Form 1 survey

Evaluation of NIAID's HIV Vaccine Research Education Initiative Highly Impacted Population Survey

Attachment C_HIP_Survey_8-4-10

General Population

OMB: 0925-0618

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HIGHLY IMPACTED POPULATION SURVEY

Attachment C: Screeners and Survey Questionnaire

Please note: This instrument begins with screeners, with questions tailored to each of the following populations/modes.

CATI - Listed General Population
CATI - Listed African Americans and Hispanic/Latinos
CATI - Unlisted Eligible Households Returning Card
Online Survey
Incoming CATI Interviews

The screeners are followed by the survey questionnaire, with questions asked of all eligible respondents identified by the screeners.

NHVREI Highly Impacted Population (HIP) Survey

Public reporting burden for this collection of information is estimated to average 20 minutes per response. This time includes the length of time allotted for the survey questions. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN; PRA (0925-XXXX). Do not return the completed form to this address.

HIP SCREENER

– CATI-Listed General Population Sample ONLY–

Introduction

Hello. My name is _______. I am calling about the National Institutes of Health study we recently sent you information about. This is a health survey. We are not selling anything or asking for donations. if respondent has not received information: Is your address [insert address here]? if no, terminate if yes, We are conducting a national survey that asks about people’s opinion regarding vaccines and other methods to prevent infectious disease.

RANDOM SELECTION

S1.	record gender of informant
		male 1 female 2

S2.	So that all types of people will be represented in our survey, I need to know how many adults live here. How many persons age 18 or older currently live in this household, including yourself? if necessary, explain that selection is done quickly and does not involve getting names and other personal info
		one 1  go to S3 two 2  go to S4 three or more 3  go to S4 no adults in household 4  terminate refused ref  if another adult available, ask for them, repeat intro and go to S2; otherwise, thank and terminate

	if S2 = 1, ask:
	S3.	Is that you?
		yes, speaking with adult 1  go to S5 not speaking with adult from hh 2  ask to speak to adult from hh, then return to intro no, not available now 3  get and record first/name initials and arrange call back; get alternative phone number as needed refused ref  terminate
	if S2 = 2 or 3, ask:
	S4	Are you 18 years old or older living in the household at [insert address]? If necessary, say: Your address has been randomly selected for this study. yes 1  cati generates random selection, go to S5 no 2  ask to speak to adult, then return to intro
	if cati randomly selects respondent and S2=2 or 3, ask:
	S5a.	We would like to continue the interview with you.
		yes, continue 1  go to informed consent yes, arrange callback 2  get and record first/name initials and arrange call back; get alternative phone number as needed refused ref  terminate
	\
	if cati does not randomly select respondent and s2=2, ask:
	S5b.	We would like to speak to the other adult who lives in your household. May I please speak with that person?
		yes, and comes to phone 1  go to S5 no, not available now 2  get and record first/name initials and arrange call back; get alternative phone number as needed no, refused ref  terminate


	if cati does not randomly select respondent and S2 = 3, say:
	S4b.	In order to randomly select one of the other adults for the survey, please think of the adult besides yourself who has had the most recent birthday. May I please speak with that person?
		yes, and comes to phone 1  go to S5 no, not available now 2  get and record first/name initials and arrange call back; get alternative phone number as needed no, refused ref  terminate

CONFIRMATION OF ELIGIBILITY FOR PERSONS NEW TO THE CONVERSATION

if necessary, Hello. My name is _______. I am calling about the National Institutes of Health study that asks about people’s opinion regarding vaccines and other methods to prevent infectious disease.
S5.	Just to confirm…are you 18 years or older, living in the household at [insert address]? Is that correct? If necessary, say: Your address has been randomly selected for this study.
		yes 1  continue to informed consent no 2  ask to speak to adult from hh, then return to intro refused ref  terminate

HIP SCREENER

CATI-Listed –
African-American, Black and Hispanic/Latino Sample ONLY –

Introduction

Hello. My name is _______. I am calling about the National Institutes of Health study we recently sent you information about. This is a health survey. We are not selling anything or asking for donations. if respondent has not received information: Is your address [insert address here]? if no, terminate if yes, We are conducting a national survey that asks about people’s opinion regarding vaccines and other methods to prevent infectious disease.
RANDOM SELECTION

