2SLGBTQIA+ Warm Line Feedback
Use this form to share your experience with Planned Parenthood NL's 2SLGBTQIA+ Warm Line. Providing a quality peer support service is our number one priority. Any action taken to train operators or address issues will not include telling operators that you filled out this form (unless you would like us to).
登入 Google 即可儲存進度。瞭解詳情
Email Address *
Name & Pronouns *
Date & Time of Call *
As close an approximation as you can
MM
/
DD
/
YYYY
時間
:
Method of Contact *
If phone or text, number used to contact the line
Name of the volunteer who took your call
Please describe your experience with the warm line: *
Would you like us to contact you after reviewing the call? *
Contact information
We will NOT contact you if you do not select "Yes" above.
提交
清除表單
請勿利用 Google 表單送出密碼。
這份表單是在 Planned Parenthood Newfoundland and Labrador Sexual Health Centre 中建立。 檢舉濫用情形
Google 表單