Questionaire

We want to better understand experiences of HIV stigma and discrimination in Bristol.  HIV discrimination means being treated differently because of your HIV+ status.  You may also be blamed for your status or deemed as lesser because it.  

Stigma and discrimination are often the result of misunderstanding rather than malice and as such there are things that Brigstowe, working with other organisations, can do to increase knowledge and improve practice.

All information shared via this questionnaire will be kept secure and confidential within Brigstowe. We will use this information to inform our education, training and awareness raising initiatives and campaigns.  Any information which we use outside of Brigstowe will be anonymised.

We hope you can help us by answering this short questionnaire.

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* 1. Age

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* 2. Race/Ethnicity.

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* 3. Gender

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* 4. Sexuality

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* 5. Religion

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* 6. Have you experienced discrimination, stigma or adverse behaviour in relation to your HIV status?
We are interested in direct experiences (for example, if a housing association has disclosed HIV status) and indirect experiences (for example, if you have overheard someone talking about people living with HIV in a negative way).

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* 7. If yes, where have you have experienced discrimination, stigma, unnecessary disclosure of HIV status or any other negative behaviour due to HIV status. Please tick ALL relevant places:

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* 8. We are interested to hear about any impact on you.

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* 9. It may be useful to be able to contact you in the future. Please let us know if you are happy to be contacted about the options listed below. If you don't want to be contacted, please answer 'No' for all.

  Yes No
Are you happy for us to contact you about anything you share in this questionnaire? - If yes, please ensure that you have left your contact details.
Would you like any help or support around these experiences? - If yes, please ensure that you have left your contact details.
Would you like to be added to Brigstowe’s mailing list to receive news and HIV info? - If yes, please ensure you have left your contact details.

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* 10. You can answer this questionnaire confidentially. However, if you are happy to share your name and contact details this may be helpful – we will keep them confidential and secure and only use in ways you have consented to on this questionnaire.

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