Abstract: The U.S. Department of State is updating passport forms DS-11, DS-82, and DS-5504 to better support all passport holders by adding an X gender marker.
Several countries offer the option on passports, and 21 states and the District of Columbia currently offer the category on driver’s licenses and birth certificates.
However, varying definitions of the X marker are used, and it is not known how the marker is interpreted and utilized by the general population.
In partnership with The U.S. Department of State, the Collaborating Center for Questionnaire Design and Evaluation Research (CCQDER) at the National Center for Health Statistics conducted a cognitive interviewing study to assess how potential passport applicants would interpret different versions of the definition as well as how various options would inform response choices.
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