Broward House is introducing new groups and activities. Please tell us what you are interested in.
Would you be interested in participating in groups or activities at Broward House?
Yes
No
Which groups or activities are you interested in? (check all that apply)
For people of your same gender only
For all genders
For people who are living with HIV only
For people with your same sexual orientation only
For people of your same race or ethnicity only
Open to everyone
Other:
What types of groups or activities would you like to see? (check all that apply)
Social activities
Educational groups
Health and wellness groups
Support groups
Other:
How do you identify your gender?
Female
Male
Transgender Male to Female
Transgender Female to Male
Other:
What race and/or ethnicity do you identify with? (Please check all that apply)
American Indian or Alaska Native
Asian, Native Hawaiian, or other Pacific Islander
Black
White
Hispanic
Haitian
Caribbean
Other:
Please identify your sexual orientation.
Bisexual
Heterosexual
Homosexual, gay, or lesbian
Other:
What year were you born?
If living with HIV, what year were you diagnosed?
Please provide your email address if you would like to be added to our email list. By providing your email address, you consent to receiving communications from Broward House.
Email
Please provide your phone number if you would like to receive text message updates from Broward House. By providing your phone number, you consent to receiving communications from Broward House.
Phone Number