This is a form for Sex Ed and Health questions and topic requests!

Responses will be posted on my instagram account @madmadjacobs, which is public. Your personal information (if you choose to share) will be kept confidential.

Please note I am not a medical provider and cannot diagnose or treat any medical conditions. I can share relevant, helpful, and evidence based information and point you toward resources.

Will be kept confidential and only used for followup questions