I'm still waiting on the "gendered correctly" after a couple years, so I'll go with 3-5. I get a fair share of sirs and ma'ams, but that's hit and miss. I seldom get misgendered by title once they know who I am... however, strangers on the street its a 50/50. There's no real way to tell if they're being nice, or really do get the ma'am impression... so I've tried not to worry about it. It's difficult to answer the pole, since everyone started at a different place with different features... Then getting into the surgeries and when they were done and how they turned out... etc. But interesting topic none the less.