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POZ Focus: Just Found Out? Living long and healthy with HIV

We'd like to know whether this POZ Focus was helpful. Please fill out the following survey. We appreciate your feedback.
 
1. After reading this Focus, my fears and anxieties about living with HIV have…
Increased
Decreased
Stayed the same
 
2. How comfortable are you talking with your health care provider about your questions or concerns?
Very
Somewhat
Not at all
 
3. Does your health care provider respect your questions or concerns and provide you with clear explanations?
Always
Sometimes
Not at all
 
4. Which of the following issues have you NOT yet discussed with your health care provider? (Check all that apply.)
Personal medical history
Family medical history
Smoking, alcohol, or drug use
Aging-related diseases
Family planning and birth control
Depression or emotional difficulties
When to start treatment and what to start with
Side effects
 
5. After reading this Focus, do you plan on discussing these issues with your health care provider?
Yes
No
Not sure
 
6. Please rate the overall quality of this POZ Focus:
Excellent
Good
Fair
Poor
 
7. I was diagnosed with HIV…
In the past year
In the past two to five years
Six to 10 years ago
More than 10 years ago
 
8. What year were you born?
 
9. What is your gender?
Male
Transgender
Female
Other
 
10. What is your sexual orientation?
Straight
Gay/lesbain
Bisexual
(please specify) 
 
11. What is your yearly personal income?
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 ethnicity? (Check all that apply.)
American Indian or Alaska Native
Arab or Middle Eastern
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or other Pacific Islander
White
(please specify) 
 
13. What is your zip code?



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