How can we support you?

1. Please provide the full business name and address of your service including postcode. We want to ensure the address details we hold for you are current.

2. Are you still an active Free Condoms Venue? You may have been signed up in the past but have ceased operating.

Yes
No

If no, please provide reasons.

3. Are people still accessing your service?

Yes
No

If no, please provide reasons.

4. Please provide the contact name and job title of the person responsible for ordering the Free Condoms within your Service. This person will be the main point of contact for Free Condoms

5. Please provide an email address for your service. This should be a business not personal email address

6. Please provide the phone number for your service. This can be a landline or mobile number.

7. Do you require additional materials to help market Free Condoms In your venue? Please tick as required.

Choice Cards
Posters
Product Key
Pop Up Banner
Not applicable

8. Have you seen our updated website www.freecondomsglasgowandclyde.org? Please visit the Information for Venues section of our website.

Yes
No
Not applicable

9. Are you aware you can now place an order for condoms online via our website?

Yes
No
Not applicable

10. For up to date sexual health information you can follow us on Twitter @SandyfordNHSGGC. If your organisation has a Twitter account, please provide details.

11. Please confirm your opening hours, Monday to Sunday. Please provide times for Monday-Sunday.

12. Would your organization benefit from Free Condoms training?

Yes
Not required
Not applicable

13. We want to ensure we are providing the best possible service for our Free Condoms venues. Do you have any feedback to support us in making the necessary improvements.

14. Do you require additional supplies of condoms and lubricant. If so, please state the products and quantities in the box below.

15. Do you have a Newsletter or Publication where Free Condoms could advertise?

Yes
No
Not applicable

If yes, please provide details.