Anti-Choice Activity in Niagara Reporting Form

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Please tell us about the anti-choice activity you wish to report. You may leave any field blank. Your responses will be viewable by members of Niagara Reproductive Justice (NRJ).

OPTIONAL: Contact information (email or phone number)

Location of anti-choice activity (if you received a flyer, please put the nearest big intersection to your house and your city; if radio ad, put the radio station)

Day of the week

Date

YYYY

Around what time?

Time

What was the activity?

Protesters with graphic signs

Protesters with signs or other material that was not graphic

Received an envelope/flyer in my mailbox

Approached in person, over the phone, or via email by an anti-choice group

Anti-choice event (e.g. flag display, vigil, etc)

Radio ad

Billboard

Experience with a Crisis Pregnancy Centre (anti-abortion fake clinic)

Other:

Please elaborate on your experience, if applicable, or feel free to provide as much additional detail here as possible (e.g. if you have a sense of how long they were there for, which websites are on their signs, number of people, etc)

Would you like to tell us more about how this experience made you feel? These testimonials are useful for creating a record of the harm caused by the anti-choice presence in our community.

Do you consent to having your responses shared anonymously by NRJ?

Yes

Clear selection

Would you like somebody from Niagara Reproductive Justice to follow up with you about this experience? (If yes, please provide your contact information above)

Yes

Other:

Clear selection

If you are not already part of the Rapid Response Network (a branch of NRJ that notifies members in a group chat about anti-choice protesters and responds with counterprotesting), are you interested in becoming a member or learning more? If you are, please indicate here and provide your name and email above.

Lastly, how did you come across this reporting form?

Submit

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