2017AQ | | | This section is meant to give us a sense of your general mental health by asking about specific diagnoses, conditions, symptoms, and behaviors. Many of these questions are standard questions routinely asked in national health surveys. Your honest answers will help us as we study LGBTQ health in The PRIDE Study in order to improve the health and well-being of our communities. Your answers will be kept confidential. Please do your best to answer every question, but you may skip questions that feel too uncomfortable to answer. This section should take about 10-15 minutes to complete. | No Answers |
2017AQ | | | Has a mental health professional or physician EVER told you that you have depression? | Yes (1) No (0) I dont know (88) |
2017AQ | | DEP | At what age were you first told by a mental health professional or physician that you had depression? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have Bipolar Disorder? | Yes (1) No (0) I dont know (88) |
2017AQ | | BPD | At what age were you first told by a mental health professional or physician that you had Bipolar Disorder? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have an anxiety disorder (any)? | Yes (1) No (0) I dont know (88) |
2017AQ | | ANX | At what age were you first told by a mental health professional or physician that you had an anxiety disorder? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have Generalized Anxiety Disorder? | Yes (1) No (0) I dont know (88) |
2017AQ | | GAD | At what age were you first told by a mental health professional or physician that you had Generalized Anxiety Disorder? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have Post-Traumatic Stress Disorder (PTSD)? | Yes (1) No (0) I dont know (88) |
2017AQ | | PTSD | At what age were you first told by a mental health professional or physician that you had PTSD? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have Agoraphobia or Panic Disorder? | Yes (1) No (0) I dont know (88) |
2017AQ | | PANIC | At what age were you first told by a mental health professional or physician that you had Agoraphobia or Panic Disorder? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have Social Phobia or Social Anxiety Disorder? | Yes (1) No (0) I dont know (88) |
2017AQ | | SOCPHOB | At what age were you first told by a mental health professional or physician that you had Social Phobia or Social Anxiety Disorder? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have Schizophrenia or a psychotic disorder? | Yes (1) No (0) I dont know (88) |
2017AQ | | PSYCHOTIC | At what age were you first told by a mental health professional or physician that you had Schizophrenia or a psychotic disorder? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have Obsessive Compulsive Disorder (OCD)? | Yes (1) No (0) I dont know (88) |
2017AQ | | OCD | At what age were you first told by a mental health professional or physician that you had OCD? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have Chronic Tic Disorder or Tourette Syndrome? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have Trichotillomania (hair pulling disorder)? | Yes (1) No (0) I dont know (88) |
2017AQ | | TRICHO | At what age were you first told by a mental health professional or physician that you had Trichotillomania (hair pulling disorder)? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have chronic skin picking or Excoriation Disorder? | Yes (1) No (0) I dont know (88) |
2017AQ | | SKINPICK | At what age were you first told by a mental health professional or physician that you had chronic skin picking or Excoriation Disorder? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have Body Dysmorphic Disorder (BDD)? | Yes (1) No (0) I dont know (88) |
2017AQ | | BDD | At what age were you first told by a mental health professional or physician that you had BDD? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD)? | Yes (1) No (0) I dont know (88) |
2017AQ | | ADD | At what age were you first told by a mental health professional or physician that you had ADD or ADHD? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have a personality disorder such as Borderline Personality Disorder or Narcissistic Personality Disorder? | Yes (1) No (0) I dont know (88) |
2017AQ | | PERSONALITY | At what age were you first told by a mental health professional or physician that you had a personality disorder? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have alcoholism or Alcohol Use Disorder? | Yes (1) No (0) I dont know (88) |
2017AQ | | AUD | At what age were you first told by a mental health professional or physician that you had alcoholism or Alcohol Use Disorder? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have a drug or Substance Use Disorder (other than nicotine or alcohol)? | Yes (1) No (0) I dont know (88) |
2017AQ | | SUD | At what age were you first told by a mental health professional or physician that you had a drug or Substance Use Disorder? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have an eating disorder such as Anorexia or Bulimia? | Yes (1) No (0) I dont know (88) |
2017AQ | | EATINGDO | At what age were you first told by a mental health professional or physician that you had an eating disorder? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have Autism Spectrum Disorder or Asperger's Syndrome? | Yes (1) No (0) I dont know (88) |
2017AQ | | ASD | At what age were you first told by a mental health professional or physician that you have Autism Spectrum Disorder or Asperger's Syndrome? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have Insomnia or another sleep disorder? | Yes (1) No (0) I dont know (88) |
2017AQ | | SLEEPDO | At what age were you first told by a mental health professional or physician that you had insomnia or another sleep disorder? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Has a mental health professional or physician EVER told you that you have Hypochondriasis or Illness Anxiety Disorder? | Yes (1) No (0) I dont know (88) |
2017AQ | | HYPOCHOND | At what age were you first told by a mental health professional or physician that you had Hypochondriasis or Illness Anxiety Disorder? If you are not sure, please provide your best guess. | Text Entry (-) |
2017AQ | | | Problems You May Have Had | No Answers |
2017AQ | | | Have you EVER thought that you had a problem with anxiety? | I have never had this problem (0) Yes, but not now (1) Yes, and I think I still have this problem (2) |
2017AQ | | | Have you EVER thought that you had depression? | I have never had this problem (0) Yes, but not now (1) Yes, and I think I still have this problem (2) |
2017AQ | | | Have you EVER thought that you had an eating disorder or a problem with eating? | I have never had this problem (0) Yes, but not now (1) Yes, and I think I still have this problem (2) |
2017AQ | | | Have you EVER thought that you had a problem with alcohol use? | I have never had this problem (0) Yes, but not now (1) Yes, and I think I still have this problem (2) |
2017AQ | | | Have you EVER thought that you had a problem with drug or substance use (other than alcohol)? | I have never had this problem (0) Yes, but not now (1) Yes, and I think I still have this problem (2) |
2017AQ | | | Have you EVER thought that you had a problem with pulling out your hair? | I have never had this problem (0) Yes, but not now (1) Yes, and I think I still have this problem (2) |
2017AQ | | | Have you EVER thought that you had a problem with picking at your skin to the point it caused damage? | I have never had this problem (0) Yes, but not now (1) Yes, and I think I still have this problem (2) |
2017AQ | | | Which of the following best describes your use of medications for stress or mental health problems? | I have never taken medication for these reasons (0) I used to take medication for at least one of these reasons (1) I currently take medication for at least one of these reasons (2) |
2017AQ | | | Which of the following best describes your use of medications for substance use problems? | I have never taken medication for this reason (0) I used to take medication for this reason (1) I currently take medication for this reason (2) |
2017AQ | | | Which of the following best describes your use of psychotherapy/counseling for stress or mental health problems? | I have never been in psychotherapy/counseling for these reasons (0) I used to be in psychotherapy/counseling for at least one of these reasons (1) I am currently in psychotherapy/counseling for at least one of these reasons (2) |
2017AQ | | | Which of the following best describes your use of psychotherapy/counseling for substance use problems? | I have never been in psychotherapy/counseling for this reason (0) I used to be in psychotherapy/counseling for this reason (1) I am currently in psychotherapy/counseling for this reason (2) |
2017AQ | | | Your Health | No Answers |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Little interest or pleasure in doing things | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Feeling down, depressed, or hopeless | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Trouble falling or staying asleep | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Feeling tired or having little energy | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Poor appetite or overeating | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Feeling bad about yourself - or that you are a failure or have let yourself or your family down | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Trouble concentrating on things, such as reading the newspaper or watching television | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Moving or speaking so slowly that other people could have noticed - or being so fidgety or restless that you have been moving around a lot more than usual | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Thoughts that you would be better off dead or of hurting yourself in some way | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | PHQ9 | We at The PRIDE Study value the health and mental health of sexual and gender minority people like you. Suicide has taken too many of us. We sincerely urge you to get help, as we know that things can get better with help. Please consider reaching out for services in your area, and also consider calling 1-800-273-8255 to talk with someone. Go to the emergency room or call 911 if you are in crisis and don't know where to get help. The PRIDE Study team cares about you and the health of our community. | No Answers |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Feeling nervous, anxious, or on edge | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Not being able to stop or control worrying | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Worrying too much about different things | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Trouble relaxing | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Being so restless that it's hard to sit still | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Becoming easily annoyed or irritable | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Feeling afraid as if something awful might happen | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2017AQ | | | In the past month, how much have you been bothered by the following problem: Repeated, disturbing memories, thoughts, or images of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2017AQ | | | In the past month, how much have you been bothered by the following problem: Feeling very upset when something reminded you of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2017AQ | | | In the past month, how much have you been bothered by the following problem: Avoided activities or situations because they reminded you of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2017AQ | | | In the past month, how much have you been bothered by the following problem: Feeling distant or cut off from other people? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2017AQ | | | In the past month, how much have you been bothered by the following problem: Feeling irritable or having angry outbursts? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2017AQ | | | In the past month, how much have you been bothered by the following problem: Having difficulty concentrating? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2017AQ | | | Have you ever experienced this kind of event? | Yes (1) No (0) |
2017AQ | | | We would like to ask you some questions about your emotional life, in particular, how you control (that is, regulate and manage) your emotions. The questions below involve two distinct aspects of your emotional life. One is your emotional experience, or what you feel like inside. The other is your emotional expression, or how you show your emotions in the way you talk, gesture, or behave. Although some of the following questions may seem similar to one another, they differ in important ways. For each item, please answer using the following scale: | No Answers |
2017AQ | | | Scale for aq mh | No Answers |
2017AQ | | | When I want to feel more positive emotion (such as joy or amusement), I change what I'm thinking about. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2017AQ | | | I keep my emotions to myself. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2017AQ | | | When I want to feel less negative emotion (such as sadness or anger), I change what I'm thinking about. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2017AQ | | | When I am feeling positive emotions, I am careful not to express them. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2017AQ | | | When I'm faced with a stressful situation, I make myself think about it in a way that helps me stay calm. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2017AQ | | | I control my emotions by not expressing them. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2017AQ | | | When I want to feel more positive emotion, I change the way I'm thinking about the situation. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2017AQ | | | I control my emotions by changing the way I think about the situation I'm in. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2017AQ | | | When I am feeling negative emotions, I make sure not to express them. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2017AQ | | | When I want to feel less negative emotion, I change the way I'm thinking about the situation. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2017AQ | | | You will find a list of statements below. Please rate how true each statement is for you by selecting one option per question. | No Answers |
