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Our Story
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FAQ
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Make an Appointment
Enroll in PrEP Concierge
How Are You Doing?
"
*
" indicates required fields
How would you rate your level of overall health and well-being?
*
1 = My health and well-being are poor
10 = My health and well-being are great.
1
2
3
4
5
6
7
8
9
10
Have you been taking PrEP as directed by your provider?
*
Yes
Most of the time
Sometimes
No
Please let us know why
*
Check all that apply
I can't afford the prescription
I don't like the side effects
I forget
I ran out
Other
You chose "Other", please specify
*
Have you experienced any of the following challenges when it comes to completing HIV testing?
*
Check all that apply
No Issues
Transportation issues
Challenges with at-home testing
Fears / emotional challenges with getting tested
It’s hard to get time off work
It’s hard to find an appointment time that works for my schedule
I forget
Other
You chose "Other", please specify
*
Have any of the following interfered with your ability to manage PrEP treatment?
*
Check all that apply
Access to healthcare resources (Appointments, HIV testing, PrEP medications, etc.)
Family challenges
Housing
Insurance/Financial
Mental health/emotional challenges (irritability/anger, fears, nervousness, sadness, anxiety, worry)
Partner / relationship challenges
Substance Abuse
Transportation
Work/School
Have you been sexually active in the past 3 months?
*
Yes
No
Have you had multiple partners?
*
Yes
No
Have you been using protection?
*
Yes
No
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