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1. Participation Agreement

The purpose of this survey is to assess mental wellness during prenatal and postnatal stages and inform Tandem Community's (beintandem.co) mental wellness solutions for women of color and culture, during family building life stages. To partake in this survey you must be a parent or currently pregnant, you may identify with any race, nationality, heritage or culture.

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* 1. What's your name?

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* 2. I understand and consent that my responses to this questionnaire are and will remain private; yet will be used to develop solutions delivered by Tandem Community. Your identifying data, name and email will NEVER be released to another party. De-identified and aggregate (combined) results from this survey may be shared with partners of Tandem Community who are working towards a similar mission.

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* 3. How do you FEEL TODAY?
1: "I need a lot of help and not sure who to reach out to"
10: "I'm at my best today and everything is as good as it gets"

1 10
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i We adjusted the number you entered based on the slider’s scale.

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* 4. What is your age? For purposes of this survey only those 18+ years may participate, so as not to require parental sign off.

18 75
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i We adjusted the number you entered based on the slider’s scale.

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* 5. Which gender do you identify with? Reminder: The purpose of this survey is to assess mental wellness among people who are able to carry and birth an infant.

0 of 58 answered
 

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