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HRTimelines

The following survey inquires about the type and physical effects of the HRT you use. Responses will be used to draw conclusions about the physical effects of HRT and to possibly correlate the timeline of effects with age, ethnicity, types of medications, medication dosage, the use of other medications, or medical conditions.

Data is encrypted and stored in Ontario, Canada. We do not collect identifying information (such as name or email). Data is retained for future HRTimelines projects, but will not be shared outside of the research team or for any other research or commercial purposes.

The survey takes around ten minutes to complete, and you must be eighteen years of age to participate in our research. For some questions, exact dates are helpful, but a best guess is acceptable. The form will not save your responses over different sessions; it is recommended that you fill the form in one sitting.

Consent


Demographics


How would you label your gender? Select all that apply.









How would you label your ethnicity? Select all that apply.











Which type of hormone replacement therapy do you use?


Masculinizing

Feminizing

Please input your medication history according to the format seen in the first table below. If you take injections, please specify the volume and concentration in the amount column and specify whether you take intramuscular or subcutaneous injections in the method column. For each change in dosage, please add a new entry. You do not need to fill in a reason for termination for a change in dosage. For those using feminizing HRT, please input past and present estrogen, anti-androgen, and progesterone dosages.














General Effects

Please check any of these possible effects you have experienced while taking hormone replacement therapy.

































Please mention if you have experienced any other changes, specifically non-sexual and not related to genitalia, than those listed above and/or further explain the effects you have experienced below.




























Please mention if you have experienced any other changes, specifically non-sexual and not related to genitalia, than those listed above and/or further explain the effects you have experienced below.

Cyclical Effects

Please check any of these possible effects you have experienced while taking hormone replacement therapy.










Please mention if you have experienced any other changes, specifically cyclical, than those listed above and/or further explain the effects you have experienced below.

Sexual Effects

The following effects pertain to sexuality and genitalia. If you are comfortable answering these questions, please check the following box.

Please check any of these possible effects you have experienced while taking hormone replacement therapy.









Please mention if you have experienced any other changes, specifically sexual or related to genitalia, than those listed above and/or further explain the effects you have experienced below.










Please mention if you have experienced any other changes, specifically sexual or related to genitalia, than those listed above and/or further explain the effects you have experienced below.

General

Are you taking or have you taken medications not classified as a part of hormone replacement therapy which may affect, cause, or interfere with any of the effects listed above?

Do you have any medical conditions which may affect, cause, or interfere with any of the effects listed above?



Final Thoughts

How did you hear about this survey?

Is there anything related to your hormone replacement therapy that you would like us to know?

Do you have any other feedback for HRTimelines?