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We’d now like to ask you some questions about some campaign advertising that you may or may not have seen over
the past 12 months
18. In an average month, how often do you...
Daily
2 5 Times
Once a 23 Times a Once a
Less than
Once a
Never
Prefer not
a Week
Week
Month
Month
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watch television?
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listen to radio?
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use buses, subways,
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read magazines?
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read newspapers?
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use Facebook?
Month
to answer
(www.facebook.com)
use Twitter?
(www.twitter.com)
use YouTube?
(www.youtube.com)
use dating/hookup
sites or mobile apps?
(e.g., manhunt.com,
adam4adam, Grindr,
etc.)
visit online news
websites? (e.g.,
cnn.com, slate.com,
etc.)
or trains?
Other (Specify)
19. In an average month, how often do you use the following dating or hookup sites or
mobile apps?
Daily
2 5 Times
Once a 23 Times a Once a
a Week
Week
Month
Month
Less than
Once a
Never
Month
Prefer not
to answer
Manhunt
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n
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Adam4adam
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Grindr
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Tinder
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Match.com
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OKcupid
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Plentyoffish.com
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Blackgaychat
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Craigslist
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BarebackRT
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Scruff
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(BCGlive)
Other (Specify)
20. In the past 12 months, how many times have you attended a Pride event (e.g. Gay,
Lesbian, Transgender Pride event)?
j Prefer not to answer
k
l
m
n
Times attended:
21. Please complete the following sentence if you have heard or seen this campaign.
Testing Makes Us
_____________
My ________ for getting
an HIV test
Start
_________Stop_________
22. In the past 12 months, did you see or hear the following campaign slogans or
messages? Check all that apply.
Yes
No
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Reasons/Razones
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Testing Makes Us
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Protest
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Start Talking. Stop
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HIV Treatment Works
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Greater Than AIDS
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Act Against AIDS
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Let’s Stop HIV
Don’t know/ Can’t recall Prefer not to answer
Together
Stronger
HIV.
Take Charge. Take
the Test.
23. You said you saw or heard a [INSERT CAMPAIGN] campaign slogan or message. On a
scale of 0 to 5, where 0 means ‘not very effective’ and 5 means ‘very effective’, how
effective do you think this campaign slogan or message is at [getting you to get an HIV
test OR talk to a partner about HIV prevention]?
Not Very
Effective 0
j
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n
Check one box
1
2
3
4
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Very
Prefer not to
Effective 5
answer
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j
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n
24. In the past 12 months, how often did you see or hear the following campaign slogans
or messages?
j Very often
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j Often
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j Sometimes
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n
j Rarely
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j Never
k
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n
j Prefer not to answer
k
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m
n
25. Where did you hear or see this campaign [INSERT CAMPAIGN]? Check all that apply.
Yes
No
Facebook (www.facebook.com)
j
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n
Twitter (www.twitter.com)
Don’t know/ Prefer not to
Can’t recall
answer
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YouTube (www.youtube.com)
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Dating/Hookup sites or mobile apps (e.g., manhunt.com,
j
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j
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j
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j
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n
Online news websites (e.g., cnn.com, slate.com, etc.)
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Television
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Radio
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Billboards
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n
Buses, subways, or trains
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Magazines
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Pride Event
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Doctor’s office or health clinic
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Other
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j
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n
j
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n
adam4adam, Grindr, etc.)
[Specify:____________________________________]
Newspapers
[Specify:___________________________________]
[Specify:_________________________________________]
26. Please tell us how much you agree or disagree with each of the following statements.
These ads grabbed my
Neither agree
Strongly
Prefer not to
disagree
answer
j
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n
j
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j
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Strongly agree
Agree
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n
j
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j
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j
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or disagree
Disagree
attention.
These ads were
confusing.
These ads convinced
me to get an HIV test.
These ads said
something important
to me.
I learned something
new from these ads.
I liked these ads
overall.
I do not like these ads
overall.
These ads gave me
good reasons to get
an HIV test
These ads gave me
good reasons to talk
to my partner about
ways to prevent HIV.
These ads spoke to
me.
27. Please tell us how much you agree or disagree with each of the following statements.
Most people who are
Neither agree
Strongly
Prefer not to
disagree
answer
j
k
l
m
n
j
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n
j
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j
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Strongly agree
Agree
j
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j
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or disagree
Disagree
important to me think I
should get tested for
HIV at least every 6
months. (By “people
who are important to
me,” we mean sexual
partners, friends,
family, and anyone
else who is an
important part of your
life.)
