Eligibility screening form

Eligibility screening form

Contents

Key Terms

Recruitment

Demographic Information

Behavioral Eligibility – Injection Drug Use

Behavioral Eligibility –Drug Use

Interviewer Assessment

Recruiter Relationship

Network Size

Residence

Health Care Access & Utilization

Health Care Stigma/Discrimination

Socioeconomic Status

Disability

Injection History, Lifetime

Injection Frequency, 6m

Fentanyl Injection, 6m

Other Injection Behaviors, 6m

Injection Initiation, 6m

Syringe Use, 6m

Injection Equipment Sharing, 6m

Last Injecting Event

Last Injecting Partner

Non-injection Drug Use Frequency, 6m

Fentanyl, Non-injection

Injection Drug Use Prevention

Drug Overdose

Narcan Access and Use

Consequences of Stimulant Overuse

Incarceration Experience

Law Enforcement Experience

Drug Treatment, History

Medication-assisted Treatment, 6m

HIV Testing, Ever

Recent HIV Testing

Barriers to HIV Testing

Linkage to Care

HIV Medications

PrEP

Hepatitis C (HCV)

Other Health Conditions

Access to Syringe Services Program

Interviewer Assessment – Post-Interview

Interviewer Comments

Injection Drug Use Surveillance Project

Abbreviations

Key Terms

Recruitment

Demographic Information

Behavioral Eligibility – Injection Drug Use

Behavioral Eligibility –Drug Use

Interviewer Assessment

Recruiter Relationship

Network Size

Residence

Health Care Access & Utilization

Health Care Stigma/Discrimination

Socioeconomic Status

Disability

Injection History, Lifetime

Injection Frequency, 6m

Fentanyl Injection, 6m

Other Injection Behaviors, 6m

Injection Initiation, 6m

Syringe Use, 6m

Injection Equipment Sharing, 6m

Last Injecting Event

Last Injecting Partner

Non-injection Drug Use Frequency, 6m

Fentanyl, Non-injection

Injection Drug Use Prevention

Drug Overdose

Narcan Access and Use

Consequences of Stimulant Overuse

Incarceration Experience

Law Enforcement Experience

Drug Treatment, History

Medication-assisted Treatment, 6m

HIV Testing, Ever

Recent HIV Testing

Barriers to HIV Testing

Linkage to Care

HIV Medications

PrEP

Hepatitis C (HCV)

Other Health Conditions

Access to Syringe Services Program

Interviewer Assessment – Post-Interview

Interviewer Comments

Approved_IDU_survey_wscreener_track changes_OMB 0920-1325_clean

OMB: 0920-1325

R	Respondent
DK	Don't know
REF	Refused to answer
NA	Not applicable (question asked of R but this is a codable response option

EQ	Equal to
GT	Greater than
GE	Greater than or equal to
LE	Less than or equal to
LT	Less than
NE	Not equal to

Term	Prefix / format	Definition
Calculated variable	CALC_	Item identifier (not prefix for variable name) for variables calculated by the CAPI program that appear in the CRQ.
Message	INTERVIEWER:	Message displayed to the interviewer that is not to be read to R. May be triggered by an edit check. Distinct from Interviewer Instruction. ‘FIELD NOTE’ indicates instructions that will be added as a field note rather than directly included in the question.
Filter question		A question that determines whether the respondent should receive subsequent question or set of questions, typically on a related topic.
Logic Check	Check_	Logic that must be checked (by the CAPI program) in order to determine proper routing to the next item in the CAPI programmed questionnaire.
Interviewer instruction		Instruction to interviewer regarding survey administration. Standard instructions are ‘Give Respondent Flashcard {letter}', ‘READ choices', ‘DO NOT READ choices', & ‘CHECK ALL that apply'.
Introductory statement	INTRO_	Transitional statement read to R at the beginning of a new topic (e.g., Section, set of questions, etc.). Prefix is followed by section abbreviation, series, or first item in set to which it applies.
Range		Range of valid response values for items collecting or computing numeric data. E.g., the valid range of responses to number of sex partners in past 12 months is 0 to 7000.
Section		Section of the Questionnaire. Each section has a unique two letter abbreviation.
Soft Edit Check	SoftEdit_	A check to determine whether the response entered is implausible. If yes, CAPI program displays message to interviewer; program may advance after closing the error message dialog box.

IDU SURVEILLANCE PROJECT QUESTIONNAIRE

INTERVIEWER ENTERED INFORMATION (IE)/ELIGIBILITY SCREENER (ES)

INTRO_OMB.

“Public reporting burden of this collection of information is estimated to average 30 minutes per survey, including the time for reviewing instructions, administering questions and entering responses. 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 CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; Attn: OMB-PRA (0920-New).”

IE1a.	INTERVIEWER: Please enter today’s date. Start by entering the month.
IDATE_M	IDATE month
	January	1
	February	2
	March	3
	April	4
	May	5
	June	6
	July	7
	August	8
	September	9
	October	10
	November	11
	December	12

IE1b.	INTERVIEWER: Enter the day.
IDATE_D	IDATE day
	---- ----
	Range	1-31

IE1c.	INTERVIEWER: Enter the year. Field note: Please enter four digits.
IDATE_Y	IDATE year
	---- ---- ---- -----
	Range	2020-2030

SoftEdit_IE1c.

The date you entered is not possible. Please correct the manually-entered date.

CALC_AUTODATE

Automatic, hidden variable: Today’s date

AUTODATE

Automatic start date

_ _ / _ _ / _ _ _ _

SoftEdit_AUTODATE.

INTERVIEWER: “Please confirm that the date you manually entered (IDATE_M-IDATE_D-IDATE-Y) matches today’s date ([calc_autodate]).”

IE2.				INTERVIEWER: Please enter the current time (hh:mm) using a 24-hour clock. Example: 1:30pm should be entered as 13:30. Field note: You may click “Now.”
START				Start time
		__ : __
IE3.	INTERVIEWER: Please choose the unique program ID for this SSP
PROGID	Program ID
	Ellensburg, Washington		1001
	Wilmington, North Carolina		1002
	New Haven, Connecticut		1003
	Madison, Wisconsin		1004

IE4.	INTERVIEWER: Interviewer ID:
ICODE	Interviewer ID Field note: Cannot exceed two digits.
	---- ----
	Range	1-99

IE5.	INTERVIEWER: City (SSP main location):
SSPCITY	City
	Ellensburg, Washington	5321240
	Wilmington, North Carolina	3774440
	Indianapolis, Indiana	1836003
	New Haven, Connecticut………………………………………………..	0952000
	Madison, Wisconsin……………………………………………………….	5548000

IE6.	INTERVIEWER: Participant ID:
PID	Participant ID
	---- ---- ---- ---- Must be 4 digits
	Range	1000-9999

IE7.

INTERVIEWER: Please copy the following unique Survey ID in the text box:

[SSPCITY] [PID]

Field note: Do not include any spaces.

SURID

Survey ID

---- ---- ---- ---- ---- ---- ---- ----

IE8.	INTERVIEWER: Is [fill with SURID] correct?
C_SURID	Correct concatenated SURID
	No	0
	Yes	1

SoftEdit_IE6.

If SURID NOT correct (C_SURID EQ 0), DISPLAY: "INTERVIEWER: Please go back to IE7 to re-enter the survey ID."

Then go to IE8.

IE9.	INTERVIEWER: Field Site ID: Field note: Cannot exceed two digits
FLDSTEID	Field site ID
	---- ----
	Range	0-99

IE10.	INTERVIEWER: How did the respondent get recruited for this study?
ISEP	Respondent selected from SEP
	Directed by syringe services program	1
	Referred by someone, with a referral card	2
	Referred by someone, without a referral card	3
	Word of mouth	4

INTRO_DOB.

READ: “I’d like to thank you again for your interest in this health survey. Remember that all information you give me will be kept private and I will not ask for your name. Most people have never been in an interview like this one. Some questions may sound awkward, but I need to read them as worded so everyone in the study is asked the same questions. First, I will ask you a few questions about yourself and then the computer will determine if you have been selected to participate in the health survey.”

CALC_S_TIME1

Start time of eligibility screener Automatic hidden variable.

S_TIME1

Respondent start time

__ : __

ES1.	How old are you? [INTERVIEWER: DO NOT READ RESPONSES AND SELECT APPROPRIATE CATEGORY]
AGECAT	Age category
	Under 18 years	1
	18-24 years	2
	25-29 years	3
	30-34 years	4
	35-39 years	5
	40-44 years	6
	45-49 years	7
	50-54 years	8
	55-59 years	9
	60-64 years	10
	65 years or older	11
	Don't Know	99
	Refuse to Answer	77

Check_ES2.

If R LT 18 years old (AGECAT EQ 1), go to INTRO_CALC_EL.

Else, go to ES2 [HISPANIC].

ES2.	Do you consider yourself to be of Hispanic, Latino/a, or Spanish origin? [INTERVIEWER: If necessary, say "Just tell me Yes or No."]
HISPANIC	Latino ethnicity
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

ES3.	[Give Respondent Flashcard A.] Which racial group or groups do you consider yourself to be in? You may choose more than one option. [READ choices. CHECK ALL that apply.]
RACE	Racial group (number reported)
	American Indian or Alaska Native
	Asian
	Black or African American
	Native Hawaiian or Other Pacific Islander
	White
	Don't Know	9
	Refuse to Answer	7
	Not Applicable	8

	[Give Respondent Flashcard B.] What best describes your gender? You may choose more than one option.
ES4.	[READ choices. CHECK ALL that apply.]
GENDER	Gender
	Man
	Woman
	Genderqueer/non-binary
	Trans man
	Trans woman
	Other gender not listed
	Don't Know	9
	Refuse to Answer	7

Check_ES4spec.

If R reports ‘other gender not listed' (ES4(6) [GENDER] EQ 1), go to ES4spec [GENDER_S].

Else, go to ES5 [BIRTHSEX].

ES4spec.	INTERVIEWER: What best describes your gender?
GENDER_S	Specify other gender
	__ __ __ __ __ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __
	{text response; max characters = 100}

ES5.	What was your sex at birth? [DO NOT READ choices.]
BIRTHSEX	Sex at birth
	Male	1
	Female	2
	Intersex/ambiguous	3
	Don't Know	9
	Refuse to Answer	7

ES6.	How well do you speak English? [READ choices.]
ENGPFCY	English proficiency
	Very well	1
	Well	2
	Not well	3
	Not at all	4
	Don't Know	9
	Refuse to Answer	7

INTRO_EVRINJ.

READ: "Now I am going to ask you about experiences you may have had with injecting drugs. This means injecting drugs yourself or having someone who is not a healthcare provider inject you with a needle, either in your vein, under the skin, or in the muscle.

Please only think about drugs you may have gotten without a prescription from your doctor or other healthcare provider, like heroin, methamphetamine, and drugs like Oxycontin. Please also think about drugs that were prescribed to you, but you used them in ways other than instructed by your doctor or healthcare provider.”

ES7.	Have you ever in your life injected any drugs?
EVRINJ	Eligibility: ever injected
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_ES8a.

If R ever injected (ES7 [EVRINJ] EQ 1), go to ES8a [LINJN].

Else, go to INTRO_EVRDRG.

ES8a.	When was the last time you injected any drug? That is, how many days or months or years ago did you last inject? [INTERVIEWER: If today, enter "0"] [FIELD NOTE: IF DON’T KNOW OR REFUSED, LEAVE BLANK]
LINJN	IDU ES: When last injected, number
	__ __ __
	Range	0 - 365

Check_ES8b.