S2.	record gender of informant
		male 1 female 2

S3.	S }^continue o that all types of people will be represented in our survey, I need to know how many adults live here. How many persons age 18 or older currently live in this household, including yourself? if necessary, explain that selection is done quickly and does not involve getting names and other personal info
		one 1 two 2 three or more 3 refused ref  if another adult available, ask for them, repeat intro and go to S2; otherwise, thank and terminate

S4.	And how many of these have an African American, Black, Latino, or Hispanic background? if necessary, say: In order to make sure we get the opinions of all kinds of people living in the United States, it is important for this survey that we speak to African American, Black and Hispanic/Latino adults.
		one 1  go to S5a/b two 2  go to S6a/b three or more 3  go to S6a/b no african american, blackor Hispanic/Latino adults in hh 4  terminate refused ref  if another adult available, ask for them, repeat intro and go to S2; otherwise, thank and terminate

	if S4 = 1, ask:
	S5	Is that you? Are you 18 years or older, living in the household at [insert address]?
				yes, speaking with the adult 1  continue not speaking with the adult from hh 2  ask to speak to adult, then return to intro no, not available now 3  get and record first/name initials and arrange call back; get alternative phone number as needed refused ref  terminate
	S5a	What is your ethnicity? Is it…?
			Hispanic or Latino 1  go to informed consent Not Hispanic Or Latino 2  continue refused ref  terminate
	S5b.	What is your race? Are you…? answer may be a multiple
			American Indian or Alaska Native 1 terminate Asian 2 terminate Black Or African American 3 go to informed consent Native Hawaiian Or Other Pacific Islander 4 terminate White 5 terminate

if S4=2 or 3 ask:
S6	To confirm, are you 18 years or older, living at the household at [insert address]?
			yes, speaking with an adult 1  continue not speaking with the adult from hh 2  ask to speak to adult from hh, then return to intro no, not available now 3  get and record first/name initials and arrange call back; get alternative phone number as needed refused ref  terminate
S6a	What is your ethnicity?
		Hispanic Or Latino 1  cati randomly selects between respondent or other person(s) Not Hispanic Or Latino 2  continue to 6b refused ref  terminate
S6b	What is your race? Are you…? answer may be a multiple
		Black or African American 3  American Indian or Alaska Native 1 Asian 2 Native Hawaiian or Other Pacific Islander 4  White 5		cati randomly selects between respondent or other person(s) (go to S7) Please think of the other African American, Black, or Hispanic/Latino adults in your household, besides yourself. May I please speak with the African American, Black, or Hispanic/Latino adult who has had the most recent birthday? go to s8 with new respondent

if cati randomly selects respondent ask:
S7a.	We would like to continue the interview with you.
	yes, continue 1  go to informed consent arrange callback 2  get and record first/name initials and arrange call back; get alternative phone number as needed refused ref  terminate

if cati does not randomly select respondent, and S4=2ask:
S7b.	We would like to speak to that other adult who lives in your household. May I please speak with that person? if necessary, say: I would like to speak to the other African American, Black, Hispanic or Latino adult who lives here.
	yes, and comes to phone 1  continue to S8 no, not available now 2  get and record first/name initials and arrange call back; get alternative phone number as needed no, refused ref  terminate


if cati does not select respondent and s4=3, say:
S7b.	In order to randomly select one of the other adults for the survey, please think of the other African American, Black or Hispanic/Latino adults in your household, besides yourself. May I please speak with the African American, Black, or Hispanic/Latino adult who has had the most recent birthday?
	yes, and comes to phone 1  go to S8 no, not available now 2  get and record first/name initials and arrange call back; get alternative phone number as needed no, refused ref  terminate

CONFIRMATION OF ELIGIBILITY FOR PERSONS NEW TO THE CONVERSATION

Hello. My name is _______. I am calling about the National Institutes of Health study that asks about people’s opinion regarding vaccines and other methods to prevent infectious disease.
S8.	Just to confirm… are you 18 years or older living in the household at [insert address]? if necessary, say your address has been randomly selected for this study.
		yes 1  continue no 2  terminate refused ref  terminate

S9a	What is your Ethnicity? Are you…?
		Hispanic Or Latino 1 go to informed consent Not Hispanic Or Latino 2  continue to 6b refused ref  terminate
S8b	What is your race? Are you…answer may be a multiple
		Black or African American 3  American Indian or Alaska Native 1 Asian 2 Native Hawaiian or Other Pacific Islander 4  White 5	continue Please think of the other African American, Black, or Hispanic/Latino adults in your household, besides yourself. May I please speak with an African American, Black, or Hispanic/Latino adult in your household? return to S8 with new respondent or terminate

HIP SCREENER

CATI-Unlisted Households ONLY: –
General Population, African-American and Hispanic/Latino Subsamples –

CONTACTING WHO RETURNED THE CARD

(INDIVIDUALS WILL BE PRE-SCREENED ACCORDING TO THEIR ANSWERS ON THE CARD)

S1.

