Total Health Care Ryan White WHAM Survey

WHAM is a peer-led support group for individuals navigating health challenges such as HIV, mental health issues, and substance use disorders. Our program offers a supportive community and a safe space to explore positive health changes. Over 13 interactive sessions, you’ll connect with professionals like our registered nurses, nutritionists, and mental health specialists, who will help you uncover your strengths and work toward whole health and self-care goals. Take the first step toward a healthier, more empowered you—join us today!
Please note: Weekly session schedules are subject to change.
1.First Name
2.Last Name
3.Telephone
4.Address
5.Birthdate
6.Age- Range
7.HIV Status
8.Are you a Total Health Care Client?
9.Will you need transportation? (Note: WHAM offers Lyft services for transportation to and from the group site.)
10.Food Allergies/ Restrictions (Check all that apply)
11.Are you interested in serving as a CAB (Consumer Advisory Board) member?
12.Please note that at Total Health Care, we offer various support groups at our other locations. If any of the options below interest you, a community health peer specialist can provide you with more details about the one you select.
13.As we adjust our efforts, we would like you to complete a survey indicating your preferred location, day, and time for participating in our group.
14.Select all preferred location sites that apply:
Current Progress,
0 of 14 answered