Black Maternal Health Week Survey - Collecting Plans Question Title * 1. First Name Question Title * 2. Last Name Question Title * 3. Organization Question Title * 4. Email Address Question Title * 5. Phone Number Question Title * 6. I/My organization is a member of (check all that apply) SPA 1 (AV) AAIMM CAT SPA 2 (San Fernando/Santa Clarita Valley) AAIMM CAT SPA 3 (Pasadena/San Gabriel Valley) AAIMM CAT SPA 6/8 (South LA/South Bay) AAIMM CAT LA County AAIMM Steering Committee None of the above Question Title * 7. What do you have planned during BMHW? Question Title * 8. What support do you need? Question Title * 9. Would you be interested in collaborating on your event? Question Title * 10. Did you have an event/activity planned that had to be cancelled due to “safer at home” orders? If so, please provide detail? Question Title * 11. Would you like support thinking through how to make those plans possible virtually? Question Title * 12. Would you need assistance accessing technology to deliver an event virtually? Question Title * 13. Do you have any blogger/celebrity contacts willing to promote the AAIMM work and Black Maternal Health Week? Done