Thank you for your interest in our research opportunities! The following survey asks some general questions about yourself, such as your demographics and medical history. Please take a few minutes to complete the survey to the best of your abilities. Your responses will assist us with connecting you to the most appropriate study. Completing this survey is completely voluntary and will not affect how you receive services from Us Helping US.
Your responses are confidential and will only be accessed by members of the research team. 

If you have any questions about this survey our or research opportunities, please reach out to the research department by emailing research@uhupil.org OR calling/texting (202) 431-8653.

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* 1. What is your name?

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* 2. Are you based in the DC (DMV) area?

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* 3. What is the best way to contact you?

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* 4. What is your race? Select all that apply.

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* 5. What is your HIV status? 

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* 6. What is your sexual orientation?

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* 7. What is your gender identity?

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* 8. Are you currently on PrEP?

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* 9. Have you used injection drugs in the last 12 months?

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* 10. Have you been in jail/prison in the last 18 months?

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* 11. Where did you find this survey?

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