Hello. May I please speak with [insert first name from sample record]?

card returner is on phone 1  go to intro

card returner is coming to phone 2  wait, then go to intro

card returner not available 3  schedule call back

Introduction

Hello. My name is _______. I am calling about the National Institutes of Health study that you expressed interest in participating in. As you know, this is a health survey. We are not selling anything or asking for donations.

CONFIRMATION OF ELIGIBILITY

S2.

Do you currently reside at the same address where you got the mailing about this study?

yes, i do 1  continue to S3

no, I moved 2  terminate

S3.

Just to confirm, are you 18 years or older?

18 or older 1continue

under 18 2  terminate

refused ref  terminate

S4.

How many other people aged 18 or older currently live in your house hold?

or if from augment: How many other people aged 18 or older who are African American, Black, Hispanic, or Latino currently live in your household?

one other 1

two or more 2 go to informed consent

no other adults 3

(PROGRAMMING NOTE: if other adults in household the program should randomly select either the respondent or someone else and this should go to the data record. continue the interview with the respondent regardless).

HIP SCREENER

– Online ONLY–

Introduction

Welcome to the National Institutes of Health survey! This is a health survey. We are not selling anything or asking for donations. We appreciate your interest in the study.

ACCESS CODE

S1.

Before we get started, please enter the access code you got in the mail: ____________.

code will reveal which sample they are from

CONFIRMATION OF ELIGIBILITY

S2.

Do you currently reside at the same address where you got the mailing about this study?

yes, i do 1  continue to S3

no, I moved 2  terminate

S3.

Are you over 18 years or older?

resp. is 18 or older 1  continue to S4

resp. is under 18 2  terminate

S4.

What is your gender?

male 1

female 2

S5.

What is your ethnicity? Are you…?

Hispanic or Latino 1

Not Hispanic or Latino 2

S6.

What is your race? Are you…? answer may be a multiple

American Indian or Alaska Native 1

Asian 2

Black or African American 3

Native Hawaiian Or

Other Pacific Islander 4

White 5

IF S5 = 2 and S6 <> 3, and in one of the augment samples thank & terminate.

S7. How many other people aged 18 or older currently live in your house hold?

OR IF FROM AUGMENT How many other people aged 18 or older who are African American,

Black, Hispanic or Latino currently live in your household?

one other 1

two or more 2

no other adults 3

HIP SCREENER

– Incoming CATI Interview ONLY–

Introduction

Hello. Welcome to the National Institutes of Health survey. As you know, this is a health survey. We are not selling anything or asking for donations. We appreciate your interest in the study.

ACCESS CODE

S1.

Before we get started, please tell me the number from the card you got in the mail: ____________.

code will reveal which sample they are from

S2.

Do you currently reside at the same address where you got the mailing about this study?

yes, i do 1  continue to S3

no, I moved 2  terminate

S3.

Are you over 18 years or older?

resp. is 18 or older 1  continue to S4

resp. is under 18 2  terminate

S4.

record gender of adult informant

male 1

female 2

S5.

What is your ethnicity? Is it…?

Hispanic or Latino 1

Not Hispanic or Latino 2

Refused ref  terminate

S6.

What is your race? Is it…? answer may be a multiple

American Indian or Alaska Native 1

Asian 2

Black or African American 3

Native Hawaiian or

Other Pacific Islander 4

White 5

IF S5 = 2 and S6 <> 3, and in one of the augment samples thank & terminate.

S7. How many other people aged 18 or older currently live in your house hold?

OR IF FROM AUGMENT How many other people aged 18 or older who are African American,

Black, Hispanic or Latino currently live in your household?

one other 1

two or more 2

no other adults 3

PROGRAMMING NOTE: if other adults in household the program should randomly select either the respondent or someone else and this should go to the data record. continue the interview with the respondent regardless).

INFORMED CONSENT For all completing the screener

The National Institutes of Health (NIH) is conducting a national study. This study is on attitudes about research to prevent the spread of Human Immunodeficiency Virus (HIV). HIV is the virus that causes Acquired Immune Deficiency Syndrome (AIDS). Your participation in this study will help NIH develop related educational programs.

