Itemized list of new Monkeypox questions (October 2022)

Form	Current Question/Item	Requested Change	Justification/brief explanation for the change requested
CBO survey		Adding a question: Have any of your clients had suspected or confirmed monkeypox infection since May 1, 2022?	To better understand the CBOs’ experiences related to monkeypox outbreak. This information will help CDC identify areas for capacity building of CBOs as well as to develop education materials on how CBOs can scale-up their services during an outbreak. These added questions do not impact or change the project's methodology and purpose, and are within the scope of the original approval because CBOs are critical to deliver the HIV and monkeypox services due to their reach to key populations.
CBO survey		Adding a question: What types of monkeypox education or communication do you provide your clients? (check all that apply) o Website o Community education/outreach o Social media o Billboards o Public transport placards o Public service announcements o Health portal/app o Waiting room video o Posters o Printed handouts o Other____________________________ o None	Same as above.
CBO survey		Adding a question: What is the source of monkeypox information you provide your clients? (check all that apply) o CDC o State health department o Local health department o Academic Institution o HIV non-profit organization o Federally Qualified Health Center o STD clinic o Healthcare clinic o Physician practice o Hospital system o Other___________________________ o None	Same as above.
CBO survey		Adding a question: Does your CBO provide clinical services? o Yes o No (skip to Q36)	Same as above.
CBO survey		Adding a question: For clients with suspected or confirmed monkeypox, do you have protective/isolation procedures for the clients and staff? (check all that apply) o Personal protective equipment (PPE) for staff o Separate waiting room o Dedicated monkeypox examination room o Other____________________________ o None	Same as above.
CBO survey		Adding a question: Do you perform testing for monkeypox? o Yes o No	Same as above.
CBO survey		Adding a question: If you do not perform testing for monkeypox, where do you refer clients for testing? (check all that apply) o Local health department o Federally Qualified Health Center o STD Clinic o Healthcare Clinic o Physician practice o Hospital system o Other____________________________ o None	Same as above.
CBO survey		Adding a question: Do you offer vaccination for monkeypox? o Yes o No	Same as above.
CBO survey		Adding a question: Did you receive vaccine as participant in the Health Department Heath Equity pilot? o Yes o No	Same as above.
CBO survey		Adding a question: If you offer vaccination, how do you administer it? (check all that apply) o Subcutaneous injection o Intradermal injection	Same as above.
CBO survey		Adding a question: If you do not vaccinate for monkeypox, where do you refer clients for vaccination? (check all that apply) o Local health department o Federally Qualified Health Center o STD clinic o Healthcare Clinic o Physician practice o Hospital system o Other____________________________ o None	Same as above.
CBO survey		Adding a question: Do you provide medications to treat monkeypox? o Yes o No	Same as above.
CBO survey		Adding a question: If you do not provide medication, where do you refer clients for treatment? (check all that apply) o Federally Qualified Health Center o Healthcare clinic o Physician practice o Hospital system o Other____________________________ o None	Same as above.
CBO survey		Adding a question: Please describe your organization’s experience with monkeypox not previously asked in this survey. (1000 characters limit)	Same as above.
CBO survey		Adding a question: Please describe challenges and successes with meeting your clients’ needs for services related to monkeypox. (1000 characters limit)	Same as above.