Speak up and be heard! We would appreciate your opinions and comments on The Hook-Up.
Ethnicity: Age: Religion: NYC Burrough Overall, is The Hook-Up useful?
Health Info Not at all Neutral Very Useful
Health Centers Not at all Neutral Very Useful
Teen Task Force Info Not at all Neutral Very Useful
Is there any information that you think should be added to The Hook-Up? Please select or fill in the issues that you would like us to include in the next edition Drugs Peer Pressure Sexual Assault Other: Is there any information that you think should not have been included in The Hook-Up? Please select the topic. STDs/HIV Getting Tested Guys Girls Confidentiality Becoming a Patient Glossary
Would you like to apply for a position on the Teen Task Force of The Hook-Up: Version 2.0 for summer 2006? Yes No Please provide your contact information. We will only contact you for Teen Task Force-related business: Name: Email (optional) : Phone:
Would you recommend The Hook-Up to others? Yes May be No Other Comments or Questions?
