About You

This is some basic information to let us know who you are. All your responses will be kept confidential.

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* 1. Are you living with HIV?

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* 2. What is your gender identity?

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* 3. In what year were you diagnosed?

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* 4. Which of these best describes your age range?

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* 6. Enter your name (optional, but required to be eligible for the gift card drawing)

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* 7. Enter your email address (optional, but required to be eligible for the gift card drawing)

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