Feeling jumpy or easily startled
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Over the past month, how frequently have you been bothered by:
Repeated, disturbing dreams of a stressful experience
Over the past month, how frequently have you been bothered by:
Suddenly acting or feeling as if a stressful experience were happening again (as if you were reliving it)
Over the past month, how frequently have you been bothered by:
Feeling very upset when something reminded you of a stressful experience
Over the past month, how frequently have you been bothered by:
Having physical reactions (e.g., heart pounding, trouble breathing, sweating) when something reminded you of a stressful experience
Over the past month, how frequently have you been bothered by:
Avoiding thinking about or talking about a stressful experience or avoiding having feelings related to it
Over the past month, how frequently have you been bothered by:
Avoiding activities or situations because they reminded you of a stressful experience
Over the past month, how frequently have you been bothered by:
Trouble remembering important part of a stressful experience
Over the past month, how frequently have you been bothered by:
Loss of interest in activities that you used to enjoy
Please answer the following questions about yourself by indicating the extent of your agreement using the following scale. Be as honest as you can throughout, and try not to let your responses to one question influence your response to other questions. There are no right or wrong answers.
It's easy for me to relax
The next few questions are about religion and spirituality.
To what extent do you consider yourself a religious person?
Do you discuss your risk of getting HIV with any of the following?
Casual sexual partners
Do you discuss your risk of getting HIV with any of the following?
Main sexual partners
Do you discuss your risk of getting HIV with any of the following?
Health care provider
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?
Religious and church related activities (helping churches and religious groups)
Please read each of the following statements and rate the extent to which you believe each statement best describes your feelings about close relationships in general.
I'm afraid that other people may abandon me.
Please read each of the following statements and rate the extent to which you believe each statement best describes your feelings about close relationships in general.
I don't feel comfortable opening up to others.
In the next set of questions, we?d like to know more about people in your life. Thinking about your primary partner.
How often does your partner criticize you?
In the next set of questions, we'd like to know more about people in your life. Thinking about your primary partner.
How often does your partner make too many demands on you?
Please read each of the following statements and rate the extent to which you believe each statement best describes your feelings about close relationships in general.
I find it easy to depend on others.
Please read each of the following statements and rate the extent to which you believe each statement best describes your feelings about close relationships in general.
I usually discuss my problems and concerns with others.
In the next set of questions, we'd like to know more about people in your life. Thinking about your primary partner.
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 your primary partner.
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 your primary partner.
Which of the options below best describes the legal status of your relationship with your primary partner? (check the one that best applies)
In the next set of questions, we'd like to know more about people in your life. Thinking about your primary partner.
How often does your partner 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 your primary partner.
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 your primary partner.
How often does your partner get on your nerves?
Please read each of the following statements and rate the extent to which you believe each statement best describes your feelings about close relationships in general.
I worry that others won't care about me as much as I care about them.
Please read each of the following statements and rate the extent to which you believe each statement best describes your feelings about close relationships in general.
I prefer not to show others how I feel deep down.
In the next set of questions, we'd like to know more about people in your life. Thinking about your primary partner.
How much can you open up to your partner 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 your primary partner.
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 your primary partner.
How much does your partner really care about you?
Please read each of the following statements and rate the extent to which you believe each statement best describes your feelings about close relationships in general.
It helps to turn to people in times of need.
In the next set of questions, we'd like to know more about people in your life. Thinking about your primary partner.
How much can you rely on your partner 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 your primary partner.
Are you currently in a relationship with a primary partner? By primary partner we mean someone who you are committed to above anyone else and with whom you might or might not be having sex.
Please read each of the following statements and rate the extent to which you believe each statement best describes your feelings about close relationships in general.
I talk things over with people.
In the next set of questions, we'd like to know more about people in your life. Thinking about your primary partner.
How long have you and your primary partner been in a relationship? - Months:
In the next set of questions, we'd like to know more about people in your life. Thinking about your primary partner.
How long have you and your primary partner been in a relationship? - Years:
In the next set of questions, we'd like to know more about people in your life. Thinking about your primary partner.
How much does your partner understand the way you feel about things?
Please read each of the following statements and rate the extent to which you believe each statement best describes your feelings about close relationships in general.
I often worry that other people do not really care for me.
Next we would like to ask you some more about your sexual experiences.
Since your last visit, did you give or receive money, drugs or other goods in exchange for sex with another person?
Next we would like to ask you some more about your sexual experiences.
Since your last visit, did you give money, drugs or other goods for sex in exchange for sex with another person?
Next we would like to ask you some more about your sexual experiences.
Since your last visit, did you receive money, drugs or other goods for sex in exchange for sex with another person?
The next section asks about your experiences with telling others about your health care wishes. These questions may be uncomfortable to think about. There are no right or wrong answers - your answers will help us to understand whether men are talking about these issues with other people in their lives. How much have you thought about:
whether or not certain health situations would make your life not worth living?
In the next questions we are asking how the people in your life might help you make certain decisions.
I monitor my social life to try to make sure that I dont get too isolated.