Individual Experience, Personal Background and Comfort Level Survey of Openly and Privately HIV+ Gay Men

Personal Questions

ONLY ANONYMOUS INFORMATION WILL BE PUBLISHED. By answering the questionnaire, you consent to our use of the responses you provide, but you do not consent to any use of your name or any other personal-identifying information. Your individual responses will not be disclosed, but the information gathered from your responses will be used to inform our insights and conclusions, which will be published.

If you have any queries about this survey, please email cure@rftca.org. We will send you the published survey findings and results if you include contact information at the very end of the survey.

Question Title

* 1. How old are you?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

Question Title

* 2. What is your race or ethnicity?

Asian

Black or African American

Hispanic or Latino

Middle Eastern or North African

Multiracial or Multiethnic

Native American or Alaska Native

Native Hawaiian or other Pacific Islander

White

Another race or ethnicity, please describe below

Self-describe below:

Question Title

* 3. What is your sexual orientation?

Bisexual

Gay

Pansexual

Queer

None of the above, please specify

Question Title

* 4. On a scale of 0 to 100, with 0 being not at all open to 100 being very open, how open are you about your HIV status with your sex partner(s)?

Not at all open

Very open

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

* 5. On a scale of 0 to 100, with 0 being not at all open to 100 being very open, how open are you about your HIV status with your friends?

Not at all open

Very open

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

* 6. On a scale of 0 to 100, with 0 being not at all open to 100 being very open, how open are you about your HIV status with at work or in work settings?

Not at all open

Very open

Clear

i We adjusted the number you entered based on the slider’s scale.