If R last injected today (ES8a [LINJN] EQ 0) go to CALC_E_INJ6, if R did not report the last time they injected (ES8a [LINJN] EQ MISSING), go to INTRO_EVRDRG. Else, go to ES8b [LINJU].

ES8b.	[INTERVIEWER: Was this days or months or years?]
LINJU	IDU ES : When last injected, unit
	Days	0
	Months	1
	Years	2

CALC_E_INJ6

injected in last 6 months

E_INJ6 = if([ldrgn]=0, 1, if(([ldrgu]=0 and [ldrgn]<=183), 1, if(([ldrgu]=1 and [ldrgn]<=6), 1,if([ldrgn]="",0,0))))

Check_ES9.

If R injected in the last 6 months (E_INJ6 EQ 1), go to ES9 [INJDRUG]. Else, go to INTRO_EVRDRG.

ES9.		In the past 6 months, which drugs have you injected? Please say “yes” or “no” to each drug I mention.
INJDRUG		Eligibility, drug usually injected
	INJDRUGA	Speedball, which is heroin and cocaine together
	INJDRUGB	Goofball, which is heroin and methamphetamine together
	INJDRUGC	Fentanyl, by itself or in combination with other drugs
	INJDRUGD	Heroin, by itself
	INJDRUGE	Methamphetamine, by itself, also known as meth or speed
	INJDRUGF	Powder cocaine, by itself
	INJDRUGG	Crack cocaine, by itself
	INJDRUGH	Painkillers, such as Oxycontin, Dilaudid, or Percocet
	INJDRUGI	Benzodiazepines or other downers, such as Valium, Xanax, or Klonopin
		Don't Know	9
		Refuse to Answer	7

ES10.	In the past 6 months, have you injected methadone?
INJELM	Eligibility: injection, methadone
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

ES11.	In the past 6 months, have you injected buprenorphine, also known as Suboxone or Subutex?
INJELB	Eligibility: injection, buprenorphine
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

ES12.	Are there any other drugs you have injected in the past 6 months?
INJOTH	Eligibility: injection, other
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_ES12spec.

If R reports injecting other drugs (ES12 [INJOTH] EQ 1), go to ES12spec [INJOTH_S].

Else, go to USINJ.

ES12spec.	INTERVIEWER: Specify other injection drugs.
INJOTH_S	Specify other injection drug
	__ __ __ __ __ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __
	{text response; max characters = 100}

ES13.	Which drug do you inject most often? [DO NOT READ choices.]
USINJ	Eligibility, drug usually injected
	Speedball, which is heroin and cocaine together	1
	Goofball, which is heroin and methamphetamine together	2
	Fentanyl, by itself or in combination with other drugs	3
	Heroin, by itself	4
	Methamphetamine, by itself, also known as meth or speed	5
	Powder cocaine, by itself	6
	Crack cocaine, by itself	7
	Painkillers, such as Oxycontin, Dilaudid, or Percocet	8
	Benzodiazepines or other downers, such as Valium, Xanax, or Klonopin	9
	Methadone	10
	Buprenorphine, also known as Suboxone or Subutex	11
	Something else	12
	Don't Know	99
	Refuse to Answer	77

Check_ES13spec.

If R most often injects ‘something else' (ES13 [USINJ] EQ 12), go to ES13spec [USINJ_S].

Else, go to INTRO_EVRDRG.

SoftEdit_ES13.

If R says the drug they use the most often is not one of the drugs they have used in the past 6 months, DISPLAY: "INTERVIEWER: The drug the respondent injects the most often should be a drug they reported using in the past 6 months. Please confirm answers with respondent and correct data."

ES13spec.	INTERVIEWER: Specify other injection drug.
USINJ_S	Specify other injection drug
	__ __ __ __ __ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __
	{text response; max characters = 100}

INTRO_EVRDRG.

READ: “Now I am going to ask you about experiences you may have had with drugs that you did not inject. This includes times that you may have smoked, snorted, inhaled, or ingested drugs.

Please only think about drugs you may have gotten without a prescription from your doctor or other medical provider, like heroin, methamphetamine, and drugs like Oxycontin. Please also think about drugs that were prescribed to you but you used them in ways other than instructed by your doctor or healthcare provider.”

ES14.	Have you ever in your life used any drugs that you did not inject?
EVRDRG	Eligibility: ever used non-injection drugs
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_ES15a.

If R ever used (ES14 [EVRDRG] EQ 1), go to ES15a [LDRGN].

Else, go to ES20 [CAPABLE].

ES15a.	When was the last time you used any drug that you did not inject? That is, how many days or months or years ago did you last use drugs? [INTERVIEWER: If today, enter "0"] [FIELD NOTE: IF DON’T KNOW OR REFUSED, LEAVE BLANK]
LDRGN	IDU ES: When last used non-injection drugs, number
	__ __ __
	Range	0 - 365

Check_ES15b.

If R last injected today (ES13a [LDRGN] EQ 0), go to ES16 [USDRG]. If ES15a [LDRGN] EQ MISSING, go to ES20 [CAPABLE]. Else, go to ES15b [LDRGU].

ES15b.	[INTERVIEWER: Was this days or months or years?]
LDRGU	IDU ES : When last used drugs, unit
	Days	0
	Months	1
	Years	2

CALC_E_DRG6.
E_DRG6	used drug in last 6 months	E_DRG6 = if([ldrgn]=0, 1, if(([ldrgu]=0 and [ldrgn]<=183), 1, if(([ldrgu]=1 and [ldrgn]<=6), 1,if([ldrgn]="",0,0))))

Check_ES16.

If R injected in the last 6 months (E_DRG6 EQ 1), go to ES16 [USDRG]. Else, go to ES20 [CAPABLE].

ES16.		In the past 6 months, which drugs did you use that you did NOT inject? Please say “yes” or “no” to each drug I mention.
USDRG		Eligibility, drug used not injected
	USDRGA	Marijuana
	USDRGB	Methamphetamine, also known as meth or speed
	USDRGC	Crack cocaine
	USDRGD	Powder cocaine
	USDRGE	Benzodiazepines or other downers such as Valium, Xanax, or Klonopin
	USDRGF	Painkillers, such as Oxycontin, Dilaudid, or Percocet
	USDRGG	X or ecstasy (MDMA)
	USDRGH	Heroin
	USDRGI	Fentanyl, by itself or in combination with other drugs
	USDRGJ	Adderall, Ritalin, or other commonly prescribed stimulants
		Don't Know	9
		Refuse to Answer	7

ES17.	In the past 6 months, have you used methadone that was not prescribed or not taken as prescribed?
USELM	Eligibility: use, methadone
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

ES18.	In the past 6 months, have you used buprenorphine, also known as Suboxone or Subutex, that was not prescribed or not taken as prescribed?
USELB	Eligibility: use, buprenorphine
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

ES19.	Are there any other drugs you have used and did not inject in the past 6 months?
USOTH	Eligibility: use, other
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_ES19spec.

If R reports injecting other drugs (ES19 [USOTH] EQ 1), go to ES19spec [USOTH_S].

Else, go to ES20 [CAPABLE].

ES19spec.	INTERVIEWER: Specify other drug that R did not inject.
USOTH_S	Specify other non-injection drug
	__ __ __ __ __ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __
	{text response; max characters = 100}

CALC_E_DRGEL

Non-injection drugs

E_DRGEL= if(([usdrgb]=1 or [usdrgc]=1 or [usdrgd]=1 or [usdrge]=1 or [usdrgf]=1 or [usdrgg]=1 or [usdrgh]=1 or [usdrgi]=1 or [usdrgj]=1 or [uselm]=1 or [uselb]=1), 1, 0)

ES20.	INTERVIEWER: Is this person alert and capable of completing the survey in English?
CAPABLE	Eligibility: able to complete
	No	0
	Yes	1

Check_ES21.

If R is able to complete the survey (ES20 [CAPABLE] EQ 1, go to ES22 [E_PART].

Else, go to ES21.

ES21.	INTERVIEWER: Specify reason person not able to complete the interview: [CHECK ALL that apply.]
CAPREAS	Eligibility: Reason not able to complete
	Not able to understand or consent
	Cannot speak and understand English

ES22.	INTERVIEWER: Has this person participated in this study before?
E_PART	Eligibility: Previous participant
	No	0
	Yes	1

ES23.	INTERVIEWER: Did your field supervisor tell you that this person cannot complete the survey for some other reason?
SUPERV	Eligibility: field supervisor reason
	No	0
	Yes	1

INTRO_CALC_EL_IDU.

READ: “We've finished the first series of questions. Now the computer will determine whether you've been selected to participate in the survey."

CALC_EL_IDU.

EL_IDU = IF((AGECAT NE 1 & CAPABLE=1 & E_PART=0 & SUPERV=0 & (E_INJ6=1 OR (E_DRG6=1 AND E_DRGEL=1))),1,0)

Check_ES21.

If R is not eligible (EL_IDU EQ 0) go to END_ESIN. Else, go to END_ESEL.

END_ESIN.

If R NOT eligible for cycle READ: “Unfortunately, the computer has not selected you to participate in the health survey. Thank you for your time.” Go to END1 (C_CMPLT).

END_ESEL.

If R eligible for cycle READ: “Congratulations! The computer has selected you to participate in the health survey. Let me tell you about it.” [INTERVIEWER: Proceed with the consent process.] Then go to Consent Section (CN).

PROGRAM PERMISSION FORM (CN)

INTRO_CONSENTA.

READ: "1. This project is conducted by SSP enrollment site, University of Washington, and the Centers for Disease Control and Prevention (CDC) to collect information on HIV and hepatitis C in your community. We will use this information to plan better HIV and hepatitis C virus (HCV) prevention and treatment programs for people in your community.

2. Taking part in this project is your decision. Your choice will not affect your right to health care or other services. We will send information from this project to the CDC, but we will not send any information that could identify you.

3. If you agree to participate, you will do an interview with me. I’ll ask you questions about your sex practices, drug use, and other health topics. You can refuse to answer any questions. You can stop the interview at any time without penalty. The interview will take about 30 minutes.

4. As part of this project, you will be offered a free rapid HIV antibody test at your enrollment site. This will involve enrollment site staff sticking your finger with a small lancet to draw a small amount of blood. Your results will be ready within 60 seconds. If this test is reactive (positive), site staff will offer you a referral for additional testing to confirm your results.

5. We will also offer you a free testing for HCV infection and antibodies. HCV testing will be conducted using small amounts of blood taken at the same time as performing the finger prick for your rapid HIV test. The small amounts of your blood from the finger prick will be placed on filter paper and sent to a CDC laboratory for testing. The results of your HCV tests will be available in 2 weeks. You will be provided a secure, private number to call to check your HCV test results.

6. If you agree, we’d also like to store any specimen left over from these tests for future projects.

7. Finally, I may give you the option to invite people to participate in the project.

8. There are minimal risks from being in this project. You may experience temporary discomfort in your finger from the needle stick. Some interview questions may make you feel uncomfortable and knowing your HIV or HCV test result may be upsetting, but I and site staff are here to discuss any concerns you have.

9. You may benefit from this project by learning about HIV, HCV, and other infections and how to prevent them. You will also learn your HIV and HCV status and we will refer you for any specialized treatment you may need.

10. If you complete the interview, we’ll pay you $20. If you complete the HIV and HCV testing, we’ll pay you an additional $20. After the survey, I may ask you to invite people you know to participate in this project. If you agree, you may receive $10 each for up to 4 people you refer.

