* 1. What is your age?

* 2. What is your gender? (i.e. Male, Female, Transgender, Genderqueer, Non-binary, etc. OR prefer not to state)

* 3. What is your sexual orientation? (i.e. heterosexual, lesbian, gay, bi-sexual, queer, questioning, asexual, pan-sexual, etc. OR prefer not to state)

* 4. Have you heard of PrEP before?

* 5. Have you ever taken PrEP before?

* 6. If you answered yes to Question 5, please tell us where you accessed PrEP (i.e. Name of Clinic/organization)

* 7. Do you know where PrEP can be accessed in San Francisco? (if yes, where?)

* 8. How likely would it be for you to do the following?

  not likely at all  not very likely  neither likely or unlikely  somewhat likely  very likely 
talk to your health care provider about PrEP
take PrEP yourself

* 9. PrEP is a daily medication you can take to reduce the risk of getting HIV. If PrEP was available to you at no cost, would you consider taking it?