Thank you for taking part in the Vermont Department of Health's needs assessment for HIV Care. This survey is for people living with diagnosed HIV infection, who live in Vermont. This survey should take no more than 5 to 10 minutes to complete, and is anonymous.

If you are not living with HIV, click this link to take the survey on HIV Prevention. If you have any questions about these surveys, please contact Alexander.Potter@vermont.gov.

First we are asking for some brief demographic information, then we will ask some questions about whether Vermont's services are meeting your needs for HIV care.

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* 1. AGE:

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* 2. GENDER:

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* 3. RACE:

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* 4. TOWN/COUNTY:

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* 5. SEXUAL ORIENTATION:

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* 6. # YEARS LIVING WITH HIV:

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