Thank you for taking a few minutes out of your day to provide us with your feedback on Project Inform’s Hepatitis C & HIV Co-infection booklets. Not only does it help us improve them over time, this data help us to provide valuable information to our funders. Questions with an asterick (*) are required.

Email address (to help us avoid future duplication)  
Zip code *  
1. Did you receive your order of the co-infection booklets? *  
2. These booklets are useful for my program. *  
3. The format of the booklets is useful. *  
4. The readability of the booklets is useful. *  
5. I use the booklets for patient/client education. *  
6. I use the booklets for partner/family education. *  
7. I use the booklets for case management services. *  
8. I use the booklets for support groups. *  
9. I use these booklets for staff training. *  
10. I use these booklets for other purposes. *  
11. What is the number of unduplicated people living with co-infection your agency serves each year? *  
12. Have the booklets been given to people who inject drugs? *  
13. Have the booklets been given to people of color? *  
14. Have the booklets been given to women? *  
15. Have the booklets been given to MSM? *  
16. Have the booklets been given to youth? *  
17. Have your clients/patients commented on the booklets? *  
18. How useful were they to them? *  
19. Do you know if they've helped them understand care and treatment issues? *  
20. Do you know if they've helped them get linked into and/or stay in care? *  
21. Will you re-order more sets of booklets in the future? *  
22. How would you/your clients suggest we improve these booklets?  
   

Thank you again for filling out this survey!