Post Evaluation of PEP Service

Thank you for taking time to complete this short survey

We want to know what your experience was like when you accessed PEP (Post-Exposure Prophylaxis) here in Durham region. The information you share will be kept private and confidential. We will use it to find gaps and challenges, so they can be potentially addressed. Our goal is to ensure that PEP access is easily accessible and a pleasant experience.

We also want to know if you had a good experience when accessing PEP.

Question Title

* 1. Was your experience accessing PEP a good one?

YES

Could you share with us what your experience was like?

Question Title

* 2. Were you able to get access to the medication easily?

YES

If you answered NO. Can you explain the challenge you faced with accessing the medication

Question Title

* 3. OPTIONAL - If you'd like for us to follow up with you on your experience, please leave your first name (or alias) and email or phone contact information.

Name

Email Address

Phone Number