POZ208_DECEMBER_2015

The Choice Is Yours
When selecting your HIV regimen, it’s important to choose one that’s based on your individual needs. Be sure to discuss any issues you may have with your health care provider so he or she can prescribe meds that will work best for you. POZ wants to know about the choices you’ve made when it comes to your HIV treatment.
1) How soon after your diagnosis did you begin taking HIV meds?

Within one year1–3 years3–5 yearsMore than five years
2) How involved were you in choosing your current HIV meds?

Very involvedSomewhat involvedNot very involved
3) Do you feel comfortable talking to your health care provider about your HIV treatment options?

YesNo
4) What factors did you consider when choosing your current HIV regimen? (Check all that apply.)

Other diseases or health conditionsPossible side effectsPotential drug interactions with other meds I’m takingResults of drug-resistance testsConvenience of HIV regimenCost of HIV regimenFood restrictionsNone of the above
5) Have you ever asked your doctor to switch your HIV regimen?

YesNo
6) Are you currently taking any generic versions of your HIV meds?

YesNo
7) If not, would you consider taking a generic version in the future?

YesNo
8) Given the choice, would you prefer filling your HIV prescriptions at a pharmacy or through mail order?

PharmacyMail order
9) What year were you born?
10) What is your gender?

MaleFemaleTransgenderOther
11) What is your sexual orientation?

StraightGay/lesbianBisexualOther
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 current level of education?

Some high schoolHigh school graduateSome collegeBachelor’s degree or higher
14) 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
15) What is your zip code?
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The Choice Is Yours