What is this?

This is a survey to determine if you are eligible to receive a free, at-home HIV test kit from Special Health Resources.
Filling out this survey does not guarantee you will receive a test kit. Participants will know if they are eligible within 2-3 business days upon completion of the survey by email.

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* 1. What is your age?
Test kits are adults, age 18 and older

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* 2. Ethnicity: Are you Hispanic or Latino

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* 3. What is your race?

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* 4. What is your current Gender Identity?

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* 5. Has it been more than three (3) months since a risk event?
A risk event could be unprotected sex, needle sharing, a needle stick, etc. The test will be most helpful AFTER 3 months have passed from the event.

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* 6. Have you previously had an HIV test?

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* 7. How would you describe your sexual orientation?

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