Completing the survey should take about 20 – 30 minutes. We want your opinion, so there are no right or wrong answers to the questions. There are two questions about HIV status and sexual orientation. Some people might consider these questions to be personal. Your honest answers to these and all survey questions are greatly appreciated.

Your identity will be protected. Your answers will be assigned a confidential ID number so that your name will not be directly linked to them
Your name will be stored separate from your answers and only a few people directly involved in the study will have access to it. Data files will be stored securely so that outsiders cannot see them. After the study is complete your name and contact information will be destroyed.
Your answers will be put together with the responses of other participants and analyzed as a group. No one will be identified in study reports or publications which will be shared with policy makers, researchers, and other interested parties. Findings from the study may be published or presented publicly.

Do you have any questions?

Your participation is voluntary. You can choose to not answer questions and stop your participation at any time without consequence to you. We believe that your participation in the survey has very low risk of harm to you.

NIH is authorized to conduct this study under section 42 USC 285f of U.S. Law. If you have questions about this study or your participation, please contact _____________ by email at ___________ or by phone at _____________.

MONITORING

For quality assurance purposes, this call may be monitored by my supervisor.

What is your year of birth? __ __ __ __

Researchers are now working to develop three new methods for preventing HIV. They will be made available once they have been proven to be safe and effective.

One new method is an HIV Vaccine.

An HIV Vaccine would trigger the body’s defenses to fight HIV infection.

Have you ever read or heard anything about a vaccine to prevent HIV?

	No
	Yes
	[IF YES], About how long ago?
		More than 12 months ago.
		Less than 12 months ago.

The second method, Microbicides, could come in different forms such as gels, foams, creams, or sponges. They would be put into the vagina or rectum to prevent HIV infection.

Have you ever read or heard anything about Microbicides?

	No
	Yes
	[IF YES], About how long ago?
		More than 12 months ago.
		Less than 12 months ago.

The third method is Pre-exposure prophylaxis, or PrEP. Prophylaxis means “prevention.” PrEP would involve people who do not have HIV taking anti-viral medicines to protect against getting HIV. Now, these anti-viral medicines are usually used to treat people already infected with HIV.

Have you ever read or heard anything about PrEP?

	No
	Yes
	[IF YES], About how long ago?
		More than 12 months ago.
		Less than 12 months ago.

Now I’m going to ask about your level of concern for yourself and others regarding getting HIV.

a. How concerned are you about getting HIV? Are you…

Not at All

Concerned?

Only A Little Bit Concerned?

Somewhat Concerted?

Very Concerned?

Don’t Know

Not Applicable

b. Thinking about the people who are closest to you, how concerned are you about their getting HIV? Are you…

Not at All

Concerned?

Only A Little Bit Concerned?

Somewhat Concerned?

Very Concerned?

Don’t Know

c. What is your overall level of concern about people getting HIV in any of the communities to which you belong? Are you…?

Not at All

Concerned?

Only A Little Bit Concerned?

Somewhat Concerned?

Very Concerned?

Don’t Know

I’m going to read two statements, and I’d like you to tell me how much you agree or disagree with each. Possible responses are Strongly Agree, Somewhat Agree, Somewhat Disagree, or Strongly Disagree with the statements.

	Strongly Agree?	Somewhat Agree?	Somewhat Disgree?	Strongly Disgree?
New methods to prevent HIV infection are needed. Do you…
Currently, many people have little control over protecting themselves from HIV. Do you…

Developing new methods to prevent HIV infections requires clinical trials. Clinical trials are research studies that test medicines with human volunteers to find out if the medicines are safe and work well, before they are made available to the public.

How willing would you be to engage in the following activities in the next year?

Would you be Not At All Willing, Only A Little Bit Willing, Somewhat Willing, or Very Willing to….?

	Not at All Willing?	Only A Little Bit Willing?	Somewhat Willing?	Very Willing?
Seek out information about new HIV prevention methods?
Consider participating in a clinical trial to test a new HIV prevention method (assuming it was nearby and you were eligible)?
Start up a conversation with people about the importance of HIV prevention trials?

If the subject came up, how likely would you be to talk positively about HIV prevention clinical trials to others?