2017AQ | | | My painful experiences and memories make it difficult for me to live a life that I would value. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2017AQ | | | I'm afraid of my feelings. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2017AQ | | | I worry about not being able to control my worries and feelings. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2017AQ | | | My painful memories prevent me from having a fulfilling life. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2017AQ | | | Emotions cause problems in my life. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2017AQ | | | It seems like most people are handling their lives better than I am. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2017AQ | | | Worries get in the way of my success. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2017AQ | | | Have you ever purposefully physically harmed or injured yourself (for example, cutting or burning yourself)? | Yes (1) No (0) |
2017AQ | | SELFHARM | When was the last time you purposefully physically harmed or injured yourself? | More than 1 year ago (0) More than a month ago but less than a year ago (1) Within the past month (2) |
2017AQ | | | Have you ever thought about or attempted to kill yourself? | Never (0) It was just a brief passing thought. (1) I have had a plan at least once to kill myself but did not try to do it. (2) I have had a plan at least once to kill myself and really wanted to die. (3) I have attempted to kill myself, but did not want to die. (4) I have attempted to kill myself, and really hoped to die. (5) |
2017AQ | | SBQ1 | How often have you thought about killing yourself in the past year? | Never (0) Rarely (1 time) (1) Sometimes (2 times) (2) Often (3-4 times) (3) Very often (5 or more times) (4) |
2017AQ | | | Have you ever told someone that you were going to commit suicide, or that you might do it? | No. (0) Yes, at one time, but did not really want to die. (1) Yes, at one time, and really wanted to die. (2) Yes, more than once, but did not want to do it. (3) Yes, more than once, and really wanted to do it. (4) |
2017AQ | | SBQ1 | When was the last time you attempted to kill yourself? | Within the past year (2) 1-5 years ago (1) More than 5 years ago (0) |
2017AQ | | | How likely is it that you will attempt suicide someday? | Never (0) No chance at all (1) Rather unlikely (2) Unlikely (3) Likely (4) Rather likely (5) Very likely (6) |
2017AQ | | | We at The PRIDE Study value the health and mental health of sexual and gender minority people like you. Suicide has taken too many of us. We sincerely urge you to get help, as we know that things can get better with help. Please consider reaching out for services in your area, and also consider calling 1-800-273-8255 to talk with someone. Go to the emergency room or call 911 if you are in crisis and don't know where to get help. The PRIDE Study team cares about you and the health of our community. | No Answers |
2017AQ | | | Have you ever tried cigarette smoking, even one or two puffs? | Yes (1) No (0) |
2017AQ | | SMOKE_EVER | Have you smoked at least 100 cigarettes in your entire life? | Yes (1) No (0) |
2017AQ | | SMOKE_EVER | Do you now smoke cigarettes every day, some days, or not at all? | Every day (2) Some days (1) Not at all (0) |
2017AQ | | SMOKE_EVER | When was the last time you smoked a cigarette, even one or two puffs? | Within the past 24 hours (8) Within the past 7 days (7) Within the past 30 days (6) Within the past 3 months (5) Within the past 6 months (4) Within the past 1 year (3) Within the past 5 years (2) Within the past 15 years (1) More than 15 years ago (0) |
2017AQ | | SMOKE_NOW | On average, about how many cigarettes a day do you now smoke? | Text Entry (-) |
2017AQ | | SMOKE_NOW | How long after waking do you smoke your first cigarette? | Within 5 minutes (3) 5-30 minutes (2) 31-60 minutes (1) After 60 minutes (0) |
2017AQ | | SMOKE_NOW | During the past 12 months, have you stopped smoking for 24 hours or more? (Do not count times when you weren't allowed to smoke, like if you were in a hospital or in jail.) | Yes (1) No (0) |
2017AQ | | SMOKE_NOW | In any previous quit attempts, which of the following methods/resources have you used to help you quit? (Check all that apply.) | Quit cold turkey (1) Gradually cut down (2) Stop smoking class/program for a fee (3) Stop smoking class/program (no fee) (4) Advice or counseling from a doctor, nurse, psychologist, or other health professional (5) Telephone hotline (6) Hypnosis (7) Acupuncture (8) Nicotine gum (9) Nicotine patch (10) Nicotine spray (11) Nicotine inhaler (12) Nicotine lozenge (13) Zyban, Wellbutrin, or bupropion for smoking cessation (14) Chantix or varenicline (15) E-cigarette (e.g., vaping, hookah pen) with nicotine (16) E-cigarette (e.g., vaping, hookah pen) without nicotine (17) Internet (please specify website) (18) Internet (please specify website) (TEXT) Never tried to quit (0) Other (please specify) (19) Other (please specify) (TEXT) |
2017AQ | | SMOKE_NOW | How interested are you in quitting smoking in the near future? | Not at all interested (0) Somewhat interested (1) Very interested (2) Extremely interested (3) |
2017AQ | | | In the past month, have you used any tobacco or nicotine products OTHER THAN cigarettes? (Check all that apply.) | Blunt (with another substance) (1) Blunt (without any other substance) (2) Bidi (3) Chewing tobacco (chew) (4) Other cigars with tobacco inside (e.g., cigarillos, little cigars, bidis) (5) Other cigars with another substance (e.g., cigarillos, little cigars, bidis) (6) Dip (7) E-cigarette or vape device with nicotine (8) Nicotine replacement products (e.g., patch, gum, lozenge) (9) Snuff (10) Snus (11) E-cigarette or vape device without nicotine (12) Other tobacco product (please specify) (13) Other tobacco product (please specify) (TEXT) No other tobacco product (0) |
2017AQ | | | How long has it been since you last had 5 or more drinks on one occasion? | Within the past 30 days (3) More than 30 days ago but within the past 12 months (2) More than 12 months ago (1) Never had 5 or more drinks on one occasion (0) |
2017AQ | | ALC5 | In the past 30 days, on how many days have you had 5 or more drinks on one occasion? | Text Entry (-) |
2017AQ | | | How long has it been since you last had 4 or more drinks on one occasion? | Within the past 30 days (3) More than 30 days ago but within the past 12 months (2) More than 12 months ago (1) Never had 4 or more drinks on one occasion (0) |
2017AQ | | ALC4 | In the past 30 days, on how many days have you had 4 or more drinks on one occasion? | Text Entry (-) |
2017AQ | | | How often did you have a drink containing alcohol in the past year? | Never (0) Monthly or less (1) 2-4 times a month (2) 2-3 times a week (3) 4 or more times a week (4) |
2017AQ | | AUDITC1 | How many drinks did you have on a typical day when you were drinking in the past year? | 1 or 2 (0) 3 or 4 (1) 5 or 6 (2) 7 to 9 (3) 10 or more (4) |
2017AQ | | AUDITC1 | How often do you have six or more drinks on one occasion in the past year? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2017AQ | | AUDITC1 | How often during the last year have you found that you were not able to stop drinking once you had started? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2017AQ | | AUDITC1 | How often during the last year have you failed to do what was normally expected from you because of drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2017AQ | | AUDITC1 | How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2017AQ | | AUDITC1 | How often during the last year have you had a feeling of guilt or remorse after drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2017AQ | | AUDITC1 | How often during the last year have you been unable to remember what happened the night before because you had been drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2017AQ | | | Have you or someone else been injured as a result of your drinking? | No (0) Yes, but not in the last year (2) Yes, during the last year (4) |
2017AQ | | | Has a relative or friend or a doctor or another health worker been concerned about your drinking or suggested you cut down? | No (0) Yes, but not in the last year (2) Yes, during the last year (4) |
2017AQ | | | In your LIFETIME, which of the following substances have you ever used? (Check all that apply.) | I have never used any substances (0) Cannabis (marijuana, pot, grass, hash, etc.) (1) Cocaine (coke, crack, etc.) (2) Prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) (3) Methamphetamine (speed, crystal meth, tina, ice, etc.) (4) Inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers) (5) Inhaled nitrates (poppers) (6) Sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) (7) GHB (G, gamma-hydroxybutyric acid) (8) Hallucinogens (LSD, acid, mushrooms, PCP, Special K, etc.) (9) Street opioids (heroin, opium, etc.) (10) Prescription opioids (fentanyl, oxycodone OxyContin, Percocet, hydrocodone Vicodin, methadone, buprenorphine, etc.) (11) MDMA (Ecstasy or Molly) (12) Other (please list only 1 drug) (13) Other (please list only 1 drug) (TEXT) Other (please list only 1 drug) (14) Other (please list only 1 drug) (TEXT) |
2017AQ | | DRUGS_LIFETIME | How long has it been since you last used cannabis (marijuana, pot, grass, hash, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2017AQ | | CAN_LASTUSE | In the past 30 days, on how many days have you used cannabis (marijuana, pot, grass, hash, etc.)? | Text Entry (-) |
2017AQ | | CAN_LASTUSE | In the past three months, how often have you used cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | CAN_FREQ | Was any of your cannabis (marijuana, pot, grass, hash, etc.) use in the past three months recommended or prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | CAN_ANYMD | Was all of your cannabis (marijuana, pot, grass, hash, etc.) use in the past three months used exactly as prescribed or recommended by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | CAN_FREQ | In the past 3 months, how often have you had a strong desire or urge to use cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | CAN_FREQ | During the past 3 months, how often has your use of cannabis (marijuana, pot, grass, hash, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | CAN_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of cannabis (marijuana, pot, grass, hash, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using cannabis (marijuana, pot, grass, hash, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | How long has it been since you last used cocaine (coke, crack, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2017AQ | | COKE_LASTUSE | In the past 30 days, on how many days have you used cocaine (coke, crack, etc.)? | Text Entry (-) |
2017AQ | | COKE_LASTUSE | In the past three months, how often have you used cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | COKE_FREQ | In the past 3 months, how often have you had a strong desire or urge to use cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | COKE_FREQ | During the past 3 months, how often has your use of cocaine (coke, crack, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | COKE_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of cocaine (coke, crack, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using cocaine (coke, crack, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever used cocaine (coke, crack, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | How long has it been since you last used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2017AQ | | STIM_LASTUSE | In the past 30 days, on how many days have you used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Text Entry (-) |
2017AQ | | STIM_LASTUSE | In the past three months, how often have you used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | STIM_FREQ | Was any of your prescription stimulant (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) use in the past three months prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | STIM_ANYMD | Was all of your prescription stimulant (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) use in the past three months used exactly as prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | STIM_FREQ | In the past 3 months, how often have you had a strong desire or urge to use prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | STIM_FREQ | During the past 3 months, how often has your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | STIM_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | How long has it been since you last used methamphetamine (speed, crystal meth, tina, ice, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2017AQ | | METH_LASTUSE | In the past 30 days, on how many days have you used methamphetamine (speed, crystal meth, tina, ice, etc.)? | Text Entry (-) |
2017AQ | | METH_LASTUSE | In the past three months, how often have you used methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | METH_FREQ | In the past 3 months, how often have you had a strong desire or urge to use methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | METH_FREQ | During the past 3 months, how often has your use of methamphetamine (speed, crystal meth, tina, ice, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | METH_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of methamphetamine (speed, crystal meth, tina, ice, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using methamphetamine (speed, crystal meth, tina, ice, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever used methamphetamine (speed, crystal meth, tina, ice, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | How long has it been since you last used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2017AQ | | INHALE_LASTUSE | In the past 30 days, on how many days have you used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Text Entry (-) |
