Am I At Risk? Survey

Is Undetectable Possible For Me?

HIV Treatment Adherence Survey
POZ wants to hear from you! After completing the “Is Undetectable Possible For Me?” module, please take the following survey. We appreciate your feedback.
1) Are you living with HIV?

YesNoI don’t know.
2) Please rate the overall quality of this eLearning module:

ExcellentGoodFairPoor
3) After completing this module, do you better understand what it means to be adherent to your HIV medications and to have an undetectable viral load?

YesNo
4) Before completing this module, did you know about available long-acting injectable options, such as Cabenuva and Trogarzo?

YesNo
5) What did you learn that was the most useful to you?
6) What would have made this module more useful to you? (Check all that apply.)

More quizzesAdditional scenariosLinks to more informationMore in-depth informationOther
7) What other topics should be covered in future modules? (Check all that apply.)

HIV and AgingHIV and Hepatitis CHIV and the BrainPaying for Care and TreatmentStarting TreatmentOther
8) What year were you born?
9) What is your gender?

MaleFemaleTransgenderOther
10) What is your sexual orientation?

StraightGay/LesbianBisexualOther
11) What is your yearly personal income?

Less than $15,000$15,000–$34,999$35,000–$49,999$50,000–$74,999$75,000–$99,999$100,000 or more
12) 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
13) What is your ZIP code?
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Is Undetectable Possible For Me?