HIV Stigma or Discrimination Incident Form

Please tick the appropriate box to let us know who you are in relation to the incident.

You can write about any NHSGGC services in the past 3 years. You may want to tell us about; What took place? Who was involved? How did you feel? What could have been better?
(Where the incident took place)
(Where the incident took place)
It is ok if you don't remember exactly, an estimate is fine.
Please tick one

Please tick one.