Sex Pro North America

When were you born?

Please fill in a valid entry.

How do you identify your race/ethnicity? (Choose all that apply)

Latino
Black
Asian/Pacific Islander
Native American
White
Other

How many male or trans female anal sex PARTNERS have you had in the last three months?

	Number whose HIV status you don't know for sure
	Number who are HIV negative
	Number who are HIV positive

Please fill in all fields (0 for none).

Are you in a primary relationship with this partner? This is someone whom you may consider a partner, boy/girlfriend, husband, wife, lover, spouse, or significant other.

Yes No
Please make a selection.

Does this partner have other sex partners?

Yes
No
Don't know
Please make a selection.

How long have you been with this partner in a mutually monogamous relationship?

Less than 6 months
6 months or more
Please make a selection.

Does your partner have an undetectable HIV viral load?

Yes
No
I Don't know
Please make a selection.

For how long have they had an undetectable HIV viral load?

Less than 6 months
6 months or more
I Don't know
Please make a selection.

How many TIMES have you had anal sex as a TOP with your HIV positive or unknown status partners?

In the last 3 months:

TIMES (NOT partners) as a TOP with men or transwomen.

How many TIMES have you had anal sex as a BOTTOM with your HIV positive or unknown status partners?

In the last 3 months:

TIMES (NOT partners) as a BOTTOM with men or transwomen.

Have you used any of the following in the last 3 months?

Poppers
Yes No

Cocaine/Crack
Yes No

Meth/Speed
Yes No
Please make a selection for each.

On average, how often did you drink alcohol in the last 3 months?

5-7 days a week
1-4 days a week
Less than once a week
Never
Please make a selection.

Have you been diagnosed with gonorrhea, chlamydia, or syphilis in the last 3 months?

Yes
No
I don't know
Please make a selection.

Are you currently taking PrEP?

Yes
No
Please make a selection.