Safe Sex Survey

Last updated: March 2, 2018

Thank you for your interest in the Safe Sex Kit. In order to help the Department of Health serve our community’s needs better, please take the CONFIDENTIAL and ANONYMOUS survey below. The information and data collected in this survey will NOT be linked to the name, address and other contact information collected on the Safe Sex Kit request form. The information collected on this survey will be used for anonymous data purposes only.



The Safe Sex Kit Includes:

  • Information on HIV/STI facts and HIV testing sites
  • Condom Pal Case, which holds two condoms (great for purses and pockets)
  • A variety of condoms, e.g., male condoms, female condoms and dental dam

Safe Sex Survey

Submit this Survey and Proceed to the Safe Sex Kit Order Form

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