EHE Community Impact of COVID-19

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We want to know how COVID is impacting people living with HIV in Louisiana. Please let us know if you have been affected and if there are resources we can help connect you to!

What city/town do you live in?

What city/town do you usually access services in? (if different from above)

Are you currently receiving case management services?

Yes

Clear selection

Have you or someone in your household experienced symptoms of COVID-19 or tested positive?

Yes

Not sure

Clear selection

Do you receive services from any of the following clinics/agencies?

CrescentCare

Priority Health Care

Brotherhood Incorporated

HOP Clinic

Tulane

Acadiana Cares

Philadelphia Center

SLAC/Comprehensive Care Center

CLASS

Go-Care

CareSouth

Open Health Care Clinic/HAART

Family Service of Greater BR

Volunteers of America

Metro

AHEC

Our Lady Of the Lake Early Intervention Clinic

Other:

Are you facing increased need or difficulty in accessing any of the following services?

Primary Health Care

HIV Treatment and/or Case Management Services

Mental Health Services

Medication access/pharmacy services

Food pantry/food access/SNAP Benefits

Substance use services or treatment

Housing services

Transportation

Unemployment

Internet/phone access

Distance learning tools

Other:

Have you lost income due to COVID-19? (including income from gig/informal work)

Yes

Clear selection

Are you interested in receiving information on additional resources available to you during this time?

Yes

Clear selection

Have you witnessed any mistreatment or criminalization of people because of COVID-19/Coronavirus?

Yes

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We know many people are feeling extra isolated right now as we try to stay home and practice social distancing, and many of our usual outlets to meet face-to-face have been canceled. We are planning to offer some virtual spaces for our community to "get together" to talk about what we are experiencing, share resources, and stay connected! Would you be interested in receiving updates on virtual community conversations?

Yes

Clear selection

Are there any other resources or services that would be helpful to you or your community at this time?

If you are interested in any of the above resources, please provide your contact information:

Name:

Email address:

Phone number:

Preferred method of contact:

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