Share Your Thoughts: Would You Order Birth Control through an App?

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1. City (Required.)

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2. Zip Code (Required.)

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3. Age (Required.)

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4. I identify as

Male

Female

Other (please specify)

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5. Would you order birth control or STD tests and treatment through the website teensource.org? (Required.)

Yes

No

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6. Would you order birth control or STD tests or treatment through an app on your phone? (Required.)

Yes

No

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7. Would you talk to a doctor about birth control on video chat, if they could then write or send the prescription you need to you afterwards? (Required.)

Yes

No

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8. Would you be more likely to get birth control if a provider could go outside of the clinic and provide services somewhere you go already, like a rec center or mall? (Required.)

Yes

No