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1. Page 1 (Two Pages)- THIS SURVEY IS ONLY FOR PEOPLE WITH HIV

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 50% of survey complete.

Page 1 of 2

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1. How old are you?

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2. What is your ethinicity?

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3. What is your gender?

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4. How long have you known that you are HIV positive?

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5. Are you currently taking HIV medications?

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6. If you are taking or have taken medications for HIV, how long have you taken them (total years)?

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7. Have you taken any of these medications in the past?

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8. Have you had body shape changes after starting HIV medications in the past?

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9. What kind of body changes are you experiencing or have you experienced?

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10. Have you experienced depression or anxiety due to the body changes?

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11. Have you ever thought of killing yourself due to your body changes?

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12. Have you ever thought about not taking your HIV medications or have you ever stopped taking them because of fear of worsening your body changes?

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13. Have the body changes cause you to: (check all that apply)

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14. What have you done to try to reverse your body changes? (check all that apply)

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15. Have your insurance, ADAP/Ryan White clinic, HMO, health care system (for countries outside the US) and/or supplier patient assistance program paid for ANY of the solution(s) mentioned in the answer(s) in the previous question? (Check all that apply)

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16. Have you had facial wasting (lipoatrophy)?

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17. What option have you used to improve your facial lipoatrophy? (check all that apply)

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