1.

Do you consider yourself to be gay, lesbian, bisexual, and/or transgender?

***NOTE TO AGENT: If callers show concern about this question, feel free to add the following sentence: “LGBT people smoke at higher rates than others; we ask this to ensure we're serving all people equally.”

Dropdown:

· Yes

· No

Always required, always displayed

2.

Thanks, indicate all of the following which apply to you: Bisexual, Gay or [for a woman] lesbian, Queer, Transgender or gender variant and assigned male at birth, Transgender or gender variant and assigned female at birth.

Scripting Only

Not required, displayed if ‘Yes’ for 109

3.

Bisexual:

Dropdown:

· Yes

· No

Required and displayed if ‘Yes’ for 109

4.

Gay or [for a woman] lesbian

Dropdown:

· Yes

· No

Required and displayed if ‘Yes’ for 109

5.

Queer:

Dropdown:

· Yes

· No

Required and displayed if ‘Yes’ for 109

6.

Transgender or gender variant and assigned male at birth

Dropdown:

· Yes

· No

Required and displayed if ‘Yes’ for 109

7.

Transgender or gender variant and assigned female at birth

Dropdown:

· Yes

· No

Required and displayed if ‘Yes’ for 109