How Did You Hear About AHF?
Have you seen, been to, or interacted with any AHF marketing or events before?
Please click any AHF marketing, events, or interactions you remember, in order from first to last.
*
Which Events?
*
What did you search for?
*
Who referred you? (friend, doctor, etc.)
*
Other: Please describe
*
Which social media sites?
*
Facebook
Instagram:
WhatsApp
TikTok
Telegram
Snapchat
LinkedIn
TwitterX
Out of all of these interactions, what made you decide to use AHF vs another provider?
*
Back
Next
About You
Gender
*
Cisgender Man
Cisgender Woman
Gender Non-conforming
Non-binary
Transgender Man
Transgender Woman
Two Spirit
Prefer not to say
Other
Age
*
0 - 17
18 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 - 74
75 or more
What state is your AHF site in?
*
Please Select
California
Florida
Georgia
Illinois
Louisiana
Maryland
Michigan
Mississippi
Nevada
New York
Ohio
Pennsylvania
Puerto Rico
South Carolina
Tennessee
Texas
Virginia
Washington
Washington DC
CA: What city is your AHF site in?
*
Please Select
Altadena
Berkeley
Beverly Hills
East Los Angeles
El Monte
Hollywood
Lakeside
Lancaster
Long Beach
Los Angeles
Oakland
Rancho Cucamonga
Redondo Beach
Riverside
San Diego
San Francisco
San Rafael
Sherman Oaks
Vista
West Hollywood
Whittier
FL: What city is your AHF site in?
*
Please Select
Delray Beach
Fort Lauderdale
Fort Myers
Hollywood
Homestead
Jacksonville
Miami
Miami Beach
North Miami Beach
Orlando
Pensacola
Safety Harbor
St. Petersburg
West Palm Beach
Wilton Manors
GA: What city is your AHF site in?
*
Please Select
Atlanta
Lithonia
Newnan
IL: What city is your AHF site in?
*
Please Select
Chicago
LA: What city is your AHF site in?
*
Please Select
Baton Rouge
New Orleans
MD: What city is your AHF site in?
*
Please Select
Baltimore
Temple Hills
MI: What city is your AHF site in?
*
Please Select
Detroit
MS: What city is your AHF site in?
*
Please Select
Biloxi
Jackson
NV: What city is your AHF site in?
*
Please Select
Las Vegas
North Las Vegas
NY: What city is your AHF site in?
*
Please Select
Bronx
Brooklyn
East Patchogue
Farmingdale
Jamaica
New York City
Queens
OH: What city is your AHF site in?
*
Please Select
Cleveland
Columbus
PA: What city is your AHF site in?
*
Please Select
Philadelphia
PR: What city is your AHF site in?
*
Please Select
Carolina
SC: What city is your AHF site in?
*
Please Select
Columbia
TN: What city is your AHF site in?
*
Please Select
Memphis
TX: What city is your AHF site in?
*
Please Select
Austin
Dallas/Ft Worth
Houston
Katy
VA: What city is your AHF site in?
*
Please Select
Falls Church
WA: What city is your AHF site in?
*
Please Select
Seattle
Tacoma
Washington DC: What city is your AHF site in?
*
Please Select
Washington DC
Which of Our Service Lines do/have you used?
*
Wellness/Testing
Healthcare Center
Out of the Closet
Pharmacy
Marital Status
*
Single
Domestic Partner
Married
Divorced
Widowed
Prefer not to say
Other
Ethnicity
*
White
Asian
Black or African American
Middle Eastern or North African
Hispanic or Latino
Indigenous American
Native Hawaiian or Pacific Islander
Other
Sexual Orientation
*
Asexual
Bisexual/Pansexual
Gay/Lesbian
Heterosexual
Queer
Unsure
Other
Please order the following based on your communication preference
*
Submit Survey
Should be Empty: