Q Card Evaluation - Youth
Thank you for visiting the Q Card website! In order to evaluate the Q Card, we are asking you to complete a quick survey about your experience. You do not have to provide your name or any other personal information, though you have the option of giving your email address at the end.

The Q Card was designed with the help of many local queer youth, health care providers, and youth advocates, who gave their ideas about how it should look, what it should say, and where it should be available. Now that the cards are out in the world, we want to know what you think! How did we do? What could we do differently? If you used a Q Card, how did it go? There are two surveys, one for queer youth, and one for healthcare providers, so make sure you choose the correct one! Thank you for taking the time to complete our survey, and please feel free to contact genya@qcardproject.com with any questions.

Where did you get your Q Card?
Your answer
Did you use the Q Card during a recent healthcare visit?
What did you do with your Q Card at the end of the visit?
Did the Q Card help you talk about privacy and confidentiality?
Did the Q Card help you talk about sexual orientation/gender identity?
Did the Q Card help you talk about any of the following topics?
check all that apply
Please tell us anything else you want us to know about the Q Card: what it says, how it worked, or what it was like to use it:
Your answer
What is your zip code?
Your answer
What is your age?
Your answer
What is your sexual orientation?
Your answer
What is your gender identity?
Your answer
If you are interested in participating in a focus group or community conversation about the Q Card, please provide your email address:
Your answer
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