Skip survey header

Ryan White Program COVID-19 Needs Assessment


We want to hear directly from you about the challenges you are experiencing because of the COVID-19 pandemic. We are aware of and empathize with the many challenges posed by this pandemic. Your responses will help guide planning body strategies and funds allocation so we can support the most critical needs in our communities. The survey may take about ten (10) minutes to complete. To ensure your confidentiality and the privacy of your protected health information, please do not put your name or any other information that can specifically identify you on this survey. Thank you for completing this COVID-19 Response - Consumer Needs Assessment. Your input is valuable.
1. Have you ever been diagnosed with HIV? *This question is required.