Client experience survey

This is an anonymous survey intended to gather feedback on client experience when testing for HIV at the Options Clinic, operated out of London InterCommunity Health Centre (LIHC).  Our goal is to make your experience a good one. We value your feedback and will take it to improve services.  Thank you! 

Question Title

* 1. What is your age?

Question Title

* 2. What is your racial or ethnic identity? (Select all that apply.)

Question Title

* 3. What is your gender?

Question Title

* 4. What is the gender of your sexual partners? (select all that apply)

Question Title

* 5. Where were you tested? Select all that may apply

Question Title

* 6. Is this your first HIV test?

Question Title

* 7. Why did you want an HIV test? Select all that apply 

Question Title

* 8. What was the main reason for testing with Options?

Question Title

* 9. How did you hear about HIV testing being offered here?

Question Title

* 10. Through testing, what is one thing you learned about HIV that you didn't know?

Question Title

* 11. How satisfied were you with the testing experience at Options?

Question Title

* 12. What can we do to improve our services?

0 of 12 answered
 

T