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* 1. I have received services at AOC for....

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* 2. Are you satisfied with the quality of service that you receive from AOC?

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* 3. Please indicate the services you have utilized in the past 12 months (check all apply).

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* 4. I feel that staff are respectful of my culture (race, age, sexual orientation, gender identity, etc.)

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* 5. I feel that my phone calls are returned in timely manner?

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* 6. I feel that the staff at the AOC respect my confidentiality.

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* 7. I feel that the AOC is a safe and welcoming environment.

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* 8. I feel that the AOC has helped me improve my problems, feelings, and/or situations that brought me here.

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* 9. What do you feel is your biggest obstacle to obtaining HIV related services?

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* 10. How do you receive your information about AOC?

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