Individual Level

I feel that the gay community treats me with " " respect because of my age.

I feel that the gay community treats me with " " respect because of my HIV status.

I feel that health care providers treat me with " " respect because I have sex with men.

I feel that health care providers treat me with " " respect because I have sex with women.

I feel the health care providers treat me with " " respect because of my skin color.

I feel that health care providers treat me with " " respect because of my ethnicity and/or cultural heritage.

I feel that people treat me with " " respect because I have sex with women.

I feel that health care providers treat me with " " respect because of my age.

I feel that health care providers treat me with " " respect because of my HIV status.

I feel that people treat me with " " respect because of my skin color.

I feel that people treat me with " " respect because of my ethnicity and/or cultural heritage.

I feel that people treat me with " " respect because of my age.

I feel that people treat me with " " respect because of my HIV status.

I feel that my family treats me with " " respect because I have sex with men.

I feel that my family treats me with " " respect because I have sex with women.

I feel that my family treats me with " " respect because of my HIV status.

In the past month, how often have you been angry because of things that happened that were outside of your control?

In the past month, how often have you felt confident about your ability to handle personal problems?

In the past month, how often have you been able to control irritations in your life?

In the past month, how often have you felt nervous or stressed?

In the past month, how often have you found that you could not cope with all the things you had to do?

In the past month, how often have you felt that you were on top of things?

In the past month, how often have you felt that difficulties were piling up so high that you could not overcome them?

In the past month, how often have you felt that you were unable to control the important things in your life?

In the past month, how often have you been upset because of something that happened unexpectedly?

In the past month, how often have you felt that things were going your way?

Online chatroom or discussion board

Dating apps

Email

In person

Over the phone

Overall how satisfied are you with the social support that you received from others?

Text, messenger, or Twitter

Skype, Facetime, or Video chat

Video gaming platforms

talking with your doctors about who you want your medical decision maker to be?

Text, messenger or Twitter

Psychotherapy (i.e. 1-on-1 counseling, hypnosis, cognitive behavioral therapy, trauma-based therapy, conventional talk therapy)

Group-based therapy (e.g., drop-in, live-in, or coaching groups)

Prayer/Religion-based therapy (i.e. ex-gay ministry, talked with a pastor/clergy, exorcism)

Gender role reinforcement (i.e. counselor/clinician encouraged heterosexual dating/sexual relationships)

Aversion therapy (i.e. electric shock, convulsion, nausea-inducing, rubber bandshock in presence of homoerotic images)

Pharmacological treatments (i.e. chemical castration)

Other [please specify]:

None of the Above

Prefer not to say

How old were you when you first experienced any form of conversion therapy?

Thinking of your FIRST experience, how much was it YOUR decision to seek conversion therapy?

Which of the following best describes the frequency in which you attended conversion therapies? In other words, how often did your therapy sessions occur?

Thinking of the time between your FIRST and LAST experience, for how long did you attend conversion therapies?