I am a member of the Kaiser health plan, and I know several other TG people who are also members. I have not seen this particular survey, but do know others who have a special marker on their identification cards instead of M or F already. The basic need for a gender marker I have been told is to help in the interpretation of lab results and keep technicians from doubting test accuracy. I am my Primary Care physician's first Transsexual patient, but he is willing to learn, and since my chart name has not been changed yet, he has made it a note to just use my first name instead of a title, and is being professional about it. I am getting hormones from them at my regular co-pay for everything else, and my surgery referral letter is sitting in their computer ready to be printed, and with the name of three therapists (two group therapy leaders) and a psychiatrist.