OcTech Health - Black Women's Voice

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Hi I'm Octavia Reese, founder of OcTech Health. I work in Health IT UX and I'm using this information to help improve the patient experience for women of color. Please answer the following questions about your healthcare experience as a woman of color. You can still participate if you are not a woman of color, or if you are a woman of color, but don't identify as Black.

This form is anonymous unless you choose to share your contact info at the end.

Feel free to connect with me on www.LinkedIn.com/in/oreese and visit www.octechhealth.com for more information.

Do you identify as Black or African-American? *

Yes

What is your gender identity? *NOTE: "Other" is not intended to be offensive; it is the only option in this template with a blank to self-identify. *

Female

Non-binary

Two Spirit

Transgender

Male

Something Else

Other:

Do you identify as Queer/ LGBT+? *

Yes

Do you have a PCP (Primary Care Provider/ Family Doctor/ General Practitioner)? *

Yes

Is your PCP a person of color? *

Yes

If not, would you prefer your PCP is a person of color?

Yes

Clear selection

Is your PCP a womxn? *

Yes

If not, would you prefer your PCP to be a womxn?

Yes

Clear selection

Does your PCP align with your ethnic, racial, and gender identities? *

Yes

If not, would you prefer they did?

Yes

Clear selection

Does your PCP align with your sexual identity? *

Yes

If not, would you prefer they did?

Yes

Clear selection

Would you use and promote a healthcare service that helps Black women find other women of color clinicians? *

Yes

Do you think it is important patients can have access to a service that lets them search for PCPs and specialists based on race, ethnicity, gender, sexuality, language, etc? **NOTE: Only patients can use this tool. Providers cannot reverse-select/reject patients based on these criteria; providers would only appear as "open to new patients" ** *

Yes

Would you feel safer with a clinician that looks like you and understands your culture? *

Yes

If you would like to share thoughts or comments, please do so below.

If you would like to share your contact information, please do so below.

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