11. If you decide not to participate, there will be no penalty to you. If you want information about HIV testing the field site staff can refer you to other places to get tested.

12. If you have any questions about this project, you can contact these people (Site PI).

13. Everything you tell us will be kept private—it will only be available to people working on this project. I will not ask your name. To receive your HCV results and referral payments, we will create a code based on information that only you can give us. This is to make sure the right person receives the correct HCV results and referral payments..

14. There is a very small chance that the data could legally be forced to be released. To keep the data anonymous and not able to be linked to you, I will not ask for your name or any other identifying information.

CN1.	Do you agree to take part in the survey?
CONSENTA	Consent to survey
	No	0
	Yes	1

Check_CN2.

If R does not consent (CN1 [CONSENTA] NE 1), this survey will STOP immediately.

Else, go to CN2 [CONSENTB].

CN2.	Do you agree to HIV counseling and testing?
CONSENTB	Consent to HIV testing
	No	0
	Yes	1

CN3.	Do you agree to hepatitis C testing?
CONSENTC	Consent to HCV testing
	No	0
	Yes	1
	Not offered	2

Check_CN4.

If R consents to HIV or hepatitis testing (CN2 [CONSENTB] EQ 1 OR CN3 [CONSENTC] EQ 1), go to CN4 [CONSENTD].

Else, go to E_TIME1.

CN4.	Do you agree to let us store some of your blood for future testing?
CONSENTD	Consent to specimen storage
	No	0
	Yes	1
	Not offered	2

CALC_E_TIME1

End time of eligibility screener Automatic hidden variable.

E_TIME1

Respondent end time

__ : __

NETWORK SECTION (NS)

Check_INTRO_NSREL.

If R has been recruited by someone (IE10 [ISEP] EQ 2 OR 3), go to INTRO_NSREL.

Else, go to INTRO_NSIDU.

INTRO_NSREL.

READ: “Thank you for answering the questions. I'm going to start by asking you about the person who told you about this survey. Please remember that your answers will be kept private."

CALC_S_TIME2

Start time of core questionnaire. Automatic hidden variable.

S_TIME2

Respondent start time

__ : __

NS1.	[Give Respondent Flashcard C.] Which of the following describes how you know the person who told you about this survey? You can choose more than one answer. [READ choices. CHECK ALL that apply.]
NSREL	Relationship to recruiter
	A relative or family member
	A person you have sex with
	A person you use drugs with or buy drugs from
	A friend
	An acquaintance, that is, a person you know but do not consider a friend
	A stranger, you don't know the person or just met them
	Refuse to Answer	77

INTRO_NSIDU.

READ: “Now, I'm going to ask you about people you know. Specifically, I'm going to ask you how many people you know who inject or use drugs and whom you have seen in the past 30 days. I will not ask you questions about any specific person."

NS2.

Please tell me how many people you know who inject and whom you have seen in the past 30 days.

[FIELD NOTE: IF DON’T KNOW OR REFUSED, LEAVE BLANK]

NSIDU

# IDUs known: net size

Range

0 - 7500

NS3.

Please tell me how many people you know who use drugs but do not inject and whom you have seen in the past 30 days.

[FIELD NOTE: IF DON’T KNOW OR REFUSED, LEAVE BLANK]

NSDU

# DUs known: net size

Range

0 - 7500

DEMOGRAPHICS (DM)

INTRO_HMLSC.

READ: “Next, I'd like to ask you some questions about where you live. Please remember your answers will be kept private."

DM1.	In the past 6 months, have you been homeless? By homeless, I mean you were living on the street, in a shelter, or in a car.
HMLSC	Homeless p6m
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

DM2.	What zip code do you usually live or sleep in? Please tell me only the first three digits. [FIELD NOTE: IF DON’T KNOW OR REFUSED, LEAVE BLANK]
ZIP	Zip code
	__ __ __
	Range	005-999

INTRO_CURRHLTH.

READ: "The next questions are about health insurance. By health insurance, we mean health plans people get through employment or purchase directly, as well as government programs like Medicare and Medicaid that provide medical care or help pay medical bills."

DM3.	Do you currently have health insurance or health care coverage?
CURRHLTH	Currently insured
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_DM4.

If R currently insured (DM3[CURRHLTH] EQ 1), go to DM4[TYPINS].

Else, go to DM5[VSITMD6].

DM4.	[Give Respondent Flashcard D.] What kind of health insurance or coverage do you currently have? [READ choices. CHECK ALL that apply.]
TYPINS	Type of health insurance
	A private health plan - through an employer or purchased directly
	A government plan such as Medicaid or Medicare
	Some other health insurance
	Don't Know	9
	Refuse to Answer	7

Check_DM4spec.

If R reported ‘other' insurance type (DM4(3) [TYPINS(3)] EQ 1), go to DM4spec [TYPINS_S].

Else, go to DM5 [VSITMD6].

DM4spec.	INTERVIEWER: Specify other health insurance or coverage:
TYPINS_S	Specify other health insurance
	__ __ __ __ __ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __
	{text response; max length = 100 characters}

DM5.	In the past 6 months, have you seen a doctor, nurse, or other healthcare provider?
VSITMD6	Medical care, 6 months
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_DM6.

If R reported receiving care (DM5 [VSITMD6] EQ 1), go to DM6 [VSITERN].

Else, go to DM7 [HCPOORD].

DM6.	In the past 6 months, how many times have you gone to an emergency room for medical care? [FIELD NOTE: IF DON’T KNOW OR REFUSED, LEAVE BLANK]
VSITERN	ER room, 6 months
	__ __
	Range	0-76

Check_DM7.

If R reported receiving care (DM5[VSITMD6] EQ 1), go to DM7 [HCPOORD].

Else, go to DM8 [HCAVOID].

DM7.	In the past 6 months, have you felt that healthcare staff treated you poorly because you use drugs?
HCPOORD	Treated poorly drugs, 6m
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

DM8.	In the past 6 months, have you avoided seeking healthcare because you were worried about being treated poorly by healthcare staff because of your drug use?
HCAVOID	Avoid healthcare, 6m
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

DM9.	What is the highest level of education you completed? [DO NOT READ choices.]
SCHOOL	Education
	Never attended school	1
	Grades 1 through 8	2
	Grades 9 through 11	3
	Grade 12 or GED	4
	Some college, Associate's Degree, or Technical Degree	5
	Bachelor's Degree	6
	Any post graduate studies	7
	Don't Know	99
	Refuse to Answer	77

DM10.	During the last 6 months, what was the main source of income you lived on? Your main source of income could be formal or informal. Remember all information you provide will be kept private. [DO NOT READ choices.]
MAININC	Sources of income
	Full-time job/employed with a regular salary	1
	Temporary work, including legal part-time and odd jobs, off-books, etc.	2
	Unemployment benefits	3
	Other public assistance such as welfare, disability, or, food stamps	4
	Spouse, partner, friend, or relative’s income	5
	Sex for money	6
	Selling drugs	7
	Panhandling	8
	Other (specify)	9
	Don't Know	99
	Refuse to Answer	77

Check_DM10spec.

If R reported ‘other ’ (MAININC=9), go to DM10spec [MAININC_S].

Else, go to INTRO_DISDEAF.

DM10spec.	INTERVIEWER: Specify other main source of income
MAININC_S	Specify other main source of income
	__ __ __ __ __ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __
	{text response; max length = 100 characters}

INTRO_DISDEAF

READ: "The next questions are about your overall health."

DM11.	Are you deaf or do you have serious difficulty hearing?
DISDEAF	Disability – Hearing
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

DM12.	Are you blind or do you have serious difficulty seeing, even when wearing glasses?
DISBLND	Disability – Vision
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

DM13.	Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions?
DISCOGN	Disability – Cognition
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

DM14.	Do you have serious difficulty walking or climbing stairs?
DISWALK	Disability – Ambulation
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

DM15.	Do you have difficulty dressing or bathing?
DISCARE	Disability - Self-care
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7


DM16.	Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone, such as visiting a doctor's office or shopping?
DISERND	Disability – Errands
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

CALC_E_TIME2

End time of questions before ACASI. Automatic hidden variable.

E_TIME2

Respondent end time

__ : __

AC0.	INTERVIEWER: Does the participant have the option to complete the next section on his or her own (e.g., ACASI)?
ACASI_OPTION	Is ACASI possible – y/n
	No	0
	Yes	1

Check_AC0.

If ACASI is not possible (ACASI_OPTION=0), go to CALC_S_TIME_3.

Else, go to INTRO_YESNO.

ACASI TUTORIAL (AC)

INTRO_YESNO.

READ: “The next few sections will have some sensitive questions about your sex life and drug use. You have the option to complete these sections on your own or with me. If you choose to do them on your own, I will still be available to answer any questions you may have. First, I will show you the different types of questions and answers.”

INTERVIEWER: The participant should be observed for this section to assess capacity for ACASI. Give the tablet to the participant.

AC1.	Some questions you answer by clicking either “Yes” or “No”. Please click on “Yes”.
YESNO	ACASI – Y/N
	No	0
	Yes	1

AC2.	For other questions, you choose the best or correct answer. For example, what is the day after WEDNESDAY?
SELONE	ACASI – select one
	Sunday	1
	Monday	2
	Tuesday	3
	Wednesday	4
	Thursday	5
	Friday	6
	Saturday	7

AC3.		For some questions, you can choose more than one answer. Select all the options which are examples of food. You can select more than one option.
MULTI		ACASI – select more than one
		Apples
		Cereal
		Radio
		Green beans

AC4.	Lastly, there are questions you answer by entering a number. Let’s try entering the number “18”.
NUMBER	ACASI – number
	__ __
	Range	0-99

INTRO_PASSCODE.

Please return the device to the interviewer.

AC5.	[INTERVIEWER: Enter code to continue.]
PASSCODE	ACASI – Passcode
	__ __ __ __
	Range	1122-1122

AC6.	We have finished the tutorial. Would you like to complete the next set of questions on your own or with me? [INTERVIEWER ENTER RESPONSE]
PASSED	ACASI – Passed
	Participant will complete	0
	Interviewer will complete	1

CALC_S_TIME3

Start time of ACASI questions. Automatic hidden variable.

S_TIME3

Respondent start time

__ : __

Check_S_TIME3

If ACASI is not possible (ACASI_OPTION=1), go to INTRO1_SXEVER.

Else, go to INTRO_SXEVER.

INTRO1_SXEVER.

READ: “The next few sections will have some sensitive questions about your sex life and drug use.”

SEXUAL BEHAVIOR (SX)

INTRO_SXEVER.

The next questions are about having sex. "Having sex" means vaginal or anal sex. Vaginal sex means penis in the vagina; and anal sex means penis in the anus or butt.

SX1.	Have you ever had vaginal sex or anal sex?
SXEVER	Ever sex y/n
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_SX2.

If R reported ever sex (SX1[SXEVER] EQ 1), go to SX2[SXNUM].

Else, go to INTRO_INJAGE.

SX2.	In the past 6 months, with how many different people have you had vaginal or anal sex? Please give your best estimate. If you do not know, you may leave the response blank.
SXNUM	Number of partners in last 6 months
	__ __ __ __
	Range	0-7000

Check_SX3.

If R reported at least 1 person (SXNUM GE 1), go to SX3 [SXGENDER].

Else, go to INTRO_INJAGE.

