HIV Vision for London Community Advisory group EOI

Expression of Interest

Please fill out a few details to submit your expression of interest in being part of the community advisory group for this piece of work.

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* 1. Name

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* 2. Organisation (if applicable)

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* 3. Email address

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* 4. Why would you like to be part of the advisory group? (50 words)

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* 5. In order to ensure a diverse representation of the HIV community on this group we kindly ask you to complete some demographic information as well:

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* 6. How do you identify your gender?

Woman (including transwoman)

Man (including transman)

Non-binary

In another way

Prefer not to say

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* 7. Is this the same gender you were assigned at birth?

Yes

Prefer not to say

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* 8. How old are you?

18-24

35-44

55-64

65+

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* 9. How would you describe your ethnicity?

White British/Irish/other

Mixed / Multiple ethnic groups

Black / African / Caribbean / Black British

Asian / Asian British

Other ethnic groups

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* 10. Which of the following best describes how you think of yourself?

Straight/Heterosexual

Gay or Lesbian/Homosexual

Bisexual

Asexual

Other

Prefer not to say

HIV Vision for London Community Advisory group EOI

Expression of Interest

Question Title

* 1. Name

Question Title

* 2. Organisation (if applicable)

Question Title

* 3. Email address

Question Title

* 4. Why would you like to be part of the advisory group? ﻿(50 words)

Question Title

* 5. In order to ensure a diverse representation of the HIV community on this group we kindly ask you to complete some demographic information as well:

Question Title

* 6. How do you identify your gender?

Question Title

* 7. Is this the same gender you were assigned at birth?

Question Title

* 8. How old are you?

Question Title

* 9. How would you describe your ethnicity?

Question Title

* 10. Which of the following best describes how you think of yourself?

* 4. Why would you like to be part of the advisory group? (50 words)