Quality care begins with listening. This principle is the foundation of our training and underscores all that we do. All staff are trained on patient-centered counseling using a shared decision-making model. Our goal is to help patients make their own decisions, free from coercion. We conduct patient surveys at Upstream-trained health centers to assess whether patients feel they were in charge of choosing their own method, that they feel listened to by their providers and that they feel no pressure to choose one form of birth control over another.