Most of my sexual
partners get tested for
HIV at least every 6
months.
Most gay men I know
get tested for HIV at
least every 6 months.
28. Please tell us how much you agree or disagree with each of the following statements.
Someone who is HIVnegative and not taking medicines to prevent HIV (e.g.,
PrEP/Truvada,) should get tested for HIV every 6 months if they…
Neither agree
Strongly
Prefer not to
disagree
answer
j
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m
n
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Strongly agree
Agree
j
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j
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n
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…always have sex
or disagree
Disagree
with a condom.
…have had anal
insertive sex (topping)
without a condom
…have had anal
receptive sex
(bottoming) without a
condom.
…have a sex partner
who is HIV positive.
…have had anal sex
without a condom
(receptive or insertive)
with a partner whose
HIV status they don’t
know.
…have had more than
one sex partner since
their last HIV test.
29. Please tell us how much you agree or disagree with the following statement:
I am confident that I can get an HIV test.
j Strongly agree
k
l
m
n
j Agree
k
l
m
n
j Neither agree or disagree
k
l
m
n
j Disagree Strongly disagree
k
l
m
n
j Prefer not to answer
k
l
m
n
30. How easy or hard would it be for you to get an HIV test every 6 months if you:
Could find a free
Very Easy
Easy
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Neither easy
Prefer not to
Hard
Very Hard
j
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n
j
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n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
nor hard
answer
testing site.
Had to travel far to find
a free testing site.
Could get the results
of your HIV test within
20 minutes
Knew that your test
results would be kept
confidential
Could not find an HIV
test provider that
spoke your language,
(e.g., English or
Spanish)
Could find a provider
that you feel
comfortable with and
trust
Could use a home
based testing kit
31. Please tell us how much you agree or disagree with each of the following statements:
Your HIV test result
Neither agree
Strongly
Prefer not to
disagree
answer
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Strongly agree
Agree
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
or disagree
Disagree
expires every time you
have risky sex.
Getting an HIV test is
free, fast, and
confidential.
My family/friends are
my reason(s) for
getting tested.
My reason for getting
an HIV test is me
Getting tested for HIV
will help me stay
strong and informed.
Getting tested for HIV
will help me take
better care of my
sexual partner
Getting tested for HIV
keeps me healthy
Getting tested for HIV
will help my future.
32. Please answer the following questions by choosing the answer that best describes
your opinion.
Very Important
Having access to free
Somewhat
important
Neither
important nor
unimportant
Somewhat
Very
Prefer not to
unimportant
unimportant
answer
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
HIV tests is…
Having access to
confidential HIV test
results is…
Taking better care of
my sexual partner is…
Keeping myself
healthy is…
Doing things to help
my future is…
33. Please tell us how likely or unlikely it is that you intend to...
Somewhat
Neither likely
Somewhat
likely
nor unlikely
unlikely
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Very likely
…get an HIV test
Very unlikely
Prefer not to
answer
within the next 6
months
…get an HIV test
within the next 12
months
…get an HIV test
before sex with a new
sexual partner
…get tested together
(e.g. tested with a
sexual partner)
Next, we’d like to ask you some questions about the people you have sex with and things you might talk to them
about.
34. Do you currently have a main male sexual partner—that is, a partner you would call
your boyfriend, spouse, significant other, or life partner?
j Yes
k
l
m
n
j No
k
l
m
n
j Prefer not to answer
k
l
m
n
35. How long have you been in a sexual relationship with your main male sexual partner?
j Prefer not to answer
k
l
m
n
Please enter start date: (MM/YYYY)
36. Do you know the HIV status of your main male sexual partner?
j Yes
k
l
m
n
j No
k
l
m
n
j Prefer not to answer
k
l
m
n
37. What is your main male sexual partner’s HIV status?
j My main partner is HIV negative.
k
l
m
n
j My main partner is HIV positive.
k
l
m
n
j My main partner has not been tested for HIV.
k
l
m
n
j My main partner has not told me his HIV status.
k
l
m
n
j Prefer not to answer
k
l
m
n
38. Have you had sex with another man during the time you have been with your current
main male sexual partner?
j Yes
k
l
m
n
j No
k
l
m
n
j Prefer not to answer
k
l
m
n
We’d now like to ask you some questions about casual sexual partners. A nonmain or casual sexual partner is
someone who you do not consider to be a spouse, significant other, or life partner.
