POZ232_December

’Tis the Season
It’s the season of giving back, but you can contribute to the cause of ending HIV in numerous ways all year long. Whether you donate your time, your talent or your $20 bill, POZ wants to know what you do to give back and make a difference.
1) How often do you donate or raise money for an HIV/AIDS organization or charity?

FrequentlySometimesRarelyNever
2) How often do you volunteer for an HIV/AIDS organization or charity?

FrequentlySometimesRarelyNever
3) How often do you participate in walks, bike rides or other activities to raise HIV awareness?

FrequentlySometimesRarelyNever
4) How often do you purchase clothing or accessories to raise HIV awareness?

FrequentlySometimesRarelyNever
5) How often do you talk about HIV-related issues with your family and friends?

FrequentlySometimesRarelyNever
6) How informed are you about HIV and the various options for prevention and treatment?

Very informedSomewhat informedNot very informed
7) Have you ever accompanied someone to get an HIV test?

YesNo
8) Have you ever been a mentor to someone living with HIV?

YesNo
9) Have you ever provided care or support to someone living with HIV?

YesNo
10) Have you ever shared your story about living with or being affected by HIV/AIDS?

YesNo
11) How often do you use social media to raise HIV awareness?

FrequentlySometimesRarelyNever
12) Do you belong to any HIV/AIDS advocacy groups or networks?

YesNo
13) What year were you born?
14) What is your gender?

MaleFemaleTransgenderOther
15) What is your sexual orientation?

StraightGay/LesbianBisexualOther
16) 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
17) What is your current level of education

Some high schoolHigh school graduateSome collegeBachelor’s degree or higher
18) What is your annual household 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
19) What is your employment status?

Employed, full-timeEmployed, part-time or freelanceUnemployed, on disabilityUnemployed, not on disabilityRetiredOther
20) What is your zip code?
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’Tis the Season