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Client's Voice

Tell us a little about yourself to help us in using your comments for planning purposes:

Age

Sex

Race

Zip Code

E-mail

Please tell us about any services that you need which are not available to you (Please be aware that laws prevent us from giving any funds directly to clients):

Please tell us about any barriers that you encounter in trying to access existing services and suggested ways we might remove or overcome those barriers:

Please tell us anything else that might help us serve you:

Thank you for your comments!!

You may print out this form and mail it to:
The Resource Group
500 Lovett Blvd., Suite 100
Houston, Texas 77006

Or you may e-mail it to us by clicking on submit.  If you would like a reply, please give us your e-mail address. Any identifying information about you, including your e-mail address, will be treated with the strictest adherence to Confidentiality laws of the state of Texas.

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HOUSTON REGIONAL HIV/AIDS RESOURCE GROUP, INC.
500 Lovett Blvd., Suite 100, Houston, Texas 77006
713 526-1016, FAX: 713 526-2369