an image of rumpled sheets and an image of a provider and patient talking

One Key Question®

One Key Question® is a transformative tool that starts the conversation about if, when, and under what circumstances women want to get pregnant and have a child. The notion behind One Key Question is simple: it provides a framework for health providers, social service providers, and champions to routinely ask, "Would you like to become pregnant in the next year?" 

While it's a simple question, the answers are more complex. One Key Question meets women where they are by offering four responses: yes, no, ok either way, and unsure. Follow up counseling is patient-centered and tailored appropriately based on a women's desire for or ambivalence about pregnancy. 

One Key Question is used by thousands of health care and social service providers in approximately 30 states. One Key Question providers include clinicians, community health workers, and home visiting nurses among others. Large health systems, state and local public health departments, and others have all adopted One Key Question to address a myriad of health equity efforts, including perinatal equity and maternal child health. 

To bring One Key Question to your program:

Please visit our Select360 page or email us for more information.

Power to Decide has exclusive rights to all One Key Question activities, trainings, agreements, and licenses. 

Learn About the Tool

Open to clinical and non-clinical providers, we will be offering training to become One Key Question certified, online! Learn more about this new opportunity. 

One Key Question supports people's power to decide by helping to transform their health care experience. Learn about the tool by reading this overview document. 

Our Select360 practice offers providers, organizations, public agencies and others ready-made solutions and technical assistance in program development and evaluation, communication, advocacy, and more.

Case Studies and Accolades