Hep Spring 2017 Survey

HEP READER SURVEY - SPRING 2017
We want to hear from you! Please fill out the following survey. We appreciate your feedback.
1) Have you ever been tested for hepatitis C virus (HCV)?
2) Why haven’t you been tested for HCV? (Check all that apply.)

Other
3) Do you know how HCV is transmitted?
4) Are you aware of the risk factors for HCV?
5) Are you aware of the various treatment options available for HCV?
6) Are you aware that there are programs available to help pay for HCV treatment?
7) Are you currently receiving, or have you ever taken, treatment for HCV?
8) After reading this issue, will you talk to others about getting tested for HCV?
9) Please rate the overall quality of this issue of Hep magazine.
10) What year were you born?
11) What is your gender?

Other
12) What is your sexual orientation?

Other
13) What is your yearly household income?
14) What is your ethnicity? (Check all that apply.)

Other
15) What is your zip code?
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HEP READER SURVEY - SPRING 2017