1.What type of injustice did you experience or witness? (Select all that apply)
2.Did you ever seek legal representation or advocacy, but were turned away because your case was “too complex,” “not winnable,” or “not worth their time”?
3.Describe the incident(s)
What happened?
Who was involved?
What was the impact?
4.Did you try to get help from other systems (medical, legal, government, family, etc.)? What was the response?
5.Were you denied advanced therapies or care because of financial status, insurance, or lack of connections?
6.Are you interested in participating in future programs, pilot offerings, or research?
7.What do you hope will come from sharing your story?
8.Would you be open to being contacted for further advocacy or support?