SX3.	In the past 6 months, with whom have you had vaginal or anal sex? You can select more than one.
SXGENDER	Gender of sex partners
	Men
	Women
	People with other gender identities
	Don't Know	99
	Refuse to Answer	77

SX4.	In the past 6 months, did you receive money, drugs, or any other type of payment for having vaginal or anal sex?
SXREXCH	Exchange sex receive, 6 months
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

SX5.	In the past 6 months, did you give money, drugs, or any other type of payment for having vaginal or anal sex?
SXGEXCH	Exchange sex give, 6 months
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

SX6.	In the past 6 months, did you have vaginal or anal sex without using a condom?
SXUVAS	UVAS – 6 months
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_SX7.

If R reported condomless sex (SX6 [SXUVAS] EQ 1), go to SX7 [SXUVASP].

Else, go to INTRO_INJAGE.

SX7.	In the past 6 months, with whom did you have sex without using a condom? You can select more than one option.
SXUVASP	UVAS – partner type
	Main sex partner, such as your spouse, boy/girlfriend
	Casual sex partner
	Someone you got drugs or money for sex
	Someone else
	Don't Know
	Refuse to Answer

SoftEdit_SX7.

If UVAS-partner type is exchange sex (SX7 [SXUVASP(3)] EQ 1) and SX4 [SXREXCH] NE 1 and SX5 [SXGEXCH] NE 1 , DISPLAY: "INTERVIEWER: Earlier the respondent said they had not given or received sex in exchange for money or drugs. Please check with respondent and correct answers."

Then go to intro_INJAGE.

INJECTION DRUG USE (ID)

Check_INTRO_INJAGE.

If R ever injected (ES7 [EVRINJ] EQ 1), go to ID1.

Else, go to INTRO_NDMETH.

INTRO_INJAGE.

The next questions are about injection drug use. Please remember your answers will be kept private.

ID1.		Think back to the very first time you injected any drugs. How old were you when you first injected any drug? Please give your best estimate. If you do not know, you may leave the response blank.
INJAGE		INJ Age at first injection
		__ __

[Give Respondent Flashcard AA]

ID2.	Which drug did you inject that very first time?
INJFIRST	Drug first injected
	Speedball	1
	Goofball	2
	Fentanyl, by itself or mixed with other drugs	3
	Heroin, by itself	4
	Methamphetamine, by itself	5
	Powder cocaine, by itself	6
	Crack cocaine, by itself	7
	Painkillers, such as Oxycontin, Dilaudid, or Percocet	8
	Benzodiazepines or other downers	9
	Methadone	10
	Buprenorphine, also known as Suboxone or Subutex	11
	Something else	12
	Don't Know	99
	Refuse to Answer	77

Check_INTRO_INJFX6.

If R injected in the past 6 months (E_INJ6 EQ 1), go to ID3 [INJFX6].

Else, go to INTRO_NDMETH.

INTRO_INJFX6.

The next questions are about drugs you injected in the past 6 months.

[Give Respondent Flashcard BB]

ID3.	In the past 6 months, when you were injecting, about how often did you inject any drug?
INJFX6	Overall injection frequency,6m
	More than once a day	1
	Once a day	2
	More than once a week	3
	Once a week or less	4
	Don't Know	9
	Refuse to Answer	7

ID4.

On a day when you inject any drug, on average, how many times a day do you inject? Please give your best estimate. If you do not know, you may leave the response blank.

Number injection, average day

INJTIM

__ __

Range

1-75

INTRO_INJSB.

The next questions are about the types of drugs you mentioned you had injected in the past 6 months.

Check_ID5

If R injected speedball (ES9(1) [INJDRUGA] EQ 1), go to ID5[INJSB].

Else, go to ID6[INJGB]

[Give Respondent Flashcard BB. Read for the first question in the series.]

ID5.	In the past 6 months, how often did you inject speedball?
INJSB	Speedball frequency - 6 months
	More than once a day	1
	Once a day	2
	More than once a week	3
	Once a week or less	4
	Don't Know	9
	Refuse to Answer	7

Check_ID6

If R injected goofball (ES9(2) [INJDRUGB] EQ 1), go to ID6[INJGB].

Else, go to ID7[INJHERO]

ID6.	In the past 6 months, how often did you inject goofball?
INJGB	Goofball frequency - 6 months
	More than once a day	1
	Once a day	2
	More than once a week	3
	Once a week or less	4
	Don't Know	9
	Refuse to Answer	7

Check_ID7

If R injected heroin (ES9(4) [INJDRUGD] EQ 1), go to ID7[INJHERO].

Else, go to ID8[INJMETH]

ID7.	In the past 6 months, how often did you inject heroin, by itself?
INJHERO	Heroin, by itself frequency - 6 months
	More than once a day	1
	Once a day	2
	More than once a week	3
	Once a week or less	4
	Don't Know	9
	Refuse to Answer	7

Check_ID8

If R injected meth (ES9(5) [INJDRUGE] EQ 1), go to ID8[INJMETH].

Else, go to ID9[INJCOKE]

ID8.	In the past 6 months, how often did you inject methamphetamine, by itself?
INJMETH	Methamphetamine frequency - 6 months
	More than once a day	1
	Once a day	2
	More than once a week	3
	Once a week or less	4
	Never	5
	Don't Know	9
	Refuse to Answer	7

Check_ID9

If R injected powder cocaine (ES9(6) [INJDRUGF] EQ 1), go to ID9[INJCOKE].

Else, go to ID10[INJCRAC]

ID9.	In the past 6 months, how often did you inject powder cocaine, by itself?
INJCOKE	Powder cocaine, by itself frequency - 6 months
	More than once a day	1
	Once a day	2
	More than once a week	3
	Once a week or less	4
	Don't Know	9
	Refuse to Answer	7

Check_ID10

If R injected crack cocaine (ES9(7) [INJDRUGG)] EQ 1), go to ID10[INJCRAC].

Else, go to ID11[INJPAIN]

ID10.	In the past 6 months, how often did you inject crack cocaine, by itself?
INJCRAC	Crack cocaine, by itself frequency - 6 months
	More than once a day	1
	Once a day	2
	More than once a week	3
	Once a week or less	4
	Don't Know	9
	Refuse to Answer	7

Check_ID11

If R injected painkillers (ES9(8) [INJDRUGH] EQ 1), go to ID11[INJPAIN].

Else, go to ID12[INJDOWN]

ID11.	In the past 6 months, how often did you inject painkillers, such as Oxycontin, Dilaudid, or Percocet?
INJPAIN	Painkillers frequency - 6 months
	More than once a day	1
	Once a day	2
	More than once a week	3
	Once a week or less	4
	Don't Know	9
	Refuse to Answer	7

Check_ID12

If R injected benzos (ES9(9) [INJDRUGI] EQ 1), go to ID12[INJDOWN].

Else, go to ID13[INJFENT]

ID12.	In the past 6 months, how often did you inject benzodiazepines or other downers?
INJDOWN	Benzos frequency - 6 months
	More than once a day	1
	Once a day	2
	More than once a week	3
	Once a week or less	4
	Don't Know	9
	Refuse to Answer	7

Check_ID13

If R injected methadone ([INJELM] EQ 1), go to ID13[INJMET].

Else, go to ID14[INJBUP]

ID13.	In the past 6 months, how often did you inject methadone?
INJMET	Methadone frequency – 6 months
	More than once a day	1
	Once a day	2
	More than once a week	3
	Once a week or less	4
	Don't Know	9
	Refuse to Answer	7

Check_ID14

If R injected buprenorphine ([INJELB EQ 1), go to ID14[INJBUP].

Else, go to ID15[INJFENT]

ID14.	In the past 6 months, how often did you inject buprenorphine, also known as Suboxone or Subutex?
INJBUP	Methadone frequency – 6 months
	More than once a day	1
	Once a day	2
	More than once a week	3
	Once a week or less	4
	Don't Know	9
	Refuse to Answer	7

Check_ID15

If R injected fentanyl (ES9(3) [INJDRUGC] EQ 1), go to ID15[INJFENT].

Else, go to ID18 [INJLOC]

ID15.	In the past 6 months, how often did you inject fentanyl by itself or mixed with other drugs?
INJFENT	Fentanyl, injection, 6 months
	More than once a day	1
	Once a day	2
	More than once a week	3
	Once a week or less	4
	Don't Know	9
	Refuse to Answer	7

ID16.	When you injected fentanyl in the past 6 months, was it mixed with any other drug?
INJFENTC	Fentanyl, injection, combined
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_ID15.

If R reported injecting fentanyl mixed (ID16 [INJFENTC EQ 1), go to ID17[INJFENTD].

Else, go to ID18 [INJLOC].

[Give Respondent Flashcard CC]

ID17.	What other drugs was fentanyl mixed with? You can select more than one option.
INJFENTD	Fentanyl, injection, drugs combined
	Speedball
	Goofball
	Heroin
	Methamphetamine
	Powder cocaine
	Crack cocaine
	Painkillers, such as Oxycontin, Dilaudid, or Percocet
	Benzodiazepines or other downers
	Methadone
	Buprenorphine, also known as Suboxone or Subutex
	Something else
	Don't Know	99
	Refuse to Answer	77

[Give Respondent Flashcard DD. Read for the first question in the series.]

ID18.	In the past 6 months, how often did you inject in a public place, like an alley, public bathroom, library, or outside?
INJLOC	Location injected, 6m
	Never	0
	Rarely	1
	About half the time	2
	Most of the time	3
	Always	4
	Don't Know	9
	Refuse to Answer	7

ID19.	In the past 6 months, how often were you alone when you injected?
INJALO	Frequency, injected alone- 6 months
	Never	0
	Rarely	1
	About half the time	2
	Most of the time	3
	Always	4
	Don't Know	9
	Refuse to Answer	7

INTRO_INJSOM.

The next questions are about assisting someone who has never injected drugs with their first injection of any drug. This means you gave them their first injection or you showed them how to inject and then they injected themselves.

ID20.	In the past 6 months, have you injected drugs in front of someone who had never injected drugs?
INJSOM	Inject non-injector
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

ID21.	In the past 6 months, have you assisted anyone with their first time injecting any drug?
INJGIVE	Give injection
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

INTRO_STERILE.

Next, the questions will be about the needles you used in the past 6 months.

[Give Respondent Flashcard DD. Read for the first question in the series.]

ID22.	In the past 6 months when you injected, how often did you use a new, sterile needle? By a new, sterile needle, I mean a needle never used before by anyone, even you.
STERILE	INJ Frequency used sterile needle - 12 months
	Never	0
	Rarely	1
	About half the time	2
	Most of the time	3
	Always	4
	Don't Know	9
	Refuse to Answer	7

ID23.	In the past 6 months, after you injected, how often did you put a used needle in a medical sharps or other secure container and/or took it to a syringe exchange program?
NDLEDSP	INJ Frequency used sterile needle - 12 months
	Never	0
	Rarely	1
	About half the time	2
	Most of the time	3
	Always	4
	Don't Know	9
	Refuse to Answer	7

ID24.	In the past 6 months, how often did you reuse a needle you already injected with?
REUSE	Used same needle
	Never	0
	Rarely	1
	About half the time	2
	Most of the time	3
	Always	4
	Don't Know	9
	Refuse to Answer	7

Check_ SHARNDLE.

If R always injected alone ([INJALO] NE 4, go to INTRO_SHARNDLE.

Else, go to INTRO_INJLLOC.

INTRO_SHARNDLE.

The next questions are about your injecting behaviors in the past 6 months.

Check_ INTRO_SHARNDLE.

