458 The Professional Counselor | Volume 11, Issue 4 APPENDIX A Interview Protocol Beginning Questions: 1. Tell me about how you came to grant informed consent for your child to receive puberty blockers or hormone replacement therapy? 2. When did you first notice/realize that your child identified as transgender or gender-diverse (TGD)? 3. What was that like? Intermediate Questions: 4. What, if anything, did you know about gender identity and gender expression prior to learning your child identified as TGD? 5. What, if anything, did you know about gender-confirming endocrinological interventions (GCEI) prior to giving informed consent for your child to participate in them? 6. How, if at all, have your thoughts and feelings changed about gender variance since learning that your child identified as TGD? 7. How, if at all, have your thoughts and feelings changed about gender-confirming hormone treatments since your child indicated they wanted to receive them? 8. What, if anything, inhibited your change process? 9. Who, if anyone, helped you in this change process? 10. How, if at all, was a professional counselor or other mental health professional involved? 11. What would you say were the most helpful aspects that you experienced during your process toward giving informed consent for GCEI? Closing Questions: 12. Is there something that you might not have thought about before that occurred to you during this interview? 13. Is there something else you think I should know to understand your process or experience better?