POZ232_December

Side Effects
HIV medications can help people live longer, healthier lives, but sometimes the drugs can cause unwanted side effects. It’s important to discuss any side effects you have with your health care provider. The choice of which meds you take will depend on your individual needs. POZ wants to know about your experience with side effects.
1) How long have you been living with HIV?

Less than one year1–5 years5–10 years10–15 years15–20 years20 years or more
2) How long have you been taking HIV medication?

Less than one year1–5 years5–10 years10–15 years15–20 years20 years or moreI’ve never taken HIV meds. (Skip to question 9.)
3) Have you experienced any of these side effects on your current HIV regimen? (Check all that apply.)

AnemiaBone lossDepressionDiarrheaDifficulty sleepingFatigue or loss of energyIncreased cholesterolIncreased triglyceridesKidney damageLipodystrophy (unusual fat gain or loss)Liver damageMemory lossNausea or vomitingPain, numbness or tingling in the hands or feetSkin problems (rash, dryness or itchiness)Trouble concentratingWeight gainOther
4) How much do side effects affect your daily life?

A lotSomewhatNot at all
5) Were you worried about potential side effects before you started HIV treatment?

YesNo
6) Do you worry about the potential long-term side effects of HIV medication?

YesNo
7) Have you ever switched your HIV medications because of side effects?

YesNo
8) Have you ever used any of the following to alleviate your side effects? (Check all that apply.)

Alternative medicine (acupuncture, herbal remedies)CannabisNonprescription drugsPrescription drugsOther
9) Do you take any other medications for another health condition?

YesNo
10) What year were you born?
11) What is your gender?

MaleFemaleTransgenderOther
12) What is your sexual orientation?

StraightGay/LesbianBisexualOther
13) What is your ethnicity? (Check all that apply.)

American Indian or Alaska NativeArab or Middle EasternAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or other Pacific IslanderWhiteOther
14) What is your current level of education?

Some high schoolHigh school graduateSome collegeBachelor’s degree or higher
15) What is your zip code?
Enter the message as it's shown*
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Side Effects