H     1.  How did you hear about this website?

   Search Engine

   Friend

   Advertisement

1.      2. How often have you visited this website?

                     1 - 5 Times?

                     5 - 10 Times?
      
                     10 or more?         

2.      3. How helpful do you find the information on this website? 1-5

                1.    2.     3.     4.     5. 

3.      4. Do you currently participate in any support groups for people 
      infected or affected by HIV/AIDS or HCV?
                  
                     Yes       No

1.      5. What information are you specifically seeking? 

       Support groups

  medications      

complimentary/alternative practices

   policy

activism

2.      6. Can you think of any additional ‘online’ services that are needed
      for persons affected by HIV/AIDS or HCV?

                           

3.      7. How old are you?     Years Old?

4.      8. Are you?        Male        Female       Trans gendered

5.      9. How do you identify yourself?  (Check all that apply) 

                             Black/African American            
                             Hispanic            
                             White        
                             Asian  
                             Native American

6.      10. Would you be willing to be contacted to ask you additional questions
        to help improve our services?

                             Yes
                              No

7.      11. Would you recommend this website to a friend?

                             Yes
                             No

                        

                             

                    www.hivanon.org
                   info@hivanon.org