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PrEP Savvy Pre- Intervention Questionnaire

1.How old are you ?
2.What year of schooling are you in currently?
3.How would you describe your gender?
4.How would you describe yourself?
5.Are you Spanish, Hispanic, or Latino?
6.What is your current relationship status?
7.What is your sexual orientation?
8.Are you currently sexually active?
9.How many partners have you had in the past six months?
10.How do your partners identify?
11.A main partner is someone you feel committed to above anyone else. A casual sex partner is someone you do not feel committed to or do not know very well. Of the men you had sex with in the past 12 months, how many were your main partner?
12.Of the men you had sex with in the past 12 months how many were your casual partner?
13.What type of sexual activities do you participate in? Select all that apply. 
14.Have you ever been diagnosed with any sexually related diseases (STDs)?
15.Have you ever been tested for HIV?
16.Do you and your partner(s) use any protection against STDs?
17.How often do you use protection?
18.If I asked my partner to use a condom, she/he/they would get violent
19.If I asked my partner to use a condom, she/he/they would get angry
20.If I asked my partner to use a condom, he would think I’m having sex with other people
21.Who usually has more say about whether you have sex?
22.Who usually has more say about what you do together
23.Who usually has more say about how often you see each other
24.In general, who do you think has more power in your relationship?
25.Who usually has more say about whether you use condoms?
26.Who usually has more say about what types of sexual acts you do?
27.What would you say your chances are of getting HIV in your lifetime?
28.What would you say your chances are of getting HIV in the next 12 months
29.Do you think you can control your risk of acquiring HIV?
30.Have you ever heard of HIV-negative people taking HIV drugs before sex because they thought it would reduce their chances of getting HIV infection (PrEP-Pre-Exposure Prophylaxis)?
31.Which medication is indicated for PrEP in women?
32.What is it called when someone who is HIV negative is exposed to HIV and then takes HIV medications for 28 days to reduce their chances of getting HIV?
33.True or False: PrEP can be prescribed for HIV+ people.
34.True or False: PrEP is 100% effective in reducing HIV risk
35.How often should PrEP be taken (as currently recommended by CDC)?
36.What else should be used with PrEP to prevent HIV transmission?
Yes 
No
Condoms 
Regular provider's appointments 
HIV Testing 
Juice 
Candles for a romantic night
Lube 
37.On a scale of 1 to 10 (1 is no knowledge and 10 is expert knowledge), what is your knowledge of PrEP?
1
2
3
4
5
6
7
8
9
10
38.If you are HIV-negative, are you currently taking PrEP? (skip if you are HIV-positive)
39.If you are HIV-negative, how likely are you to take PrEP in the future? (skip if you are HIV-positive)
40.CDC guidelines state that PrEP may be appropriate for HIV-negative adult men who have sex with men who are at "substantial, ongoing high risk for acquiring HIV," or HIV-negative heterosexuals with very high risk (e.g., a partner who is HIV positive), or people who inject drugs. Do you fit into any of these categories?
41.Which of the following is true about using PrEP and other sexually transmitted infections (STIs)
42.Do you plan on using PrEP to reduce your risk of getting HIV in the next 3 months
43.Do you plan on using PrEP to reduce your risk of getting HIV in the next 12 months
44.Which statement best reflects your thinking
45.Do you plan to talk with your doctor about PrEP?
46.I would be willing to take PrEP daily if I had few or no side effects.
47.If I take PrEP I would use condoms…
48.I would feel ashamed to take PrEP in front of others
49.People experience negative judgement because they take PrEP
50.People on PrEP are taking care of their health
51.I would have sex with someone who is taking PrEP
52.Someone taking PrEP would be seen by others as “slutty” or “promiscuous”
53.People taking PrEP receive praise for being responsible
54.My friends would be supportive of me taking PrEP
55.My family would be supportive of me taking PrEP
56.The opinions of my family and friends would influence my decision in taking PrEP
57.Taking PrEP would make me feel protected against HIV
58.I feel comfortable asking my doctor about being prescribed PrEP
59.If a health care provider offered PrEP to me I would be willing to use it.
60.I would worry about what others would think if they found out I was on PrEP
Current Progress,
0 of 60 answered