Beloved Mother's Circle: Black Women and Girls Reproductive Narrative Listening Project

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All information is anonymous

Phone number (if you would like us to text you follow-up)

I have trouble accessing or paying for: *

Period Products (pads, tampons other)

Childbirth Education

Sexuality Education

LGBT+ Education

Accessing Birth Control

Accessing Perinatal/Family Nutrition Education

Accessing Breastfeeding Help

Accessing information about Safe Sex

Accessing information about Periods

Accessing information about healing from reproductive trauma/PTSD/mental health

Accessing women's healthcare

Accessing help postpartum

Accessing affordable with childcare

Accessing help feeding my family

Accessing help paying for housing

Accessing help with a child with disabilities

Accessing help providing care for an elderly or disabled family member

Accessing help ending a pregnancy

Accessing help after a miscarriage

Caring for my child with autism

Transportation to work or doctor

Recovering from sexual assault

Rcovering from Domestic violence

Making my community safer

Other:

Required

Is there anything about your reproductive story or birth story you would like to share?

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