Thank you for your interest in our LGBTQ+ Youth Focus Group. This event is in-person at Mazzoni Center, 1348 Bainbridge Street, on February 25th from 5-7pm. This is only for LGBTQ+ youth ages 14-24, and is intended to provide Mazzoni Center with valuable feedback on our HIV prevention/PrEP/PEP youth advertisements and marketing. You do not need to have prior experience or knowledge on HIV prevention or marketing to participate.
At the end of the session, attendees will receive a $10 gift card for participation and a SEPTA pass if they used transit to get there.

*1.First and Last Name
Chosen name is okay here, we do not need your legal name if that is not what you go by. (Required.)

*2.What are your pronouns?(Required.)

*3.Email(Required.)

*4.Confirm Email
We will contact you via email a session reminder and information before the event.(Required.)

*5.Phone Number(Required.)

*6.Are you between the ages of 14-24?
This focus group is only open to people of those ages. (Required.)

Yes

No

*7.Do you identify as LGBTQ+?
This event is for members of the LGBTQ+ community. (Required.)

Yes

No

Other (please specify)

*8.The session is in-person at Mazzoni Center from 5-7pm on February 25th, 2026. Do you have any barriers to attending?
The address is: 1348 Bainbridge Street, Philadelphia, PA, 19147(Required.)

*9.Where did you hear about this opportunity?(Required.)

10.Do you have any allergies or dietary restrictions?
** We will have snacks at this event. We will do our best to accommodate everyone's dietary needs.

Thank you for filling out this survey! We are looking forward to hearing from you and will email an event reminder with information before the event. If you have any questions before then, please contact education@mazzonicenter.org.

Please press "Done" below to submit.