The toolkit · For providers & educators
Project Impact Survey
A pre- and post-presentation survey that measures changes in medical literacy, symptom tracking preparedness, and self-advocacy confidence before and after a Her Health, Her Voice workshop.
How it works
The sheet is double-sided: participants fill in Part 1 before the workshop starts and Part 2 after it ends, rating the same 9 statements both times. The gap between the 2 scores is the measure of what the session changed.
- The scale1 to 5, where 1 is low confidence or strongly disagree and 5 is high confidence or strongly agree.
- Part 1Pre-presentation assessment. Filled out before the workshop starts.
- Part 2Post-presentation assessment. Filled out after the workshop completes.
Visitors to this site can answer the same 9 statements in the anonymous online survey, which saves nothing that identifies them.
The 9 statements
Symptom literacy and data preparedness
- Symptom communicationI feel confident describing my physical symptoms to a doctor using specific medical data and terminology.
- Structured trackingI have a structured tool (like an app or symptom log) to track my symptoms before walking into an appointment.
- Invisible illness awarenessI am aware of chronic conditions like POTS, hEDS, or dysautonomia that disproportionately affect teen girls.
Navigating systemic bias and medical advocacy
- Redirecting dismissalI know how to "pivot" the conversation if a provider dismisses my physical pain as "just stress" or anxiety.
- Gender bias identificationI understand how gender bias and diagnostic overshadowing affect medical diagnoses for teen girls.
- Chart documentation and refusalsI feel capable of asking a doctor to document a refused test or clinical justification in my medical record.
- Specialist referrals and second opinionsI feel confident asking for a differential diagnosis, second opinion, or specialist referral if needed.
Health ownership and agency
- Active healthcare partnershipI view myself as an active partner in my healthcare decisions rather than a passive patient.
- Patient reliabilityI feel that my doctor views me as a reliable, accurate source of information about my own body.