Would It be Not At All Likely, Only A Little Bit Likely, Somewhat Likely, or Very Likely that you would talk positively about…

	Not At All Likely?	Only A Little Bit Likely?	Somewhat Likely?	Very Likely?
HIV Vaccine Trial Vaccines would trigger the body’s defenses to fight HIV.
Microbicide Trial These would be put into the vagina or rectum to prevent HIV infection.
PrEP Trial PrEP is anti-viral medicines that would be taken to prevent HIV infection.

Do you have concerns about participating in clinical trials for new methods of preventing HIV? If yes, what are your concerns?

Please tell me how much you agree or disagree with the following statements about clinical trials for HIV prevention. Possible reponses are Strongly Agree, Somewhat Agree, Somewhat Disagree, or Strongly Disagree.

	Strongly Agree?	Somewhat Agree?	Somewhat Disgree?	Strongly Disagree?
Clinical trial participants are well protected by research procedures. Do you…
I am very concerned that people might get sick from serious side effects if they participate in a clinical trial. Do you…
I might consider participating in an HIV prevention clinical trial if I had more information. Do you…
Only people who are at high risk for HIV are needed for prevention clinical trials. Do you…
People are encouraged to have unprotected sex as part of clinical trials for new HIV prevention methods. Do you…
Drug companies have delayed vaccine research because they make money from people with HIV. Do you…

How much do you agree or disagree with each of the following statements about VACCINES to prevent HIV infection?

Remember vaccines would trigger the body’s defenses to fight HIV.

	Strongly Agree?	Somewhat Agree?	Somewhat Disagree?	Strongly Disagree?
It seems likely that scientists will develop a vaccine to prevent HIV in my lifetime. Do you…
An HIV vaccine exists but is being withheld because of discrimination against certain groups. Do you…
Vaccines are safe for the public to use once they have been approved by the U.S. Food and Drug Administration (FDA). Do you…
If people were protected against HIV infection by a vaccine, casual sex and illegal drug use would increase. Do you…
People may contract HIV from a vaccine being tested in a clinical trial. Do you…

How much do you agree or disagree with each of the following statements about MICROBICIDES?

Remember that microbicides would be put into the vagina or rectum to prevent HIV infection.

	Strongly Agree?	Somewhat Agree?	SomewhatDisaree?	Strongly Disagree?
Microbicides are a promising method for preventing HIV. Do you…
People may get HIV as a result of using a microbicide in a clinical trial. Do you…
I would need more information about microbicides before considering participating in a clinical trial. Do you…

How much do you agree or disagree with each of the following statements about PrEP?

Remember that PrEP would involve taking anti-viral medicines to prevent HIV infection.

	Strongly Agree?	Somewhat Agree?	Somewhat Disgree?	Strongly Disagree?
Using anti-viral medicines for PrEP may lead to the virus becoming drug resistant. Do you…
PrEP is appropriate for people who are at low risk of HIV infection. Do you…
It would be great if people could take anti-viral medicines to protect themselves from HIV. Do you…
I would need more information about PrEP before considering participating in a clinical trial. Do you…

How much do you agree or disagree with the following statements.

	Strongly Disagree?	Somewhat Disagree?		Somewhat Agree?	Strongly Agree?	Don’t Know
Preventing HIV concerns me personally. Do you…
[IF SOMEWHAT DISAGREE OR STRONGLY DISAGREE ONLY]
i. How much does this keep you from talking positively about prevention clinical trials? Would you say…	Not at all		Only A Little Bit	Somewhat	A Lot	Don’t Know

	Strongly Disagree?	Somewhat Disagree?		Somewhat Agree?		Strongly Agree?		Don’t Know
b. Drug companies make money at the expense of volunteers in clinical trials. Do you …
[IF SOMEWHAT AGREE OR STRONGLY AGREE ONLY]
i. How much does this keep you from talking talking positively about prevention clinical trials? Would you say…	Not at all		Only A Little Bit		Somewhat		A Lot		Don’t Know

	Strongly Disagree		Somewhat Disagree		Somewhat Agree	Strongly Agree	Don’t Know
c. People who participate in clinical trials for new HIV prevention methods might be considered gay, HIV positive, or to have many sexual partners. Do you…
[IF SOMEWHAT AGREE OR STRONGLY AGREE ONLY]
i. How much does this keep you from talking positively about prevention clinical trials? Would you say…		Not at all		Only A Little Bit	Somewhat	A Lot	Don’t Know

	Strongly Disagree		Somewhat Disagree		Somewhat Agree	Strongly Agree		Don’t Know
d. For many people, participating in a clinical trial is difficult because it takes too much time and travel costs too much. Do you…
[IF AGREE OR STRONGLY AGREE ONLY]
i. How much does this keep you from talking positively about prevention clinical trials? Would you say…		Not at all		Only A Little Bit	Somewhat	A Lot	Don’t Know

If proven safe and effective, how likely would you be to use any of the following methods for preventing HIV?

