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Thank you for participating in this survey about how the COVID-19 pandemic has affected your health

The Office of HIV Planning (part of the Philadelphia Department of Public Health) is conducting this survey. The survey will help us understand your needs for healthcare, housing, and other services.

The Philadelphia HIV Integrated Planning Council and others who deliver healthcare and HIV services use this valuable information to understand the needs of people living with HIV in our region. The Planning Council is responsible for planning healthcare and other services for people living with HIV, and those at risk for HIV, throughout the Philadelphia area.

For information about the Office of HIV Planning or the Planning Council go to or call 215-574-6760.

Your answers are secure and confidential. 

This survey asks questions about your medical history, the 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. This survey is anonymous and 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 5 to 15 minutes to complete the survey. 

If you have any questions about this survey, please contact the Office of HIV Planning at or 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

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* 1. Since February 1, 2020, have you had close contact with a person diagnosed with COVID-19?
Close contact is defined as being within 6 feet for a period of 10 minutes or more.

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* 2. Since February 1, 2020, have you been told by a doctor, nurse, or health care worker that you had COVID-19?

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* 3. Since February 1, 2020, have you been tested for COVID-19, or the virus SARS CoV-2?

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