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Email
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Your email
First, Let's talk about YOU!
First Name
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Your answer
Last Name
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Your answer
What are your pronouns?
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Your answer
Where do you live? (City AND State/Prov./Country)
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Your answer
How do you identify?
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Perinatal Mental Health survivor
Care provider (doctor, doula, therapist)
PSI Chapter member
PSI member
Activist/Advocate
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Let's Talk Climb!
Are you a new or returning Climb Leader?
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New!
Returning!
When did you lead a Climb?
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Which Climb did you lead?
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How did you learn about the Climb
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I attended a Climb event
I attended a PSI event (Chapter, National, Training, etc.)
Newsletter or professional communication
Social Media
Word of mouth
Other:
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