FAMILY HISTORY 10.09.22 FINAL

PREFERRED GENDER:[select name="gender" value="Male|Female|Trans"][conditional field="gender" condition="(gender).is('Male')"]he[/conditional][conditional field="gender" condition="(gender).is('Female')"]she[/conditional][conditional field="gender" condition="(gender).is('Trans')"]they[/conditional][conditional field="gender" condition="(gender).is('Male')"]his[/conditional][conditional field="gender" condition="(gender).is('Female')"]her[/conditional][conditional field="gender" condition="(gender).is('Trans')"]their [/conditional][conditional field="gender" condition="(gender).is('Male')"]him[/conditional][conditional field="gender" condition="(gender).is('Female')"]hers[/conditional][conditional field="gender" condition="(gender).is('Trans')"]them[/conditional]

Family History:

Client was born in [text name="born" default="sample text"] and raised by [conditional field="gender" condition="(gender).is('Male')"]his[/conditional][conditional field="gender" condition="(gender).is('Female')"]her[/conditional] [conditional field="gender" condition="(gender).is('Trans')"]their[/conditional] [select name="raisedby" value="parents|mother|father|adoptive parents|grandparents"]. Client indicated [conditional field="gender" condition="(gender).is('Male')"]he[/conditional][conditional field="gender" condition="(gender).is('Female')"]she[/conditional][conditional field="gender" condition="(gender).is('Trans')"]they[/conditional] lived with [conditional field="gender" condition="(gender).is('Male')"]his[/conditional][conditional field="gender" condition="(gender).is('Female')"]her[/conditional][conditional field="gender" condition="(gender).is('Trans')"]their [/conditional] [select name="livedwith" value="parents|mother|parents and siblings|parents and sibling|adoptive parents|grandparents"] during childhood until [text name="liveduntil" default="sample text"]. Client recalled [conditional field="gender" condition="(gender).is('Male')"]his[/conditional][conditional field="gender" condition="(gender).is('Female')"]her[/conditional][conditional field="gender" condition="(gender).is('Trans')"]their [/conditional] parents [select name="parentaffect" value="being affectionate|not being affectionate|often arguing"] with each other. In addition, [conditional field="gender" condition="(gender).is('Male')"]he[/conditional][conditional field="gender" condition="(gender).is('Female')"]she[/conditional][conditional field="gender" condition="(gender).is('Trans')"]they[/conditional] described emotional expression in [conditional field="gender" condition="(gender).is('Male')"]his[/conditional][conditional field="gender" condition="(gender).is('Female')"]her[/conditional][conditional field="gender" condition="(gender).is('Trans')"]their [/conditional] family as "[text name="emoexpress" default="sample text"]." 

Overall, Client described [conditional field="gender" condition="(gender).is('Male')"]his[/conditional][conditional field="gender" condition="(gender).is('Female')"]her[/conditional][conditional field="gender" condition="(gender).is('Trans')"]their [/conditional] childhood as “[text name="childhood" default="sample text"].”Client reported family attitudes, values, and messages about sexuality were "[text name="sexvalue" default="sample text"].” In addition, Client shared [conditional field="gender" condition="(gender).is('Male')"]his[/conditional][conditional field="gender" condition="(gender).is('Female')"]her[/conditional][conditional field="gender" condition="(gender).is('Trans')"]their [/conditional] sex education during childhood consisted of [text name="sexed" default="sample text"].

Father:
Client’s father, [text name="fage" default="sample text"], [select name="fwork" value="currently works|is retired from working as a|previously worked as|is unemployed"] [text name="fjob" default="sample text"]. Client described [conditional field="gender" condition="(gender).is('Male')"]his[/conditional][conditional field="gender" condition="(gender).is('Female')"]her[/conditional][conditional field="gender" condition="(gender).is('Trans')"]their [/conditional] father as "[text name="fdescription" default="sample text"]." During childhood, Client described [conditional field="gender" condition="(gender).is('Male')"]his[/conditional][conditional field="gender" condition="(gender).is('Female')"]her[/conditional][conditional field="gender" condition="(gender).is('Trans')"]their [/conditional] relationship with [conditional field="gender" condition="(gender).is('Male')"]his[/conditional][conditional field="gender" condition="(gender).is('Female')"]her[/conditional][conditional field="gender" condition="(gender).is('Trans')"]their [/conditional] father was “[text name="fcrelation" default="sample text"].” Client described [conditional field="gender" condition="(gender).is('Male')"]his[/conditional][conditional field="gender" condition="(gender).is('Female')"]her[/conditional][conditional field="gender" condition="(gender).is('Trans')"]their [/conditional] current relationship with [conditional field="gender" condition="(gender).is('Male')"]his[/conditional][conditional field="gender" condition="(gender).is('Female')"]her[/conditional][conditional field="gender" condition="(gender).is('Trans')"]their [/conditional] father as "[text name="frelation" default="sample text"].

