexual
d. Pansexual
e. Two-Spirit
f. Asexual
g. Queer
h. Another sexual orientation (please specify: _______________)
i. Prefer not to answer

7. What pronouns do you use (please select all that apply)?

a. He/him/his
b. She/her/here
c. They/them/theirs
d. Zie/Zim/Zir
e. Another form of pronouns (please specify: ___________)