If R always used a sterile needle in the past 6 months (ID22 [STERILE] EQ 4, go to ID27 [GIVENDLE].

Else, go to INTRO_SHARNDLE.

ID25.	In the past 6 months, did you use needles that someone else had already injected with?
SHARNDLE	Used needle after, Y/N
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_ID26

If R used needle (ID25 [SHARNDLE] EQ 1), go to ID26 [NUM_NA].

Else, go to ID27 [GIVENDLE].

ID26.	In the past 6 months, with how many different people did you use a needle after they injected with it? Please give your best estimate. If you do not know, you may leave the response blank.
NUM_NA	Used needle after-number of people
	__ __ __
	Range	0-300

ID27.	In the past 6 months, did you give your needle to someone else to use after you had already injected with it?
GIVENDLE	Gave needle after injected, Y/N
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_ID28

If R used needle (ID27 [GIVENDLE] EQ 1), go to ID28 [NUM_GIVE].

Else, go to ID29 [SHARWORK].

ID28.	In the past 6 months, how many different people did you give your needle to use after you had already injected with it? Please give your best estimate. If you do not know, you may leave the response blank.
NUM_GIVE	Gave needle after injected with it - number of people
	__ __ __
	Range	0-300

ID29.	In the past 6 months, did you use cookers, cottons, filters, or water that someone else had already used?
SHARWORK	Used cooker, cotton, water after, Y/N
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_ID30

If R used inj equip (ID29 [SHARWORK] EQ 1), go to ID30 [NUM_CCW].

Else, go to ID31 [SAMESYR].

ID30.	In the past 6 months, with how many different people did you use the same cooker, cotton, or water that they had already used? Please give your best estimate. If you do not know, you may leave the response blank.
NUM_CCW	Used cooker, cotton, water after - number of people
	__ __ __
	Range	0-300

ID31.	In the past 6 months, did you use drugs that had been divided with a syringe that someone had already injected with, also known as backloading or splitting?
SAMESYR	Used drugs divided up after, Y/N
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_ID32

If R divided syringe (ID31 [SAMESYR] EQ 1), go to ID32 [NUM_DDA].

Else, go to INTRO_INJLLOC.

ID32.	In the past 6 months, with how many different people did you use drugs that had been divided with a syringe that they had already used? Please give your best estimate. If you do not know, you may leave the response blank.
NUM_DDA	Used drugs divided up after - number of people
	__ __ __
	Range	0-300

INTRO_INJLLOC.

Now, think about the last time you injected in the past 6 months.

Check_ID33

If R ever injected in a public place p6m (ID18 [INJLOC])=1,2,3,or 4, go to ID33 [INJLLOC].

Else, go to ID34 [INJLDIS].

ID33.	The last time you injected any drug, did you inject in a public place, like an alley, public bathroom, library, or outside?
INJLLOC	Location injected, last time
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_ID34

If R ever disposed a needle in a medical sharps container p6m (ID23 [NDLESDP]=1,2,3, or 4, go to ID34 [INJLLOC].

Else, go to ID35 [INJLSTE].

ID34.	The last time after you injected, did you put the used needle in a medical sharps or other secure container and/or took it to a syringe exchange program?
INJLDIS	Needle disposal, last time
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_ID35.

If R used sterile needles only (ID22 [STERILE] EQ 4), go to ID36 [INJLPN].

Else, go to ID35 (INJLSTE).

ID35.	The last time you injected any drug, did you use a new, sterile needle?
INJLSTE	Sterile needle, last time
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_ID35.

If R always injected alone (ID19 [INJAO] NE 4), go to ID36 [INJLPN].

Else, go to IDU37 [INJLUN].

ID36.	The last time you injected, how many other people did you inject with? Please give your best estimate. If you do not know, you may leave the response blank. Field note: If you did not share with anybody, enter 0
INJLPN	Number of people inject, last time
	__ __ __
	Range	0-300

Check_ID37

If R injected with at least 1 person and used needle after (ID36 [INJLPN] GE 1 AND ID25 [SHARNDLE] EQ 1), go to ID37 [INJLUN]. If R injected with at least 1 person and did not use needle (ID36 [INJPN] GE 1 AND ID25 [SHARNDLE] NE 1) to go ID38 [INJLGIV]. Else, go to INTRO_NDMETH.

ID37.	The last time you injected, did you use a needle after anyone else had already injected with it?
INJLUN	Used needle after someone - last time
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_ID38

If R last gave needle to someone (ID27 [GIVENDLE EQ 1), go to ID38 [INJLGIV].

Else, go to ID39 [INJLUCW].

ID38.	The last time you injected, did you give your needle to someone else to use after you had already injected with it?
INJLGIV	Gave used needle to someone else - last time
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_ID39

If R last shared equipment (ID29 [SHARWORK] EQ 1), go to ID39 [INJLUCW].

Else, go to ID40 [INJLUS].

ID39.	The last time you injected, did you use a cooker, cotton, or water that anyone else had already used?
INJLUCW	Used same cooker, cotton, water - last time
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_ID40

If R last divided syringe (ID31 [SAMESYR] EQ 1), go to ID40 [INJLUS].

Else, go to INTRO_INJLGEN.

ID40.	The last time you injected, did you use drugs that had been divided with a syringe that anyone else had already injected with?
INJLUS	Used drugs divided with same syringe - last time
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

INTRO_INJLGEN.

The next questions are about the last person that you injected with. If you injected with more than one person, please think of the one that you have injected with the most often. The next questions are about that person.

ID41.	What is this person’s gender?
INJLGEN	Gender of last injecting partner
	Man	1
	Woman	2
	Gender not listed	6
	Don't Know	9
	Refuse to Answer	7

ID42.	How old is this person? Please estimate to the best of your ability. If you do not know, you may leave the response blank.
INJLAGE	Last injecting partner age
	__ __
	Range	1-99

[Give Respondent Flashcard EE]

ID43.	Which of the following best describes your relationship to this person? Would you say this person was a:
INJLREL	Type of relationship - Last injecting partner
	Sex partner, such as your spouse, boyfriend/girlfriend, or other person you have sex with	1
	Relative	2
	Friend or acquaintance	3
	Needle or drug dealer	4
	Stranger or someone you did not know well	5
	Someone else	6
	Don't Know	9
	Refuse to Answer	7

NON-INJECTION DRUG USE (ND)

Check_INTRO_NDMETH

If E_DRG6=1 go to INTRO_NDMETH. Else go to INTRO_OVERDOSE.

INTRO_NDMETH.

The next questions are about times when you may have used drugs but did NOT inject them. This includes times that you may have smoked, snorted, inhaled, or ingested drugs such as methamphetamine, cocaine, or crack. The next questions are about the types of drugs you mentioned you had used but did not inject in the past 6 months.

Check_ND1

If R used meth (ES16(2) [USDRGB] EQ 1), go to ND1 [NDMETH].

Else, go to ND2 [NDCRACK].

[Give Respondent Flashcard BB]

ND1.	In the past 6 months, how often did you use methamphetamine that you did not inject?
NDMETH	How often used methamphetamine past 6 months
	More than once a day	1
	Once a day	2
	More than once a week	3
	Once a week or less	4
	Don't Know	9
	Refuse to Answer	7

Check_ND2

If R used crack (ES16(3) [USDRGC] EQ 1), go to ND2 [NDCRACK].

Else, go to ND2 [NDCRACK].

ND2.	In the past 6 months, how often did you use crack cocaine that you did not inject?
NDCRACK	How often used crack cocaine past 6 months
	More than once a day	1
	Once a day	2
	More than once a week	3
	Once a week or less	4
	Don't Know	9
	Refuse to Answer	7

Check_ND3

If R used cocaine (ES16(4) [USDRGD] EQ 1), go to ND3 [NDCOKE].

Else, go to ND4 [NDDOWN].

ND3.	In the past 6 months, how often did you use powder cocaine that you did not inject?
NDCOKE	How often used powder cocaine that is smoked or snorted past 6 months
	More than once a day	1
	Once a day	2
	More than once a week	3
	Once a week or less	4
	Don't Know	9
	Refuse to Answer	7

Check_ND4

If R used downers (ES16(5) [USDRGE] EQ 1), go to ND4 [NDDOWN].

Else, go to ND5 [NDPAIN].

ND4.	In the past 6 months, how often did you use benzodiazepines or other downers that you did not inject?
NDDOWN	How often used downers (benzos) such as Valium past 6 months
	More than once a day	1
	Once a day	2
	More than once a week	3
	Once a week or less	4
	Don't Know	9
	Refuse to Answer	7

Check_ND5

If R used painkillers (ES16(6) [USDRGF] EQ 1), go to ND5 [NDPAIN].

Else, go to ND6 [NDX].

ND5.	In the past 6 months, how often did you use painkillers, such as Oxycontin, Dilaudid, or Percocet, that you did not inject?
NDPAIN	How often used pain killers such as Oxycontin, past 6 months
	More than once a day	1
	Once a day	2
	More than once a week	3
	Once a week or less	4
	Don't Know	9
	Refuse to Answer	7

Check_ND6

If R used X (ES16(7) [USDRGG] EQ 1), go to ND6 [NDX].

Else, go to ND7 [NDHER].

ND6.	In the past 6 months, how often did you use X or ecstasy (MDMA) that you did not inject?
NDX	How often used X or ecstasy past 6 months
	More than once a day	1
	Once a day	2
	More than once a week	3
	Once a week or less	4
	Don't Know	9
	Refuse to Answer	7

Check_ND7

If R used heroin (ES16(8) [USDRGH] EQ 1), go to ND7 [NDHER].

Else, go to ND8 [NDSTIM].

ND7.	In the past 6 months, how often did you use heroin that you did not inject?
NDHER	How often used heroin that is smoked or snorted past 6 months
	More than once a day	1
	Once a day	2
	More than once a week	3
	Once a week or less	4
	Don't Know	9
	Refuse to Answer	7

Check_ND8

If R used stimulants (ES16(10) [USDRGJ] EQ 1), go to ND8 [NDSTIM].

Else, go to ND9 [NDFENT].

ND8.	In the past 6 months, how often did you use Adderall, Ritalin, or other commonly prescribed stimulants that you did not inject?
NDSTIM	How often used stimulants past 6 months
	More than once a day	1
	Once a day	2
	More than once a week	3
	Once a week or less	4
	Don't Know	9
	Refuse to Answer	7

Check_ND9

If R used methadone ([USELM] EQ 1), go to ND9 [NDMET].

Else, go to ND10 [NDBUP].

ND9.	In the past 6 months, how often did you use methadone that was not prescribed or not taken as prescribed that you did not inject?
NDMET	How often used methadone past 6 months
	More than once a day	1
	Once a day	2
	More than once a week	3
	Once a week or less	4
	Don't Know	9
	Refuse to Answer	7

Check_ND10

If R used buprenorphine ([USELB] EQ 1), go to ND10 [NDMET].

Else, go to ND11 [NDFENT].

ND10.	In the past 6 months, how often did you use buprenorphine, also known as Suboxone or Subutex, that was not prescribed or not taken as prescribed that you did not inject?
NDBUP	How often used buprenorphine past 6 months
	More than once a day	1
	Once a day	2
	More than once a week	3
	Once a week or less	4
	Don't Know	9
	Refuse to Answer	7

Check_ND11

If R used fentanyl (ES16(9) [USDRGI] EQ 1), go to ND11 [NDFENT].

Else, go to ND14 [INJFRNT].

