PACT Coalition: Story Collection
As a health professional navigating the current healthcare landscape, your perspective is invaluable to the dialogue around gender-affirming care. We would greatly appreciate it if you could share your thoughts and feelings on the impact of recent gender-affirming care bans.

We are particularly interested in how the gender-affirming bans have impacted your practice, professional networks, your relationship to your community, and the well-being of your patients.

Your quote may be featured in our messaging materials, so we encourage you to be open and expressive. Please rest assured that your personal information will remain confidential. Your unique experiences are crucial in painting a vivid picture of the effects these changes have on professionals in your field.

Please note: You will be able to indicate whether you would want any of your quotes to be attributed to you or featured anonymously. Stories will be shared on social media and in response to select inquiries.

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Adresse e-mail *
Background Information

What is the email address that you would like us to use to communicate with you? *
What is your first name?

This will be kept private unless you give permission to share your name along with your story below. *
What is your last name?

This will be kept private unless you give permission to share your name along with your story below.
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What are you professional credentials (MD, DO, MPH, RNA, etc.)? 

This will be kept private unless you give permission to share your name along with your story below.
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In which state do you currently live?
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What is your home zip code?

This information will be kept confidential and will be helpful to us when we're working with members of congress. *
In which state(s) do you currently work?
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What is your profession? *
What organization/institution do you currently work for? If you're unaffiliated, in private practice, or retired, indicate as such.

This will be kept private.
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How many years have you been in practice?  *
Do you currently practice gender-affirming care?  *
If you do practice gender-affirming care (or have in the recent past), approximately what percentage of your patient population identifies as transgender or non-binary? *
Share Your Stories

Below are several prompts for you to share how gender-affirming care bans have impacted you, your practice, and your patients. We plan to utilize these stories to depict the broader harms of gender-affirming care bans - that means your stories (if you give permission) may be shared via social media, news articles, white papers, and proposals.

To share your stories effectively, aim for brevity and clarity. Craft your message to be memorable and quotable, ensuring that it resonates with your audience and leaves a lasting impression. Include personal details (to the extent you feel comfortable) to humanize the story as much as possible. 

Keep in mind that you do not have to live or work in a state with a ban in place in order to have felt its impacts. For those in states that still offer or protect gender-affirming care, the impacts could be felt in an influx of patients or a decrease in funding. 


Here are two powerful examples: 

"I've practiced as a physician for over 10 years right here in Austin, TX where I grew up. Actually I've lived here all of my life and I had hoped to raise my two young children here, but when SB14 passed, I was forced to reconsider. How can I continue to practice medicine in a state that denies life-saving care to my most vulnerable patients? I'm being forced to choose between my home and my conscience."
                    -Anonymous, Physician, Texas

"These anti-LGBTQ bills really showed that they just don’t care. They are not going to support our children; they are not going to support our family. And although we love New Orleans and we love Louisiana with all of our hearts, we can’t raise our children in this environment.”
                     -Dr. Jake Kleinmahon, Pediatric Cardiologist, Louisiana


The prompts below are split into the following buckets:
  1. Impact on your workplace and/or your colleagues
  2. Impact on your community
  3. Impact on you and your family personally
  4. Impact on your transgender and non-binary patients
  5. Impact on your cisgender patients
You can choose to respond to all prompts or just one - It is entirely up to you. You can also choose whether you would prefer anonymity or attribution for each story you share.

Prompt 1: Can you describe the impact gender-affirming care bans have had on your workplace and/or your colleagues? 

(Examples may include an increase in threats, decrease or increase in patients, impacts on staff morale, changes in operations, decrease in funding, etc.)
If you responded to Prompt 1 and it is shared publicly, would you like it to remain anonymous or be attributed to you?
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Prompt 2: Can you describe the impact gender-affirming care bans have had on your community? 

(Examples may include an increase or decrease in patient needs, closing of healthcare settings, families leaving/arriving in mass, etc.)
If you responded to Prompt 2 and it is shared publicly, would you like it to remain anonymous or be attributed to you?
Effacer la sélection
Prompt 3: Can you describe the impact gender-affirming care bans have had on you and/or your family personally? 

(Examples may include an increase in personal threats, safety concerns, considering relocation, etc.)
If you responded to Prompt 3 and it is shared publicly, would you like it to remain anonymous or be attributed to you?
Effacer la sélection
Prompt 4: Can you describe the impact gender-affirming care bans have had on your transgender and non-binary patients? 

(Examples may include changes to mental health reports or physical health reports, increase or decrease in patient numbers, changes to waitlist length, etc.)
If you responded to Prompt 4 and it is shared publicly, would you like it to remain anonymous or be attributed to you?
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Prompt 5: Can you describe the impact gender-affirming care bans have had on your cisgender patients? 

(Examples may include changes to mental health reports or physical health reports, changes to availability of certain services, increase or decrease in patient numbers, changes to waitlist length, etc.)
If you responded to Prompt 5 and it is shared publicly, would you like it to remain anonymous or be attributed to you?
Effacer la sélection
Additional Information

In the past, have you received any kind of professional media training?  *
The PACT Coalition is interested in coordinating a speakers bureau wherein coalition members will receive specialized media training and be connected directly with media representatives, event organizers, and other platforms to share their stories.

Would you be interested in receiving more information about joining a PACT Coalition speakers bureau? 
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Would you be comfortable connecting with trusted media outlets to share your story more broadly? *
Do you identify as a member of the LGBTQ+ community?  *
Do you identify as transgender and/or non-binary? (Choose all that apply) *
Obligatoire
How would you describe your race and/or ethnicity?
Is there any additional information that you would like to share with coalition leaders at this time? 
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