Email
*
What is your preferred name?
*
What are your preferred pronouns?
*
What is your approximate age?
*
17 years or younger
18-24 years old
25-30 years old
31-40 years old
41-50 years old
51 years or older
How did you hear about the Transformation Station?
*
The Transformation Station is designed to support transgender and gender-expressive individuals in the Lewis-Clark Valley. For this reason, and to avoid abuse of our services, please share (as much as you are comfortable) how the Transformation Station can assist you in this area and why.
*
Please note, we don't require a long, personal explanation. However, we do want to know how the Transformation Station can best serve your needs, so we will need some information about what you are hoping to gain from working with the Station. If you are not comfortable answering these questions here, answer "NA" or "X" and we will arrange another way to discuss your needs.
Please describe your specific clothing needs and/or what resources you are looking to find:
*
In case we need to contact you for any follow up questions, what is the best form of communication:
*
Phone call (with voicemail)
Phone call (NO voicemail)
Text message
Email
Other
If you answered OTHER above, how would you like to be contacted
Please list your preferred phone number or email address (based on your answers to the previous question):
*
Please note, we will ONLY contact you through the methods you have chosen in the previous question. For example, if you give us your phone number but only want to be texted, we will not call you on that number. We would follow your request and only text you.
Do you have any concerns about other people accessing your phone or email?
*
Yes
No
I don't know
Other
If you answered OTHER above, how would you like to be contacted
If you answered "Yes" to the previous question, what level of information is okay to send you?
You may answer this question even if you said "No" or "I Don't Know" to the previous question.
Please do not mention any details about the services the Transformation Station provides or about any of my personal details. Please only send me contact information so I can arrange a time to meet or talk to you (in person, over the phone, or virtually).
It is okay to mention the services the Transformation Station provides and any services I have been approved to use, but please do not reference any other details about my needs.
It is okay to mention any services I have been approved to use, and it is okay to ask me follow up questions based on the answers I've provided here.
No preference.
If you plan to visit the Transformation Station in person, will you need any accommodations based on disability or language barriers?
*
For example, if you are hard of hearing, deaf, or mute, you may write, "I will need a sign-language interpreter." Or, if you have your own accommodations (such as bringing an interpreter with you), you may write, "I will be bringing a sign-language interpreter.
Is there anything else we need to know about you or what you need from the Transformation Station?
*