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{if 0 NameAndAddress size >} {! ,richard.green@ic.ac.uk !} {mail to 'wjtmd2@genderxy.org' subject 'Sexual Preference Family History Survey Form Response' from FromEmail} This is a response from the Family Tree Survey Form located on the web at.. http://genderxy.org/FSurvey.php This person is perhaps willing to provide information on their family tree for on going research in to the part that genetics plays in sexual preference. -------------- Name And Address Information --------------------- {NameAndAddress sql=true} Phone Number : {if 0 FoneNbr size >}{FoneNbr}{else}* not given *{/if} Email Address: {if 0 Email size >}{Email}{else}* not given *{/if} ----------------------------------------------------------------- {if 0 NbrGenerations size >}Number of Generations Information is available for: {NbrGenerations}{/if} {if 0 NbrMembers size >}Number of Members Information is available for: {NbrMembers}{/if} Behavior Characteristics of my family tree: {if 0 Behavior size > not}* not specified *{else}{forRow oneVar on Behavior} - {%rowCounter%}: {oneVar}{/forRow}{/if} -------------- Feedback - Extra user comments or information ------------------- {If 'No' Funding =} I DO NOT have any interest in providing funding for genetics research at this time. {else} I have interest in providing funding for your genetics reseach.{/if} Found your 'GenderXY' site by: {How_Found} {if 0 FeedBack size >}Extra question or feedback:.............. {Feedback sql=true}{/if} --------------------------------------------------------------------- {/mail}

Thank you for your submission.

Your survey has been received. We will be in touch as soon as we have been able to review the information you have submitted.

{else} Sorry, to respond to you we will need at a minimum your name and address. {/if}

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Title: Family Survey Graphic

Family Survey Form
DNA Helix

We are constantly looking for new family genealogies which we can use to further our understanding of the part that genetics plays in sexual preference.

If you have any instance of non-heterosexual behavior or alcoholism in your family tree, which you would be willing to share with us, please complete the following questionnaire.

Someone will be in touch with you to complete the survey. All names and personal data will be treated confidentially in keeping with scientific data collection practices. Your family data will be presented anonymously in any research papers.

The information we seek on your family tree would be ...

  • Each member's gender
  • Their relationships and position in the tree (mother, father, uncle, aunts, brother, sister, etc.)
  • Their sexual preference, persuasion, behavior
  • Any history of illness or alcoholism or any other relevant information that you may have.
  • And finally a willingness to share blood and tissue samples from living relatives
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Oops,
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  • {anError}
  • {/forRow}
    {/if}
    Your Name and address: (required)
     
    Phone number:
     
    Email Address: (required)
     
    Number of generations you have information on?:
      1 - 2 - 3 - 4 - 5 - 6 - 7 - More than 7 generations
    Number Family Tree members you are able share information on?:
      (Example: 24 = can offer information on 24 members of our family)
    Family Tree includes?: (check all that apply)
      Homosexual Behavior (Gay/Lesbian)
    Bisexual Behavior
    Transsexual Behavior
    Transvestite Behavior
    Cross Dresser
    Asexual Behavior (no sexual interest at all)
    Alcoholism
    Will discuss later. Want to know more first


    - Some Feedback -
     
    Would you or someone you know of be willing to discuss providing funding for some portion of this research?:
      Yes
    No
    Perhaps
    How did you find us?
      Cruising the net
    A Friend/Associate
    Printed Reference
    Let us know if we can answer any special question you might have when we get in touch with you.
     

    Someone will be in touch with you.

    Home Button
    {/case}