Limitations do apply: One order per address every 6 months

Please note, it can take up to 90 days after an exposure for our tests to detect HIV. If your exposure was less than 90 days ago, you will need to get tested again to confirm your result.
 
 
This survey will ask for personal background and risk information to find out if you qualify for a free HIV test kit. If you qualify, we will need your email and mailing address to send your HIV test kit and post-test survey.

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* 1. How old are you?

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* 2. In what year were you born? (YYYY)

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* 3. Do you live in Ohio?

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* 4. What is your race? (check all that apply)

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* 5. What is your ethnicity? (Please select all that apply.)

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* 6. Does your gender identity match what you were assigned at birth? 

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* 7. What was your sex assigned at birth?

 

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