Success Story Feedback

Inspire others! Let us know how LGBT HealthLink has helped you to accomplish your mission.

Question Title

* 1. Tell us about you.

Name

Company

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 2. Provide a 2 to 3 sentence description of your Success Story.

Question Title

* 3. Before connecting with LGBT HealthLink, what was the challenge or problem you wanted to impact or change?

Question Title

* 4. What kind of support did you receive from LGBT HealthLink? Check all that apply.

Technical Assistance/Training/ Attend Webinar/ View archived Webinar

Received by mail/Downloaded/Picked up tools or resources at a conference or workshop

Attend a conference or workshop where LGBT HealthLink presented

LGBT HealthLink linked you to another organization or agency

LGBT HealthLink's Weekly Wellness Roundup

LGBT HealthLink's Needs Assessment

Connected to other LGBT HealthLink network members

Other (please specify)

Question Title

* 5. On which topic(s) did LGBT HealthLink support you? Check all that apply.

Tobacco

Cancer

Wellness

SOGI (sexual orientation/gender identity) data

Other (please specify)

Success Story Feedback

Inspire others! Let us know how LGBT HealthLink has helped you to accomplish your mission.

Question Title

* 1. Tell us about you.

Question Title

* 2. Provide a 2 to 3 sentence description of your Success Story.

Question Title

* 3. Before connecting with LGBT HealthLink, what was the challenge or problem you wanted to impact or change?

Question Title

* 4. What kind of support did you receive from LGBT HealthLink? Check all that apply.

Question Title

* 5. On which topic(s) did LGBT HealthLink support you? Check all that apply.

Question Title

* 6. What impact was made on your challenge or problem after receiving support from LGBT HealthLink?

Question Title

* 7. How did this activity reduce the burden of cancer or tobacco use in your location?

Question Title

* 8. Please leave us a quote from you to include in your success story.