Result Summary for Survey:Family Tree Clinic Evaluation

Family Tree Clinic Evaluation

1. We would like to start by asking you some questions about visibility, advertising, and affiliation with TYSN. Would you like to proceed with answering this set of questions?
	answered question		14
	skipped question		0
		Response Percent	Response Count
Yes		78.6%	11
No		21.4%	3

2. What terms or phrases do you use when advertising specifically to trans youth?
	answered question	5
	skipped question	9
		Response Count
view		5

3. Where are the advertisements using these trans-youth-specific terms and phrases?
	answered question		6
	skipped question		8
		Response Percent	Response Count
Website		50.0%	3
Brochure		66.7%	4
Waiting room		66.7%	4
Front door		33.3%	2
Newsletter		33.3%	2
Other (please specify) view			3

4. Is your commitment to serving transgender youth a part of your mission statement?
	answered question		6
	skipped question		8
		Response Percent	Response Count
Yes!		16.7%	1
No		50.0%	3
Unsure		33.3%	2
Other (please specify)			0

5. If you provide specifically trans-related services (e.g. providing prescriptions for hormones, conducting lab testing on site, etc.), where is that information available to the public?
	answered question		1
	skipped question		13
		Response Percent	Response Count
Website		100.0%	1
Waiting room		0.0%	0
Front door		0.0%	0
Brochures		0.0%	0
Newsletter		0.0%	0
Other (please specify) view			1

6. Where do you advertise your organization as a TYSN Network Collaborative member?
	answered question		5
	skipped question		9
		Response Percent	Response Count
Website		80.0%	4
Waiting room		0.0%	0
Front door		0.0%	0
Brochures		40.0%	2
Newsletter		40.0%	2
Other (please specify) view			2

7. Which other TYSN network members do you collaborate with?
	answered question	4
	skipped question	10
		Response Count
view		4

8. How many of the quarterly collaborative meetings have you attended in the last 2 years (they are every 3 months)?
	answered question		2
	skipped question		12
		Response Percent	Response Count
1 meeting		0.0%	0
2 meetings		0.0%	0
3 meetings		0.0%	0
4 meetings		0.0%	0
5 meetings		0.0%	0
6 meetings		0.0%	0
7 meetings		0.0%	0
8 meetings		0.0%	0
9 meetings		0.0%	0
10 meetings		100.0%	2
11 meetings		0.0%	0
12 meetings		0.0%	0

9. How many of the quarterly Healthcare Subcommittee meetings have you attended in the last 2 years?
	answered question		3
	skipped question		11
		Response Percent	Response Count
1 Meeting		33.3%	1
2 meetings		0.0%	0
3 meetings		0.0%	0
4 meetings		0.0%	0
5 meetings		0.0%	0
6 meetings		0.0%	0
7 meetings		0.0%	0
8 meetings		0.0%	0
9 meetings		33.3%	1
10 meetings		33.3%	1
11 meetings		0.0%	0
12 meetings		0.0%	0

10. Do you ever advertise your services concerning menstruation, pap smears, etc as referring specifically to women? If so, where?
	answered question	5
	skipped question	9
		Response Count
view		5

11. Do you ever advertise your services concerning testicular cancer, prostate cancer, etc as referring specifically to men? If so, where?
	answered question	4
	skipped question	10
		Response Count
view		4

12. Now we would like to ask you some questions about ccessibility of the facility. Would you like to proceed with answering this set of questions?
	answered question		11
	skipped question		3
		Response Percent	Response Count
Yes		81.8%	9
No		18.2%	2

13. Which services do you have at discounted rates that are available for young people?
	answered question	7
	skipped question	7
		Response Count
view		7

14. Which services do you offer a sliding scale for?
	answered question	6
	skipped question	8
		Response Count
view		6

15. Which of these discounts are specific only to trans youth?
	answered question	6
	skipped question	8
		Response Count
view		6

16. Where are your gender neutral bathrooms located?
	answered question	6
	skipped question	8
		Response Count
view		6

17. Where are your gender specific (male/female) bathrooms located?
	answered question	7
	skipped question	7
		Response Count
view		7

18. What active steps do you take to ensure bathroom safety for trans people?
	answered question	6
	skipped question	8
		Response Count
view		6