Would you be Not at All Likely, Only A Little Bit Likely, Somewhat Likely, or Very Likely…

	Not at All Likely?	Only A Little Bit Likely	Somewhat Likely?	Very Likely?
To use an HIV Vaccine: Vaccines would trigger the body’s defenses to fight HIV
To use Microbicides: Microbicides would be put in the vagina or rectum to prevent HIV infection.
To use PrEP: Anti-viral medicine that would be taken by people to protect against getting HIV.

Have you ever had an HIV test?

	DON’T KNOW
	NO, I DIDN’T GET TESTED
	YES, I WAS TESTED
	if yes prompt for specific answer: “Would you be willing to share the results with me?
	I WOULD RATHER NOT SHARE THE RESULTS.
	I TESTED NEGATIVE
	I TESTED POSITIVE
	I DON’T KNOW THE RESULT

Has someone close to you been infected with HIV/AIDS?

	No
	Yes

Demographics

Do you receive most of your calls by cell phone, a landline, or both at your house? check all that apply

Cell Phone

Landline
if not previously ascertained What is your ethnicity? Is it…

Hispanic or Latino

Not Hispanic or Latino
if not previously ascertained What is your race? Is it…?

select all that apply

	American Indian or Alaska Native
	Asian
	Black or African American
	Native Hawaiian or other Pacific Islander
	White

Which of the following categories best describes the highest educational level you attained? Is it…? check only one

	Less than a high school diploma
	High school diploma or GED
	Some college/technical school/associates degree
	College degree
	Some graduate school or more
	Other (specify):

This past year, what was your total household income before taxes? Was it…?

	Less than $15K
	Between $15K-25K
	Between $25K-50K
	Between $50K-75K
	Between $75K-100K
	$100K or more

if not previously ascertained directly: What is your gender?

	MALE
	FEMALE
	TRANSGENDER Are you…
	Male to Female
	Female to Male?

People are different in their sexual attraction to other people. Which best describes your feelings?

Do you consider yourself to be…?

		Heterosexual or straight
		Gay or bisexual
		REFUSED
I have just one more question left but want to give you some information before I ask it. The information is from the National Institutes of Health (NIH). This is what NIH wants you to know about new prevention methods. HIV vaccines, microbicides, and PrEP are not available now outside of clinical trials. They will be made available once they have been proven to be safe and effective. Thousands of healthy people without HIV will be needed in the next several years to help test new methods to prevent HIV infection. Participants’ safety and well-being is carefully monitored and safeguarded. New prevention methods are thoroughly tested for safety before they are studied in clinical trials. You do not need to be exposed to or at risk for HIV to participate in a clinical trial. Participants in HIV prevention clinical trials are counseled to minimize HIV risk, and many clinical trials specifically seek out low-risk participants. Even when new prevention methods are proven to be effective, people will be counseled to avoid exposing themselves to HIV. You cannot get infected with HIV from an HIV vaccine. HIV vaccines do not contain killed or weakened HIV. For more information about HIV prevention methods, go to www.######.org.

Now that you know a little more about HIV vaccines, microbicides, and PrEP, if the subject came up, how likely would you be to talk positively about HIV prevention clinical trials?

How likely would it be that you would talk positively about…?

	Not At All Likely	Only A Little Bit Likely	Somewhat Likely	Very Likely	Don’t Know
a. HIV Vaccine Trial: To develop a vaccine that would trigger the body’s own defenses to fight HIV. Would you be…					
b. Microbicide Trial: To develop gels, foams, or sponges that would be put in the vagina or rectum to prevent HIV infection. Would you be…					
c. PrEP Trial: Anti-viral drugs that would be taken to protect against getting HIV. Would you be…					

Are there any comments that you would like to share with NIH regarding the prevention of HIV infections?

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________

ScreenerGeneral Population 1

File Type	application/msword
File Title	Highly Impacted Population Survey
Author	Nolen Morton
Last Modified By	Nolen Morton
File Modified	2010-08-06
File Created	2010-08-04

	Cell Phone
	Landline

	YES
	NO
	REFUSED

	YES
	NO
	REFUSED