39. In the past 12 months, how many casual (nonmain), male sexual partners did you have
anal or oral sex?
j Prefer not to answer
k
l
m
n
Number:
40. Do you know the HIV status of your most recent casual (nonmain) male sexual
partner?
j Yes
k
l
m
n
j No
k
l
m
n
j Prefer not to answer
k
l
m
n
41. What is the HIV status of your most recent casual (nonmain) male sexual partner?
j My most recent casual (nonmain) male sexual partner is HIV negative.
k
l
m
n
j My most recent casual (nonmain) male sexual partner is HIV positive.
k
l
m
n
j My most recent casual (nonmain) male sexual partner has not been tested for HIV.
k
l
m
n
j My most recent casual (nonmain) male sexual partner has not told me his HIV status.
k
l
m
n
42. In the past 12 months, how often have you had oneonone conversations with your
current main male sexual partner about ways to prevent HIV?
j Very often
k
l
m
n
j Often
k
l
m
n
j Sometimes
k
l
m
n
j Rarely
k
l
m
n
j Never
k
l
m
n
j Prefer not to answer
k
l
m
n
43. In the past 12 months, how often have you discussed the following topics with your
current main male sexual partner?
Very often
Often
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Getting tested for HIV
Getting tested for HIV
Some
Don’t know/
Never
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Using condoms
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Taking medicines to
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
The last time you
times
Can’t recall
N/A
Prefer not
Rarely
to answer
were tested for HIV
and the result
The last time your
partner was tested for
HIV and the result
together
treat HIV infection
(e.g., antiretroviral
therapy or ART)
Your or your partner’s
viral load
Taking medicines
daily to reduce the
chance of being HIV
infected (e.g.,
Truvada, preexposure
prophylaxis, or PrEP)
Taking medicines after
sex to reduce the
chance of being HIV
infected (e.g., post
exposure prophylaxis,
nPEP)
Which sexual
activities (i.e., oral and
anal intercourse) you
would engage in
based on your HIV
status or your
partner’s HIV status
Which sexual roles or
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
positions (i.e.,
insertive/top or
receptive/bottom) you
would engage in
based on your HIV
status or your
partner’s HIV status
Making agreements
with your main male
sexual partner about
having sex with other
partners (i.e., whether
to, when, with whom,
and what kind of sex
that takes place
inside and outside the
relationship)
44. In the past 12 months, how often have you had oneonone conversations with a
casual male sexual partner about ways to prevent HIV?
j Very often
k
l
m
n
j Often
k
l
m
n
j Sometimes
k
l
m
n
j Rarely
k
l
m
n
j Never
k
l
m
n
j Prefer not to answer
k
l
m
n
45. In the past 12 months, have you discussed the following topics with a casual male
sexual partner?
Very often
Often
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Getting tested for HIV
Getting tested for HIV
Some
Don’t know/
Never
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Using condoms
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Taking medicines to
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
The last time you
times
Can’t recall
N/A
Prefer not
Rarely
to answer
were tested for HIV
and the result
The last time your
partner was tested for
HIV and the result
together
treat HIV infection
(e.g., antiretroviral
therapy or ART)
Your or your partner’s
viral load
Taking medicines
daily to reduce the
chance of being HIV
infected (e.g.,
Truvada, preexposure
prophylaxis, or PrEP)
Which sexual
activities (i.e., oral and
anal intercourse) you
would engage in
based on your HIV
status or your
partner’s HIV status
Which sexual roles or
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
positions (i.e.,
insertive/top or
receptive/bottom) you
would engage in
based on your HIV
status or your
partner’s HIV status
Looking for partners
with the same HIV
status
46. How sure are you that you could have oneonone conversations with your next main
male sexual partner about ways to prevent HIV before engaging in any sexual activities?
j Very sure
k
l
m
n
j Somewhat sure
k
l
m
n
j Neither sure nor unsure
k
l
m
n
j Somewhat unsure
k
l
m
n
j Very unsure
k
l
m
n
j Prefer not to answer
k
l
m
n
47. How sure are you that you could have oneonone conversations with your next casual
male sexual partner about ways to prevent HIV before engaging in any sexual activities?
j Very sure
k
l
m
n
j Somewhat sure
k
l
m
n
j Neither sure nor unsure
k
l
m
n
j Somewhat unsure
k
l
m
n
j Very unsure
k
l
m
n
j Prefer not to answer
k
l
m
n
48. How likely is it that you will discuss the following topics with your next main male
sexual partner before engaging in any sexual activities?