19. Do you offer any compensation or assistance for youth to travel to your facility?
	answered question	6
	skipped question	8
		Response Count
view		6

20. Which bus routes have stops within half of a mile of your facility?
	answered question	6
	skipped question	8
		Response Count
view		6

21. How many doors/entryways do patients pass through from the front door of the building to the waiting room?
	answered question	6
	skipped question	8
		Response Count
view		6

22. Do the art and posters in your clinic and offices reflect a gender binary?
	answered question		7
	skipped question		7
		Response Percent	Response Count
Yes view		42.9%	3
No view		28.6%	2
Unsure view		42.9%	3

23. Do you have art and posters in your clinic and office to reflect transgender and gender non-conforming people? What kind?
	answered question		6
	skipped question		8
		Response Percent	Response Count
Yes view		50.0%	3
No		0.0%	0
Unsure view		50.0%	3

24. Which flyers/brochures in your waiting room are relevant to young, trans women of color?
	answered question	6
	skipped question	8
		Response Count
view		6

25. How many exits does your waiting room have?
	answered question	7
	skipped question	7
		Response Count
view		7

26. How long is the hallway from the waiting room to the appointment room?
	answered question		7
	skipped question		7
		Response Percent	Response Count
0-5 ft		0.0%	0
5-10ft		71.4%	5
10-15ft		0.0%	0
15-25ft		14.3%	1
25-40ft		0.0%	0
more than 40ft		0.0%	0
Unsure		14.3%	1

27. Now we would like to ask you some questions about intake and forms. Would you like to proceed with answering this set of questions?
	answered question		11
	skipped question		3
		Response Percent	Response Count
Yes		72.7%	8
No		27.3%	3

28. Which questions on your intake forms involve gender?
	answered question	5
	skipped question	9
		Response Count
view		5

29. What question(s) do you use on your intake form(s) to determine what name and pronouns to use when addressing a patient?
	answered question	5
	skipped question	9
		Response Count
view		5

30. What system do you use to differentiate between legal and preferred names?
	answered question	5
	skipped question	9
		Response Count
view		5

31. At which times will a client be called by a preferred first name by staff? Check all that apply.
	answered question		5
	skipped question		9
		Response Percent	Response Count
in the waiting room		100.0%	5
when first addressed by the health care provider		100.0%	5
during follow-up phone calls		100.0%	5
during follow-up appointments		100.0%	5
on a letter mailed to a client		80.0%	4
when called by the business office		80.0%	4
when first addressed by a staff person who has never met the client before		100.0%	5
Other (please specify) view			1

32. Do you refer to “women” when asking about a person’s menstruation, pregnancy, mammograms, etc?
	answered question		5
	skipped question		9
		Response Percent	Response Count
Yes		0.0%	0
No		20.0%	1
Maybe		40.0%	2
Unsure		40.0%	2
Other (please specify) view			3

33. Do you refer to “men” when asking about a person’s prior prostate exams, testicular cancer, etc?
	answered question		5
	skipped question		9
		Response Percent	Response Count
Yes		20.0%	1
No		20.0%	1
Maybe		40.0%	2
Unsure		20.0%	1
Other (please specify)			0

34. Are support people (someone accompanying a client or patient for advocacy and emotional support) welcomed without question?
	answered question		5
	skipped question		9
		Response Percent	Response Count
Yes		80.0%	4
No		0.0%	0
Maybe		20.0%	1
Unsure		0.0%	0
Other (please specify) view			3

35. Now we would like to ask you some questions about services provided at your facility. Would you like to proceed with answering this set of questions?
	answered question		11
	skipped question		3
		Response Percent	Response Count
Yes		81.8%	9
No		18.2%	2

36. What forms of health care (e.g. mental, physical, etc.) does your clinic provide?
	answered question	4
	skipped question	10
		Response Count
view		4

37. Do you have a lab on site?
	answered question		5
	skipped question		9
		Response Percent	Response Count
Yes		100.0%	5
No		0.0%	0
Unsure		0.0%	0

38. If you have a lab on site, and you take urine samples, do you have gendered signs pertaining to urine samples?
	answered question		5
	skipped question		9
		Response Percent	Response Count
Yes		80.0%	4
No		20.0%	1
Unsure		0.0%	0

39. Are you able to draw blood on site?
	answered question		5
	skipped question		9
		Response Percent	Response Count
Yes		100.0%	5
No Unsure		0.0%	0

