Positive Alliance Community Survey

  • Positive Alliance Community Survey

  • Purpose

    Positive Alliance, formerly known as Impac+NYC, is a 501(c)(3) organization dedicated to building relationships between HIV+ individuals, allies, and supportive resources. We're doing this survey to determine the needs of people throughout the community, and figure out how best we can serve your needs. Some of those needs are social and relate to human connection: what kinds of events would you like to see, to connect with the community? Other needs are more fundamental: do people have adequate resources? If not, how can we connect them with organizations that offer the support people need? All answers are optional, and we will not collect your personal data, link your identity to your answers, or share your identity or personal information with any third party. We will publish the results of our survey in July, and may share the overall results (not individual answers) with partner organizations that provide services related to HIV/AIDS treatment, support, and prevention.

  • Privacy Statement

    Thank you for participating in the Positive Alliance Community Survey. No personally identifying information will be collected; therefore, your responses are unable to be tied to your identity. Your individual responses will not be available to anyone other than the data analyst creating a report(s).
  • 1. In the following section we ask the information to the right. Please UNCHECK those questions you do not wish to respond to.
  • What is your approximate annual Income?
  • What is your highest level of education?
  • 2. In the following section we ask the information to the right. Please UNCHECK those questions you do not wish to respond to.
  • How do you identify your Race? (Choose all that apply)
  • Do you identify as Hispanic or Latino/a/x or Spanish Origin of Any Race?
  • How do you identify your gender? (Choose all that apply)
  • How do you identify your Sexual Orientation? (Choose all that apply)
  • What is your current Relationship Status? (Choose all that apply)

  • Support comes from many different places.  We are interested in where community finds the most support from friends, family, coworkers and those that are not a part of the community.

  • Are you out to your family about your sexual orientation?*
  • Are you out to your extended family about your sexual orientation?*
  • Are you out to your friends who are not a part of the LGBTQIA+ community about your sexual orientation?*
  • Are you out to your coworkers about your sexual orientation?*

  • HIV Affected

    Positive Alliance is dedicated to the well-being of HIV+ individuals and to connecting people living with HIV (PLWH) and allies with one another and with opportunities to create positive change. We define HIV affected as anyone living with HIV/AIDS; people close to someone living with HIV/AIDS or anyone at risk of becoming infected with HIV.
  • In what ways are you HIV affected?*
  • Are you aware of your HIV Status?*
  • You responded yes to knowing your HIV Status, are you:*

  • You shared that you are a person living with HIV/AIDS.  The following questions are intended to understand your connection to care and to community. 

  • How long ago were you diagnosed with HIV/AIDS*
  • Are you currently on antiretroviral therapy?*
  • How would you describe your adherence to your antiretroviral therapy? (Be HONEST we are not judging and no one will know who said what)*
  • Have you had a viral load other than undetectable in the last year?*
  • Are you connected to a medical provider?*
  • Are you connected to a mental health provider?*
  • What if any health insurance do you currently have?*

  • Support comes from many different places. We are interested in where community finds the most support from friends, family, coworkers and those that are not a part of the community.

  • In regard to your status have you disclosed your status to immediate family members?*
  • In regard to your status have you disclosed your status to extended family members?*
  • In regard to your status have you disclosed your status to your close friends/chosen family?*
  • In regard to your status have you disclosed your status to friends who are not a part of the LGBTQIA+ community?*
  • In regard to your status have you disclosed your status to your coworkers?*
  • Do you feel like you need a network of HIV+ people and allies as friends, supporters, people who understand, etc.?*

  • HIV-

  • When, approximately, was your last HIV test?*
  • Are you connected to a medical provider?*
  • Are you currently taking PREP*
  • Have you discussed PREP with a medical provider?*
  • Are you connected to a mental health provider?*
  • What if any health insurance do you currently have?*

  • Almost done... We Promise!

  • Regardless of whether you personally experience any of these challenges, which of these do you believe are the biggest difficulties facing People Living with HIV/AIDS as you know and understand it from personal and social experience? (Choose up to 4)*
  • Regardless of whether you think it’s a bigger community issue, which of these do you view as a problem for you, personally? (Choose up to 4)*
  • Have you previously attended any PozAllinace/Impac+NYC Events?*
  • Even if you have not participated in the past, what types of events would you like to see us potentially bring back?*
  • Which of the following are you interested in attending?*
  • Should be Empty: