The purpose of this study is to explore the importance of decisional autonomy when making decisions about gender-affirming and/or sexual and reproductive care. The study also explores the perceived importance of making these decisions with and without the involvement and support of others (e.g., parents/caregivers, partners, friends and family members). The questions in this study are for people who have had experiences with gender transition care, gender affirming care, and sexual and reproductive healthcare. Participants must be over the age of 18 and will receive a £15 Love2Shop voucher for participating.