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2014
November
H
HIV Survey
HIV Survey
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We are a group of graduate students from Santa Clara University who are working on a project tocreate a software product that will help increase happiness in patients with HIV/AIDS.This survey will help us better understand your needs.It will not contain any information that will personally identify you and will only be used for the purposes of the project. The results will only be shared with our professors and classmates. If you would like to receive a copy of the project please email us at :
[email protected]
can skip any question you do not wish to answer. This survey should take you around 5-10 minutes to complete.Thank you.
I Agree
Are you male or female?
Male
Female
What is your ethnicity?
American Indian or Alaskan Native
Asian or Pacific Islander
Black or African American Hispanic or Latino
White / Caucasian
Prefer not to answer
Other
How long has it been since you’ve been diagnosed?
Less than 6 Months
6 Months 1 Year
1 5 Years
5 10 Years
10 and Above
Do you face any worries/fears related to the following basic needs? (Can choose multiple option
Food
Housing
Medical Aid
All of the above
What are the new recreational activities you have chosen to add to your daily life after your diagnosis?
What daily activities have you given up after your diagnosis?
How often do you use your electronic gadgets like smartphone, tablet, laptop?
Everyday
Twice a week
More than Twice
Never
Would you like to have more information about the following: (can choose multipleoptions)
Latest Research & News related to HIV/AIDS
Connecting with counselors
Connecting with people in same situation
All of the above
Would an application that helps with the above be useful for you?
Yes
No
Maybe
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