top of page

PopUp! Healthcare Block Party Participant Survey 2025

Thank you for joining us at our first healthcare block party. Please take a moment to tell us about your experience to help us plan our next event.

Share as much or as little as you'd like!

Thank you - Maji Rising.

All of your personal information is optional - we just ask that you tell us what neighborhood you're from. By providing your zip code, we can make sure to bring the celebration to our communities that need it most.

Q1: The Joy

Q2: The Care

Which health or wellness services did you receive this weekend? (Check all that apply.)
Primary care or check-up
Dental exam or cleaning
Vision, hearing, or speech screening
Mental health or counseling resource
Naloxone/Narcan training
Lab testing or blood draw
Housing or financial support
College or job resources
Other

Q3: The New Access

Q4: The Unused

Q5: The Future

Q6: The Feeling

When you think back on this weekend, how did the experience make you feel? (Circle all that you felt)

About You

What is your age
under 18
18-26
27-35
36-50
51-65
66-75
75+
Gender
Female
Male
Transgender Female
Transgender Male
Nonbinary
Two-Spirit
Genderqueer
Another gender identity
bottom of page