Thanks for taking a look

PFLAG Jersey City is working with local healthcare facilities to ensure everyone receives the best care possible.  Your anonymous responses to this short questionnaire will provide valuable feedback to help make that possible.  It will take just a few minutes and your responses are confidential.  We’ll even share a copy of the report if you’re interested!

In order to participate, you must be 18 years of age or older.   

Question Title

* 1. I hereby certify that I am 18 years of age or older.