Feedback Form
SHAPE Project
Personalized Feedback I
During the survey and
interview you completed before attending the groups, you answered several questions regarding your experiences
and your feelings. Below is a list of
things that were stated as most stressful.
Going on disability Major loss of income Telling family member
Death of friend Telling a friend Telling a partner
Starting a relationship Ending a relationship Discrimination
Unsafe sex
Accessing treatment Waiting for test results
Starting new treatment Being hospitalized Increase in CD4
Increase in viral load Decrease in CD4
Decrease in viral load
Changing my doctor
About disclosing your status... Below is a summary of
your responses to some of the survey and
interview questions.
nYou
said you have disclosed your status to ___family members and __ friends.
You said that you have told __ people your status in
the past 3-months, and that of those
experiences ___ were supportive when you told.
You said that there are __people in your life that
you have not told your status to, but
would like to.