Survey Instructions and Confidentiality Statement

Please help us with this important community effort. 
 
The Office of HIV Planning (part of the Philadelphia Department of Public Health) is conducting this survey. The survey will help us understand your health care needs. The Philadelphia Ryan White Planning Council and  others who deliver healthcare and HIV services use this valuable information to decide which services are most needed in our communities. The Planning Council is responsible for planning healthcare and other services for people living with HIV throughout the Philadelphia area. For information about the Office of HIV Planning or the Council go to hivphilly.org or call 215-574-6760.
 
This survey is for any adult (over 18) who would like to take it. There is a section of questions specifically for people living with HIV, but the rest of the questions are for everyone. If you are not HIV+, you will skip that section.

Your answers are secure and confidential. 

This survey asks questions about your medical history, services you use, and things that may prevent you from getting the help you need. It also asks for some personal information, such as sexual orientation and income. We will not ask for your name or email address. The survey does not collect your IP address (or any other information about the computer or other device you used to take this survey).
 
It is your choice to take the survey. Your ability to get health care and other services will not be affected. There are no right or wrong answers. It is important that you answer as honestly as you can and as many questions as you can. If you do not want to answer a question, you can skip it.
 
It will take 15 to 30 minutes to complete the survey.

If you have any questions about this survey, please contact the Office of HIV Planning at (215) 574-6760

If you need medical care or other assistance, call the Health Information line at 215-985-2437

También puede tomar la encuesta en español

* 1. Are you over 18?

 
4% of survey complete.

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