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0%
 
 
What is your Gender?
 
female= 2
 
male=1

 
 
 
Age
 
13-18
 
19-24

 
 
 
6. Are you sexually active? If so, how many partners?
 
NO
 
yes

 
 
 
7. What type of protection do you use when having sexual intercourse?
 

 
 
 
8. Have you ever shared needles with anyone to do drugs, get a tattoo, or pierce any of your body
 

 
 
 
9. Circle the best way to clean needles if sharing was a necessity?
 
Bleach
 
Amonia
 
Alochol
 
Soap& Water

 
 
 
10. Can HIV survive outside the body?
 
yes
 
no
 
not sure

 
 
 
11. Circle the month that you should get a blood test after your last possible exposure to the v HIV virus?
 
3.0
 
5.0
 
8.0
 
10.0

 
 
 
16. Rank the following media types to advertise information about AIDS form excellent to poor (1-5)
 
Informercial- Tv commerical
 
Brochures & pamplets
 
billboards
 
Internet
 
Direct Mail

 
 
 
17. Circle the best form of communication to help you learn about HIV/AIDS?
 
Talking
 
Listening
 
Reading
 
Writing
 
null
 
null
 
null
 
null

 
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