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ADD YOUR NLAAD 2023 EVENT - REQUEST NLAAD POSTERS - REQUEST HIV TESTING KITS

REGISTER YOUR NLAAD EVENT

HELLO AND THANK YOU FOR PARTICIPATING OF NLAAD 2023 - 20 YEARS
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
1.IN RECENT YEARS HAVE YOU PARTICIPATED OF NLAAD WITH AN EVENT ORGANIZED BY YOUR ORGANIZATION? PLEASE CHECK ALL THAT APPLY(Required.)
2.YOUR 2023 EVENT TITLE / NAME OF YOUR EVENT(Required.)
3.HOST ORGANIZATION(S): PLEASE INCLUDE YOUR ORGANIZATION AND ANY PARTNER ORGANIZATION THAT YOU MIGHT BE COLLABORATING WITH(Required.)
4.CONTACT PERSON (THE PERSON WHO IS THE MAIN CONTACT FOR THE EVENT)(Required.)
5.WHAT TYPE OF EVENT ARE YOU ORGANIZING? PLEASE CHECK ALL THAT APPLY(Required.)
6.EVENT DESCRIPTION: PROVIDE A SHORT DESCRIPTION OF WHAT THE EVENT CONSIST OF. LENGHT OF THE PLANNED EVENT, ACTIVITIES THAT ARE PART OF IT, ETC(Required.)
7.EVENT DATE AND TIME (WHEN THE EVENT WILL HAPPEN) USE ONE FORM FOR EACH EVENT IF THERE ARE SEVERAL DAYS(Required.)
Date / Time
Time
:
8.EVENT LOCATION (WHERE THE EVENT WILL HAPPEN)(Required.)
9.PLEASE ADD YOUR EVENT FLYER (IF YOU HAVE ONE)
No file chosen
10.WILL THERE BE HIV TESTING AT YOUR EVENT? (are you planning of providing testing for HIV at your event?)(Required.)
11.WHAT IS THE TARGET NUMBER OF TESTING FOR THIS EVENT?  (how many people you are expecting to test at your event?)(Required.)
12.ARE YOU REFERING PEOPLE TO PREVENTIVE SERVICES?(Required.)
13.ARE YOU DISTRIBUTING CONDOMS IN YOUR EVENT?(Required.)
14.ARE YOU REFERING PEOPLE FOR TREATMENT IN YOUR EVENT? (Required.)
15.DO YOU KNOW ABOUT U=U?(Required.)
16.WOULD YOU LIKE TO RECEIVE NLAAD 2023 POSTERS, IF YOU DO, PLEASE FILL THE SECOND PAGE OF THIS SURVEY
17.DO YOU REQUIRE HIV TEST DONATION KITS FOR YOUR EVENT?
IF YES CONTINUE TO THE THIRD PAGE OF THIS SURVEY.(Required.)
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