Over the phone
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Individual Level
When mentoring or providing advice to others in the LGBT community, how do you primarily communicate with these people? Rank the top three methods you used, with number one being the method you used most. If you only used one or two, leave the rest blank.
When you turn to people to talk in times of need, how do you primarily communicate with those people? Rank the top three methods you used, with number one being the method you used most. If you only used one or two, leave the rest blank.
Over the phone
The next set of questions asks about your attitudes toward your body and physical activity. Please indicate the degree to which each statement is characteristic of you.
I am satisfied with my current physical condition.
In this section, we are interested in your thoughts on about the number of pills you are taking from both HIV and non-HIV medications prescribed to you by a healthcare provider.
The total number of HIV pills I am supposed to take is too much
In this section, we are interested in your thoughts on about the number of pills you are taking from both HIV and non-HIV medications prescribed to you by a healthcare provider.
The number of times each day I am supposed to take my HIV medicines is too often.
In this section, we are interested in your thoughts on about the number of pills you are taking from both HIV and non-HIV medications prescribed to you by a healthcare provider.
The number of times each day I am supposed to take my pills is too often.
In this section, we are interested in your thoughts on about the number of pills you are taking from both HIV and non-HIV medications prescribed to you by a healthcare provider.
The total number of pills I am supposed to take is too much.
Voluntary activity is unpaid work, not just belonging to an organization or group. It should be of service or benefit to other people or the community and not only to one's family or personal friends. During the last 12 months, did you do volunteer work in any of the following areas?
Political activities (helping political parties, political movements, election campaigns, etc.)
Over the past month, how frequently have you been bothered by:
Repeated, disturbing memories, thoughts, or images of a stressful experience
Over the past month, how frequently have you been bothered by:
Feeling distant or cut off from other people
Over the past month, how frequently have you been bothered by:
Feeling emotionally numb or being unable to have loving feelings for those close to you
Over the past month, how frequently have you been bothered by:
Feeling as if your future will somehow be cut short
Over the past month, how frequently have you been bothered by:
Trouble falling or staying asleep
Over the past month, how frequently have you been bothered by:
Feeling irritable or having angry outbursts
Over the past month, how frequently have you been bothered by:
Having difficulty concentrating
Over the past month, how frequently have you been bothered by:
Being "super-alert" or watchful or on guard
Interpersonal/Dyadic/Relationship Level
In the next set of questions, we'd like to know more about people in your life. Thinking about another partnership.
How often does this person criticize you?
In the next set of questions, we'd like to know more about people in your life. Thinking about another partnership.
How often does this person make too many demands on you?
In the next set of questions, we'd like to know more about people in your life. Thinking about another partnership.
What is this person's gender?
In the next set of questions, we'd like to know more about people in your life. Thinking about another partnership.
How many days a month do you interact with this person in person or by phone (including video and/or text messaging)?
In the next set of questions, we'd like to know more about people in your life. Thinking about another partnership.
We know that some gay and bisexual men form partnerships with other people that can be as intimate or supportive as a primary partnership or spouse, but that dont necessarily include romance or sex. Similar to a primary partner or spouse, this individual might be someone who shares financial resources to pay living expenses, shares housing, shares personal sacred histories between both of you, or takes cares of you when seriously ill (or you them). Do you have someone like that in your life currently?
In the next set of questions, we'd like to know more about people in your life. Thinking about another partnership.
How long have you known this person? - Months:
In the next set of questions, we'd like to know more about people in your life. Thinking about another partnership.
How long have you known this person? - Years:
In the next set of questions, we'd like to know more about people in your life. Thinking about another partnership.
How often does this person let you down when you are counting on him/her?
In the next set of questions, we'd like to know more about people in your life. Thinking about another partnership.
Does this person live with you?
In the next set of questions, we'd like to know more about people in your life. Thinking about another partnership.
How often does this person get on your nerves?
In the next set of questions, we'd like to know more about people in your life. Thinking about another partnership.
How much can you open up to this person if you need to talk about your worries?
In the next set of questions, we'd like to know more about people in your life. Thinking about another partnership.
Does this person self-identify as
In the next set of questions, we'd like to know more about people in your life. Thinking about another partnership.
How much does this person really care about you?
In the next set of questions, we'd like to know more about people in your life. Thinking about another partnership.
How much can you rely on this person for help if you have a serious problem?
In the next set of questions, we'd like to know more about people in your life. Thinking about another partnership.
Is this person? A biological family member
In the next set of questions, we'd like to know more about people in your life. Thinking about another partnership.
Is this person? A non-biological family member
In the next set of questions, we'd like to know more about people in your life. Thinking about another partnership.
Is this person? A 2nd primary partner (polyamorous relationship)
In the next set of questions, we'd like to know more about people in your life. Thinking about another partnership.
Is this person? A very close friend
In the next set of questions, we'd like to know more about people in your life. Thinking about another partnership.
Is this person? A former boyfriend or partner
In the next set of questions, we'd like to know more about people in your life. Thinking about another partnership.
Is this person? A former girlfriend or partner
In the next set of questions, we'd like to know more about people in your life. Thinking about another partnership.
Is this person? Someone I used to have sex with
In the next set of questions, we'd like to know more about people in your life. Thinking about another partnership.
Is this person? Someone I currently have sex with
In the next set of questions, we'd like to know more about people in your life. Thinking about another partnership.
How much does this person understand the way you feel about things?
How likely do you think the following might happen in the next year due to your HIV status?
Will be physically assaulted/beaten up.
How likely do you think the following might happen in the next year due to your HIV status?
Will be denied a place to live.
How likely do you think the following might happen in the next year due to your HIV status?
Will be denied a job.
How likely do you think the following might happen in the next year due to your HIV status?
Will be ignored/excluded/avoided by people close to them.
How likely do you think the following might happen in the next year due to your HIV status?
Will be treated with hostility/coldness by strangers.
How likely do you think the following might happen in the next year due to your HIV status?
Someone will insult/make fun of you.
How likely do you think the following might happen in the next year due to your HIV status?
Will be treated poorly/made to feel inferior when receiving health care.
How likely do you think the following might happen in the next year due to your HIV status?
Will be rejected by a potential sexual/romantic partner.
How likely do you think the following might happen in the next year due to your HIV status?
Personal property will be damaged/stolen.
How likely do you think the following might happen in the next year due to your HIV status?
Will have others talk about your HIV status behind their back.
How likely do you think the following might happen in the next year due to your HIV status?
Someone will act as if you could not be trusted.