1. About you

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* 1. Are you....

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* 2. How old are you?

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* 3. What is your first language?

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* 4. What country were you born in?

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* 5. How long, in total, have you lived in the UK?

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* 6. Do you have a husband, wife, civil partner or long-term partner (boyfriend/girlfriend)?

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* 7. Do you consider yourself to have a long-term illness other than HIV?

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* 8. What is your ethnic group?

  Asian or Asian British Black or Black British Mixed White Other ethnic groups
Ethnicity

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* 9. Apart from paid work, are you responsible for the day-to-day care of:

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* 10. What are your current living arrangements? (tick all that apply)

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* 11. What is the highest level of education that you have received?

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* 12. What religion do you currently practice?

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* 13. Are you:

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* 14. Are you a Trans-person? (Transexual/Transgender- someone who has changed or intends to change their biological sex)?

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* 15. Do you have haemophilia (a blood disorder that impairs the body'd ability to control bleeding)?

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* 16. Have you ever injected drugs (not including any prescribed by your doctor)?

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* 17. Which of these best describes your current situation? (tick as many as apply)

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* 18. What is the gross income (before any deductions for Income Tax and National Insurance contributions) that you receive from all sources including welfare benefits, NASS payments or pensions?

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