Individual Level

I'm always optimistic about my future.

How do you currently identify?

I felt alienated from myself because of being gay/bisexual.

I tried to stop being attracted to men in general

I tried to become more sexually attracted to women

I often felt it was best to avoid personal or social involvement with other gay/bisexual men

I wanted to get professional help in order to change my sexual orientation from gay/bisexual to straight.

I wished that I could develop more erotic feelings about women.

I was happy to be gay/bisexual

If someone had offered me the chance to be completely heterosexual, I would have accepted the chance.

I was punched, kicked, or beaten because I am, or was thought to be, gay or bisexual

I was punched, kicked, or beaten because of my race/ethnicity

I don't know (because I am, or was thought to be, gay or bisexual)

I don't know (because of my race/ethnicity)

Not Applicable (Because I am, or was thought to be, gay or bisexual)

Not Applicable (Because of my race/ethnicity)

None of the above happened to me in the past 12 months because I am, or was thought to be, gay or bisexual

None of the above happened to me in the past 12 months because of my race/ethnicity

Specify other

Prefer not to say (because I am, or was thought to be, gay or bisexual)

Prefer not to say (because of my race/ethnicity)

I felt that being gay/bisexual was a personal shortcoming for me.

I was threatened with physical violence because I am, or was thought to be, gay or bisexual

I was threatened with physical violence because of my race/ethnicity

I had an object thrown at me because I am, or was thought to be, gay or bisexual

I had an object thrown at me because of my race/ethnicity

I was verbally insulted (yelled at, criticized) because I am, or was thought to be, gay or bisexual

I was verbally insulted (yelled at, criticized) because of my race/ethnicity

I was threatened with a knife, gun, or another weapon because I am, or was thought to be, gay or bisexual

I was threatened with a knife, gun, or another weapon because of my race/ethnicity

I wished I weren't gay/bisexual

Please specify Other

Please rate your pain by indicating the one number that best describes your pain on the average

Please rate your pain by indicating the one number that best describes your pain at its least in the last week

In the past week, have you used any treatments or medications for your pain? (Please include only medications, not treatments such as massage or acupuncture.)

Please rate your pain by indicating the one number that tells how much pain you have right now

Throughout our lives, most of us have had pain from time to time (such as minor headaches, sprains, and toothaches). Have you had pain other than these everyday kinds of pain during the last week?

In the past week, how much relief have you gotten from pain treatments or medications used? Please indicate the one percentage that most shows how much relief you have received. (Please include relief you have received from medications only; do not include relief you have received from treatments such as massage or acupuncture.)

Please rate your pain by indicating the one number that best describes your pain at its worst in the last week

signed official papers about the kind of medical care you would want if you wereseriously ill or dying?

signed official papers about how much flexibility to give your decision maker?

signed official papers naming a person or group to make medical decisions for you?

Over the phone

Over the phone

I am satisfied with my current physical condition.

The total number of HIV pills I am supposed to take is too much

The number of times each day I am supposed to take my HIV medicines is too often.

The number of times each day I am supposed to take my pills is too often.

The total number of pills I am supposed to take is too much.

Political activities (helping political parties, political movements, election campaigns, etc.)