How
old are you?
|
years
|
How would you describe your sexuality?
|
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What
is your HIV status?
|
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What
is your highest educational qualification?
|
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What
is your ethnic background?
|
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What
is the first half of your home postcode? (e.g. BN1)
|
BN1
BN2
BN3
Other
(please state)
|
What
is your average yearly income before tax (approx.)?
|
£0-4,999
£5-10,000
£11-15,000
£16-20,000
£21-30,000
£31-40,000
£41,000 +
|
How
did you find out about this site?
|
G-Scene
Magazine
Word of mouth
Syphilis campaign material
Casual surfing
Deliberately Searching
Other (please state)
|
Has
the information on this site prompted you to have a sexual health
checkup?
|
Yes
No
|
Did
you click on the Syphilis button?
|
Yes
No
|
Do
you think you could benefit from exploring this site further?
|
Yes
No
|
What
would make this site be more useful to you?
|
|
What
did you think of the overall design and approach of the site?
|
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Are
there any comments you would like to make about this site?
|
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