Pennsylvania Pregnancy Wellness Collaborative - Demographic Survey

Some PA legislators are requesting information from the PPWC specifically related to how centers in our commonwealth serve our black and brown clients/patients. Can you please complete this very brief survey so we can provide this critical information that confirms the impact we make on our local communities on maternal health outcomes? *** Time Sensitive ***

Question Title

* 1. Number of unique clients served for medical and education services: 2023

Women

Men

Question Title

* 2. Unique Clients by Income Level: 2023

0 - $14,000

$15,000 - $29,000

$30,000 - $44,000

$45,000 - $59,000

$60,000+

Unknown

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* 3. Number of unique Clients by Age: 2023

19 and Under

20 to 24

25 to 29

30 to 34

35 or older

Question Title

* 4. Number of Unique Clients by Ethnicity: 2023
They are specifically asking us how we serve our "brown" and "black" communities. We understand that there are numerous ways for this type of demographic category.

Black - Typically individuals belonging to a racial group having brown to black skin, especially one of African origin or who identify as black.

Brown - Broad categorization that encompasses diverse ethic and racial groups from various parts of the world, including but not limited to: South & Southeast Asians, Hispanics, Middle Easterners, and some people of African descent.

White

Unknown / Other

Question Title

* 5. Services Provided by your Center

Ultrasound Services

STI Testing

STI Treatment

Pregnancy Tests

Prenatal Education Classes

Parenting Education Classes

After-Abortion Support

Material Assistance / Material Item Services

Sexual Risk Avoidance Education (in Schools)

Lactation / Breastfeeding Education

Abortion Pill Reversal

Fertility Awareness-Based Methods

Education specifically targeting fathers

Question Title

* 6. Percent Client Positive Experience / Satisfaction (per your centers surveys)

100

Clear

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

Question Title

* 7. Do you have a mobile unit?

Yes

Not yet -- but, planning for in next 2 years.

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* 8. Please check all the counties your center serves.

Adams

Allegheny

Armstrong

Beaver

Bedford

Berks

Blair

Bradford

Bucks

Butler

Cambria

Cameron

Carbon

Centre

Chester

Clarion

Clearfield

Clinton

Columbia

Crawford

Cumberland

Dauphin

Delaware

Elk

Erie

Fayette

Forest

Franklin

Fulton

Greene

Huntingdon

Indiana

Jefferson

Juniata

Lackawanna

Lancaster

Lawrence

Lebanon

Lehigh

Luzerne

Lycoming

McKean

Mercer

Mifflin

Monroe

Montgomery

Montour

Northampton

Northumberland

Perry

Philadelphia

Pike

Potter

Schuylkill County

Snyder

Somerset

Sullivan

Susquehanna

Tioga

Union

Venango

Warren

Washington

Wayne

Westmoreland

Wyoming

York

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* 9. Number of Team Members: 2023

Paid Staff

Volunteers (excluding Board)

Question Title

* 10. Center Information:

Name of Center

Address of Center - City

Name of ED

Email of ED

Pennsylvania Pregnancy Wellness Collaborative - Demographic Survey

Question Title

* 1. Number of unique clients served for medical and education services: 2023

Question Title

* 2. Unique Clients by Income Level: 2023

Question Title

* 3. Number of unique Clients by Age: 2023

Question Title

* 4. Number of Unique Clients by Ethnicity: 2023They are specifically asking us how we serve our "brown" and "black" communities. We understand that there are numerous ways for this type of demographic category.

Question Title

* 5. Services Provided by your Center

Question Title

* 6. Percent Client Positive Experience / Satisfaction (per your centers surveys)

Question Title

* 7. Do you have a mobile unit?

Question Title

* 8. Please check all the counties your center serves.

Question Title

* 9. Number of Team Members: 2023

Question Title

* 10. Center Information:

* 4. Number of Unique Clients by Ethnicity: 2023
They are specifically asking us how we serve our "brown" and "black" communities. We understand that there are numerous ways for this type of demographic category.