Interpersonal/Dyadic/Relationship Level

How often does this person get on your nerves?

How much can you open up to this person if you need to talk about your worries?

Does this person self-identify as

How much does this person really care about you?

How much can you rely on this person for help if you have a serious problem?

Is this person? A biological family member

Is this person? A non-biological family member

Is this person? A 2nd primary partner (polyamorous relationship)

Is this person? A very close friend

Is this person? A former boyfriend or partner

Is this person? A former girlfriend or partner

Is this person? Someone I used to have sex with

Is this person? Someone I currently have sex with

How much does this person understand the way you feel about things?

Will be physically assaulted/beaten up.

Will be denied a place to live.

Will be denied a job.

Will be ignored/excluded/avoided by people close to them.

Will be treated with hostility/coldness by strangers.

Someone will insult/make fun of you.

Will be treated poorly/made to feel inferior when receiving health care.

Will be rejected by a potential sexual/romantic partner.

Personal property will be damaged/stolen.

Will have others talk about your HIV status behind their back.

Someone will act as if you could not be trusted.

Casual sexual partners

Family

Friends

Main sexual partners

Other Person

Health care provider

Religious Figure

I'm afraid that other people may abandon me.

I don't feel comfortable opening up to others.

How often does your partner criticize you?

How often does your partner make too many demands on you?

I find it easy to depend on others.

I usually discuss my problems and concerns with others.

What is this person's gender?

How many days a month do you interact with this person in person or by phone (including video and/or text messaging)

Which of the options below best describes the legal status of your relationship with your primary partner? (check the one that best applies)

How often does your partner let you down when you are counting on him/her?

Does this person live with you?

How often does your partner get on your nerves?

I worry that others won't care about me as much as I care about them.

I prefer not to show others how I feel deep down.

How much can you open up to your partner if you need to talk about your worries?

Does this person self-identify as

How much does your partner really care about you?

It helps to turn to people in times of need.