Very likely
Somewhat Neither likely Somewhat
Very unlikely
N/A
Prefer not to
likely
nor unlikely
unlikely
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Getting tested for HIV
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Getting tested for HIV
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Using condoms
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Taking medicines to
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
The last time you were
answer
tested for HIV and the
result
The last time your
partner was tested for
HIV and the result
together
treat HIV infection (e.g.,
antiretroviral therapy or
ART)
Your or your partner’s
viral load
Taking medicines daily
to reduce the chance of
being HIV infected (e.g.,
Truvada, preexposure
prophylaxis, or PrEP)
Taking medicines after
sex to reduce the
chance of being HIV
infected (e.g., post
exposure prophylaxis,
PEP)
Which sexual activities
(i.e., oral and anal
intercourse) you would
engage in based on
your HIV status or your
partner’s HIV status
Which sexual roles or
positions (i.e.,
insertive/top or
receptive/bottom) you
would engage in based
on your HIV status or
your partner’s HIV
status
Making agreements
with your main male
sexual partner about
having sex with other
partners (i.e., whether
to, when, with whom,
and what kind of sex
that takes place inside
and outside the
relationship)
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
49. How likely is it that you will discuss the following topics with your next casual male
sexual partner before engaging in any sexual activities?
Very likely
Somewhat Neither likely Somewhat
Very unlikely
N/A
Prefer not to
likely
nor unlikely
unlikely
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Getting tested for HIV
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Getting tested for HIV
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Using condoms
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Taking medicines to
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
The last time you were
answer
tested for HIV and the
result
The last time your
partner was tested for
HIV and the result
together
treat HIV infection (e.g.,
antiretroviral therapy or
ART)
Your or your partner’s
viral load
Taking medicines daily
to reduce the chance of
being HIV infected (e.g.,
Truvada, preexposure
prophylaxis, or PrEP)
Taking medicines after
sex to reduce the
chance of being HIV
infected (e.g., post
exposure prophylaxis,
nPEP)
Which sexual activities
(i.e., oral and anal
intercourse) you would
engage in based on
your HIV status or your
partner’s HIV status
Which sexual roles or
positions (i.e.,
insertive/top or
receptive/bottom) you
would engage in based
on your HIV status or
your partner’s HIV
status
Making agreements
with your main male
sexual partner about
having sex with other
partners (i.e., whether
to, when, with whom,
and what kind of sex
that takes place inside
and outside the
relationship)
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
50. Talking to my sexual partner about ways to prevent HIV would be…
j Very good
k
l
m
n
j Somewhat good
k
l
m
n
j Neither good nor bad
k
l
m
n
j Somewhat bad
k
l
m
n
j Very bad
k
l
m
n
j Prefer not to answer
k
l
m
n
51. Most of my friends, family, and other people close to me think I should talk to my sexual
partner(s) about ways to prevent HIV.
j Strongly agree
k
l
m
n
j Agree
k
l
m
n
j Neither agree nor disagree
k
l
m
n
j Disagree
k
l
m
n
j Strongly disagree
k
l
m
n
j Prefer not to answer
k
l
m
n
52. Most of my sexual partners think I should talk to them about ways to prevent HIV.
j Strongly agree
k
l
m
n
j Agree
k
l
m
n
j Neither agree nor disagree
k
l
m
n
j Disagree
k
l
m
n
j Strongly disagree
k
l
m
n
j Prefer not to answer
k
l
m
n
53. How often do you think that your friends and other people close to you discuss ways
to prevent HIV with their sexual partner(s)?
j Always
k
l
m
n
j Usually
k
l
m
n
j Occasionally
k
l
m
n
j Never
k
l
m
n
j Prefer not to answer
k
l
m
n
54. In the past 12 months, how often have you looked for information about…
Prefer not to
Very often
Often
Sometimes
Rarely
Never
HIV?
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
HIV testing?
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
condoms?