2017AQ | | INHALE_LASTUSE | In the past three months, how often have you used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | INHALE_FREQ | In the past 3 months, how often have you had a strong desire or urge to use inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | INHALE_FREQ | During the past 3 months, how often has your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | INHALE_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | How long has it been since you last used inhaled nitrates (poppers)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2017AQ | | POP_LASTUSE | In the past 30 days, on how many days have you used inhaled nitrates (poppers)? | Text Entry (-) |
2017AQ | | POP_LASTUSE | In the past three months, how often have you used inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | POP_FREQ | In the past 3 months, how often have you had a strong desire or urge to use inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | POP_FREQ | During the past 3 months, how often has your use of inhaled nitrates (poppers) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | POP_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | POP_FREQ | During the past 3 months, during what activities have you used inhaled nitrates (poppers)? (Check all that apply.) | Sexual activity with yourself (for example, masturbation) (0) Sexual activity with another person (1) Dancing or clubbing (2) Other activities (3) |
2017AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever used inhaled nitrates (poppers) in the 24 hours after you took a medication intended to give people stronger erections (for example, Viagra, Cialis, or Levitra)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | How long has it been since you last used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2017AQ | | SED_LASTUSE | In the past 30 days, on how many days have you used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Text Entry (-) |
2017AQ | | SED_LASTUSE | In the past three months, how often have you used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | SED_FREQ | Was any of your sedative or sleeping pill (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) use in the past three months prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | SED_ANYMD | Was all of your sedative or sleeping pill (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) use in the past three months used exactly as prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | SED_FREQ | In the past 3 months, how often have you had a strong desire or urge to use sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | SED_FREQ | During the past 3 months, how often has your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | SED_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | How long has it been since you last used GHB (G, gamma-hydroxybutyric acid)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2017AQ | | GHB_LASTUSE | In the past 30 days, on how many days have you used GHB (G, gamma-hydroxybutyric acid)? | Text Entry (-) |
2017AQ | | GHB_LASTUSE | In the past three months, how often have you used GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | GHB_FREQ | Was any of your GHB (G, gamma-hydroxybutyric acid) use in the past three months prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | GHB_ANYMD | Was all of your GHB (G, gamma-hydroxybutyric acid) use in the past three months used exactly as prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | GHB_FREQ | In the past 3 months, how often have you had a strong desire or urge to use GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | GHB_FREQ | During the past 3 months, how often has your use of GHB (G, gamma-hydroxybutyric acid) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | GHB_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of GHB (G, gamma-hydroxybutyric acid)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using GHB (G, gamma-hydroxybutyric acid)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | How long has it been since you last used hallucinogens (LSD, acid, mushrooms, PCP, Special K, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2017AQ | | HALL_LASTUSE | In the past 30 days, on how many days have you used hallucinogens (LSD, acid, mushrooms, PCP, Special K, etc.)? | Text Entry (-) |
2017AQ | | HALL_LASTUSE | In the past three months, how often have you used hallucinogens (LSD, acid, mushrooms, PCP, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | HALL_FREQ | Was any of your hallucinogen (LSD, acid, mushrooms, PCP, Special K, etc.) use in the past three months prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | HALL_ANYMD | Was all of your hallucinogen (LSD, acid, mushrooms, PCP, Special K, etc.) use in the past three months used exactly as prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | HALL_FREQ | In the past 3 months, how often have you had a strong desire or urge to use hallucinogens (LSD, acid, mushrooms, PCP, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | HALL_FREQ | During the past 3 months, how often has your use of hallucinogens (LSD, acid, mushrooms, PCP, Special K, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | HALL_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of hallucinogens (LSD, acid, mushrooms, PCP, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of hallucinogens (LSD, acid, mushrooms, PCP, Special K, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using hallucinogens (LSD, acid, mushrooms, PCP, Special K, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | How long has it been since you last used street opioids (heroin, opium, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2017AQ | | HEROIN_LASTUSE | In the past 30 days, on how many days have you used street opioids (heroin, opium, etc.)? | Text Entry (-) |
2017AQ | | HEROIN_LASTUSE | In the past three months, how often have you used street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | HEROIN_FREQ | In the past 3 months, how often have you had a strong desire or urge to use street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | HEROIN_FREQ | During the past 3 months, how often has your use of street opioids (heroin, opium, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | HEROIN_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of street opioids (heroin, opium, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using street opioids (heroin, opium, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever used street opioids (heroin, opium, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | How long has it been since you last used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2017AQ | | NARC_LASTUSE | In the past 30 days, on how many days have you used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Text Entry (-) |
2017AQ | | NARC_LASTUSE | In the past three months, how often have you used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | NARC_FREQ | Was any of your prescription opioid (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) use in the past three months prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | NARC_ANYMD | Was all of your prescription opioid (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) use in the past three months used exactly as prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | NARC_FREQ | In the past 3 months, how often have you had a strong desire or urge to use prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | NARC_FREQ | During the past 3 months, how often has your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | NARC_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | How long has it been since you last used MDMA (Molly or ecstasy)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2017AQ | | MDMA_LASTUSE | In the past 30 days, on how many days have you used MDMA (Molly or ecstasy)? | Text Entry (-) |
2017AQ | | MDMA_LASTUSE | In the past three months, how often have you used MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | MDMA_FREQ | Was any of your MDMA (Molly or ecstasy) use in the past three months recommended or prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | MDMA_ANYMD | Was all of your MDMA (Molly or ecstasy) use in the past three months used exactly as prescribed or recommended by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | MDMA_FREQ | In the past 3 months, how often have you had a strong desire or urge to use MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | MDMA_FREQ | During the past 3 months, how often has your use of MDMA (Molly or ecstasy) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | MDMA_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of MDMA (Molly or ecstasy)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using MDMA (Molly or ecstasy)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever used MDMA (Molly or ecstasy) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | How long has it been since you last used ${q://QID136/ChoiceTextEntryValue/11}? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2017AQ | | OTDRUG1_LASTUSE | In the past 30 days, on how many days have you used ${q://QID136/ChoiceTextEntryValue/11}? | Text Entry (-) |
2017AQ | | OTDRUG1_LASTUSE DRUGS_LIFETIME | In the past three months, how often have you used ${q://QID136/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | OTDRUG1_FREQ DRUGS_LIFETIME | Was any of your ${q://QID136/ChoiceTextEntryValue/11} use in the past three months recommended or prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | OTDRUG1_ANYMD | Was all of your ${q://QID136/ChoiceTextEntryValue/11} use in the past three months used exactly as prescribed or recommended by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | OTDRUG1_FREQ DRUGS_LIFETIME | In the past 3 months, how often have you had a strong desire or urge to use ${q://QID136/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | OTDRUG1_FREQ DRUGS_LIFETIME | During the past 3 months, how often has your use of ${q://QID136/ChoiceTextEntryValue/11} led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | OTDRUG1_FREQ DRUGS_LIFETIME | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of ${q://QID136/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of ${q://QID136/ChoiceTextEntryValue/11}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using ${q://QID136/ChoiceTextEntryValue/11}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever used ${q://QID136/ChoiceTextEntryValue/11} by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | How long has it been since you last used ${q://QID136/ChoiceTextEntryValue/12}? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2017AQ | | OTDRUG2_LASTUSE | In the past 30 days, on how many days have you used ${q://QID136/ChoiceTextEntryValue/12}? | Text Entry (-) |
2017AQ | | OTDRUG2_LASTUSE DRUGS_LIFETIME | In the past three months, how often have you used ${q://QID136/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | OTDRUG2_FREQ DRUGS_LIFETIME | Was any of your ${q://QID136/ChoiceTextEntryValue/12} use in the past three months recommended or prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | OTDRUG2_ANYMD | Was all of your ${q://QID136/ChoiceTextEntryValue/12} use in the past three months used exactly as prescribed or recommended by a doctor or other health care professional? | Yes (1) No (0) |
2017AQ | | OTDRUG2_FREQ DRUGS_LIFETIME | In the past 3 months, how often have you had a strong desire or urge to use ${q://QID136/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | OTDRUG2_FREQ DRUGS_LIFETIME | During the past 3 months, how often has your use of ${q://QID136/ChoiceTextEntryValue/12} led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | OTDRUG2_FREQ DRUGS_LIFETIME | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of ${q://QID136/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2017AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of ${q://QID136/ChoiceTextEntryValue/12}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using ${q://QID136/ChoiceTextEntryValue/12}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | DRUGS_LIFETIME | Have you ever used ${q://QID136/ChoiceTextEntryValue/12} by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2017AQ | | | We at The PRIDE Study value the health and well-being of sexual and gender minority people like you. For some people discussing their mental health can raise strong emotions or even thoughts of hurting yourself, and it may be helpful to talk about those feelings. We sincerely urge you to get help. Please consider reaching out for services in your area, and also consider calling 1-800-273-8255 to talk with someone. Go to the emergency room or call 911 if you are in crisis and don't know where to get help. The PRIDE Study team cares about you and the health of our communities! | No Answers |
2017AQ | | | This section is meant to give us a sense of your social health, or understanding how you are doing with your relationships to the people and communities around you. We ask questions about employment and housing, how you interact with various people who you meet or know, etc. Some of these questions are standard questions routinely asked in national surveys. Your honest answers will help us understand the overall health of our communities. Your answers will be kept confidential. Please do your best to answer every question, but you may skip questions that feel too uncomfortable to answer. This section should take about 10 minutes to complete. | No Answers |
2017AQ | | | Employment | No Answers |
2017AQ | | | Do you currently work one or more paid jobs? | Yes (1) No (0) |
2017AQ | | WORK | In a typical week, how many hours do you work at your paid job(s)? | 1-10 (0) 11-20 (1) 21-30 (2) 31-40 (3) 41-50 (4) 51-60 (5) 61 (6) |
2017AQ | | | Are you currently a student? | Yes (1) No (0) |
2017AQ | | | Please respond to each item by selecting one option. | No Answers |
