HIS Lifestyle Guide Survey - Issue #3 (June)

Thank you for taking the time to provide feedback on the Pride issue of HIS Lifestyle Guide. Following are 7 questions concerning the design, content, and usefulness of the guide. Some questions ask you to use a ratings scale while others are open-ended and allow you to comment in your own words. There are also a few demographic questions at the end of the survey to let us know who is accessing the guide and who is responding to our survey.

The entire survey should take only about 10 minutes to complete and your responses are completely anonymous.

Thank you again for your help..

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* 1. Considering the overall look and design of the Pride issue of HIS Lifestyle Guide, please rate the Guide in terms of its appeal/attractiveness:

Very attractive/appealing

Somewhat attractive/appealing

Not at all attractive or appealing

Don't know/refused

If you would like to provide detail on your rating of the Guide's attractiveness, please use the space below.

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* 2. Considering the different images and graphics in the Guide, to what extent do you think they are relatable and reflective of Black gay communities?

Very relatable/reflective

Somewhat relatable/reflective

Not at all relatable/reflective

Don't know/refused

If you would like to provide detail on your rating of the Guide's graphics and images, please use the space below.

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* 3. Considering now the content of the HIS Lifestyle Guide Pride issue, please rate the Guide in terms of how interesting/informative the information it contained was to you:

Very interesting/informative

Somewhat interesting/informative

Not at all interesting/informative

Don't know/refused

If you would like to provide detail on your rating of the Guide's informational and interest value, please use the space below.

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* 4. Following is a list of the featured articles in the Pride issue of HIS Lifestyle Guide. Please rank order them from the most interesting/useful to the least interesting/useful. 1 = most useful/interesting; 6 = least useful/interesting

Your Latter Days Will Be Greater

Self-care Will Lead to a Healthier You

Black on Black Love

Doc Chat: PrEPping for Pride

Out as Black and Gay

Brotherhood Makes Us Better

Editor's Letter: Pride Makes Us Stronger

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* 5. HIS Lifestyle Guide provides a list of resources showing where black gay/bisexual men can receive culturally sensitive health care services. Overall, how helpful/useful did you find the resource guide?

Very helpful

Somewhat helpful

Not helpful at all

Don't know/refused

If you would like to provide detail on your rating of the helpfulness of the Guide's list of culturally sensitive resources, please use the space below.

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* 6. For each of the resources listed at the end of the Guide, contact information is provided for you to inquire about services or to make an appointment. Using the ratings scale below, please indicate for each type of resource listed, how likely it is you will contact one of the providers in that service category for information or to make an appointment.

	Very Likely	Somewhat Likely	Not at all likely	Already Contacted
Medical and Health Centers	Medical and Health Centers Very Likely	Medical and Health Centers Somewhat Likely	Medical and Health Centers Not at all likely	Medical and Health Centers Already Contacted
Mental Health	Mental Health Very Likely	Mental Health Somewhat Likely	Mental Health Not at all likely	Mental Health Already Contacted
STI/HIV Testing and Support	STI/HIV Testing and Support Very Likely	STI/HIV Testing and Support Somewhat Likely	STI/HIV Testing and Support Not at all likely	STI/HIV Testing and Support Already Contacted
Faith and Spirituality	Faith and Spirituality Very Likely	Faith and Spirituality Somewhat Likely	Faith and Spirituality Not at all likely	Faith and Spirituality Already Contacted
Fitness and Wellness	Fitness and Wellness Very Likely	Fitness and Wellness Somewhat Likely	Fitness and Wellness Not at all likely	Fitness and Wellness Already Contacted
Substance Abuse and Treatment	Substance Abuse and Treatment Very Likely	Substance Abuse and Treatment Somewhat Likely	Substance Abuse and Treatment Not at all likely	Substance Abuse and Treatment Already Contacted

If you would like to provide detail on your rating of the likelihood you will contact one of the agencies listed in each resource category, please use the space below.

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* 7. Please use the space below to provide any additional information/feedback about the HIS Lifestyle Guide that you think will help us improve the design, content or usefulness of the Guide.

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* 8. To help us understand who we are reaching with the HIS Lifestyle Guide, the next few questions ask for some demographic information. Please indicate your age in years:

Age:

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* 9. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

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* 10. What is your race/ethnicity (check all that apply)?

African-American/Black

Hispanic/Latino

White/Caucasian

Asian/Pacific Islander

Native American/Alaskan Native

Middle Eastern

Other (please specify)

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* 11. Do you think of yourself as:

Gay or "same gender loving"

Bisexual

Heterosexual or "straight"

Other (please specify)