Mississippi HEARD (Helping Empower, Advocate, and Reach the Delta) is conducting this survey to expand outreach services related to HIV/AIDS and mental health in the Mississippi Delta region.

This survey is voluntary. You may choose to complete or not complete this survey. You can also skip any question you don't want to answer. If you choose to complete this survey, you can enter a raffle for a chance to receive a $50 Amazon gift card.

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* 1. In which Mississippi county do you live?

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* 2. What is your current age?

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* 3. With which gender do you identify?

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* 4. What is the highest level of education you have completed?

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

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* 6. In the past month, how often did you feel hopeless?

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* 7. In the past month, how much were you bothered by repeated, disturbing, and unwanted memories of a stressful experience?

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* 8. In the past month, how much were you bothered by having strong physical reactions when something reminded you of a stressful experience (for example, heart pounding, trouble breathing, sweating)?

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* 9. In the past month, how much were you bothered by having strong negative feelings such as fear, horror, anger, guilt, or shame?

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* 10. In the past month, how much were you bothered by feeling jumpy or easily startled?

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* 11. In the past month, how much were you bothered by having difficulty concentrating?

The following HIV/AIDS items are general knowledge questions that do not ask about personal behavior. A score will be generated for the HIV-related items. However, this score will only be used for learning purposes. Incorrect responses on these items are common.

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* 12. Coughing and sneezing DO NOT spread HIV.

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* 13. A person can get HIV by sharing a glass of water with someone who has HIV.

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* 14. People who have been infected with HIV quickly show serious signs of being infected.

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* 15. There is a vaccine that can stop adults from getting HIV.

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* 16. There is a female condom that can help decrease a woman’s chance of getting HIV.

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* 17. A person can get HIV from oral sex.

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* 18. How many times in the past year have you had 4 or more drinks (as a man) or 3 or more drinks (as a woman) in a day?

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* 19. Do you want to be entered into a raffle to receive one of three $50 Amazon gift cards? If so, please provide your name and email address below. Your survey responses will remain completely confidential. Your name or email address will never appear in any project documents.

After entering your information, click the Done button below to submit your survey. Thank you!

Please click "Done" when you are ready to submit your responses. Please note that the score for the HIV-related items will only be used for learning purposes. Incorrect responses on these items are common.

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