RISE Post-Meetup Survey

Name *

First

Last

Today's date *

Please complete each of the statements below. Circle ONE number that best reflects how you feel right now.

I feel alone in the world

I wish I could have more respect for myself

I am comfortable with my sexual orientation/identity

My health is very important to me

I am likely to seek social support from my peers

I feel good about myself

I am likely to access health services (HIV testing/care, medical, dental, drug treatment)

I am likely to access other services (educational, support group, housing, employment)

I feel good about my attraction to men

I feel like I am a part of a group or community

If I could change my sexual orientation, I would

I feel comfortable sharing my feelings with others

I understand how homophobia affects the way I feel about myself

I understand how oppression affects my decisions about my health

I intend to use protection to prevent transmission of HIV

I intend to seek other health services and/or screenings in the next 4 weeks

Overall Retreat || Circle ONE number that best reflects how you feel right now.

Overall, how satisfied are you with the retreat?

After having participated in the RISE retreat program do you have a greater understanding of homophobia and oppression?

After having participated in the RISE retreat program do you have a greater intention to seek health related services or screenings in the future?

Questions? Thoughts? Comments?

Let us know how we can improve or what you loved!