What About HIV Tests?

Have you ever been tested for HIV?

	Yes
	No

How often do you get tested for HIV?

	Never
	Every 3 months
	Every 6 months
	Annually
	Every 2 years
	Once and I won't do it again

Where do you go for an HIV test?

	My private doctor's office
	Public health clinic
	Home test
	Other

Have you ever taken an HIV test and skipped getting the result?

	Yes
	No

Has a doctor ever asked you to take an HIV test?

	Yes
	No

What were the results of your last HIV test?

	Positive
	Negative
	Don't know

Which best describes you?

	African-American/Black
	Arabic
	Asian/Pacific Islander
	Caucasian/White
	Indian
	Latino/Hispanic
	Native American
	Mixed Race
	Other