ADD YOUR NLAAD 2024 EVENT -REQUEST HIV TESTING KITS

REGISTER YOUR NLAAD EVENT

HELLO AND THANK YOU FOR PARTICIPATING OF NLAAD 2024

Please provide us with your event information. If you are in need of support obtaining HIV tests please also complete the request form on the 2nd page of this survey

We are asking the organizer of events to please send us pictures of your events and if you can a

little report of the activities and how many people you reached with the event. THANKS!

Question Title

* 1. YOUR 2024 EVENT TITLE / NAME OF YOUR EVENT

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* 2. HOST ORGANIZATION(S): PLEASE INCLUDE YOUR ORGANIZATION AND ANY PARTNER ORGANIZATION THAT YOU MIGHT BE COLLABORATING WITH

Your organization:

Partner Organization 1:

Partner Organization 2:

Partner Organization 3:

Question Title

* 3. CONTACT PERSON (THE PERSON WHO IS THE MAIN CONTACT FOR THE EVENT)

Name and title

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 4. WHAT TYPE OF EVENT ARE YOU ORGANIZING? PLEASE CHECK ALL THAT APPLY

INFORMATIONAL TABLE OR BOOTH

TESTING DAY / TESTING CAMPAIGN / TESTING FESTIVAL / TESTING EVENT

FOOD FESTIVAL

MUSICAL FESTIVAL

SPORT EVENT

BEAUTY PAGEANT / DRAG QUEEN SHOW / FASHION SHOW / DANCE

RELIGIOUS SERVICE OR EVENT

WEBINAR / WORKSHOP / EDUCATIONAL EVENT

OTHER

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* 5. EVENT DESCRIPTION: PROVIDE A SHORT DESCRIPTION OF WHAT THE EVENT CONSIST OF. LENGHT OF THE PLANNED EVENT, ACTIVITIES THAT ARE PART OF IT, ETC

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* 6. EVENT DATE AND TIME (WHEN THE EVENT WILL HAPPEN) USE ONE FORM FOR EACH EVENT IF THERE ARE SEVERAL DAYS

Date / Time

Date

Time

AM/PM

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* 7. EVENT LOCATION (WHERE THE EVENT WILL HAPPEN)

Name of location or venue where the event will happen

Company (if the location belongs to a business, restaurant, theatre, parking lot, etc.

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

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* 8. PLEASE ADD YOUR EVENT FLYER (IF YOU HAVE ONE)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 9. WILL THERE BE HIV TESTING AT YOUR EVENT? (are you planning of providing testing for HIV at your event?)

Yes

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* 10. WHAT IS THE TARGET NUMBER OF TESTING FOR THIS EVENT? (how many people you are expecting to test at your event?)

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* 11. ARE YOU REFERING PEOPLE TO PREVENTIVE SERVICES?

Yes

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* 12. ARE YOU DISTRIBUTING CONDOMS IN YOUR EVENT?

Yes

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* 13. ARE YOU REFERING PEOPLE FOR TREATMENT IN YOUR EVENT?

Yes

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* 14. DO YOU KNOW ABOUT U=U?

Yes

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* 15. DO YOU REQUIRE HIV TEST DONATION KITS FOR YOUR EVENT?
IF YES CONTINUE TO THE THIRD PAGE OF THIS SURVEY.

Yes

ADD YOUR NLAAD 2024 EVENT -REQUEST HIV TESTING KITS

REGISTER YOUR NLAAD EVENT

Question Title

* 1. YOUR 2024 EVENT TITLE / NAME OF YOUR EVENT

Question Title

* 2. HOST ORGANIZATION(S): PLEASE INCLUDE YOUR ORGANIZATION AND ANY PARTNER ORGANIZATION THAT YOU MIGHT BE COLLABORATING WITH

Question Title

* 3. CONTACT PERSON (THE PERSON WHO IS THE MAIN CONTACT FOR THE EVENT)

Question Title

* 4. WHAT TYPE OF EVENT ARE YOU ORGANIZING? PLEASE CHECK ALL THAT APPLY

Question Title

* 5. EVENT DESCRIPTION: PROVIDE A SHORT DESCRIPTION OF WHAT THE EVENT CONSIST OF. LENGHT OF THE PLANNED EVENT, ACTIVITIES THAT ARE PART OF IT, ETC

Question Title

* 6. EVENT DATE AND TIME (WHEN THE EVENT WILL HAPPEN) USE ONE FORM FOR EACH EVENT IF THERE ARE SEVERAL DAYS

Question Title

* 7. EVENT LOCATION (WHERE THE EVENT WILL HAPPEN)

Question Title

* 8. PLEASE ADD YOUR EVENT FLYER (IF YOU HAVE ONE)

Question Title

* 9. WILL THERE BE HIV TESTING AT YOUR EVENT? (are you planning of providing testing for HIV at your event?)

Question Title

* 10. WHAT IS THE TARGET NUMBER OF TESTING FOR THIS EVENT? (how many people you are expecting to test at your event?)

Question Title

* 11. ARE YOU REFERING PEOPLE TO PREVENTIVE SERVICES?

Question Title

* 12. ARE YOU DISTRIBUTING CONDOMS IN YOUR EVENT?

Question Title

* 13. ARE YOU REFERING PEOPLE FOR TREATMENT IN YOUR EVENT?

Question Title

* 14. DO YOU KNOW ABOUT U=U?

Question Title

* 15. DO YOU REQUIRE HIV TEST DONATION KITS FOR YOUR EVENT?IF YES CONTINUE TO THE THIRD PAGE OF THIS SURVEY.

* 15. DO YOU REQUIRE HIV TEST DONATION KITS FOR YOUR EVENT?
IF YES CONTINUE TO THE THIRD PAGE OF THIS SURVEY.