Mother:
Client’s mother, [text name="mage" default="sample text"], [select name="mwork" value="currently works|is retired from working as a|previously worked as|is unemployed"] [text name="mjob" default="sample text"]. Client described [conditional field="gender" condition="(gender).is('Male')"]his[/conditional][conditional field="gender" condition="(gender).is('Female')"]her[/conditional][conditional field="gender" condition="(gender).is('Trans')"]their [/conditional] mother as "[text name="mdescription" default="sample text"]." During childhood, Client described [conditional field="gender" condition="(gender).is('Male')"]his[/conditional][conditional field="gender" condition="(gender).is('Female')"]her[/conditional][conditional field="gender" condition="(gender).is('Trans')"]their [/conditional] relationship with [conditional field="gender" condition="(gender).is('Male')"]his[/conditional][conditional field="gender" condition="(gender).is('Female')"]her[/conditional][conditional field="gender" condition="(gender).is('Trans')"]their [/conditional] mother was “[text name="mcrelation" default="sample text"].” Client described [conditional field="gender" condition="(gender).is('Male')"]his[/conditional][conditional field="gender" condition="(gender).is('Female')"]her[/conditional][conditional field="gender" condition="(gender).is('Trans')"]their [/conditional] current relationship with [conditional field="gender" condition="(gender).is('Male')"]his[/conditional][conditional field="gender" condition="(gender).is('Female')"]her[/conditional][conditional field="gender" condition="(gender).is('Trans')"]their [/conditional] mother as "[text name="mrelation" default="sample text"].

Siblings:
Client indicated [conditional field="gender" condition="(gender).is('Male')"]he[/conditional][conditional field="gender" condition="(gender).is('Female')"]she[/conditional][conditional field="gender" condition="(gender).is('Trans')"]they[/conditional] has [checkbox name="siblingnumb" value="no siblings|one sister, |one brother, |one sister, , and one brother, |two sisters, , , and one brother, |two brothers, , , and one sister, |two sisters, , , and two brothers, , "].

Children:
Client stated [conditional field="gender" condition="(gender).is('Male')"]he[/conditional][conditional field="gender" condition="(gender).is('Female')"]she[/conditional][conditional field="gender" condition="(gender).is('Trans')"]they[/conditional] has [checkbox name="childrennumb" value="no children|one daughter, |one son, |one daughter, , and one son, |two daughters, , , and one son, |two daughters, , , and two sons, , |one daughter, , and two sons, , |two daughters, , , and two sons, , "].

Childhood Physical or Sexual Abuse:
Client [checkbox name="childabuse" value="denied experiencing any physical or sexual abuse during childhood|endorsed experiencing physical abuse during childhood|endorsed experiencing sexual abuse during childhood|endorsed experiencing both physical and sexual abuse during childhood|endorsed experiencing physical abuse and denied experiencing sexual abuse during childhood|denied experiencing any physical abuse and endorsed experiencing sexual abuse during childhood"].
PREFERRED GENDER:

Family History:

Client was born in and raised by . Client indicated lived with during childhood until . Client recalled parents with each other. In addition, described emotional expression in family as "."

Overall, Client described childhood as “.”Client reported family attitudes, values, and messages about sexuality were ".” In addition, Client shared sex education during childhood consisted of .

Father:
Client’s father, , . Client described father as "." During childhood, Client described relationship with father was “.” Client described current relationship with father as ".

Mother:
Client’s mother, , . Client described mother as "." During childhood, Client described relationship with mother was “.” Client described current relationship with mother as ".

Siblings:
Client indicated has .

Children:
Client stated has .

Childhood Physical or Sexual Abuse:
Client .

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.36, 94 form elements, 117 boilerplate words, 16 text boxes, 3 checkboxes, 6 drop downs, 69 conditionals, 43 total clicks
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