ND11.	In the past 6 months, how often did you use fentanyl that you did not inject, by itself or mixed with other drugs?
NDFENT	How often used fentanyl past 6 months
	More than once a day	1
	Once a day	2
	More than once a week	3
	Once a week or less	4
	Don't Know	9
	Refuse to Answer	7

ND12.	When you used fentanyl, that you did not inject, in the past 6 months, was it mixed with any other drug?
NDFENTC	Fentanyl, used, combined
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_ND13

If R used mixed fentanyl (ND12 [NDFENTC] EQ 1), go to ND13 [NDFENTD].

Else, go to ND14 [INJFRNT].

[Give Respondent Flashcard FF]

ND13.	What other drugs was fentanyl mixed with? You can select more than one option.
NDFENTD	Fentanyl, used, drugs combined
	Marijuana
	Methamphetamine
	Crack cocaine
	Powder cocaine
	Benzodiazepines or other downers
	Painkillers, such as Oxycontin, Dilaudid, or Percocet
	X or ecstasy (MDMA)
	Heroin
	Adderall, Ritalin, or other commonly prescribed stimulants
	Methadone
	Buprenorphine, also known as Suboxone or Subutex
	Something else
	Don't Know	99
	Refuse to Answer	77

Check_ND14.

If R has ever injected (EVRINJ EQ 1), go to INTRO_OVERDOSE.

Else, go to ND14.

ND14.	In the past 6 months, has anyone injected drugs in front of you?
INJFRNT	Inject in front
	No	0
	Yes	1

ND15.	If you want to start injecting drugs, do you know someone who would show you how?
INJSHOW	Know PWID
	No	0
	Yes	1

DRUG OVERDOSE (DO)

INTRO_OVERDOSE.

The next questions are about overdose from injection or use of opioids such as heroin, fentanyl, or painkillers such as Oxycontin. By overdose, I mean if someone passed out, turned blue, or stopped breathing from using drugs.

CALC_USE_OPIOIDS	Respondent used any opioids in the past 6 months (yes/no). Hidden, automatic calculation.
CALC_USE_OPIOIDS	If R used opioids ((ES9[INJDRUGA] EQ 1 OR ES9[INJDRUGB] EQ 1 OR ES9[INJDRUGC] EQ 1 OR ES9[INJDRUGD] EQ 1 OR ES9[INJDRUGH)] EQ 1 OR ES16[USDRGF] EQ 1 OR ES16[USDRGH] EQ 1 OR ES16[USDRGI] EQ 1), 1, 0))

Check_INTRO_OVERDN

If R used opioids (ES9 [INJDRUGA] EQ 1 OR ES9 [INJDRUGB] EQ 1 OR ES9 [INJDRUGC] EQ 1 OR ES9 [INJDRUGD] EQ 1 OR ES9 [INDRGH] EQ 1 OR ES16 [USDRGF] EQ 1 OR ES16 [USDRGH] EQ 1 OR ES16 [USDRGI] EQ 1), go to OVERDN.

Else, go to ODELSEN.

DO1.	In the past 6 months, how many times have you overdosed on opioids? Please give your best estimate. If you do not know, you may leave the response blank. Field note: If you did not overdose, enter 0
OVERDN	Number, overdosed
	__ __
	Range	0-76


DO2.	In the past 6 months, how many other people have you seen overdose on opioids? Please give your best estimate. If you do not know, you may leave the response blank. Field note: If you did not see anybody overdose, enter 0
ODELSEN	Number, others overdosed
	__ __
	Range	0-76

Check_DO3.

If R saw someone else overdose (DO2 [ODELSEN] GE 1), go to DO3 [ODMED].

Else, go to DO4 [NALX].

DO3.	The last time you saw someone overdose, did you or someone around you try to get medical treatment by calling 911 or taking them to the hospital?
ODMED	Overdose, medical treatment
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

DO4.	Have you ever heard of naloxone, also called Narcan, a drug that can be used to reverse an overdose due to use of opioids?
NALX	Naloxone, heard
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_DO5.

If R ever heard of Narcan (DO4 [NALX] EQ 1), go to DO5 [NALX6M].

Else, go to INTRO_OUMETH.

DO5.	In the past 6 months, have you bought or otherwise gotten take-home naloxone or Narcan?
NALX6M	Have naloxone, 6 months
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_DO6.

If R got Narcan and saw someone overdose (DO5 [NALX6M] EQ 1 AND ODELSEN GE1), go to DO6 [ODNHELP].

Else, go to DO7 [NALXAV].

DO6.	In the past 6 months, have you used naloxone or Narcan to help someone who was overdosing?
ODNHELP	Helped with naloxone, 6 months
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

DO7.	In the past 6 months, have you been in a situation when naloxone or Narcan was needed and it was not available?
NALXAV	Availability naloxone, 6m
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_INTRO_OUMETH

If R used a stimulant (ES9 [INJDRUGE] EQ 1 OR ES [INJDRUGF] EQ 1 OR ES9 [INJDRUGG] EQ 1 OR ES16 [USDRGB] EQ 1 OR ES16 [USDRGC] EQ 1 OR ES16 [USDRGD] EQ 1), go to INTRO_OUMETH.

Else, go to INTRO_HELD6M.

INTRO_OUMETH.

Now I will ask you questions about consequences due to stimulant injection or use.

Check_DO8.

If R used or injected meth (ES9[INJDRUGE] EQ 1 OR ES16 [USDRGB] EQ 1), go to DO8 (OUMETH).

Else, go to DO9 [OUCOKE].

DO8.	In the past 6 months, did you need immediate care or call 911 because you took too much methamphetamine or were having a bad reaction to methamphetamine?
OUMETH	Needed care, meth, 6 months
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_INTRO_OUMETH

If R used or injected cocaine or crack (ES9 [INJDRUGF] EQ 1 OR ES9 [INDRUGG] EQ 1 OR ES16 [USDRGC] EQ 1 OR ES16 [USDRGD] EQ 1), go to DO9 (OUCOKE). Else, go to INTRO_HELD6M.

DO9.	In the past 6 months, did you need immediate care or call 911 because you took too much cocaine or crack or were having a bad reaction to cocaine or crack?
OUCOKE	Needed care, cocaine/crack, 6 months
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

JUSTICE SYSTEM AND LAW ENFORCEMENT EXPERIENCES (JT)

INTRO_HELD6M.

The next questions are about experiences you may have had with the criminal justice system or law enforcement.

JT1.	During the past 6 months, have you been held in a detention center, jail, or prison for more than 24 hours?
HELD6M	Held or arrested past 6 months
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_JT2.

If R was arrested (JT1 [HELD6M] EQ 1), go to JT2 [TXGET].

Else, go to JT4 [ARRDRG].

JT2.	The last time you were in detention, jail, or prison, did you get treatment for drug use?
TXGET	Received treatment, jail
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

JT3.	The last time you were released from detention, jail or prison, were you told where to get treatment for drug use?
TXTOLD	Referral treatment, jail
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

JT4.	In the past 6 months, have you been arrested on drug possession charges?
ARRDRG	Arrested past 6 months, drugs
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_JT5.

If R injected in the last 6 months (E_INJ6 EQ 1) go to JT5 [ARRSYR].

Else, go to JT7 [POLNAR].

JT5. ARRSYR	In the past 6 months, have you been arrested or cited for possession of needles or other injection equipment?
	Arrested injection equipment
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

JT6. POLSYR	In the past 6 months, have the police taken, confiscated, or destroyed your needles or other injection equipment without arresting or citing you?
	Confiscated injection equipment
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_JT5.

If R got Narcan (DO5 [NALX6M EQ 1) go to JT7 [POLNAR].

Else, go to END_ACASI.

JT7. POLNAR	In the past 6 months, have the police taken, confiscated, or destroyed your naloxone or Narcan without arresting or citing you?
	Confiscated Narcan
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

END OF ACASI

END_ACASI.

Thank you for answering these questions. You have completed the questions that you answer yourself. Please let the interviewer know when you are ready to continue with the interview.

CALC_E_TIME3

End time where respondent for ACASI questions. Automatic hidden variable.

E_TIME3

Respondent end time

__ : __

DRUG TREATMENT (TX)

CALC_S_TIME4

Start time for post-ACASI questions. Automatic hidden variable.

S_TIME4

Respondent start time

__ : __

INTRO_INTERV.

INTERVIEWER: The participant has answered difficult questions. Please check with the participant to make sure they feel comfortable moving forward with the questionnaire and if they need any assistance. Mention there will be referrals at the end of the questionnaire, if needed.

INTRO_DT6M.

READ: “Next, I'm going to ask you about your experiences in receiving treatment for drug use. By treatment, I mean you participated in a program or took medicine to treat your drug use. This includes outpatient, inpatient, residential, detox, or 12-step program. This does not include treatment for alcohol use.”

TX1.	In the past 6 months, have you felt that you needed treatment for your drug use?
DTFELT	Drug treatment – 6 months
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

TX2.	In the past 6 months, have you received treatment for your drug use?
DT6M	Drug treatment – 6 months
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_INTRO_MAT

If R used opioids ([CALC_USE_OPIOIDS]]=1 AND received treatment for drug use (TX2 [DT6M] EQ 1, go to INTRO_MAT. Else, go to TX6 [MATTRY].

INTRO_MAT.

READ: “Now, I am going to ask you about your experiences with taking medicines to treat drug use due to use of opioids such as heroin, fentanyl, or painkillers such as Oxycontin. Medicines to treat drug use would include methadone or buprenorphine. Please only think about these medicines given to you by a doctor or other healthcare provider.”

TX3.	In the past 6 months, have you taken medicines that were provided by a doctor or other healthcare provider to treat opioid use?
MAT	Drug tx - meds in past 6 months
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_TX4.

If R was on MAT (TX3 [MAT] EQ 1), go to TX4 [MATTYP].

Else, go to TX6 [MATTRY].

TX4.	In the past 6 months, which medicines that were provided by a doctor or other healthcare provider did you take to treat opioid use? [READ choices. CHECK ALL that apply.]
MATTYP	Drug tx – type meds
	Methadone
	Buprenorphine, also known as Suboxone or Subutex
	Naltrexone, also known as Vivitrol
	Other medicine
	Don't Know	9
	Refuse to Answer	7

Check_TX4spec.

If R was prescribed ‘other medicine’ (TX4(4) [MATTYP(4)] EQ 1), go to TX4spec [MATTYP_S].

Else, go to TX5 [MATDOS].

TX5.	In the past 6 months, when you took buprenorphine (e.g., Suboxone) or methadone, did you feel it relieved your symptoms?
MATDOS	Drug tx – right dose
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

TX6.	In the past 6 months, did you try to get medicines to treat opioid use but were unable to?
MATTRY	Drug tx – tried to get meds
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_TX7.

If R tried but did not get medicine (TX6 [MATTRY] EQ 1), go to TX7 [MATTRYD].

Else, go to INTRO_EVERTEST.

TX7.	In the past 6 months, which medicines did you try to get to treat opioid use but were unable to?
MATTRYD	[READ choices. CHECK ALL that apply.] Drug tx – types tried
	Methadone
	Buprenorphine, also known as Suboxone or Subutex
	Naltrexone, also known as Vivitrol
	Other medicine
	Don't Know	9
	Refuse to Answer	7

Check_TX7spec.

If R was prescribed ‘other medicine’ (TX7 [MATTRYD(4)] EQ 1), go to TX7spec [MATTRYD_S].

Else, go to INTRO_EVERTEST.

TX7spec.	INTERVIEWER: Specify other medicine.
MATTRYD_S	Specify other medicine
	__ __ __ __ __ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __
	{text response; max characters = 100}

HIV TESTING EXPERIENCES (HT)

INTRO_EVERTEST.

READ: “Now I'm going to ask you a few questions about getting tested for HIV."

HT1.	Have you ever had an HIV test?
EVERTEST	Ever tested for HIV
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_HT2.

If R ever tested for HIV (HT1 [EVERTEST EQ 1]), go to HT2a [RCNTST_M]. If R has never tested for HIV (HT [EVERTEST] EQ 0), go to HT5 [REAS12M].

Else go to INTRO_PRPAWR.

HT2a.	When did you have your most recent HIV test? Please tell me the month and year. [INTERVIEWER: FIRST ENTER MONTH OF HIV TEST]
RCNTST_M	Month of most recent HIV test
	January	1
	February	2
	March	3
	April	4
	May	5
	June	6
	July	7
	August	8
	September	9
	October	10
	November	11
	December	12
	Don't Know	99
	Refuse to Answer	77

HT2b.	[INTERVIEWER: ENTER YEAR OF MOST RECENT HIV TEST] [FIELD NOTE: IF DON’T KNOW OR REFUSED, LEAVE BLANK]
RCNTST_Y	Year of most recent HIV test
	_ _ _ _
	Range (Year)	1900-2100

CALC_HIVTST_Y	HIDDEN CALCULATION: Interim calculation – number of years between IDATE_Y and RCNTST_Y
HIVTST_Y
	[IDATE_Y] – [RCNTST_Y]

CALC_HIVTST_M

HIDDEN CALCULATION: Interim calculation – number of months between IDATE_M and RCNTST_M

HIVTST_M

[IDATE_M] – [RCNTST_M]

CALC_HIVTST_T

HIDDEN CALCULATION: Interim calculation – estimated number of months between IDATE and HIV test date factoring in years and months

HIVTST_T

([HIVTST_Y]*12)+[HIVTST_M]

CALC_TST12M

R was tested for HIV in the last 12 months.

If [HIVTST_T]<=12, 1, 0

TST12M

CALC_TST6M

R was tested for HIV in the last 6 months.

If [HIVTST_T]<=6, 1, 0

TST6M

Check_HT2c.

If R did know either month or year of last test (HT2a [RCNTST_M] EQ 77 OR 99 & HT2b [RCNTST_Y] EQ MISSING]), or if year of last test is year before interview year & month of last test not reported (RCNTST_Y EQ IDATE_Y-1), go to HT2c [C_RCNTST]. Else go to HT3.

HT2c.	Was your most recent test in the past 12 months?
C_RCNTST	HIV test in 12 months – y/n
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

HT3.	The last time you were tested for HIV, where did you get tested? [DO NOT READ choices.]
LOCHIV	Location of recent HIV test
	HIV/AIDS street outreach program or mobile unit	1
	Drug treatment program	2
	Syringe exchange program	3
	Correctional facility (jail or prison)	4
	Family planning or obstetrics clinic	5
	Public health clinic or community health center	6
	Private doctor's office (including HMO)	7
	Emergency room	8
	Hospital (inpatient)	9
	At home	10
	Other	11
	Don't Know	99
	Refuse to Answer	77

HT4.	What was the result of your most recent HIV test? [READ choices.]
RCNTRST	Result most recent HIV test
	Negative, you do NOT have HIV	1
	Positive, you DO have HIV	2
	Did not get result	3
	Don't Know	9
	Refuse to Answer	7

Check_ HT5.

If recent test result was positive (HT4 [RCNTRST] EQ 2), go to HT7 [POSMD].

If recent test is negative and R did not test in past 12 months (HT4 [RCNTRST] EQ 1,3,9,7 AND TST12M EQ 0), go to HT5 [REAS12M].

If recent test was not in the past 12 months (HT2c [C_RCNTST] NE 1), go to HT5 [REAS12M].

Else, go to INTRO_PRPAWR.

CALC_POS6M

Hidden calculation: R tested positive for HIV in the past 6 months.

If [RCNTST]=2 and [TEST6M]=1, 1, 0

POS6M

HT5.		I'm going to read you 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 12 months? [READ choices.]
REAS12M		Reason not tested past 12 mos
		You think you are at low risk for HIV	1
		Your last test was HIV-negative	2
		You were afraid of finding out that you might have HIV	3
		You didn't have time	4
		No one offered you an HIV test	5
		No HIV testing was available	6
		You did not know where to get HIV testing	7
		Some other reason	8
		Don't Know	99
		Refuse to Answer	77

	SoftEdit_HT5.	If R has never tested for HIV EQ 0 (HT1 [EVERTEST] EQ 0) and said their last test was HIV-negative (HT5 [REAS12M[ EQ 2), DISPLAY: "INTERVIEWER: Earlier, the respondent said they had never been tested for HIV. Please check with respondent and correct answers." Then go to IE8.

Check_HT5spec.

If most important reason not tested was ‘other' (HT5 [REAS12M] EQ 8), go to HT5spec [REAS12M_S].

Else, go to INTRO_PRPAWR.

HT5spec.	INTERVIEWER: Specify other reason not been tested for HIV in the past 12 months
REAS12M_S	Most important reason not tested past 12 months
	__ __ __ __ __ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __
	{text response; max length = 100 characters}

HT6.	Have you ever been seen by a doctor, nurse, or other healthcare provider for a medical evaluation or care related to your HIV infection?
POSMD	Seen health care provider for HIV infection
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_HT7.

If R has ever seen a provider to treat HIV (HT6 [POSMD] EQ 1), go to HT7 [LASTMD].

Else, go to HT8.

HT7.	Was your last visit for HIV care in the past 6 months?
LASTMD	Last HIV care in the past 6 months - n/y
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Filter: If [EL_IDU] EQ 1 and [CONSENTA] EQ 1 and [EVERTEST EQ 1] and [RCNTRST] EQ 2

HT8.	Are you currently taking antiretroviral medicines to treat your HIV infection?
CURRARV	Currently taking antiretrovirals
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

INTRO_PRPAWR.

READ: “The next questions are about the use of pre-exposure prophylaxis, or PrEP, such as Truvada, a medicine taken for months or years by a person who is HIV-negative to reduce the risk of getting HIV.”

HT9.	Before today, have you ever heard of PrEP?
PRPAWR	PrEP, awareness
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_HT12.

If R has not heard of PrEP before today (HT9 [PRPAWR] EQ 1) or not tested HIV-positive [RCNTRST] <>2), go to HT10 [PRPUS6].

Else, go to INTRO_EVRHCTST.

HT10.	In the past 6 months, did you take PrEP?
PRPUS6	PrEP use, 6 months
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

HT11.	In the past 6 months, did you try to get PrEP but were unable to?
PRPTRY6		PrEP try, 6 months
		No	0
		Yes	1
		Don't Know	9
		Refuse to Answer	7

HEALTH CONDITIONS (HC)

INTRO_EVRHCTST.

READ: “Next, I'd like to ask you some questions about your health, in general. The first questions are about hepatitis C. Hepatitis C is spread through infected blood. Injection drug use is one of the most common reasons people get hepatitis C."

HC1.	Have you ever been tested for hepatitis C infection?
EVRHCTST	Ever tested for HCV
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_HC2a.

If R ever tested for hepatitis C (HC1 [EVRHCTST] EQ 1), go to HC2a [RCHCTST_M].

Else, go to INTRO_ENDOCAR.

HC2a.	When did you have your most recent hepatitis C test? Please tell me the month and year. [INTERVIEWER: FIRST ENTER MONTH OF MOST RECENT HCV TEST]
RCHCTST_M	Month of most recent HCV test
	January	1
	February	2
	March	3
	April	4
	May	5
	June	6
	July	7
	August	8
	September	9
	October	10
	November	11
	December	12
	Don't Know	99
	Refuse to Answer	77

HC2b.	[INTERVIEWER: ENTER YEAR OF MOST RECENT HCV TEST] [FIELD NOTE: IF DON’T KNOW OR REFUSED, LEAVE BLANK]
RCHCTST_Y	Year of most recent HCV test
	_ _ _ _
	Range (Year)	1900-2100

HC3.	The last time you were tested for hepatitis C, where did you get tested? [DO NOT READ choices.]
HCVTLOC	Location of recent HCV test
	HIV/AIDS street outreach program or mobile unit	1
	Drug treatment program	2
	Syringe exchange program	3
	Correctional facility (jail or prison)	4
	Family planning or obstetrics clinic	5
	Public health clinic or community health center	6
	Private doctor's office (including HMO)	7
	Emergency room	8
	Hospital (inpatient)	9
	At home	10
	Other	11
	Don't Know	99
	Refuse to Answer	77

Check_HC3spec.

If R reported ‘Some other place' (HC3 [HCVTLOC] EQ 11), go to HC3spec [HCVTLOC_S].

Else, go to HC4 [HCVEVER].

HC3spec.	INTERVIEWER: Type in other location where respondent got the last hepatitis C test.
HCVTLOC_S	Other location where R got hepatitis C test
	__ __ __ __ __ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __
	{text response; max length = 100 characters}
[Give Respondent Flashcard E.]
HC4.	Has a doctor, nurse, or other healthcare provider ever told you that you had hepatitis C? [READ choices].
HCVEVER	Ever told had hepatitis C by doctor or nurse
	No	1
	Yes, I have been told I have hepatitis C and I have it now	2
	Yes, I have been told I have hepatitis C, but I do not have it now	3
	Yes, I have been told I have hepatitis C, but I do not know if I have it now	4
	Don't Know	9
	Refuse to Answer	7

Check_HC5.

If R told they had hepatitis C (HC4 [HCVEVER] EQ 2,3,4), go to HC5 [WHENHCV]. Else, go to INTRO_ENDOCAR.

[Give Respondent Flashcard F.]
HC5.	Approximately when were you last told you had hepatitis C? [READ choices.]
WHENHCV	When told had HCV
	Less than 1 year ago	1
	1 year to 5 years ago	2
	6 years to 10 years ago	3
	More than 10 years ago	4
	Don't Know	9
	Refuse to Answer	7

HC6.	Have you ever taken medicine to treat your hepatitis C infection?
HCVMED	Ever taken medicine to treat HCV
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_HC7.

If R took medicine hepatitis C (HC6 [HCVMED] EQ 1), go to HC7 (HCVMEDL). Else, go to HC9 [HCVTRY].

[Give Respondent Flashcard F.]

HC7.	Approximately when did you last take medicine to treat your hepatitis C infection? [READ choices.]
HCVMEDL	When treatment HCV
	Less than 1 year ago	1
	1 year to 5 years ago	2
	6 to 10 years ago	3
	More than 10 years ago	4
	Don't Know	9
	Refuse to Answer	7

[Give Respondent Flashcard G.]

HC8.	What was the outcome of your most recent hepatitis C treatment? [READ choices.]
HCVOUT	Treatment outcome HCV
	The medication worked, you are cured	1
	You are still on medication	2
	You stopped taking medication, the medication did not work	3
	You stopped taking medication, waiting on results	4
	You stopped taking medication for other reasons	5
	Don't Know	9
	Refuse to Answer	7

HC9.	Have you ever tried to get medicines to treat your hepatitis C infection but were unable to?
HCVTRY	Tried to get HCV meds
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_HC10.

If R ever injected any drug (ES7 [EVRINJ]), go to HC10 (ENDOCAR). Else, go to Intro_STLN6.

INTRO_ENDOCAR.

READ: “Now I will ask you about other health conditions."

HC10.	Has a doctor, nurse, or other healthcare provider ever told you that you had an infection of the heart valve, also known as endocarditis?
ENDOCAR	Ever told had endocarditis by doctor or nurse
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

HC11.	Has a doctor, nurse, or other healthcare provider ever told you that you had a bone infection, also known as osteomyelitis?
OSEOM	Ever told had osteomyelitis by doctor or nurse
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

HC12.	In the past 6 months, have you had an abscess?
ABSCESS	Abscess, 6 months
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_HC13.

If R had an abscess (HC12 [ABSCESS] EQ 1) and saw a doctor in the past 6 months (DM5[VSITMD6] EQ 1, go to HC13 [ABSTX]. Else, go to INTRO_STLN6.

HC13.	In the past 6 months, did a doctor or other healthcare provider help take care of an abscess?
ABSTX	Abscess HC provider, 6 months
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

PREVENTION ACTIVITIES (PA)

INTRO_STLN6.

READ: “Next I'd like to ask you about prevention services you may have received in the past 6 months. We will be asking you questions about getting needles, whether you may have used them yourself or not."

PA1.	In the past 6 months, have you gotten any new sterile needles? By new sterile needle, I mean no one - not even you - had ever used it before. The needle could have been for you or someone else.
STLN6	Got new sterile needles, 6 m
	No	0
	Yes	1
	Don’t Know	9
	Refuse to Answer	7

Check_PA2.

If R got new sterile needles (PA1 [STLN6] EQ 1), go to PA2 [SNDLSRC]. Else, go to PA7 [SSPSER].

PA2.	From which of the following places or people did you get sterile needles in the past 6 months? You may choose more than one option. [READ choices. CHECK ALL that apply.]
SNDLSRC	Sources of new sterile needles, 12m
	Syringe exchange program
	Pharmacy or drug store
	Doctor’s office, clinic, or hospital
	Bought off the street
	Internet
	Someone who got them from a syringe exchange
	Some other place or person
	Don’t Know	9
	Refuse to Answer	7

Check_PA2spec.

If R reported ‘Some other place or person' (PA2 [SNDLSRC(7)] EQ 1), go to PA2spec [SNDLSRC_S].

Else, go to PA3 [SSPREAS].

PA2spec.	INTERVIEWER: Type in other sources for sterile needles.
SNDLSRC_S	Other source
	__ __ __ __ __ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __
	{text response; max length = 100 characters}

Check_PA3.

If R did not use SSP for needles (PA2(1) [SNDLSRC(1)] EQ 0), go to PA3[SSPREAS]. Else, go to PA4[SNDL30].

PA3.	What are the reasons you did not get sterile needles from a syringe exchange program? [DO NOT READ choices. CHECK ALL that apply]
SSPREAS	No SSP reasons
	Did not know about the syringe exchange
	Got needles from other sources
	Tried and did not want to use it again
	Location was inconvenient
	Location was too far away
	Hours were not convenient
	Did not trust that information would be kept private
	Did not want to be identified as someone who injects drugs
	Afraid of arrest or harassment by police
	Something else
	Don't Know	99
	Refuse to Answer	77

Check_PA3spec

If R reports something else (PA3(10) [SSPREAS(10)] EQ 1), go to PA3spec.

Else, go to PA4[SNDL30].

PA3spec.	INTERVIEWER: Type in other reasons.
SSPREAS_S	Other reasons
	__ __ __ __ __ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __
	{text response; max length = 100 characters}

Check_PA4.

If R injected drugs in the past 6 months (E_INJ6 EQ 1), go to PA4 [SNDL30]. Else, go to PA6 [EXCHN].

PA4.	In the past 30 days, how many new sterile needles did you have for your personal use? [FIELD NOTE: IF DON’T KNOW OR REFUSED, LEAVE BLANK]
SNDL30	Number of needles, 30 days
	__ __ __
	Range	0-1000

Check_PA5.

If R got new sterile needles from SSP (PA2(1) [SNDLSRC(1)] EQ 1 AND SNDL30 GE 1), go to PA5 [SNDL30X]. Else, go to PA7 [SSPSER].

PA5.	In the past 30 days, how many of the [INSERT SNDL30] sterile needles did you get from the syringe exchange program? [FIELD NOTE: IF DON’T KNOW OR REFUSED, LEAVE BLANK]
SNDL30X	Number of needles from SEP, 30 days
	__ __ __
	Range	1-1000

SoftEdit_PA5.

If number of total needles obtained from an SEP in the past 30 days (PA5 [SNDL30X] GT number of total needles in past 30 days (PA4 [SNDL30], read: “INTERVIEWER: Number of needles obtained at a syringe exchange program cannot be greater than the total number of needles. Please check these numbers with the respondent and correct those data.”

PA6.	In the past 6 months, not including yourself, for how many different people did you get needles at the syringe exchange program?
EXCHN	Number of people, secondary exchange [FIELD NOTE: IF DON’T KNOW OR REFUSED, LEAVE BLANK]
	__ __ __
	Range	0-776

PA7.	In the past 6 months, other than syringes, have you received services, counseling, information, or other products from the syringe exchange program?
SSPSER	SSP received, 6m
	No	0
	Yes	1
	Don’t Know	9
	Refuse to Answer	7

Check_PA8.

If R got services or products from SSP (PA7 [SSPSER] EQ 1), go to PA8 [SSPREC]. Else, go to E_TIME4.

PA8.	In the past 6 months, other than syringes, what services, counseling, information, or other products have you received from the syringe exchange program?
	[DO NOT READ choices. CHECK ALL that apply]
SSPREC	SSP received, types 6m
	Naloxone/Narcan and/or overdose prevention education
	Injecting equipment such as cookers, cotton, water, etc.
	Sharps container
	Food, showers, or medication locker
	Information on or referrals to mental health services
	Information or counseling about sexual risk behaviors
	Information or counseling about injection risk behaviors
	Recovery coaches
	Peer support
	Referrals to treatment for drug use
	Medication-assisted treatment for drug use (e.g., buprenorphine)
	Treatment for HIV or HCV
	Testing for and/or information on HIV or HCV
	Wound care
	Reproductive healthcare, pregnancy test, or condoms
	Vaccinations
	Something else
	Don’t Know	9
	Refuse to Answer	7

Check_PA8spec.

If R reports ‘Something else' (PA8(17) [SSPREC(17)] EQ 1), go to PA8spec [SSPREC_S].

Else, go to PA9 [SSPIMP].

PA8spec.	INTERVIEWER: Specify other services, counseling, information, or products received at syringe exchange program.
SSPREC_S	Other received from SSP
	__ __ __ __ __ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __
	{text response; max length = 100 characters}

PA9.	Now I’d like to ask about what you think could make the syringe exchange program better for you. Please list up to three ways: [DO NOT READ CHOICES. SELECT NO MORE THAN THREE.]
SSPIMP	SSP improvement
	Open more days or hours
	More convenient location or more locations
	Available or accessible staff
	Offered more needles/had no limit on the number of needles
	Delivered to homes
	Naloxone/Narcan and/or overdose prevention education
	Injecting equipment such as cookers, cotton, water, etc.
	Sharps container
	Food, showers, or medication locker
	Information on or referrals to mental health services
	Information or counseling about sexual risk behaviors
	Information or counseling about injection risk behaviors
	Recovery coaches
	Peer support
	Referrals to treatment for drug use
	Medication-assisted treatment for drug use (e.g., buprenorphine)
	Treatment for HIV or HCV
	Testing for and/or information on HIV or HCV
	Wound care
	Reproductive healthcare, pregnancy test, or condoms
	Vaccinations
	Something else
	No changes needed
	Don’t Know	99
	Refuse to Answer	77

Check_PA9spec.

If R reports ‘Something else' (PA9(22) [SSPIMP(22)] EQ 1), go to PA9spec[SSPIMP_S].

Else, go to E_TIME4.

PA9spec.	INTERVIEWER: Type in other services to improve at syringe exchange program.
SSPIMP_S	Other services for improvement
	__ __ __ __ __ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __
	{text response; max length = 100 characters}
	Filter: If R reports ‘Something else' (PA9(22) [SSPIMP(22)] EQ 1)

CALC_E_TIME4

End time of questionnaire. Automatic hidden variable.

E_TIME4

Respondent end time

__ : __

END OF SURVEY (END)

INTRO_END.	READ: “Thank you answering these questions and for your participation so far."
END1.	INTERVIEWER: Please confirm. Did the person complete the survey?
C_CMPLT	Confirm Complete
	Did NOT complete the survey	0
	DID complete the survey	1

END2.

INTERVIEWER: Please enter the date this interview was completed. (mm/dd/yyyy):

EDATE

End date

_ _ /__/____

END3.

INTERVIEWER: Please enter the time the interview ended (hh:mm) using a 24-hour clock. Example: 1:30pm should be entered as 13:30.

END

End time

__ : __

END4.	INTERVIEWER: How confident are you of the validity of the respondent's answers?
VALIDITY	Confidence in validity of answers
	Confident	1
	Some doubts	2
	Not confident at all	3

Check_END4spec.

If Interviewer doubts validity of responses (END4 [VALIDITY] EQ 2 or 3), Go to END4spec [VALIDITY_S].

Else, go to END5.

END4spec.	INTERVIEWER: Please explain why you are not confident in the respondent's answers:
VALIDITY_S	Specify why not confident in answers
	__ __ __ __ __ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __
	{text response; max length = 1000 characters}

END5.	INTERVIEWER: Do you have any comments to add?
INTCOMM	Interviewer Comments
	No	0
	Yes	1

Check_END6	If Interviewer has comments (END5, [INTCOMM] EQ 1), go to END6 [INTTXT]. Else, end survey.
END6.	INTERVIEWER: Enter interviewer comments
INTTXT	Interviewer comments text
	__ __ __ __ __ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __ __ __ __ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __ __ __ __ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __
	{text response; max length = 1000 characters}

FLASHCARDS

FLASHCARD A

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

FLASHCARD B

Woman

Genderqueer/non-binary

Trans man

Trans woman

Other gender not listed

FLASHCARD C

A relative or family member

A person you have sex with

A person you use drugs with or buy drugs from

A friend

An acquaintance, that is, a person you know but do not consider a friend

A stranger, you don't know the person or just met them

FLASHCARD D

A private plan – through an employer or purchased directly

A government plan such as Medicaid or Medicare

Some other health insurance

FLASHCARD E

Yes, I have been told I have hepatitis C and I have it now

Yes, I have been told I have hepatitis C, but I do not have it now

Yes, I have been told I have hepatitis C, but I do not know if I have it now

FLASHCARD F

Less than 1 year ago

1 year to 5 years ago

6 to 10 years ago

More than 10 years ago

FLASHCARD G

The medication worked, you are cured

You are still on medication

You stopped taking medication, the medication did not work

You stopped taking medication, waiting on results

You stopped taking medication for other reasons

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author	Burnett, Janet (CDC/DDID/NCHHSTP/DHPSE)
File Modified	0000-00-00
File Created	2021-09-13

TX4spec.

INTERVIEWER: Specify other medication.

Specify other medication

__ __ __ __ __ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __

{text response; max characters = 100}

Check_TX5.

If R was prescribed buprenorphine or methadone (TX4 [MATTYP(1 or 2) EQ 1), go to TX5[MATDOS].

Else, go to TX6 [MATTRY].