sample of trans individuals, they're showing less, serious psychological distress as defined by the kessler six, serious psychological distress scale. less alcohol and tobacco use, but we're seeing more cannabis use. what this suggests from an evaluation standpoint, is that because our referrals to gender health s.f. are being received through the primary care system, people are already engaged in care by the time they engage with gender health s.f. so they're receiving primary care, they're engaged in services, so it's not surprising to me, that given the vulnerability of this population, we are seeing better overall health, less serious psychological distress and less alcohol and tobacco use, compared to a general population of trans people. one thing i do want to point out, though, is that when we did our education and programming, we do this while the patients are waiting to have their surgeries, we find that a majority of clients agreed or strongly agreed that the education and programming was valuable and worthwhile. and clients felt that very or completely ready for surgery, as a res