Community Needs Assessment

Community Needs Assessment

Thank you for taking a moment to complete this short survey. Your feedback helps SOMOSLOUD and AHF better understand the needs of our community and create meaningful programs and events.
Contact Information

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How did you hear about SOMOSLOUD?

FriendSocial MediaCommunity EventAHF Clinic or StaffOther
What topics are most important to you? (Select all that apply)

Mental HealthSexual Health & HIV PreventionSubstance Use SupportLGBTQ+ RightsImmigration & IdentityCommunity EventsLeadership & AdvocacyOther
Do you know what PEP/PrEP is?

YesNoSomewhat but I’d like more information
Are you interested in enrolling in PEP/PrEP?

YesNo
Do you know where the nearest AHF clinic or Wellness Center located in your city?

YesNoNot sure
Have you ever accessed AHF or Affiliate services before?

YesNoI’d like more information
What type of support or resources would you like to see more of from SOMOSLOUD and AHF?
Thank you for your time and for helping us build stronger, healthier communities!
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