2017AQ | | | I have someone who will listen to me when I need to talk. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2017AQ | | | I have someone to confide in or talk to about myself or my problems. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2017AQ | | | I have someone who makes me feel appreciated. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2017AQ | | | I have someone to talk with when I have a bad day. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2017AQ | | | I feel left out. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2017AQ | | | I feel that people barely know me. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2017AQ | | | I feel isolated from others. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2017AQ | | | I feel that people are around me but not with me. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2017AQ | | | The next questions are about romantic or intimate relationships. Please think about how things are right now. | No Answers |
2017AQ | | | Are you currently in a relationship? | Yes (1) No (0) |
2017AQ | | RELATIONSHIP | Which of the following best describes your current romantic relationship(s)? | I am in a romantic relationship with one person (0) I am in a romantic relationship with two or more people (polyamorous) (1) Other (2) Other (TEXT) |
2017AQ | | RELATIONSHIP | Please select the gender(s) of your partner(s). (Check all that apply.) | Genderqueer (0) Man (1) Transgender Man (2) Transgender Woman (3) Woman (4) Another Gender Identity (5) Another Gender Identity (TEXT) |
2017AQ | | RELATIONSHIP | In general, how satisfied are you with your current romantic relationship(s)? | Very dissatisfied (0) Dissatisfied (1) Neutral (2) Satisfied (3) Very satisfied (4) |
2017AQ | | RELATIONSHIP | Which of the following scenarios best describes the current agreement that you have with your romantic partner(s)? | We cannot have any sex with an outside partner (0) We can have sex with outside partners but with some restrictions (1) We can have sex with outside partners without any restrictions (2) We do not have an agreement (3) I have different agreements with different partners (4) |
2017AQ | | | Experiences in Society The next questions are about experiences with violence, harassment, and discrimination that you may have had throughout your life. These questions will help us know more about LGBTQ people's experiences and challenges. You may be asked if some experiences were due to your sexual orientation (the gender of people you are attracted to), gender identity (the gender you identify as), gender expression (how you outwardly express your gender), or race/ethnicity. This may be hard to know for sure. Please make your best judgment. | No Answers |
2017AQ | | | Have you EVER experienced harassment or name calling from strangers in public? | Yes (1) No (0) |
2017AQ | | EVHARASS | Was any of this harassment or name calling from strangers in public due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | EVHARASS | In the PAST YEAR, have you experienced harassment or name calling from strangers in public? | Yes (1) No (0) |
2017AQ | | YRHARASS | Was any of this harassment or name calling that occurred in the PAST YEAR due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | | Have you EVER been physically attacked or deliberately injured? | Yes (1) No (0) |
2017AQ | | EVATTACK | Were any of these physical attacks or injuries due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | EVATTACK | In the PAST YEAR, have you been physically attacked or deliberately injured? | Yes (1) No (0) |
2017AQ | | YRATTACK | Were any of these physical attacks or injuries that occurred in the PAST YEAR due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | | Have you EVER experienced physical violence from a romantic partner? | Yes (1) No (0) |
2017AQ | | EVDV | Was any of this physical violence from a romantic partner due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | EVDV | In the PAST YEAR, have you experienced physical violence from a romantic partner? | Yes (1) No (0) |
2017AQ | | YRDV | Was any of this physical violence from a romantic partner that occurred in the PAST YEAR due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | | Have you EVER experienced unwanted sexual contact? | Yes (1) No (0) |
2017AQ | | EVSA | Was any of this unwanted sexual contact due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | EVSA | How old were you when this unwanted sexual contact occurred? (Check all that apply.) | Child (0-12 years) (1) Adolescent (12-17 years) (2) Adult (18 years) (3) |
2017AQ | | EVSA | In the PAST YEAR, have you experienced unwanted sexual contact? | Yes (1) No (0) |
2017AQ | | YRSA | Was any of this unwanted sexual contact that occurred in the PAST YEAR due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | | Have you EVER been treated unfairly at work or when applying/interviewing for a job? | Yes (1) No (0) |
2017AQ | | EVJOBDISC | Was any of this unfair treatment in employment due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | EVJOBDISC | In the PAST YEAR, have you been treated unfairly at work or when applying/interviewing for a job? | Yes (1) No (0) |
2017AQ | | YRJOBDISC | Was any of this unfair treatment at work or while applying for jobs in the PAST YEAR due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | | Have you EVER been treated unfairly while trying to rent an apartment or buy a home, or been unfairly evicted from your residence? | Yes (1) No (0) |
2017AQ | | EVHOUSDISC | Was any of this unfair treatment in housing/eviction due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | EVHOUSDISC | In the PAST YEAR, have you been treated unfairly while trying to rent an apartment or buy a home, or been unfairly evicted from your residence? | Yes (1) No (0) |
2017AQ | | YRHOUSDISC | Was any of this unfair treatment in housing/eviction in the PAST YEAR due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | | Have you EVER received poorer service than other people in restaurants, stores, other businesses or agencies? | Yes (1) No (0) |
2017AQ | | EVSERVDISC | Was any of the poorer service due to your… (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | EVSERVDISC | In the PAST YEAR, have you received poorer service than other people in restaurants, stores, other businesses or agencies? | Yes (1) No (0) |
2017AQ | | YRSERVDISC | Was any of this poorer service in the PAST YEAR due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | | Have you EVER been treated unfairly while you were a student at school or in another educational setting? | Yes (1) No (0) |
2017AQ | | EVSCHDISC | Was any of this unfair treatment in educational settings due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | EVSCHDISC | In the PAST YEAR, have you been treated unfairly while you were a student at school or in another educational setting? | Yes (1) No (0) |
2017AQ | | YRSCHDISC | Was any of this unfair treatment in educational settings in the PAST YEAR due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | | Have you EVER been denied or given lower quality medical care? | Yes (1) No (0) |
2017AQ | | EVMED | Was any of this discrimination in a medical setting due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | EVMED | In the PAST YEAR, have you been denied or given lower quality medical care? | Yes (1) No (0) |
2017AQ | | YRMED | Was any of this discrimination in a medical setting in the PAST YEAR due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | | Have you EVER been denied or given lower quality mental health care? | Yes (1) No (0) |
2017AQ | | EVMENTAL | Was any of this discrimination in a mental health setting due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | EVMENTAL | In the PAST YEAR, have you been denied or given lower quality mental health care? | Yes (1) No (0) |
2017AQ | | YRMENTAL | Was any of this discrimination in a mental health setting in the PAST YEAR due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | | Have you EVER experienced unfair treatment or harassment from the police or another law enforcement officer? | Yes (1) No (0) |
2017AQ | | EVPOLICE | Was any of this unfair treatment or harassment from a law enforcement officer due to … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | EVPOLICE | In the PAST YEAR, have you experienced unfair treatment or harassment from the police or another law enforcement officer? | Yes (1) No (0) |
2017AQ | | YRPOLICE | Was any of this unfair treatment or harassment from a law enforcement officer in the PAST YEAR due to your … (Check all that apply) | Sexual orientation (1) Gender identity (2) Gender expression (3) Race and/or ethnicity (4) None of the above (0) |
2017AQ | | | To better customize the rest of your survey, we have 3 available versions of remaining questions. Each version has the same questions, but with customized language. Please choose the option that you think is best for you. | No Answers |
2017AQ | | | I would like to complete a survey designed for: | Gender minority people (for example: transgender, genderqueer, questioning your gender identity, etc.) (0) Sexual minority people (for example: lesbian, gay, bisexual, queer, questioning your sexual orientation, asexual, etc.) (1) People who identify as both sexual and gender minority (2) |
2017AQ | | CYOA | The next questions are about your views about communities that you have lived in. | No Answers |
2017AQ | | CYOA | Overall, how accepting of sexual minority people was the community in which you were raised? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
2017AQ | | CYOA | Overall, how accepting of sexual minority people is the community in which you currently live? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
2017AQ | | CYOA | Overall, how safe for sexual minority people was the community in which you were raised? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
2017AQ | | CYOA | Overall, how safe for sexual minority people is the community in which you currently live? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
2017AQ | | CYOA | Overall, how accepting of gender minority people was the community in which you were raised? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
2017AQ | | CYOA | Overall, how accepting of gender minority people is the community in which you currently live? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
2017AQ | | CYOA | Overall, how safe for gender minority people was the community in which you were raised? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
2017AQ | | CYOA | Overall, how safe for gender minority people is the community in which you currently live? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
2017AQ | | CYOA | To what extent do you agree or disagree with the following statements? | No Answers |
2017AQ | | CYOA | I wish I weren't gay/lesbian/bisexual/sexual minority. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2017AQ | | CYOA | I have tried to stop being attracted to people of the same gender in general. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2017AQ | | CYOA | If someone offered me the chance to be completely heterosexual, I would accept the chance. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2017AQ | | CYOA | I feel that being gay/lesbian/bisexual/sexual minority is a personal shortcoming for me. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2017AQ | | CYOA | I would like to get professional help in order to change my sexual orientation from gay/lesbian/bisexual/sexual minority to heterosexual. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2017AQ | | CYOA | I am proud of my sexual orientation. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2017AQ | | CYOA | To what extent do you agree or disagree with the following statements? | No Answers |
2017AQ | | CYOA | I wish I weren't transgender or gender minority. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2017AQ | | CYOA | In general, I have tried to stop identifying with a gender that differs from my assigned sex at birth. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2017AQ | | CYOA | If someone offered me the chance to be completely non-transgender, I would accept the chance. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2017AQ | | CYOA | I feel that being transgender or gender minority is a personal shortcoming for me. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2017AQ | | CYOA | I would like to get professional help in order to change my gender from transgender/gender minority to non-transgender. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2017AQ | | CYOA | I am proud of my gender. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2017AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself straight, gay, etc.)? Members of your immediate family (for example, parents and siblings) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2017AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself straight, gay, etc.)? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2017AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself straight, gay, etc.)? People you socialize with (for example, friends and acquaintances) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2017AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself straight, gay, etc.)? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2017AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself straight, gay, etc.)? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2017AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself straight, gay, etc.)? Health care providers | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2017AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Members of your immediate family (for example, parents and siblings) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2017AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2017AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? People you socialize with (for example, friends and acquaintances) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2017AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2017AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2017AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Health care providers | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2017AQ | | CYOA | What percent of the people in this group do you think are aware of your gender identity (meaning they are aware of your gender or gender expression)? Members of your immediate family (for example, parents and siblings) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2017AQ | | CYOA | What percent of the people in this group do you think are aware of your gender identity (meaning they are aware of your gender or gender expression)? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2017AQ | | CYOA | What percent of the people in this group do you think are aware of your gender identity (meaning they are aware of your gender or gender expression)? People you socialize with (for example, friends and acquaintances) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2017AQ | | CYOA | What percent of the people in this group do you think are aware of your gender identity (meaning they are aware of your gender or gender expression)? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2017AQ | | CYOA | What percent of the people in this group do you think are aware of your gender identity (meaning they are aware of your gender or gender expression)? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2017AQ | | CYOA | What percent of the people in this group do you think are aware of your gender identity (meaning they are aware of your gender or gender expression)? Health care providers | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2017AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Members of your immediate family (for example, parents and siblings) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2017AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2017AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? People you socialize with (for example, friends and acquaintances) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2017AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2017AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2017AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Health care providers | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2017AQ | | | The next questions are about your experiences with spiritual and/or religious groups. | No Answers |
2017AQ | | | Were you raised with spiritual or religious involvement? | Yes (1) No (2) |
2017AQ | | RAISED_REL CYOA | How accepting of sexual minority people was the religious community in which you were raised? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2017AQ | | RAISED_REL CYOA | How accepting of gender minority people was the religious community in which you were raised? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2017AQ | | | Are you currently spiritual or religious? | Yes (1) No (0) |
2017AQ | | RELIGIOUS CYOA | How accepting of sexual minority people is your current spiritual or religious community? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2017AQ | | RELIGIOUS CYOA | How accepting of gender minority people is your current spiritual or religious community? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2017AQ | | RELIGIOUS | What is your current religious or spiritual identity? (Check all that apply.) | Agnostic (1) Atheist (2) Bahai (3) Buddhist (4) Christian (5) Confucianist (6) Druid (7) Hindu (8) Jain (9) Jehovahs Witness (10) Jewish - Conservative (11) Jewish - Orthodox (12) Jewish - Reform (13) Muslim - Ahmadi (14) Muslim - Shiite (15) Muslim - Sufi (16) Muslim - Sunni (17) Native American Traditional Practitioner or Ceremonial (18) Pagan (19) Rastafarian (20) Scientologist (21) Secular Humanist (22) Shinto (23) Sikh (24) Taoist (25) Tenrikyo (26) Wiccan (27) Spiritual, but no religious affiliation (28) No affiliation (0) A religious affiliation or spiritual identity not listed above (please specify) (29) A religious affiliation or spiritual identity not listed above (please specify) (TEXT) |
2017AQ | | RELIGION | Please select your Christian affiliation. | African Methodist Episcopal (1) African Methodist Episcopal Zion (2) Assembly of God (3) Baptist (4) Catholic/Roman Catholic (5) Church of Christ (6) Church of God in Christ (7) Christian Orthodox (8) Christian Methodist Episcopal (9) Christian Reformed Church (CRC) (10) Episcopalian (11) Evangelical (12) Greek Orthodox (13) Lutheran (14) Mennonite (15) Moravian (16) Nondenominational Christian (17) Pentecostal (18) Presbyterian (19) Protestant (20) Protestant Reformed Church (21) Quaker (22) Reformed Church of America (RCA) (23) Russian Orthodox (24) Seventh Day Adventist (25) The Church of Jesus Christ of Latter-day Saints (26) United Methodist (27) Unitarian Universalist (28) United Church of Christ (29) A Christian affiliation not listed above (please specify) (30) A Christian affiliation not listed above (please specify) (TEXT) |
2017AQ | | CYOA | The next questions about how your parent(s) reacted to learning about your identity. | No Answers |
2017AQ | | CYOA | When your parent(s) initially learned about your gender identity, how accepting were they? Mother or Parent 1 | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not/did not know about my gender identity (88) |
2017AQ | | CYOA | When your parent(s) initially learned about your gender identity, how accepting were they? Father or Parent 2 | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not/did not know about my gender identity (88) |
2017AQ | | CYOA | In your most recent interactions with your parent(s), how accepting were they of your gender identity? Mother or Parent 1 | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not/did not know about my gender identity (88) |
2017AQ | | CYOA | In your most recent interactions with your parent(s), how accepting were they of your gender identity? Father or Parent 2 | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not/did not know about my gender identity (88) |
2017AQ | | CYOA | When your parent(s) initially learned about your sexual orientation, how accepting were they? Mother or Parent 1 | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not/did not know about my sexual orientation (88) |
2017AQ | | CYOA | When your parent(s) initially learned about your sexual orientation, how accepting were they? Father or Parent 2 | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not/did not know about my sexual orientation (88) |
2017AQ | | CYOA | In your most recent interactions with your parent(s), how accepting were they of your sexual orientation? Mother or Parent 1 | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not/did not know about my sexual orientation (88) |
2017AQ | | CYOA | In your most recent interactions with your parent(s), how accepting were they of your sexual orientation? Father or Parent 2 | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not/did not know about my sexual orientation (88) |
2017AQ | | | This section is meant to give us a sense of your physical health. We ask questions about your physical activity, sex life, health insurance, cancer screening, vaccinations, pregnancies, complementary and integrative health, and vitamins and minerals. Many of these questions are standard questions routinely asked in national health surveys. Your honest answers will help us as we study LGBTQ health in The PRIDE Study in order to improve the health and well-being of our communities. Your answers will be kept confidential. Please do your best to answer every question, but you may skip questions that feel too uncomfortable to answer. This section should take about 10-15 minutes to complete. | No Answers |
2017AQ | | | In general, would you say your health is... | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2017AQ | | | In general, would you say your quality of life is... | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2017AQ | | | In general, how would you rate your physical health? | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2017AQ | | | In general, how would you rate your mental health, including your mood and your ability to think? | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2017AQ | | | In general, how would you rate your satisfaction with your social activities and relationships? | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2017AQ | | | In general, please rate how well you carry out your usual social activities and roles. (This includes activities at home, at work and in your community, and responsibilities as a parent, child, spouse, employee, friend, etc.)... | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2017AQ | | | To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair? | Completely (5) Mostly (4) Moderately (3) A little (2) Not at all (1) |
2017AQ | | | In the PAST 7 DAYS, how often have you been bothered by emotional problems, such as feeling anxious, depressed or irritable? | Never (5) Rarely (4) Sometimes (3) Often (2) Always (1) |
2017AQ | | | In the PAST 7 DAYS, how would you rate your fatigue on average? | None (5) Mild (4) Moderate (3) Severe (2) Very severe (1) |
2017AQ | | | In the PAST 7 DAYS, how would you rate your pain on average? | 0 No pain (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Worst pain imaginable (10) |
2017AQ | | | Physical Activity | No Answers |
2017AQ | | | How many days per week do you do VIGOROUS leisure-time physical activities for AT LEAST 10 MINUTES that cause HEAVY sweating or LARGE increases in breathing or heart rate? Examples include aerobics, tennis, bicycling up hills, and running. | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2017AQ | | VIG_DAYS | About how long (in minutes) do you do these vigorous leisure-time physical activities each time? | Text Entry (-) |
2017AQ | | | How many days per week do you do LIGHT OR MODERATE leisure-time physical activities for AT LEAST 10 MINUTES that cause ONLY LIGHT sweating or a SLIGHT to MODERATE increase in breathing or heart rate? Examples include walking, golf, moving boxes, and gardening. | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2017AQ | | MOD_DAYS | About how long (in minutes) do you do these light or moderate leisure-time physical activities each time? | Text Entry (-) |
2017AQ | | | How many days per week do you do leisure-time physical activities specifically designed to STRENGTHEN your muscles such as lifting weights or doing calisthenics? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2017AQ | | | Healthcare Access | No Answers |
2017AQ | | | Is there a place that you USUALLY go to when you are sick or need advice about your health? | Yes (1) No (0) I dont know (88) |
2017AQ | | PLACESICK | What kind of place do you go to most often – a clinic, doctor's office, emergency room, or some other place? | Clinic or health center (1) Doctors office or HMO (2) Hospital emergency room (3) Hospital outpatient department (4) Some other place (5) I dont go to one place most often (6) I dont know (88) |
2017AQ | | PLACESICK | Is that the same place you USUALLY go when you need routine or preventive care, such as a physical examination or check up? | Yes (1) No (0) I dont know (88) |
2017AQ | | PLACEROUTINE | What kind of place do you USUALLY go to when you need routine or preventive care, such as a physical examination or check-up? | I dont get routine or preventative care anywhere (0) Clinic or health center (1) Doctors office or HMO (2) Hospital emergency room (3) Hospital outpatient department (4) Some other place (5) I dont go to one place most often (6) I dont know (88) |
2017AQ | | | DURING THE PAST 12 MONTHS, did you have any trouble finding a general doctor or provider who would see you? | Yes (1) No (0) I havent tried to see a doctor or provider in the past 12 months. (2) |
2017AQ | | | During the past 12 months, have you seen or talked to any health care provider (general doctor, obstetrician/gynecologist, nurse practitioner, physician assistant or midwife) about your own health? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Do you have a primary care provider (PCP)? | Yes (1) No (0) I dont know (88) |
2017AQ | | | In the PAST 12 MONTHS, was there any time when you did NOT have ANY health insurance or coverage? In other words, were you uninsured for any time during the previous 12 months? | Yes (1) No (0) I dont know (88) |
2017AQ | | UNINSUR | In the PAST 12 MONTHS, about how many months were you without coverage? | Less than one month (0) 1 month (1) 2 months (2) 3 months (3) 4 months (4) 5 months (5) 6 months (6) 7 months (7) 8 months (8) 9 months (9) 10 months (10) 11 months (11) 12 months (12) |
2017AQ | | | Are you CURRENTLY covered by any health insurance or health coverage plan? | Yes (1) No (0) I dont know (88) |
2017AQ | | INSURANCE | Are you CURRENTLY covered by any of the following types of health insurance or health coverage plans? (If you have more than one insurance/coverage plans, please select your primary insurance/coverage plan.) | Insurance through my current or former employer or union (1) Insurance through someone elses current or former employer or union (2) Insurance purchased through HealthCare.gov or another health insurance marketplace (sometimes called Obamacare or the Affordable Care Act) (3) Insurance purchased directly from an insurance company (4) Medicare (for people 65 and older or people with certain disabilities) (5) Medicaid (government-assistance plan for those with low incomes or a disability) (6) TRICARE or other military health care (7) Veterans Affairs (VA) (8) Indian Health Service (9) Other (10) Other (TEXT) |
2017AQ | | | In regard to your health insurance or health care coverage, how does it compare to a year ago? Is it better, worse, or about the same? | Better (2) Worse (0) About the same (1) I dont know (88) |
2017AQ | | | In the last 12 months, were you delayed in getting medical care, tests, or treatments that you or a doctor believed necessary? | Yes (1) No (0) |
2017AQ | | DELAYCARE | Which of these best describes the main reason you were delayed in getting medical care, tests, or treatments you or a doctor believed necessary? | I couldnt afford care (0) My insurance company wouldnt approve, cover, or pay for care (1) Doctor refused to accept the insurance plan (2) Problems getting to doctors office (3) I speak a different language (4) I couldnt get time off work or school (5) I dont know where to go to get care (6) I was refused services (7) I couldnt get child care (8) I didnt have time or took too long (9) Other (10) Other (TEXT) |
