Village Public Health Youth Town Hall Series

Save your spot

About three minutes. Every question has a skip or a “prefer not to answer” unless it is marked required.

1Which conversation
Which conversation do you want to join? You can pick more than one.
2About you
Where your confirmation and the join link go.
Optional. Only used for a reminder text.
Are you registering as a student, or as a parent or guardian? This tells us which conversation you belong in, and it sets your breakout room.
What is your age?
What gender do you identify with? (optional) Optional. You can skip this one.
3Where you live
We use this to understand which parts of Arkansas we are reaching. We do not ask for your address.
What best describes where you live?
4Background
Are you Hispanic or Latino?
What is your race? Select all that apply.
Have you ever received education about sexual and reproductive health? Select all that apply.
Which of the following best describes your access to the internet and a device you can use to find information online?
5Comfort and consent
On a scale of 1 to 10, how comfortable are you talking with a parent or trusted adult about sexual health? 1 means not at all comfortable. 10 means completely comfortable.
1 · not at all10 · completely
Audio recording (optional) Separate and optional. You can join without agreeing to this.
This is a group conversation, so we need to be able to hear you.

You will get a confirmation email with the details. See how we use your answers.