Papaya Parade: Anonymous Abortion Stories

When you share your abortion experience in this anonymous survey, your identity remains unknown to us unless you choose to share it.

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* 1. Have you ever had an abortion?

Yes

No

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* 2. How many abortions have you had?

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* 3. Which city do you live in currently?

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* 4. How old are you?

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* 5. Choose your marital status at the time of abortion.

Married

Unmarried

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* 6. Tell us your abortion story.

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* 7. What one thing do you wish happened differently during your abortion?

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* 8. Would you be comfortable if we contacted you for further communication?

Yes

No

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* 9. If you answered yes, please leave your contact details below.

Name

Email Address

Phone Number

Thank you for sharing your story with us.