2017AQ | | | In the last 12 months, were you unable to obtain medical care, tests, or treatments that you or a doctor believed necessary? | Yes (1) No (0) |
2017AQ | | NOCARE | Which of these best describes the main reason you were unable to get medical care, tests, or treatments you or a doctor believed necessary? | I couldnt afford care (0) My insurance company wouldnt approve, cover, or pay for care (1) Doctor refused to accept the insurance plan (2) Problems getting to doctors office (3) I speak a different language (4) I couldnt get time off work or school (5) I dont know where to go to get care (6) I was refused services (7) I couldnt get child care (8) I didnt have time or took too long (9) Other (10) Other (TEXT) |
2017AQ | | | The next questions are about money that you have spent out of pocket on medical care. | No Answers |
2017AQ | | | In the PAST 12 MONTHS, about how much did you spend in total for medical care and dental care? Please include copays, coinsurance, prescription medications, etc. Please do NOT include your monthly health insurance premiums, over-the-counter drugs, or costs that you will be reimbursed for. | Zero (0) Less than 500 (1) 500 - 1,999 (2) 2,000 - 2,999 (3) 3,000 - 4,999 (4) 5,000 or more (5) I dont know (88) |
2017AQ | | OOP | In the PAST 12 MONTHS, did you borrow money to pay for health care? Please do NOT count health insurance premiums, over the counter drugs, or costs that you will be reimbursed for. | Yes (1) No (0) |
2017AQ | | | In the PAST 12 MONTHS, about how much did you spend for prescription medications? | Zero (0) Less than 500 (1) 500 - 1,999 (2) 2,000 - 2,999 (3) 3,000 - 4,999 (4) 5,000 or more (5) I dont know (88) |
2017AQ | | | In the PAST 12 MONTHS, are you under the care of any of the following specialists? (Check all that apply.) | I do not see a specialist (0) Allergist or immunologist (allergy doctor) (1) Cardiologist (heart doctor) (2) Dermatologist (skin doctor) (3) Endocrinologist (hormone doctor) (4) Gastroenterologist (digestive doctor) (5) Hemataologist (blood doctor) (6) Hepatologist (liver doctor) (7) Oncologist (cancer doctor) (8) Nephrologist (kidney doctor) (9) Neurologist (brain and nerve doctor) (10) Neurosurgeon (brain and spine surgeon) (11) Gynecologist (reproductive and genital/urinary doctor) (12) Ophthalmologist (eye doctor) (13) Otorhinolaryngologist (ear, nose, and throat doctor) (14) Plastic surgeon (repair, reconstruction, and physical replacement surgeon) (15) Podiatrist (foot doctor) (16) Psychiatric nurse practitioner (17) Psychiatrist (mental health doctor) (18) Psychologist, psychotherapist, or other mental health counselor (19) Pulmonologist (lung doctor) (20) Rheumatologist (joint and inflammation doctor) (21) Speech/language therapist (22) Urologist (genital/urinary health doctor) (23) Someone not listed here (24) Someone not listed here (TEXT) |
2017AQ | | | Cancer Screening | No Answers |
2017AQ | | | Cancer screening should be based on organs that people currently have. To appropriate ask you about cancer screening, which of the following organs do you have? (Check all that apply.) | Breasts or breast tissue (0) Cervix (you likely have this if you have a uterus or womb) (1) Prostate (you likely have this if you were assigned male sex at birth) (2) |
2017AQ | | ORGANS | Have you EVER HAD a Pap smear or Pap test? | Yes (1) No (0) I dont know (88) |
2017AQ | | ORGANS | How long has it been since your last Pap smear or Pap test? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) Over 5 years ago (4) I dont know (88) |
2017AQ | | PAP_LAST | What is the most important reason you have NOT had a Pap test in the LAST 5 YEARS? | No reason/never thought about it (0) Didnt need it/didnt know I needed this type of test (1) Doctor didnt order it/didnt say I needed it (2) Havent had any problems (3) Put it off/didnt get around to it (4) Too expensive/no insurance/cost (5) Too painful, unpleasant, or embarrassing (6) Had a hysterectomy (7) Dont have a doctor (8) |
2017AQ | | PAP_EVER | What is the most important reason you have NEVER had a Pap test? | No reason/never thought about it (0) Didnt need it/didnt know I needed this type of test (1) Doctor didnt order it/didnt say I needed it (2) Havent had any problems (3) Put it off/didnt get around to it (4) Too expensive/no insurance/cost (5) Too painful, unpleasant, or embarrassing (6) Had a hysterectomy (7) Dont have a doctor (8) |
2017AQ | | PAP_LAST | Have you had a Pap smear or Pap test in the LAST 3 YEARS where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2017AQ | | ORGANS | Have you ever heard of HPV? HPV stands for human papillomavirus. | Yes (1) No (0) I dont know (88) |
2017AQ | | HPV_HEARD | Did you have HPV test with your most recent Pap? | Yes (1) No (0) I dont know (88) |
2017AQ | | HPV_HEARD | Have you had a HPV test in the LAST 3 YEARS where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2017AQ | | ORGANS | Have you EVER HAD a mammogram? | Yes (1) No (0) I dont know (88) |
2017AQ | | MAMMO_EVER | How long has it been since your last mammogram? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) Over 5 years ago (4) I dont know (88) |
2017AQ | | MAMMO_EVER | How many mammograms have you had in the LAST 6 YEARS? | Text Entry (-) |
2017AQ | | MAMMO_6YR | Have you had a mammogram in the LAST 6 YEARS where the results were NOT normal? | Yes (1) No (2) I dont know (88) |
2017AQ | | ORGANS | Have you EVER HAD a PSA test? A PSA test is a blood test to detect prostate cancer. It is also called a prostate-specific antigen test. | Yes (1) No (0) I dont know (88) |
2017AQ | | PSA_EVER | How long has it been since your last PSA test? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) Over 5 years ago (4) I dont know (88) |
2017AQ | | PSA_EVER | Who first suggested the PSA test? | I did (0) My doctor did (1) Someone else (2) I dont know (88) |
2017AQ | | PSA_EVER | How many PSA tests have you had in the LAST 5 years? | Text Entry (-) |
2017AQ | | PSA_EVER | Did a doctor EVER talk with you about the advantages of the PSA test? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Have you and your doctor or other health professional ever DISCUSSED getting a test to check for colon cancer? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Colon cancer tests include blood stool tests, colonoscopy and sigmoidoscopy. A blood stool test or occult blood test, also known as the fecal immunochemical (FIT) test, determines whether you have blood in your stool or bowel movement. These tests can be done at home using a kit. You use a stick or brush to obtain a small amount of stool at home and send it back to the doctor or lab. A sigmoidoscopy and colonoscopy are exams in which a tube is inserted in the rectum to view the colon for signs of cancer or other health problems. For a sigmoidoscopy, the doctor checks only part of the colon and you are fully awake. For a colonoscopy, the doctor checks the entire colon, and you are given medication through a needle in your arm to make you sleepy, and told to have someone drive you home. Before a sigmoidoscopy or colonoscopy, you are asked to take a medication that causes diarrhea. Have you EVER HAD any of these tests for colon cancer? (Check all that apply.) | None of these (0) Blood stool test (FIT test) (1) Sigmoidoscopy (2) Colonoscopy (3) |
2017AQ | | COLON_TEST | How long has it been since your last blood stool test (FIT test)? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) More than 5 years ago but not more than 10 years (4) Over 10 years ago (5) I dont know (88) |
2017AQ | | COLON_TEST | How long has it been since your last sigmoidoscopy? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) More than 5 years ago but not more than 10 years (4) Over 10 years ago (5) I dont know (88) |
2017AQ | | COLON_TEST | How long has it been since your last colonoscopy? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) More than 5 years ago but not more than 10 years (4) Over 10 years ago (5) I dont know (88) |
2017AQ | | | Blood Donation | No Answers |
2017AQ | | | Have you donated blood in the last 12 months? | Yes (1) No (0) |
2017AQ | | | Sleep | No Answers |
2017AQ | | | On average, how many hours of sleep do you get in a 24-hour period? (Please round to the nearest whole hour.) | Text Entry (-) |
2017AQ | | | Oral Health | No Answers |
2017AQ | | | About how long has it been since you last visited a dentist? Include all types of dentists, such as, orthodontists, oral surgeons, and all other dental specialists, as well as dental hygienists. | 6 months or less (0) More than 6 months, but not more than 1 year ago (1) More than 1 year, but not more than 2 years ago (2) More than 2 years, but not more than 3 years ago (3) More than 3 years, but not more than 5 years ago (4) More than 5 years ago (5) Never have been to dentist (6) |
2017AQ | | DENT_VISIT | What was the main reason you last visited the dentist? | I went in on my own for check-up, examination, or cleaning (0) I was called in by the dentist for check-up, examination, or cleaning (1) Something was wrong, bothering, or hurting me (2) I went for treatment of a condition that dentist discovered at earlier check-up or examination (3) Other (4) Other (TEXT) |
2017AQ | | DENT_VISIT | During the past 12 months, was there a time when you needed dental care but could not get it at that time? | Yes (1) No (0) |
2017AQ | | DENTCARE_NO | What were the reasons that you could not get the dental care you needed? (Check all that apply.) | I could not afford the cost (0) I did not want to spend the money (1) Insurance did not cover recommended procedures (2) Dental office is too far away (3) Dental office is not open at convenient times (4) Another dentist recommended not doing it (5) I was afraid or do not like dentists (6) I was unable to take time off from work or school (7) I was too busy (8) I did not think anything serious was wrong/expected dental problems to go away (9) Other (10) Other (TEXT) |
2017AQ | | | How often during the last year have you had painful aching anywhere in your mouth? Would you say…? | Very often (4) Fairly often (3) Occasionally (2) Hardly ever (1) Never (0) |
2017AQ | | | The next questions will ask about the condition of your teeth and some factors related to gum health. Gum disease is a common problem with the mouth. People with gum disease might have swollen gums, receding gums, sore or infected gums or loose teeth. | No Answers |
2017AQ | | | Do you think you might have gum disease? | Yes (1) No (0) |
2017AQ | | | Overall, how would you rate the health of your teeth and gums? Would you say…? | Excellent (4) Very good (3) Good (2) Fair (1) Poor (0) |
2017AQ | | | How many times you brush your teeth in one day? | Text Entry (-) |
2017AQ | | | Have you ever had an exam for oral cancer in which the doctor or dentist pulls on your tongue, sometimes with gauze wrapped around it, and feels under the tongue and inside the cheeks? | Yes (1) No (0) |
2017AQ | | | Sexual Behavior The next set of questions mentions body organs. The organs mentioned refer to the organs you currently have. We are asking these questions to get a comprehensive look at your health. We know that people refer to their organs differently, and we have tried to use the medical terms as well as commonly used non-medical terms. We know that this will not accurately reflect the diversity of our communities, but we hope it gets us closer to some critical health understanding. | No Answers |
2017AQ | | | Do you have a vagina or front hole? | Yes (1) No (0) |
2017AQ | | | Do you have a penis or phallus? (This refers to your anatomy, not a sex toy.) | Yes (1) No (0) |
2017AQ | | | Have you ever engaged in any kind of sexual activity with another person? | Yes (1) No (0) |
2017AQ | | SEX_EVER | Have you ever had receptive vaginal / front hole sex? This means a penis/phallus in your vagina/front hole. | Yes (1) No (0) |
2017AQ | | SEX_EVER | Have you ever had insertive vaginal / front hole sex? This means putting your penis/phallus in someone's vagina/front hole. | Yes (1) No (0) |
2017AQ | | SEX_EVER | Have you ever had vagina/front hole sex where your vagina/front hole is touching another person's vagina/front hole? | Yes (1) No (0) |
2017AQ | | SEX_EVER | Have you ever performed oral sex? This means putting your mouth on another person's genitals. (Check all that apply.) | Yes, on a person with a penis / phallus (1) Yes, on a person with a vagina / front hole (2) No (0) |
2017AQ | | SEX_EVER | Have you ever received oral sex? This means someone put their mouth on your genitals. | Yes (1) No (0) |
2017AQ | | SEX_EVER | Have you ever had anal sex? This means contact between a penis/phallus and your anus or butt. | Yes (1) No (0) |
2017AQ | | SEX_EVER | Have you ever had anal sex? (Check all that apply.) | Yes, I have had contact between my penis/phallus and someones anus or butt (also known as insertive anal sex) (1) Yes, I have had contact between someones penis/phallus and my anus or butt (also known as receptive anal sex) (2) No (0) |
2017AQ | | SEX_EVER | Have you ever performed oral-anal sex (also called rimming)? This means contact between your mouth and someone's anus or butt. | Yes (1) No (0) |
2017AQ | | SEX_EVER | Have you ever performed digital penetration (also called fingering)? This means putting your fingers into someone's vagina/front hole or someone's anus or butt. (Check all that apply.) | Yes, I have had contact between my finger(s) and someones vagina/front hole (1) Yes, I have had contact between my finger(s) and someones anus or butt (2) No (0) |
2017AQ | | SEX_EVER | Have you ever used sex toys (such as dildos) with a sexual partner? | Yes (1) No (0) |
2017AQ | | SEXTOY | Did you insert the sex toy into someone's body or did you receive the sex toy into your body or both? | Yes, I inserted the sex toy into someones body (0) Yes, I received the sex toy into my body (1) Yes, both (2) |
2017AQ | | SEX_EVER | Please tell us about other kinds of sex that you have. | Text Entry (-) |
