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Please complete and return by fax. Thank you for your interest in the Population-Specifi c HIV/AIDS Status Report - People from Countries where HIV is Endemic – Black people of African and Caribbean descent living in Canada. We would like to take this opportunity to invite your feedback on this report and to join an e-mail list for future updates.
You can contribute to this initiative by:
The information you provide will be managed and stored securely by the HIV/AIDS Policy, Coordination and Programs Division, Public Health Agency of Canada (PHAC). Please remember to notify us of any change to your e-mail address. The most current version, as well as any updates, of the Population-Specifi c HIV/ AIDS Status Report - People from Countries where HIV is Endemic – Black people of African and Caribbean descent living in Canada, can be accessed on the PHAC website at: http://www.phac-aspc.gc.ca/aids-sida/publication/ps-pd/africacaribbe/index-eng.php.
We thank you for taking the time to respond.
HIV/AIDS Policy, Coordination and Programs Division
Centre for Communicable Diseases and Infection Control
Infectious Disease and Emergency Preparedness Branch
Public Health Agency of Canada
1. Name:
2. E-mail:
3. Organization affi liation:
4. Please indicate the category that best describes your current area of work:
5. Please identify the specifi c groups/populations that are the focus of your current work
(check off all that apply):
6. Please indicate your overall impression of the Status Report:
Comments:
7. How would you rate the usefulness of the Status Report in relation to your work?
Comments:
8. Please provide suggestions and ideas on how the Status Report could be improved in the future (focus, content, lay-out, etc.):