Please take a few minutes to share your thoughts on how Planned Parenthood has had a positive impact on your life. Whether Planned Parenthood has made a difference in your life, the life of a family member or friend, or in your community, we are interested in your history and experiences with Planned Parenthood. A member of the Community Engagement Team may follow up with you regarding this form to ask any clarifying questions or for more details regarding this form. If you have any questions, please contact the Community Engagement Team at ppncny.education@gmail.com or via phone at (315) 782-1818 ext. 219.
IMPORTANT INFORMATION: Please keep in mind that your story may appear on Planned Parenthood websites, brochures, and other written material with your name, last initial, and city and state of your residence; and that information other than your name can identify you, such as unusual details about yourself or others. Please refrain from identifying any other individuals when telling your story. Sharing your story is totally up to you. Planned Parenthood provides the same quality health care to all, whether or not they share a personal story.
