Family Planning Medicaid Feedback

Thank you for taking the time to share feedback about the Family Planning Medicaid program. This survey will take about 3 minutes to complete.

The information you provide will be reviewed by NC Department of Health and Human Services staff who work to improve access and reduce barriers to the Family Planning Medicaid program. Your constructive feedback helps us identify gaps in our own understanding and where to focus efforts to improve the program.

Your response will remain anonymous unless you choose to share your contact information at the end of the form.

Question Title

* Which of the following options best describes your relationship to Family Planning Medicaid?

I currently have or might be eligible for Family Planning Medicaid

I used to have/was eligible for Family Planning Medicaid

In my job, I work with people who have (or may be eligible for) Family Planning Medicaid

In my job, I advocate for or support groups of people who have (or may be eligible for) Family Planning Medicaid

I am a member of the general public