Genital Herpes Survey

This survey is for people who have genital herpes.  We know that herpes is not an easy diagnosis.  We're searching for information about how people were diagnosed with herpes, how they feel about their diagnostic experience, and how they feel about the treatment options available. 

This is all anonymous - there is no way for us to know who you are, nor do we want to know who you are when you complete the survey.  Please - only complete it once.  No questions will be answered in this format for people completing the survey. 

The information obtained will be available to anyone who would like to see or use it when it is complete - individuals, academic centers, pharmaceutical companies developing treatments, and anyone interested in the survey outcome.  We may also choose to submit the answer for publication in a scientific journal.  

We will leave the survey up for one month and, at the end of the month, determine if it should be left up for one more month.  Thank you in advance for your participation, it is greatly appreciated.
1.How would you describe your gender
2.How old are you?
3.How would you describe your race?
4.How long ago were you diagnosed with genital herpes?
5.From whom did you receive your diagnosis of genital herpes?
6.How were you diagnosed with genital herpes?   Please check all that apply.
7.How do you feel about the information your healthcare provider gave you about herpes when you were diagnosed?
8.How do you feel about the emotional support you were given by your healthcare provider about herpes when you were diagnosed?
9.What has your experience been with disclosing your diagnosis to potential sex partners?
10.Do you have genital HSV 1 or 2?
11.How many genital outbreaks, if any, have you had in the past year (or since your diagnosis if you were diagnosed less than one year ago)?
12.How many outbreaks did you have in the 1st year after your diagnosis?
13.Are you currently taking prescription medicine for your genital herpes? Check all that apply.
14.Do you take any over-the-counter, complementary or alternate therapies for your genital herpes? Check all that apply.
15.Please estimate what you pay for all your genital herpes treatments in one year or since your diagnosis if it was less than one year ago?
16.What led you to choose the treatment option you chose? Check all that apply.
17.On a scale of 1-5 how satisfied are you with your treatment decision?
18.If you are taking daily pills to manage genital herpes (or have done so in the past), which of these things would have improved your experience? Check all that apply.
19.If you have been offered the option of taking daily pills to manage genital herpes but decided not to, which of these things might change your mind and persuade you to try daily pills in the future? Check all that apply.
20.Please list at least one website you've used to gain information about genital herpes, more if appropriate.
21.If you had three wishes about your genital herpes diagnosis, what would they be
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