2017AQ | | SEX_EVER | How old were you the first time you had any kind of sex including vaginal/front hole, oral, and anal? | Text Entry (-) |
2017AQ | | SEX_EVER | In your lifetime, with how many people have you had any kind of sex? | Text Entry (-) |
2017AQ | | SEX_EVER | In the past 12 months, with how many people have you had any kind of sex? | Text Entry (-) |
2017AQ | | SEX_EVER VAGSEX_VAG | In the past 12 months, about how many times have you had vaginal/front hole sex? | Text Entry (-) |
2017AQ | | VAGSEX_YEAR | In the past 12 months, about how often have you had vaginal/front hole sex without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2017AQ | | VAGSEX_NOCON | In the past 12 months, with how many different people have you had vaginal/front hole sex without a condom? | Text Entry (-) |
2017AQ | | SEX_EVER | In the past 12 months, about how many times have you had receptive anal sex? (This means contact between a penis/phallus and your anus or butt.) | Text Entry (-) |
2017AQ | | ANALSEX_YEAR | In the past 12 months, about how often have you had receptive anal sex without using a condom? (This means contact between a penis/phallus and your anus or butt.) | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2017AQ | | ANALSEX_NOCON | In the past 12 months, with how many different people have you had receptive anal sex without a condom? (This means contact between a penis/phallus and your anus or butt.) | Text Entry (-) |
2017AQ | | SEX_EVER | In the past 12 months, about how many times have you had receptive anal sex (that is, you were the bottom)? This means contact between someone's penis/phallus and your anus or butt. | Text Entry (-) |
2017AQ | | BOTTOM_YEAR | In the past 12 months, about how often have you had receptive anal sex (that is, you were the bottom) without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2017AQ | | BOTTOM_NOCON | In the past 12 months, with how many different people have you had receptive anal sex (that is, you were the bottom) without a condom? | Text Entry (-) |
2017AQ | | SEX_EVER | In the past 12 months, about how many times have you had insertive anal sex (that is, you were the top)? This means contact between your penis/phallus and someone's anus or butt. | Text Entry (-) |
2017AQ | | TOP_YEAR | In the past 12 months, about how often have you had insertive anal sex (that is, you were the top) without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2017AQ | | TOP_NOCON | In the past 12 months, with how many different people have you had insertive anal sex (that is, you were the top) without a condom? | Text Entry (-) |
2017AQ | | VAGINA | Sexual Satisfaction / Dysfunction | No Answers |
2017AQ | | | These questions ask about your sexual feelings and responses during the past 4 weeks. Please answer the following questions as honestly and clearly as possible. Your responses will be kept completely confidential. In answering these questions the following definitions apply: Sexual activity can include caressing, foreplay, masturbation and vaginal intercourse. Sexual stimulation includes situations like foreplay with a partner, self-stimulation (masturbation), or sexual fantasy. Sexual desire or interest is a feeling that includes wanting to have a sexual experience, feeling receptive to a partner's sexual initiation, and thinking or fantasizing about having sex. | No Answers |
2017AQ | | VAGINA | Over the past 4 weeks, how often did you feel sexual desire or interest? | Almost always or always (5) Most times (more than half the time) (4) Sometimes (about half the time) (3) A few times (less than half the time) (2) Almost never or never (1) |
2017AQ | | VAGINA | Over the past 4 weeks, how would you rate your level (degree) of sexual desire or interest? | Very high (5) High (4) Moderate (3) Low (2) Very low or none at all (1) |
2017AQ | | VAGINA | Over the past 4 weeks, how often did you feel sexually aroused ("turned on") during sexual activity? | No sexual activity (0) Almost always or always (5) Most times (more than half the time) (4) Sometimes (about half the time) (3) A few times (less than half the time) (2) Almost never or never (1) |
2017AQ | | VAGINA | Over the past 4 weeks, how would you rate your level of sexual arousal ("turn on") during sexual activity? | No sexual activity (0) Very high (5) High (4) Moderate (3) Low (2) Very low or none at all (1) |
2017AQ | | VAGINA | Over the past 4 weeks, how confident were you about becoming sexually aroused during sexual activity? | No sexual activity (0) Very high confidence (5) High confidence (4) Moderate confidence (3) Low confidence (2) Very low or no confidence (1) |
2017AQ | | VAGINA | Over the past 4 weeks, how often have you been satisfied with your arousal (excitement) during sexual activity? | No sexual activity (0) Almost always or always (5) Most times (more than half the time) (4) Sometimes (about half the time) (3) A few times (less than half the time) (2) Almost never or never (1) |
2017AQ | | VAGINA | Over the past 4 weeks, how often did you become lubricated ("wet") during sexual activity? | No sexual activity (0) Almost always or always (5) Most times (more than half the time) (4) Sometimes (about half the time) (3) A few times (less than half the time) (2) Almost never or never (1) |
2017AQ | | VAGINA | Over the past 4 weeks, how difficult was it to become lubricated ("wet") during sexual activity? | No sexual activity (0) Extremely difficult or impossible (1) Very difficult (2) Difficult (3) Slightly difficult (4) Not difficult (5) |
2017AQ | | VAGINA | Over the past 4 weeks, how often did you maintain your lubrication ("wetness") until completion of sexual activity? | No sexual activity (0) Almost always or always (5) Most times (more than half the time) (4) Sometimes (about half the time) (3) A few times (less than half the time) (2) Almost never or never (1) |
2017AQ | | VAGINA | Over the past 4 weeks, how difficult was it to maintain your lubrication ("wetness") until completion of sexual activity? | No sexual activity (0) Extremely difficult or impossible (1) Very difficult (2) Difficult (3) Slightly difficult (4) Not difficult (5) |
2017AQ | | VAGINA | Over the past 4 weeks, when you had sexual stimulation, how often did you reach orgasm (climax)? | No sexual activity (0) Almost always or always (5) Most times (more than half the time) (4) Sometimes (about half the time) (3) A few times (less than half the time) (2) Almost never or never (1) |
2017AQ | | VAGINA | Over the past 4 weeks, when you had sexual stimulation, how difficult was it for you to reach orgasm (climax)? | No sexual activity (0) Extremely difficult or impossible (1) Very difficult (2) Difficult (3) Slightly difficult (4) Not difficult (5) |
2017AQ | | VAGINA | Over the past 4 weeks, how satisfied were you with your ability to reach orgasm (climax) during sexual activity? | No sexual activity (0) Very satisfied (5) Moderately satisfied (4) About equally satisfied and dissatisfied (3) Moderately dissatisfied (2) Very dissatisfied (1) |
2017AQ | | VAGINA | Over the past 4 weeks, how satisfied have you been with the amount of emotional closeness during sexual activity between you and your partner? | No sexual activity (0) Very satisfied (5) Moderately satisfied (4) About equally satisfied and dissatisfied (3) Moderately dissatisfied (2) Very dissatisfied (1) |
2017AQ | | VAGINA | Over the past 4 weeks, how satisfied have you been with your sexual relationship with your partner? | Very satisfied (5) Moderately satisfied (4) About equally satisfied and dissatisfied (3) Moderately dissatisfied (2) Very dissatisfied (1) |
2017AQ | | VAGINA | Over the past 4 weeks, how satisfied have you been with your overall sexual life? | Very satisfied (5) Moderately satisfied (4) About equally satisfied and dissatisfied (3) Moderately dissatisfied (2) Very dissatisfied (1) |
2017AQ | | VAGINA | Over the past 4 weeks, how often did you experience discomfort or pain during vaginal or front hole penetration? | Did not attempt penetration (0) Almost always or always (1) Most times (more than half the time) (2) Sometimes (about half the time) (3) A few times (less than half the time) (4) Almost never or never (5) |
2017AQ | | VAGINA | Over the past 4 weeks, how often did you experience discomfort or pain following vaginal or front hole penetration? | Did not attempt penetration (0) Almost always or always (1) Most times (more than half the time) (2) Sometimes (about half the time) (3) A few times (less than half the time) (4) Almost never or never (5) |
2017AQ | | VAGINA | Over the past 4 weeks, how would you rate your level (degree) of discomfort or pain during or following vaginal or front hole penetration? | Did not attempt penetration (0) Very high (1) High (2) Moderate (3) Low (4) Very low or none at all (5) |
2017AQ | | PENIS | The following questions concern various aspects of your ability to have sex. In answering these questions, please think about all aspects of the sexual activity you have had with your main partner, with other partners, or masturbating. By sexual activity, we mean any type of sex you may have had, including intercourse, oral sex or other sexual activities that could lead to ejaculation. Some of these questions might be difficult to answer. Please answer as many as possible, and be as honest as you can when answering them. Please remember that all of your answers are confidential. The first questions concern your erections, which some people refer to as “hard-ons". | No Answers |
2017AQ | | PENIS | In the last month, have you taken Viagra or any similar drugs for problems with your erection? | Yes (1) No (0) |
2017AQ | | PENIS | In the last month, without using drugs like Viagra, how often have you been able to get an erection when you wanted to? (Check only one) | All of the time (5) Most of the time (4) About half of the time (3) Less than half of the time (2) None of the time (1) Used Viagra or similar drug with every sexual encounter (0) |
2017AQ | | PENIS | In the last month, if you were able to get an erection without using drugs like Viagra, how often were you able to stay hard as long as you wanted to? (Check only one) | All of the time (5) Most of the time (4) About half of the time (3) Less than half of the time (2) None of the time (1) Used Viagra or similar drug with every sexual encounter (0) |
2017AQ | | PENIS | In the last month, if you were able to get an erection, without using drugs like Viagra, how would you rate the hardness of your erection? (Check only one) | Completely hard (5) Almost completely hard (4) Mostly hard, but can be slightly bent (3) A little hard, but bends easily (2) Not at all hard (1) Used Viagra or similar drug with every sexual encounter (0) |
2017AQ | | PENIS | In the last month, if you have had difficulty getting hard or staying hard without using drugs like Viagra, have you been bothered by this problem?… (Check only one) | Not at all bothered/Did not have a problem with erection (5) A little bit bothered (4) Moderately bothered (3) Very bothered (2) Extremely bothered (1) |
2017AQ | | PENIS | The next section deals with ejaculation and the pleasure you have with ejaculation. Ejaculation or “cumming” is the release of semen or “cum” during sexual climax. These questions concern all of your ejaculations when having sexual activity. These could include ejaculations you have had with your main partner, as well as with other partners, or ejaculations you have had when masturbating. | No Answers |
2017AQ | | PENIS | In the last month, how often have you been able to ejaculate when having sexual activity? (Check only one) | All of the time (5) Most of the time (4) About half of the time (3) Less than half of the time (2) None of the time/Could not ejaculate (1) |
2017AQ | | PENIS | In the last month, when having sexual activity, how often did you feel that you took too long to ejaculate or “cum”? (Check only one) | None of the time (5) Less than half of the time (4) About half of the time (3) Most of the time (2) All of the time (1) Could not ejaculate (0) |
2017AQ | | PENIS | In the last month, when having sexual activity, how often have you felt like you were ejaculating (“cumming”), but no fluid came out? | None of the time (5) Less than half of the time (4) About half of the time (3) Most of the time (2) All of the time (1) Could not ejaculate (0) |
2017AQ | | PENIS | In the last month, how would you rate the strength or force of your ejaculation? | As strong as it always was (5) A little less strong than it used to be (4) Somewhat less strong than it used to be (3) Much less strong than it used to be (2) Very much less strong than it used to be (1) Could not ejaculate (0) |
2017AQ | | PENIS | In the last month, how would you rate the amount or volume of semen when you ejaculate? | As much as it always was (5) A little less than it used to be (4) Somewhat less than it used to be (3) Much less than it used to be (2) Very much less than it used to be (1) Could not ejaculate (0) |
2017AQ | | PENIS | Compared to ONE month ago, would you say the physical pleasure you feel when you ejaculate has… | Increased a lot (5) Increased moderately (4) Neither increased nor decreased (3) Decreased moderately (2) Decreased a lot (1) Could not ejaculate (0) |
2017AQ | | PENIS | In the last month, have you experienced any physical pain or discomfort when you ejaculated? Would you say you have… | No pain at all (5) Slight amount of pain or discomfort (4) Moderate amount of pain or discomfort (3) Strong amount of pain or discomfort (2) Extreme amount of pain or discomfort (1) Could not ejaculate (0) |
2017AQ | | PENIS | In the last month, if you have had any ejaculation difficulties or have been unable to ejaculate, have you been bothered by this? | Not at all bothered (5) A little bit bothered (4) Moderately bothered (3) Very bothered (2) Extremely bothered (1) |
2017AQ | | PENIS | Do you have a “main partner”? | Yes (1) No (0) |
2017AQ | | PENIS | These next few questions ask about your relationship with your main partner over the last month. Some of these questions concern your sexual relationship, while others are about your overall relationship. | No Answers |