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
taking medicines to
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
answer
treat HIV infection
(e.g., antiretroviral
therapy or ART)?
taking medicines daily
to reduce the chance
of being HIV infected
(e.g., Truvada, pre
exposure prophylaxis,
or PrEP)?
taking medicines after
sex to reduce the
chance of being HIV
infected (e.g., post
exposure prophylaxis,
nPEP or PEP)?
how to talk to my
sexual partner(s)
about HIV?
55. In the past 12 months, how often have you…
searched online for a
Prefer not to
Very often
Often
Sometimes
Rarely
Never
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
answer
location to get an HIV
test?
called an HIV testing
hotline?
texted your zip code
for a location to get an
HIV test?
visited a Centers for
Disease Control
website for HIV
information?
56. Please tell us if you agree or disagree with the following statement: I trust the Centers
for Disease Control, or CDC, as a source for HIV information.
j Strongly agree
k
l
m
n
j Agree
k
l
m
n
j Neither agree nor disagree
k
l
m
n
j Disagree
k
l
m
n
j Strongly disagree
k
l
m
n
j Prefer not to answer
k
l
m
n
57. Thinking about the sex you’ve had over the past 12 months, do you consider yourself
to be low, medium or high risk for getting HIV?
j Low risk
k
l
m
n
j Medium risk
k
l
m
n
j High risk
k
l
m
n
j Prefer not to answer
k
l
m
n
58. In the past 12 months, how often did you look for male sexual partners with same HIV
status as you?
j Always
k
l
m
n
j Usually
k
l
m
n
j Occasionally
k
l
m
n
j Never
k
l
m
n
j Prefer not to answer
k
l
m
n
59. In the past 12 months, how often did you use your HIV status and your male partner’s
HIV status to determine which sexual activities (i.e., oral and anal intercourse) you would
engage in?
j Always
k
l
m
n
j Usually
k
l
m
n
j Occasionally
k
l
m
n
j Never
k
l
m
n
j Prefer not to answer
k
l
m
n
60. In the past 12 months, how often did you use your HIV status and your male partner’s
HIV status to determine which sexual roles/positions (i.e., insertive/top or
receptive/bottom) you would engage in?
j Always
k
l
m
n
j Usually
k
l
m
n
j Occasionally
k
l
m
n
j Never
k
l
m
n
j Prefer not to answer
k
l
m
n
61. In the past 12 months, how often did you use condoms for anal sex with your current
main male sexual partner?
j Always
k
l
m
n
j Usually
k
l
m
n
j Occasionally
k
l
m
n
j Never
k
l
m
n
j Prefer not to answer
k
l
m
n
62. Some couples develop agreements about whether, when, and with whom sex outside
the relationship is okay. Which one of the following scenarios best describes any
agreements that you and your main partner have?
j Both of us cannot have any sex with an outside partner
k
l
m
n
j We can have sex with outside partners but with some restrictions
k
l
m
n
j We can have sex with outside partners without any restrictions
k
l
m
n
j We do not have an agreement
k
l
m
n
j Prefer not to answer
k
l
m
n
63. In the past 12 months, how often did you use condoms for anal sex with casual (non
main) male sexual partners?
j Always
k
l
m
n
j Usually
k
l
m
n
j Occasionally
k
l
m
n
j Never
k
l
m
n
j Prefer not to answer
k
l
m
n
64. Are you currently taking antiretroviral medicines to treat your HIV infection?
j Yes
k
l
m
n
j No
k
l
m
n
j Prefer not to answer
k
l
m
n
65. What is the main reason you are not currently taking any antiretroviral medicines?
j Not currently going to a health care provider for my HIV infection
k
l
m
n
j CD4 count and viral load are good
k
l
m
n
j Don't have money or insurance for antiretroviral medicines
k
l
m
n
j Don't want to take antiretroviral medicines
k
l
m
n
j Prefer not to answer
k
l
m
n
Other (Specify)
66. Have you ever had an HIV viral load test?
j Yes
k
l
m
n
j No
k
l
m
n
j Don't know
k
l
m
n
j Prefer not to answer
k
l
m
n
67. What was the result of your most recent viral load test?
j Undetectable
k
l
m
n
j Detectable copies/ml
k
l
m
n
j Don’t know
k
l
m
n
j Prefer not to answer
k
l
m
n
68. Before today, have you ever heard of people who do not have HIV taking HIV
medicines (PrEP or Truvada) before sex, to keep from getting HIV?
