Interest in the MB Community Event-Based STBBI Testing Toolkit

The Manitoba HIV-STBBI Collective Impact Network wants to track those who are using the Manitoba Community Event-Based STBBI Testing Toolkit in 2022.

With this survey we are tracking those who are interested in participating in the pilot study, those who are planning an event for 2022 but may not want to be part of the study and those who are planning to use it in another province and want to modify it.

By you providing your information here, we will get in touch with you soon to hear more about your plans, let you know more about our pilot and bring you together into our community of the toolkit users if you wish.

Looking forward to connecting!

Laurie Ringaert

Project Manager

Question Title

* 1. Please Provide Your contact information

Name

Organization

Address

Address 2

City/Town

Province/Territory

Postal Code

Country

Email Address

Phone Number

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* 2. Are you interested in being part of the pilot project in 2022?

Yes

Maybe

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* 3. Are you interested in modifying the Toolkit to suit your jurisdiction (Province/Territory/etc.)

Yes

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* 4. When in 2022 are you planning to host your event?

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* 5. What type of event are you planning?

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* 6. Which population group (s) are you targeting for the event? (Check all that apply)

General

Indigenous peoples (First Nations, Inuit, and Métis peoples)

Gay, bisexual, two-spirit, and other MSM (men who have sex with men)

People who use substances, including injection drugs

People who are or have been in prison

Youth at risk

Women at risk

People from African, Caribbean, Black, (ACB), and other countries where HIV is endemic, including newcomers

People who are living with HIV/AIDS

Don't Know yet

Other (please specify)

Interest in the MB Community Event-Based STBBI Testing Toolkit

Question Title

* 1. Please Provide Your contact information

Question Title

* 2. Are you interested in being part of the pilot project in 2022?

Question Title

* 3. Are you interested in modifying the Toolkit to suit your jurisdiction (Province/Territory/etc.)

Question Title

* 4. When in 2022 are you planning to host your event?

Question Title

* 5. What type of event are you planning?

Question Title

* 6. Which population group (s) are you targeting for the event? (Check all that apply)

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* 7. Do you have any questions for us?