Cuyahoga County - Listening Session Question Title * 1. Name Question Title * 2. Please describe your race/ethnicity. Question Title * 3. Age Under 18 18-24 25-34 35-44 45-54 55-64 65+ Question Title * 4. Email Address Question Title * 5. Phone Number Question Title * 6. Zip Code Question Title * 7. Please list your gender Female Male Gender non-conforming Non-binary Woman of trans experience Man of trans experience Rather not answer Gender Queer Question Title * 8. Please list your pronouns He/Him/His She/Her/Hers They/Them/Their Z/Zir Anything with respect Question Title * 9. Do you identify as any of the following? **Disclaimer: This question is for data collection only and will remain confidential.** Person living with HIV Person on PrEP Person who injects drugs Person experiencing homelessness N/A Question Title * 10. You have been invited to participate in a listening session sponsored by NMAC (National Minority AIDS Council) The purpose of this listening session is to collect quantitative and qualitative data on the experiences of PLHIV on Ryan White Planning Bodies. The information learned in this focus group will be utilized in the future to develop trainings to increase meaningful involvement of PLHIV. As part of this study, you will be placed in a group of 6 – 12 individuals. A moderator will ask you several questions while facilitating the discussion. As approved through NMAC’s Training Center to end the Epidemic, this focus group will be audio/video-recorded and a note-taker will be present. However, your responses will remain confidential, and no names will be included in the final report. You can choose whether or not to participate in the listening session, and you may stop at any time during the course of the study. Please note that there are no right or wrong answers to questions. NMAC want(s) to hear the many varying viewpoints and would like for everyone to contribute their thoughts. Out of respect, please refrain from interrupting others. However, feel free to be honest even when your responses counter those of other group members. Benefits and Risks Your participation may benefit you and other individuals in your community by identifying current challenges to recruitment, on-boarding, involvement, and engagement. However, no risks are anticipated beyond those experienced during an average conversation. Confidentiality Should you choose to participate, you will be asked to respect the privacy of other listening session participants by not disclosing any content discussed during the study. Researchers within NMAC will analyze the data, but—as stated above—your responses will remain confidential, and no names will be included in any reports. Contact If you have any questions or concerns regarding this study, please contact: Terrell Parker Associate Program Manager –NMAC’s Training Center to End the Epidemic tparker@nmac.org or at 202-997-5598 Yes ( I consent to participate) No (I do not wish to participate) Done