40. Do you have students or residents accompany doctors when working with patients?
	answered question		5
	skipped question		9
		Response Percent	Response Count
Yes		100.0%	5
No		0.0%	0
Unsure		0.0%	0

41. How do you ensure these students or residents are knowledgeable of how to be respectful of trans needs, such as pronouns and other gender assumptions?
	answered question	5
	skipped question	9
		Response Count
view		5

42. How do you get a patient’s consent before allowing a student or resident to witness an interaction between a doctor and patient?
	answered question	5
	skipped question	9
		Response Count
view		5

43. Now we would like to ask you some questions about staff at your facility. Would you like to proceed with answering this set of questions?
	answered question		11
	skipped question		3
		Response Percent	Response Count
Yes		90.9%	10
No		9.1%	1

44. How many people do you have on staff, and how many of them have received training for trans-related issues?
	answered question		6
	skipped question		8
		Response Percent	Response Count
None		0.0%	0
Some (at least 25%)		0.0%	0
Most (more than 50%)		83.3%	5
All		16.7%	1

45. How often are your staff trained on these issues?
	answered question	7
	skipped question	7
		Response Count
view		7

46. What topics are covered in your staff’s trans-related training? (For example, does the training cover topics such as preferred pronoun use, bathroom safety, statistics about how many trans people experience assault, homelessness, etc.?)
	answered question	6
	skipped question	8
		Response Count
view		6

47. How do staff stay informed of trans culture?
	answered question	6
	skipped question	8
		Response Count
view		6

48. How many of the doctors/practitioners at your clinic can speak knowledgeably about the effects of hormones on trans bodies?
	answered question		4
	skipped question		10
		Response Percent	Response Count
None		25.0%	1
Some (at least 25%)		75.0%	3
Most (at least 50%)		0.0%	0
All		0.0%	0

49. How often are the doctors at your clinic retrained on the effects of hormones on trans bodies?
	answered question	5
	skipped question	9
		Response Count
view		5

50. How many of your volunteers, staff, providers, and board members are trans?
	answered question	6
	skipped question	8
		Response Count
view		6

51. How many young, trans women of color do you currently employ?
	answered question	6
	skipped question	8
		Response Count
view		6

52. What programs do you use to ensure that young, trans women of color have access to education and a place on your staff?
	answered question	5
	skipped question	9
		Response Count
view		5

53. If you work at the front desk or doing any type of intake, what trans-related training do you receive specific to your role at the front desk?
	answered question	3
	skipped question	11
		Response Count
view		3

54. How often do you receive this training?
	answered question	3
	skipped question	11
		Response Count
view		3

55. How do you determine which gender pronouns to use with a patient?
	answered question	4
	skipped question	10
		Response Count
view		4

56. How do you determine when and which honorifics (sir, ma’am, etc.) and other gendered terms (ladies, gentlemen, etc.) to use with a patient?
	answered question	4
	skipped question	10
		Response Count
view		4

57. What name do patients check in under when they come in for follow-up visits?
	answered question		6
	skipped question		8
		Response Percent	Response Count
Preferred Name		50.0%	3
Given/Birth Name		0.0%	0
Unsure		50.0%	3
Other (please specify) view			1

58. How do you determine what name and pronouns to use for a patient when you call them, either before or after a clinic visit?
	answered question	4
	skipped question	10
		Response Count
view		4

59. How do you determine whether or not to leave a voice message for a patient?
	answered question	6
	skipped question	8
		Response Count
view		6

60. How do you determine what name to use with communication by mail?
	answered question	5
	skipped question	9
		Response Count
view		5

61. Are you a medical practitioner?
	answered question		11
	skipped question		3
		Response Percent	Response Count
Yes		27.3%	3
No		72.7%	8

62. What trans-training do you receive that is specific to your role as a medical health practitioner?
	answered question	2
	skipped question	12
		Response Count
view		2

63. How often do you receive this training?
	answered question	2
	skipped question	12
		Response Count
view		2

64. How do you determine what name to use for a patient when you first meet a patient?
	answered question	2
	skipped question	12
		Response Count
view		2

65. How do you maintain knowledge of current health practices/options specific to trans people?
	answered question	2
	skipped question	12
		Response Count
view		2

66. What literature are you reading in order to maintain knowledge of trans-related issues in health care?
	answered question	1
	skipped question	13
		Response Count
view		1

67. What are some questions you ask clients about their bodies?
	answered question	2
	skipped question	12
		Response Count
view		2

68. In what circumstance would you determine it appropriate to ask a client a body-related question that does not pertain to the care the client is receiving from you?
	answered question	2
	skipped question	12
		Response Count
view		2

69. How do you determine when to touch a patient and when to have physical distance from a patient?
	answered question	2
	skipped question	12
		Response Count
view		2

70. How do you acknowledge the power differential between yourself and your patients?
	answered question	1
	skipped question	13
		Response Count
view		1

71. How do you determine whether or not to diagnose a patient with gender identity disorder (GID)?
	answered question	2
	skipped question	12
		Response Count
view		2

72. How do you currently define GID?
	answered question	1
	skipped question	13
		Response Count
view		1

73. What protocol (e.g. informed consent, w-path, etc.) do you use when determining whether or not to prescribe hormones for patients?
	answered question	2
	skipped question	12
		Response Count
view		2

74. What protocol (e.g. informed consent, w-path, etc.) do you use when determining whether or not to prescribe surgery for patients?
	answered question	2
	skipped question	12
		Response Count
view		2

75. Are you a community health educator or worker?
	answered question		7
	skipped question		7
		Response Percent	Response Count
Yes		57.1%	4
No		42.9%	3

76. What trans-related training do you receive that is specific to your role as a Sexual health counselor?
	answered question	5
	skipped question	9
		Response Count
view		5

77. How often do you receive this training?
	answered question	4
	skipped question	10
		Response Count
view		4

78. When asking patients about their sexual history, how do you address the genders of the patients’ partners?
	answered question	3
	skipped question	11
		Response Count
view		3

79. Where do you get your health fact-sheets (e.g. a pamphlet about chlamydia or a handout about what sexual activities put you at risk for which STIs)?
	answered question	4
	skipped question	10
		Response Count
view		4

80. How do you determine which patient receives which fact-sheets?
	answered question	4
	skipped question	10
		Response Count
view		4

81. Are you a lab technician?
	answered question		10
	skipped question		4
		Response Percent	Response Count
Yes		30.0%	3
No		70.0%	7

82. What trans-related training do you receive that is specific to your role as a lab technician?
	answered question	2
	skipped question	12
		Response Count
view		2

83. How often do you receive this training?
	answered question	2
	skipped question	12
		Response Count
view		2

84. How do you determine what name to use for a patient when you call them into the lab?
	answered question	2
	skipped question	12
		Response Count
view		2

85. What are common topics of small-talk you have with patients?
	answered question	2
	skipped question	12
		Response Count
view		2

86. Do you ever reference a patient’s gender or gender presentation while conducting lab work? If so, under what circumstances would you reference a patient in this way?
	answered question	2
	skipped question	12
		Response Count
view		2

87. Do you work in the business office?
	answered question		10
	skipped question		4
		Response Percent	Response Count
Yes		30.0%	3
No		70.0%	7

88. What trans-related training have you received specific to the work you do in the business office?
	answered question	2
	skipped question	12
		Response Count
view		2

89. How often do you receive this trans-related training?
	answered question	1
	skipped question	13
		Response Count
view		1

90. How do you stay knowledgeable of trans-specific issues, including how to code hormones and surgeries for trans folks’ insurance companies?
	answered question	2
	skipped question	12
		Response Count
view		2

91. How do you determine when to leave a voicemail for a patient?
	answered question	2
	skipped question	12
		Response Count
view		2

92. How do you determine what name to use for a patient when you contact them in reference to their billing?
	answered question	2
	skipped question	12
		Response Count
view		2

93. How do you determine what name to use when contacting a patient’s insurance company?
	answered question	2
	skipped question	12
		Response Count
view		2

94. Are you a volunteer at this clinic?
	answered question		10
	skipped question		4
		Response Percent	Response Count
YES		30.0%	3
No		70.0%	7

95. What trans-related training have you received specific to the work you do as a volunteer?
	answered question	2
	skipped question	12
		Response Count
view		2

96. How often do you receive this trans-related training?
	answered question	2
	skipped question	12
		Response Count
view		2