HMM Individual Question Title * 1. Email Question Title * 2. First Name Question Title * 3. Last Name Question Title * 4. Postal Code Where you Live Question Title * 5. Phone Question Title * 6. Age Less than 18 18-29 30-39 40-49 50-59 60+ Prefer not to answer Question Title * 7. Gender Identity Female Male Trans woman Trans man Gender queer Prefer not to answer Other (Please specifiy) Question Title * 8. What is your sexual orientation? Gay Lesbian Bi Straight Prefer not to answer Other (please specify) Question Title * 9. Are you of Hispanic, Latino, or Spanish Origin? Yes No I prefer not to answer Question Title * 10. What is your race? White Black Asian or Pacific Islander Native American Bi or multi racial Prefer not to answer Other (please specify) Question Title * 11. What is your HIV status? Positive Negative Unsure I prefer not to answer Question Title * 12. Have you ever been directly affected by Indiana laws that criminalize HIV? Yes No I prefer not to answer Question Title * 13. What is your main place of employment, if any, and position there? (If not working, write N/A). Question Title * 14. Professional Credentials if any MD PhD MPH JD MA/MS DPH MSN Other (please specify) Done