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User Feedback Form
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Accessibility
1. How did you find the CHLP Resource Bank?
Search engine (such as Google)
Another Site
Colleague or Friend
Press or Media Coverage
Email Alert from CHLP
Email Alert from Another Organization
Other
2. If "Other," please explain
3. The Resource Bank is easy to use.
Agree
Partly Agree - Could Be Easier
Disagree
4. What aspects of the web and Resource Bank set-up do you like? Dislike?
5. Other comments
Content
6. What topic(s) were you looking for materials about?
(check all that apply)
Advance Directive & Wills
Bankruptcy/financial issues/tax issues
Blood , Semen & Organ Donation
Client Forms
Confidentiality
Criminal Law
Education/Schools
Employment
Family Law issues
Fleeing Felon Materials
Foster care facilities and policies
Gender Issues and HIV
Health care and Insurance Issues (including Medicare/Medicaid)
HIV as a Disability Under Antidiscrimination Law
HIV Denialism
Homophobia and HIV
Housing, Landlord/tenant
Human Rights
Immigration
International
Juvenile detention
Legal Services - Finding a Lawyer
Mental health facilities
Pregnancy and Newborns
Prevention and Sexual Health
Prisons and Jails
Public Accommodations
Public Benefits Access
Race and HIV
Reproductive Health & Rights
Testing (voluntary/involuntary, names reporting, etc.)
Transmission
Treatment
Women
Youth
Information about my personal situation or issue
Other
7. If "Other," please explain
8. What did you need the materials for?
Legal case
Applying for/appealing benefits
Informal Client Assistance
Legislation
Research
Information about my personal situation or issue
Other
9. If "Other," please explain
10. To what extent did you find what you needed?
Great extent
Moderate extent
Not at all
11. What type of documents would have been useful?
12. What other resources would be useful to you?
13. How could the Resource Bank be improved?
14. Do you think that you will use the Resource Bank again?
Users
15. How would you describe your relationship to HIV policy and law?
Attorney
Policy advocate
Activist
HIV/AIDS health care provider
HIV/AIDS services, prevention or housing organization
Student
Client
Person Living with HIV or AIDS
Other
16. If "Other," please explain
Demographic Information (
optional
; this information is for reporting to funders. Please use the terminology you prefer.)
17. Gender
18. Race/Ethnicity
19. HIV+?
20. Geographic region or state
21. Would you like to recommend or submit materials for consideration for the Resource Bank?
No
Yes
22. If there are specific documents you think we should post, please provide the citation(s) or other information here
23. Name (optional)
24. Organization (optional)
25. City, State (optional) and Zip/Postal Code
If you would like to be a regular contributor of recommendations and materials for the Resource Bank, please send an email to:
info@hivlawandpolicy.org