Skip to content

Youth Health and Wellness Forum Feedback Survey

Participation in this survey is voluntary, and you may decline to answer any question or stop taking this survey at any time without consequence. Please do not write your name anywhere on the survey. We appreciate your time!
1.Please enter in your contact information.
2.Please rate your agreement with the following statements.
Strongly Disagree
Disagree
Neither agree nor disagree
Agree
Strongly Agree
Not sure/don't know
I learned of at least one new resource in this forum. 
I would be interested in participating in similar discussions in the future.
I would be interested in participating in a regular (e.g., monthly, bimonthly, quarterly) meeting or working group focused on youth sexual and reproductive health.  
I would be interested in participating in a regular (e.g., monthly, bimonthly, quarterly) meeting or working group focused on youth health and wellness. 
I would be interested in participating in trainings to better support youth in accessing sexual and reproductive health information or care. 
I/ my organization would be interested in exploring opportunities for partnership to bring sexual and reproductive health to youth we serve/work with.  
3. Please share any additional feedback you would like. 
Privacy & Cookie Notice