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Vasectomy Survey

Plan V needs your help!

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We are a 501c3 public benefit nonprofit, meaning we must fundraise and apply for grants to help us expand vasectomy awareness and access.

Martial Status
Married/Legal Domestic Partnership
Unmarried
Insurance Status
None
Have but poor coverage
Medicaid (Tenncare)
Good insurance through employer
Employment Status
Unemployed
Part-Time (less than 30 hrs/week)
Full-Time (30 hrs/week or more)
Freelance, Contract Work or Self-Employed with varying hours her week
How long have you been considering a vasectomy?
Less than 6 months
6 months - 2 years
2+ years
Who encouraged you to have a vasectomy?
Myself
My sexual partner
A friend or family member
A healthcare provider
Social media/the general public
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