Genital Herpes Survey (Support Groups)

Help improve quality of life for yourself and others with this condition by taking a short, one-minute survey to inform future research that aims to improve treatment options for those with herpes. Join researchers and participants working to change what it means to have this condition.

Complete the survey and opt into receiving updates from Science 37, and we’ll send you a $5 Amazon gift card as a thank you.

Who is Science 37?
Our mission is to accelerate biomedical research by putting patients first.

How will your patient insights be used?
Your insights may inform future genital herpes studies. Hearing from you helps us design research that meets your needs.
Learn more about us; contact us.

Question Title

* 1. Are you between the ages of 18 and 50 years old?

Yes

Question Title

* 2. What is your gender?

Female

Male

Question Title

* 3. Which race/ethnicity best describes you? (Please choose only one.)

Alaskan Native / Native American / American Indian

Asian / Asian-American

Black / African-American

Hispanic or Latino

White / Caucasian

Multiple ethnicity / Other (please specify)

Question Title

* 4. What state do you live in?

Question Title

* 5. Have you been diagnosed with genital herpes (HSV-1 or HSV-2) by a healthcare provider?

Yes

Question Title

* 6. How many genital herpes outbreaks have you had in the past year or, if you’re currently taking antiviral medication, how many outbreaks did you have in the year before you started treatment? Please select one.

0–2

3–9

10 or more

Question Title

* 7. Would you be willing to take part in a research study to test an experimental genital herpes vaccine that may help to decrease the number of outbreaks?

Yes

Question Title

* 8. Would you be willing to take part in the research if the experimental vaccine involves an injection (similar to other vaccinations) administered by a health professional?

Yes

Question Title

* 9. Do you take any oral antiviral medications or supplements for genital herpes?

Yes

Question Title

* 10. If you've been diagnosed with herpes, can you describe your experience living with this condition?

Question Title

* 11. Optional: Opt in to updates from Science 37, so we can we reach out to you for more information (please provide your contact information below):

By checking this box, I agree to be contacted about my experiences with herpes and about potential Science 37 research studies. Science 37's Privacy Policy.

Question Title

* 12. Contact Information

First Name

Last Name

Email Address

Phone Number

Zip Code