Black Women for Wellness Centinela Closure Action Items

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Thank you for supporting Black Women for Wellness in our efforts to ensure equitable access to quality maternal healthcare for our communities. On Monday October 23rd, we held a Town Hall at the Inglewood Chamber of Commerce to discuss the closure of the maternity services at Centinela hospital and allow space for community members to voice their thoughts and concerns.

The purpose of this poll is to gauge interest in participation in action items discussed at the Town Hall. Please fill out your information and indicate which action items you are interested in participating in.

Name *

Email *

Which of the following action items are you interested in? Please check all that apply. *

Submit public comment (in person)

Submit petition letter in support of keeping Centinela Hospital maternal health services open

Participate in phone banking

Participate in door to door knocking (canvassing)

Collect and organize personal stories and testimonials from community members who have been affected by Centinela Hospital

Volunteer in a committee to plan future townhalls and community meetings

Required

What is your age? *

< 18 years old

18-24

25-35

36-45

46-55

56-65

> 65

How do you identify your race/ethnicity? *

Black or African-American

White

Hispanic or Latino

American Indian or Alaska Native

Asian

Native Hawaiian or Other Pacific Islander

How do you identify your gender? *

Female

Male

Transgender Female

Transgender Male

Gender Variant/Non-Conforming

Not listed

Prefer Not to Answer

What neighborhood do you live in? *

Inglewood

Lennox

South Los Angeles

Other:

Do you have any other questions, thoughts, or concerns?

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