It's 2023. How are there still required gender questions on forms with only these options?

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[Water/Fusion]
"Blue Ear (Left)" + "Blue Ear (Right)" + "Otter"
Nonbinary ☿ . 34. Chicanx. Asexual Panromantic. furry. Astrophotografur/Prof. of Astronomy. Mexican Folk Harpist (Mariachi and Jarocho mostly). Music, games, crochet, horror, etc. HRT: 2022-05-15
Atk: 4,500
Def: 3,800
It's 2023. How are there still required gender questions on forms with only these options?
I honestly have no idea what this question is for. Is it for records? I have no good answer. Gender presentation maybe? I lean femme, but I wouldn't go so far as to say "female". Is it for health? Which kind? Are you asking if I have a penis? Why not just ask "Do you have a penis"? Are you asking about hormone profile? etc