Abortion Support and Feedback Form
Welcome to our confidential support and feedback platform. We are here to provide assistance, resources, and a space for you to share your experiences with abortion services. Your privacy is paramount, and any information shared can remain anonymous if you choose.
How can we assist you today?
I’m seeking more information about abortion services.
I need guidance on how to access abortion services.
I’m interested in Doula Support Services and would like to know more.
I want to discuss my situation with someone and get support.
I need financial assistance or information on funding options for abortion services.
I’d like to learn how I can help expand abortion access on campus.
None
Other
If you’re willing, we invite you to share your experiences with accessing abortion services. Your stories and feedback are invaluable in helping us advocate for improved access and inclusivity. Positive, negative, and neutral perspectives are all welcome.
Optional Contact Information: If you would like to be contacted for follow-up support, please provide your information below (name, email, phone number). This is completely optional.
Type N/A if you wish to remain anonymous
I consent to be contacted by the student support team, affiliated with Advocates for Youth, if I provide my contact details above. Our team offers peer support and advocates for abortion access but does not replace professional medical advice. In emergencies, call 911. Personal information is confidential and used for support only.
I Understand and Consent
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