National Survey on Structural Contributors to HIV Vulnerability Among Black Gay, Bisexual and Same-Gender Loving Men

 
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1. Gender:
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2. Race/Ethnicity:
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3. Age range:
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4. Sexual orientation:
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5. HIV status:
6. Location:
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7. What is the highest grade or level of school that you have completed?
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8. Are you currently employed? (Please check all that apply)
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9. What is your estimated annual income?
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10. What is your current housing situation?
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11. Do you currently have health insurance coverage?
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