j Yes
k
l
m
n
j No
k
l
m
n
j Prefer not to answer
k
l
m
n
69. Before today, have you ever heard of people who do not have HIV taking HIV
medicines (postexposure prophylaxis, nPEP, or PEP) after sex, to keep from getting HIV?
j Yes
k
l
m
n
j No
k
l
m
n
j Prefer not to answer
k
l
m
n
70. True or False: If someone has HIV and their viral load is “undetectable”, they cannot
transmit HIV to other people.
j Yes
k
l
m
n
j No
k
l
m
n
j Prefer not to answer
k
l
m
n
71. In the past 12 months, have you taken HIV medicines (postexposure prophylaxis,
nPEP or PEP) after sex because you thought it would keep you from getting HIV?
j Yes
k
l
m
n
j No
k
l
m
n
j Prefer not to answer
k
l
m
n
72. In the past 12 months, have you taken HIV medicines (preexposure prophylaxis, PrEP
or Truvada) before sex because you thought it would keep you from getting HIV?
j Yes
k
l
m
n
j No
k
l
m
n
j Prefer not to answer
k
l
m
n
73. Please tell us how much you agree or disagree with each of the following statements.
The fact that I am a
gay man is an
important part of my
identity.
Strongly agree
Agree
j
k
l
m
n
j
k
l
m
n
Neither agree
or disagree
j
k
l
m
n
Disagree
j
k
l
m
n
Strongly
Prefer not to
disagree
answer
j
k
l
m
n
j
k
l
m
n
74. What is the highest grade or year of school you finished?
j Never attended school or only attended kindergarten
k
l
m
n
j Grades 1 through 8 (elementary)
k
l
m
n
j Grades 9 through 11 (some high school)
k
l
m
n
j Grade 12 or GED (high school graduate)
k
l
m
n
j College 1 year to 3 years (some college or technical school)
k
l
m
n
j College 4 years or more (college graduate)
k
l
m
n
j Prefer not to answer
k
l
m
n
75. Which best describes your total personal income during the past year?
j Less than $20,000
k
l
m
n
j $20,001 to $30,000
k
l
m
n
j $30,001 to $40,000
k
l
m
n
j $40,001 to $50,000
k
l
m
n
j $50,001 or more
k
l
m
n
j Prefer not to answer
k
l
m
n
76. What is your current relationship status?
j Single
k
l
m
n
j Married to a man
k
l
m
n
j Married to woman
k
l
m
n
j In a relationship with a man
k
l
m
n
j In a relationship with a woman
k
l
m
n
j Prefer not to answer
k
l
m
n
77. Do you currently have health insurance or health care coverage?
j Yes
k
l
m
n
j No
k
l
m
n
j Don't Know
k
l
m
n
j Prefer not to answer
k
l
m
n
78. In what country or territory were you born?
j United States
k
l
m
n
j Puerto Rico
k
l
m
n
j Mexico
k
l
m
n
j Cuba
k
l
m
n
j Prefer not to answer
k
l
m
n
Other (Specify)
79. How many years have you been living in the United States?
[If less than one year, put 0 in the space. Round to whole years]
80. What language are you most comfortable using with your family and friends?
j English
k
l
m
n
j Spanish
k
l
m
n
j English and Spanish equally
k
l
m
n
j Prefer not to answer
k
l
m
n
Other (Specify)
81. When you got tested in ____/____, where did you get tested?
j Private doctor’s office
k
l
m
n
j HIV counseling and testing site
k
l
m
n
j Correctional facility (jail or prison)
k
l
m
n
j Emergency room
k
l
m
n
j Public health clinic/community health clinic
k
l
m
n
j Street outreach program/mobile unit
k
l
m
n
j Sexually transmitted disease clinic
k
l
m
n
j Hospital (inpatient)
k
l
m
n
j At home
k
l
m
n
j Other
k
l
m
n
j Don’t know
k
l
m
n
j Prefer not to answer
k
l
m
n
82. Below is a list of reasons why some people have not been tested for HIV. Which of
these best describes the most important reason you have not been tested for HIV in the
past 6 months? [Check one]
j I think I am at low risk for HIV infection.
k
l
m
n
j I am afraid of finding out that I have HIV.
k
l
m
n
j I didn’t have time.
k
l
m
n
j No particular reason.
k
l
m
n
j Prefer not to answer.
k
l
m
n
Some other reason (Specify)
| File Type | application/pdf |
| File Modified | 2014-09-23 |
| File Created | 2014-09-23 |