POZ - June 2009: Cost of Living - HIV and the Recession

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June 2009: Cost of Living - HIV and the Recession

The current global economic crisis has affected everyone from Wall Street power brokers to small-business owners and staffers at your local AIDS service organization. We want to hear how the recession is affecting you, as someone living with HIV. Has it forced you to make drastic sacrifices? Has your own health had to take a backseat to more pressing economic concerns? Let us know by filling out this survey.
 
1. How much do you worry about money?
A lot
Sometimes
Not much
Never
 
2. Are you the household's primary wage earner?
Yes
No
 
3. Do you work…
Full-time
Part-time
Freelance
I'm on disability
I am unemployed
 
4. Do you worry about losing your job as a result of the recession?
Yes
No
 
5. Do you worry about being unable to pay for health insurance as a result of the recession?
Yes
No
 
6. How has the recession affected you personally? (Check all that apply.)
I was forced to take a second job
I had to cut nonessential spending from my budget
I can't afford to travel to my doctor's office
I had to move out of my home
I was laid off
My local ASO has shut down
I'm having difficulty paying for meds
None of the above
 
7. To what degree are you concerned that the recession will affect AIDS services?
Very much
A moderate amount
Somewhat
Not at all
 
8. How much do you pay for your health insurance coverage each month?
Nothing
$99 or less
$100–$199
$200–$299
$300–$399
$400–$499
$500 or more
I don't know
 
9. Excluding insurance premiums and deductibles, how much have you spent on HIV care and/or related illnesses in the past year?
Nothing
Less than $1,000
$1,001–$2,500
$2,501–$4,000
$4,001–$5,500
$5,501–$7,000
More than $7,000
I don't know
 
10. Are you considering applying for Medicaid or other financial assistance as a result of the recession?
Yes
No
I already have
 
11. What is your personal income per year?
Less than $15,000
$15,000–$34,999
$35,000–$49,999
$50,000–$74,999
$75,000–$99,999
$100,000 or more
 
12. What is your gender?
Male
Female
Transgender
Other
 
13. What year were you born?
 
14. What is your sexuality?
Straight
Gay/Lesbian
Bisexual
Other
 
15. What is your ethnicity (Check all that apply.)
American Indian or Alaska Native
Arab or Middle Easternn
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or other Pacific Islander
White
(please specify) 
 
16. What is your ZIP code?



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