Language
English (US)
Spanish (Latin America)
Are you over 18 years of age?
*
Yes, I am over 18 years of age
No, I'm under 18 years of age
Which of the following best describes you?
*
Trans
Non-binary
Cisgender
Do you identify as Latinx and/or Black?
Yes, I identify as Latinx and/or Black
No, I don't identify as Latinx or Black
Have you been tested for HIV in the last 3 months?
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Yes, I have been tested for HIV in the last 3 months
No, I have not been tested for HIV in the last 3 months
Are you currently taking PrEP medication?
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Yes, I'm taking PrEP
No, I'm not taking PrEP
Are you sexually active, having anal receptive sex?
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Yes, I have anal receptive sex
No, I don't have anal receptive sex
How did you hear about UC San Diego's injectable PrEP study?
Dating app (e.g. Grindr)
Social media
Healthcare provider
Friend/sex partner
Community organization
Other
Tell Me If I'm Eligible!
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