Interesting survey, Colleen.
Is it designed to gauge the level of service within the Mayo organization or a more wide-ranging sector level pursuit? It seems a touch biased toward cancer sufferers and may cause some potential participants to pass as not relevant.
I used to do a lot of psychographic profiling for the auto industry and have developed dozens of surveys based on client needs.
Good luck with the survey and I concur that as more and more of our elder LGBTQIA2S (the Alpha Numeric Army!) community come out, the healthcare sector needs to formalize procedures to best meet our healthcare needs. WPATH-certified organizations go a long way towards meeting these needs, but need to be enculturated in this sector.