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Surveys
2005
February
T
test1
test1
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
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Please contact
[email protected]
if you have any questions regarding this survey.
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