Please answer the following questions about the HIV case management services you’ve received.

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* 1. At which one of the following organizations, did you receive case management services in the past 12 months?

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* 2. In your opinion, did you have too few, just the right number, or too many contacts with your case manager in the past 12 months?

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* 3. How often did referrals given to you by your case manager help you meet your needs?

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* 4. Has your case manager...

  Yes, a great deal Yes, somewhat No, not really Not applicable-I did not need the help
Helped you deal more effectively with your problems?
Helped you apply for health insurance?
Encouraged you to stay on your HIV medications?
Listened carefully to your concerns?
Encouraged you to take control of your health?

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* 5. In the following table, please let us know how satisfied you are with the services you received in the past 12 months

  Very satisfied Somewhat satisfied Neutral Somewhat dissatisfied Very dissatisfied Not applicable-Did not receive service
Transportation services
Food bank services
Housing assistance
Insurance purchasing assistance from LaHAP
Medication assistance

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* 6. Overall, how would you rate the quality of case management services you have received?

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* 7. In your opinion, what one thing would most improve case management services?

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* 8. Do you have any other comments about case management services?

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