3 months ago     

6 months ago     

A year ago     

More that a year ago 

9   If No, what would be the main reason for not having been tested for HIV? (check only one) 

It’s unlikely that I have been exposed to HIV    

I am afraid to find out about being positive            

I would not know what to do if I tested positive     

I worry that my name will be reported to the government

I worry about loosing my job, insurance, etc.                           

I didn’t know where to get tested for HIV

I am in a monogamous relationship/married and don’t think that I am at risk for HIV

I worry about loosing my opportunities to become a resident/citizen of the U.S.     

2.  What do you believe your HIV status is currently?  (check only one) 

Don’t know    

Definitely HIV negative            

Probably HIV negative    

Definitely HIV positive

Probably HIV positive                          

3.  What would be the main reason why you decided to get tested today?  (check only one)

Because I wanted to find out    

Because of recent unprotected anonymous sexual activity(ies)            

Because of a recent drug injecting activity(ies) with other people     

Because of a recent unprotected sexual activity(ies) while under the influence Crystal Meth or other drugs

Because I was sexually violated                           

Because I found out that my recent sexual partner is HIV positive

Because I get tested on a regular basis

Because I wanted to take advantage of this testing activity 

4.  In the past year, how many sexual partner(s) have you had? 

• Of these, with how many of them you had unprotected sex?   

5.  In the past year, how many injecting drug partner(s) did you shared drugs?   

6.  In the past year, have your sexual partner(s) had the same HIV status as you? (check only one) 

Yes.  In the past year my sexual partner(s) have had the same HIV status as myself            

No.  One of us is positive and the other is negative     

Don’t know whether we have the same HIV status because we have never talked about HIV status

Don’t know because my sexual partner(s) have never been tested and don’t know their HIV status