Rainier Valley Birth Center - Listening Session Pre-Survey
We would love to hear more about your vision for a community birth center that is created by the community for the community.

At the end of this short survey (2-7 minutes), we will invite you to join Rainier Valley Community Clinic in a 90-minute listening session where you share your vision with our planning team!
First Name
Last Name
Pronouns *
Email address *
Phone Number
City *
State/Territory *
Zip/Postal Code *
Age *
Gender Identity *
Required
Race/Ethnicity *
Select all that apply.
Required
Household Size *
Please list the number of people living in your household/home
Ages in Household *
Please list the ages of the person(people) living in your household/home
Are you answering this questionnaire as a ... ? *
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