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Tell us how you engage with PWN!
About You
This is some basic information to let us know who you are. All your responses will be kept confidential.
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1.
Are you living with HIV?
(Required.)
Yes
No
I don't know
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2.
What is your gender identity?
(Required.)
Woman
Transgender woman
Non-binary
Transgender man
Man
Other (please specify)
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3.
In what year were you diagnosed?
(Required.)
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4.
Which of these best describes your age range?
(Required.)
Under 18
18-24
25-34
35-44
45-54
55-64
65+
5.
Which best describes your race or ethnicity?
Black or African American
Latinx or Hispanic
White or Caucasian
Asian or Asian American
American Indian or Alaska Native
Native Hawaiian or other Pacific Islander
Other (please specify)
6.
Enter your name (optional, but required to be eligible for the gift card drawing)
7.
Enter your email address (optional, but required to be eligible for the gift card drawing)
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