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Sylvia's Sisters

End Period Poverty

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Annual Partner Survey

"*" indicates required fields

Organization’s Information

Organization's Name (including School name, if applicable)*

Name of person completing this survey*

First Last

Title/Position within the Organization*

Email*

Period Product Distribution Program

This section is only concerned with kits and products your organization received from Sylvia’s Sisters during the 2024 calendar year (January 1 – December 31, 2024).

Please briefly describe the methods your organization used to distribute kits and products to menstruators in need.*

How often did your program distribute period products?*

Once for one-time event

Daily

Weekly

Monthly

Every other month

Quarterly

Twice a year

Sporadically, whenever requested

To your best estimate, how many menstruators were you able to serve with the products received from Sylvia's Sisters during the previous calendar year?*

If you do not know, please enter “Unknown.”

Was your program able to fulfill all requests for period products?*

Yes

No

Don’t know

Did your program service menstruators from (Check all that apply)*

Richmond (City)

Henrico

Chesterfield

Hanover

Goochland

Powhatan

Louisa

New Kent

Charles City

Petersburg

Colonial Heights

Hopewell

Other

If you selected "Other," list the counties and independent cities that your program served.*

Please separate each with a comma.

What zip codes did your program serve?*

Please separate zip codes with a comma. If your organization does not track this information, please enter “We don’t track this information”

Did your program specifically serve any of the following groups (Check all that apply)

Students K-12

Post-secondary Students

Low income communities

Veterans

Active Military

Homeless

Individuals with disabilities

Domestic violence survivors

Formerly incarcerated

Immigrants/refugees

LGBTQ+

Individuals being treated for addiction or in recovery

Other

If you selected "Other," list other groups that your program served.

Please separate each with a comma.

What is the income level of the population your program served? (Check all that apply.)*

100% or below the Federal Poverty Limit

100-200% of the Federal Poverty Limit

200%+ of the Federal Poverty Limit

Unknown (We don’t track this information)

To your best estimate, what is the age breakdown of the population your program served? (Enter percentages without % symbol)

0 – 4 years old (Pre-Kindergarten)*

Please enter a number from 0 to 100.

5 – 10 years old (Elementary School)*

Please enter a number from 0 to 100.

11 – 14 years old (Middle School)*

Please enter a number from 0 to 100.

15 – 17 years old (High School)*

Please enter a number from 0 to 100.

18 – 24 years old*

Please enter a number from 0 to 100.

25 – 39 years old*

Please enter a number from 0 to 100.

40 – 49 years old*

Please enter a number from 0 to 100.

50+ years old*

Please enter a number from 0 to 100.

Unknown (Enter 100 if you don't track this information)*

Please enter a number from 0 to 100.

Total (Should be 100%. If not, please check your percentages.)

To your best estimate, what is the demographic breakdown of the population your program served? (Enter percentages without % symbol)

Asian/Asian American*

Please enter a number from 0 to 100.

Black/African American*

Please enter a number from 0 to 100.

Hispanic/Latino/Latina/Latinx*

Please enter a number from 0 to 100.

Middle Eastern/North African*

Please enter a number from 0 to 100.

Native American/American Indian/Alaska Native/Indigenous*

Please enter a number from 0 to 100.

Native Hawaiian/Pacific Islander*

Please enter a number from 0 to 100.

White/Caucasian/European*

Please enter a number from 0 to 100.

Multi-Racial/Multi-Ethnic (2+ races/ethnicities)*

Please enter a number from 0 to 100.

Another race or ethnicity*

Please enter a number from 0 to 100.

Unknown (enter 100 if you don't track this information)*

Please enter a number from 0 to 100.

Total (Should be 100%. If not, please check your percentages.)

Impact

Without the partnership with Sylvia's Sisters, would your organization have been able to offer period products to your clients?*

Yes

No

Please provide one or more anecdotes, testimonials, or other descriptions of the impact the products provided by Sylvia’s Sisters had on your clients or community your organization serves.*

If a portion of the above is used by Sylvia’s Sisters online or in other communications, may we attribute the quote to you?*

Yes, my name and organization can be included

Yes, but only the organization’s name can be included

No, please make it anonymous

Feedback

What did you like most about this partnership?

Where would you like to see improvements?

What features, products or services would you like to see offered in the future?

Is there any additional information that you would like to share with Sylvia’s Sisters?

Partnership Renewal

Would your organization like to continue being a Sylvia's Sisters Distribution Partner for another year?*

Yes

No

How satisfied with the current quantity and frequency of your distributions?

Satisfied

Would like more

Do not need as many

We will contact you to determine revised product quantities.

There is currently a waitlist for order increases. We will be in touch to determine your desired quantities, and we’ll be sure to let you know when additional distributions are available.

Could you tell us why? (Check all that apply)

Organization/program is closing

Will no longer be offering period products

Receiving period products from another source

Dissatisfied with partnership

Another reason

Could you provide addition information?

Consent*

I have read and understood the Distribution Partner Manual*

Consent*

There have not been any changes that would disqualify our program or organization from being a Distribution Partner.*

Consent*

Our organization does not discriminate based on race, religion, national or ethnic origin, age, disability, marital status, sexual orientation, or gender identity or expression.*

Consent*

All information in this survey has been provided in good faith and is accurate to the best of my knowledge.*

Signature*

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Efficient & Effective

As the region’s oldest period product bank and menstrual advocacy organization, Sylvia’s Sisters is known for its effective programming and cost efficiency—we do a lot with very limited resources.

How Can We Help?

Are you an organization, school or individual in need of period products? Request period products.

Have questions, comments or want to join the mission?

Keep in Touch

information@sylviassisters.org

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