$150 Online Study Question Title * 1. Contact Info Name Phone E-Mail Gender City State Age Question Title * 2. Have you or has any member of your household or immediate family ever been employed in any of the following professions? Physician Registered Nurse / Physician Assistant Pharmacist Pharmaceutical Company Any other health care setting None of the above Question Title * 3. Which of the following best reflects how you would identify your ethnicity/culture? Black or African American White or Caucasian Asian or Pacific Islander Native American or American Indian Hispanic or Latino Other (please specify) Question Title * 4. With which of the following medical conditions have you been diagnosed with?**CAN BE NONE OF THESE ** Diabetes Depression/ Anxiety High Cholesterol High Blood Pressure Parkison’s Disease Hepatitis C HIV A blood disorder, such as Hemophilia or Von Willebrand Disease None of these Question Title * 5. Because this study is focused on sexual health, you will be asked some potentially sensitive personal questions about your sexual preference and behaviors as part of our conversation right now and during your individual interview. As a reminder, your responses will be kept completely confidential, and will be separated from your identity. Do you feel comfortable honestly answering these types of questions in this context? Yes No Next