FACTS, the Fertility Appreciation Collaborative to Teach the Science, is a non-profit organization dedicated to educating medical professionals about natural or fertility awareness based methods (FABMs) and expanding access to FABM trained medical professionals and educators.  

This searchable database will be published on the FACTS website and will be available to medical professionals, residents, students, patients, and the general public. By completing this survey, you agree to have your practice information included in our database. Submissions provided will appear as self-reported, however, the information will be vetted and updated regularly for accuracy and consistency.

Thank you for taking a few minutes to complete our survey so we may include your information in our database.

* For required questions, please type NA if no information is available

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* 1. Personal Information

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* 2. Organization or Practice Name

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* 3. Office Contact Information*

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* 4. Please provide your personal or private contact information for FACTS use ONLY to ensure your information is up to date 

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* 5. Do you offer telemedicine services?
For educators,  do you offer online educational sessions?

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* 6. Do you offer healthcare services in a language other than English?
For educators, do you teach a method in a language other than English?

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* 7. Please indicate which FABMs you are formally trained in and/or certified to offer:

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* 8. Please indicate which FABMs you are knowledgeable about, i.e. have received some training in and/or engaged in extensive study of the method(s):

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* 9. For medical professionals, do any fertility awareness educators work with you in your practice?
For FABM educators, are you affiliated with an FABM medical practice?

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* 10. If yes, please specify.

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* 11. If you wish to list additional educators, please add their name, methods trained in and email address in the comment box below.

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* 12. For medical professionals, do you refer to specific FABM educators?
For FABM educators, do you refer to specific FABM trained medical professionals?

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* 13. If yes, please specify.

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* 14. If you wish to list additional educators, please add them in the comment box below.

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* 15. Are you interested in being a Professional or Associate FACTS Member?

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* 16. Are you interested in being a FACTS Preceptor?

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* 17. Do you receive our weekly FACTS blog or newsletter that comes out on Wednesdays?

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* 18. Other comments or information:

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