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CECA Lived Experience Panel #3
Coalition to Expand Contraceptive Access and SisterLove are joining together to create an avenue for your story!
It is time we tell the story, your story, of contraceptives and their role in our lives.
We've come together to create Lived Experience Panels for women of all ages because contraceptives don’t impact us the same way and it's time that we shared our variety of experiences.
Our personal experiences with contraceptives are often not your typical topic for a common conversation until now! It's time to open dialogue about those things we typically keep to ourselves, and doctors.
If you are a woman that has used contraceptives, we'd like to discuss your experience in an open conversation about contraceptives.
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Email
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Your email
What is your name (First and Lost)?
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Your answer
Which racial group do you most identify with?
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White (Eg: German, Irish, English, Italian, Polish, French, etc)
Hispanic, Latino or Spanish origin (Eg: Mexican or Mexican American, Puerto Rican, Cuban, Salvadoran, Dominican, Colombian, etc)
Black or African American (Eg: African American, Jamaican, Haitian, Nigerian, Ethiopian, Somalian, etc)
American Indian or Alaska Native(Eg: Navajo nation, Blackfeet tribe, Mayan, Aztec, Native Village or Barrow Inupiat Traditional Government, Nome Eskimo Community, etc)
Asian (Eg: Chinese, Filipino, Asian Indian, Vietnamese, Korean, Japanese, etc)
Native Hawaiian or Other Pacific Islander (Eg: Native Hawaiian, Samoan, Chamorro, Tongan, Fijian, etc)
Some other race, ethnicity or origin
What is your age?
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Your answer
Where do you currently live? (City, County, State)
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Your answer
Have you used contraceptives or contraceptive services in the past year?
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Yes
No
Are you able to participate in a virtual discussion on July 20, 2022 on Zoom?
Yes
No
Clear selection
If not, would you like to be considered for another discussion group or future opportunities?
Yes
No
Clear selection
Why do you want to participate in this discussion? (Please provide a short reasoning for your interest)
Your answer
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