For the Fellas - Black Girls Heal Survey for Black Men
Hello, King!

Thank you so much for taking the time to complete this survey. This is really going to help me know how to best support men in the future, what is helpful to you in the realm of intimacy disorders, and how to connect you to better resources for people are who are already doing this work in the areas you need.

Please complete the survey in its entirety, and it will come directly to me. There will be an option at the bottom for you to leave your phone number if you're open to answering any follow up questions I may have.

Thank you so much again!

Warmly,
Shena
Black Girls Heal
Name *
Email *
Age *
Location *
Relationship Status *
Sexual Orientation *
How did you find this survey? *
What did you think about the episode? What was helpful? *
What is something you wish I would've talked more about? *
Next
Never submit passwords through Google Forms.
This form was created inside of Black Girls Heal. Report Abuse