2017AQ | | PENIS | Generally, how satisfied are you with the overall sexual relationship you have with your main partner? (Check only one) relationship. | Extremely satisfied (5) Moderately satisfied (4) Neither satisfied nor unsatisfied (3) Moderately unsatisfied (2) Extremely unsatisfied (1) |
2017AQ | | PENIS | Generally, how satisfied are you with the quality of the sex life you have with your main partner? | Extremely satisfied (5) Moderately satisfied (4) Neither satisfied nor unsatisfied (3) Moderately unsatisfied (2) Extremely unsatisfied (1) |
2017AQ | | PENIS | Generally, how satisfied are you with the number of times you and your main partner have sex? | Extremely satisfied (5) Moderately satisfied (4) Neither satisfied nor unsatisfied (3) Moderately unsatisfied (2) Extremely unsatisfied (1) |
2017AQ | | PENIS | Generally, how satisfied are you with the way you and your main partner show affection during sex? | Extremely satisfied (5) Moderately satisfied (4) Neither satisfied nor unsatisfied (3) Moderately unsatisfied (2) Extremely unsatisfied (1) |
2017AQ | | PENIS | Generally, how satisfied are you with the way you and your main partner communicate about sex? | Extremely satisfied (5) Moderately satisfied (4) Neither satisfied nor unsatisfied (3) Moderately unsatisfied (2) Extremely unsatisfied (1) |
2017AQ | | PENIS | Aside from your sexual relationship, how satisfied are you with all other aspects of the relationship you have with your main partner? | Extremely satisfied (5) Moderately satisfied (4) Neither satisfied nor unsatisfied (3) Moderately unsatisfied (2) Extremely unsatisfied (1) |
2017AQ | | PENIS | The next set of questions concern the sexual activity you have had in the last month. In answering these questions, we want to know about all of the sexual activity you have had with your main partner, with other partners, or masturbating. By sexual activity, we mean any type of sex you may have had, including intercourse, oral sex, or any other sexual activities that could lead to ejaculation. | No Answers |
2017AQ | | PENIS | In the last month, how often have you had sexual activity, including masturbating, intercourse, oral sex, or any other type of sex? (Check only one) | Daily or almost daily (5) More than 6 times per month (4) 4-6 times per month (3) 1-3 times per month (2) 0 times per month (1) |
2017AQ | | PENIS | When was the last time you had sex? (Check only one) | 1-3 months ago (5) 4-6 months ago (4) 7-12 months ago (3) 13-24 months ago (2) More than 24 months ago (1) |
2017AQ | | PENIS | What are the reasons you have not had sex in the last month? | I could not have sex because I could not get an erection. (1) I could not have sex because I could not ejaculate or cum. (2) I had no partner. (3) Other (please specify) (4) Other (please specify) (TEXT) |
2017AQ | | PENIS | Compared to ONE month ago, has the number of times you have had sexual activity increased or decreased? | Increased a lot (5) Increased moderately (4) Neither increased nor decreased (3) Decreased moderately (2) Decreased a lot (1) |
2017AQ | | PENIS | In the last month, have you been bothered by these changes in the number of times you have had sexual activity? | Not at all bothered (5) A little bit bothered (4) Moderately bothered (3) Very bothered (2) Extremely bothered (1) |
2017AQ | | PENIS | These next questions ask about your urge or desire to have sex with your main partner. Some people refer to this as “feeling horny”. These questions concern the sexual urges you have felt toward your main partner, and not whether you actually had sex. IF YOU DO NOT HAVE A MAIN PARTNER, PLEASE ANSWER ALL QUESTIONS WITHOUT REFERENCE TO A "MAIN PARTNER | No Answers |
2017AQ | | PENIS | In the last month, how often have you felt an urge or desire to have sex with your main partner? | All of the time (5) Most of the time (4) About half of the time (3) Less than half of the time (2) None of the time/Could not ejaculate (1) |
2017AQ | | PENIS | In the last month, how would you rate your urge or desire to have sex with your main partner? | Very high (5) High (4) Moderate (3) Low (2) Very low or none at all (1) |
2017AQ | | PENIS | In the last month, have you been bothered by your level of sexual desire? Have you been… | Not at all bothered (5) A little bit bothered (4) Moderately bothered (3) Very bothered (2) Extremely bothered (1) |
2017AQ | | PENIS | Compared to ONE month ago, has your urge or desire for sex with your main partner increased or decreased? | Increased a lot (5) Increased moderately (4) Neither increased nor decreased (3) Decreased moderately (2) Decreased a lot (1) |
2017AQ | | | Sexual Health and Infections | No Answers |
2017AQ | | | Has a doctor or other health care professional ever told you that you had genital herpes? | Yes (1) No (0) |
2017AQ | | HERPES_EVER | Has a doctor or other health care professional told you that you had genital herpes in the last 12 months? | Yes (1) No (0) |
2017AQ | | | Has a doctor or other health care professional ever told you that you had genital warts? | Yes (1) No (0) |
2017AQ | | WARTS_EVER | Has a doctor or other health care professional told you that you had genital warts in the last 12 months? | Yes (1) No (0) |
2017AQ | | | Has a doctor or other health care professional ever told you that you had human papillomavirus or HPV? | Yes (1) No (0) |
2017AQ | | HPV_EVER | Has a doctor or other health care professional told you that you had human papillomavirus or HPV in the last 12 months? | Yes (1) No (0) |
2017AQ | | | Has a doctor or other health care professional ever told you that you had gonorrhea, sometimes called GC or the clap? | Yes (1) No (0) |
2017AQ | | GC_EVER | Has a doctor or other health care professional told you that you had gonorrhea (also called GC or the clap) in the last 12 months? | Yes (1) No (0) |
2017AQ | | | Has a doctor or other health care professional ever told you that you had chlamydia? | Yes (1) No (0) |
2017AQ | | CT_EVER | Has a doctor or other health care professional told you that you had chlamydia in the last 12 months? | Yes (1) No (0) |
2017AQ | | | Has a doctor or other health care professional ever told you that you had syphilis? | Yes (1) No (0) |
2017AQ | | SYPHILIS_EVER | Has a doctor or other health care professional told you that you had syphilis in the last 12 months? | Yes (1) No (0) |
2017AQ | | | Except for tests that you may have had as part of blood donations, have you ever been tested for HIV? | Yes (1) No (0) I dont know (88) |
2017AQ | | HIVTEST_EVER | Have you been tested for HIV within the past year? | Yes (1) No (0) I dont know (88) |
2017AQ | | HIVTEST_EVER | What is your HIV status? | Positive (I have HIV.) (1) Negative (I do not have HIV.) (0) I dont know (I dont know whether or not I have HIV.) (88) |
2017AQ | | HIVSTATUS | PrEP (pre-exposure prophylaxis) is when HIV-negative people take anti-HIV medications (like Truvada) on a regular basis to prevent HIV infection. Before today, have you ever heard of PrEP? | Yes (1) No (0) I dont know (88) |
2017AQ | | PREP_HEARD | Would you be interested in learning more about PrEP? | Yes (1) No (0) |
2017AQ | | PREP_HEARD | Have you ever been on PrEP to prevent HIV infection? | Yes (1) No (0) |
2017AQ | | PREP_EVER | Are you currently on PrEP to prevent HIV infection? | Yes (1) No (0) |
2017AQ | | | Are you currently on PrEP as part of a clinical study? | Yes (1) No (0) |
2017AQ | | PREP_NOW | How would you rate your ability to take your PrEP pills as prescribed? | Very poor (0) Poor (1) Fair (2) Good (3) Very good (4) |
2017AQ | | PREP_NOW | In the past 7 days, how many days did you take your PrEP pill? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2017AQ | | PREP_NOW | Why are you no longer on PrEP? (Check all that apply.) | My risk of getting HIV is now less because I am in a relationship and/or having less risky sexual activity. (1) PrEP is too expensive. (2) My insurance coverage has changed or I have lost insurance coverage. (3) I forgot to take it most of the time so I decided to stop. (4) It is too much of a hassle to get labs every 3 months. (5) I was having side effects so I decided to stop. (6) My doctor or health care provider said that I needed to stop the medication because of my lab results. (7) I feel discriminated against or stigmatized because I am on PrEP. (8) I became infected with HIV. (9) Something else (10) Something else (TEXT) |
2017AQ | | HIVSTATUS | PEP (post-exposure prophylaxis) is when HIV-negative people take anti-HIV medications AFTER potentially being exposed to HIV in order to prevent HIV infection. Have you ever heard of PEP (post-exposure prophylaxis)? | Yes (1) No (0) |
2017AQ | | PEP_HEARD | Have you ever taken anti-HIV medications (PEP) AFTER potentially being exposed to HIV? | Yes (1) No (0) |
2017AQ | | HIVSTATUS | Do you have a doctor or other health care provider who manages your HIV care? This may be the same provider as your primary care provider or it may be another provider, such as a HIV specialist. | Yes (1) No (0) I dont know (88) |
2017AQ | | HIVDOC | How frequently do you see this provider? | Monthly (0) Every 1-3 months (1) Every 4-6 months (2) Every 7-12 months (3) More than every 12 months (4) |
2017AQ | | HIVSTATUS | How frequently do you have HIV blood work (lab tests) done? | Monthly (0) Every 1-3 months (1) Every 4-6 months (2) Every 7-12 months (3) More than every 12 months (4) |
2017AQ | | HIVSTATUS | Are you on HIV medications, sometimes call anti-retrovirals (ARVs) or anti-retroviral therapy (ART)? | Yes (1) No (2) I dont know (3) |
2017AQ | | HIVSTATUS | When was the last time that you had your HIV viral load checked? A viral load test is a lab test that measures the number of HIV virus particles in a milliliter of your blood. These particles are called “copies.” | Monthly (0) Every 1-3 months (1) Every 4-6 months (2) Every 7-12 months (3) More than every 12 months (4) |
2017AQ | | HIVSTATUS | Is your HIV viral load “suppressed” or “undetectable”? This means that the number of copies of the HIV virus in your blood is at a very low level or not detectable by modern medical tests. This does not mean that your HIV is cured. | Yes (1) No (2) I dont know (3) |
2017AQ | | | Vaccinations | No Answers |
2017AQ | | | DURING THE PAST 12 MONTHS, have you had a flu vaccine - usually a shot in your arm or sprayed in your nose by a doctor or other health professional? These are usually given in the fall and protects against influenza for the flu season. | Yes (1) No (0) I dont know (88) |
2017AQ | | | Have you EVER had a pneumonia shot? This shot is usually given only once or twice in a person's lifetime and is different from the flu shot. It is also called the pneumococcal vaccine. | Yes (1) No (0) I dont know (88) |
2017AQ | | | Have you EVER received the hepatitis B vaccine? This is given in three separate doses and has been available since 1991. It is recommended for newborn infants, adolescents, and people such as health care workers, who may be exposed to the hepatitis B virus. | Yes (1) No (0) I dont know (88) |
2017AQ | | | The hepatitis A vaccine is given as a two-dose series routinely to some children starting at 1 year of age, and to some adults and people who travel outside the United States. Although it can be given as a combination vaccine with hepatitis B, it is different from the hepatitis B shot, and has only been available since 1995. Have you ever received the hepatitis A vaccine? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Shingles is an outbreak of a rash or blisters on the skin that may be associated with severe pain. The pain is generally on one side of the body or face. Shingles is caused by the chicken pox virus. A vaccine for shingles has been available since May 2006. Have you ever had the Zoster or Shingles vaccine, also called Zostavax®? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Have you received a tetanus shot in the past 10 years? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Have you ever received an HPV shot or vaccine? HPV stands for human papillomavirus. The vaccines are sometimes called CERVARIX® or GARDASIL®. | Yes (1) No (0) Doctor refused when asked (2) I dont know (88) |
2017AQ | | | Pregnancy and Family Planning | No Answers |
2017AQ | | | Did you ever have a uterus / womb? | Yes (1) No (0) I dont know (88) |
2017AQ | | UTERUS_EVER | Do you currently have a uterus / womb? | Yes (1) No (0) I dont know (88) |
2017AQ | | UTERUS_EVER | Have you ever had a menstrual period? | Yes (1) No (0) I dont know (88) |
2017AQ | | MENSES_EVER | How old were you when your menstrual period started? (Please enter “88” if you don't know.) | Text Entry (-) |
2017AQ | | MENSES_EVER | Have you had at least one menstrual period in the past 12 months? Please do not include bleedings caused by medical conditions, hormone therapy, or surgeries. | Yes (1) No (0) I dont know (88) |
2017AQ | | MENSES_YEAR | What is the reason that you have not had a period in the past 12 months? (Check all that apply.) | Pregnancy (1) Breastfeeding (2) Hysterectomy (removal of the uterus) (3) Menopause/change of life (4) Hormones to stop my periods (5) Other (6) Other (TEXT) I dont know (88) |
2017AQ | | MENSES_NOYEAR | About how old were you when you had your last menstrual period? (Please enter “88” if you don't know.) | Text Entry (-) |
2017AQ | | UTERUS_EVER | The next questions are about pregnancy planning and your pregnancy history, if applicable. | No Answers |
2017AQ | | UTERUS_NOW | Are you planning to be pregnant in the next 1 year? | Yes (1) No (0) I dont know (88) |
2017AQ | | UTERUS_EVER | Have you ever attempted to become pregnant over a period of at least a year without becoming pregnant? | Yes (1) No (0) I dont know (88) |
2017AQ | | UTERUS_EVER | Have you ever been to a doctor or other medical provider because you have been unable to become pregnant? | Yes (1) No (0) I dont know (88) |
2017AQ | | UTERUS_EVER | Have you ever been treated for an infection in your fallopian tubes, uterus or ovaries, also called a pelvic infection, pelvic inflammatory disease, or PID? | Yes (1) No (0) I dont know (88) |
2017AQ | | UTERUS_EVER | Have you ever been pregnant? Please include any current pregnancy, live births, miscarriages, stillbirths, tubal pregnancies, and abortions. | Yes (1) No (0) I dont know (88) |
2017AQ | | PREG_EVER MENSES_NOYEAR | Are you pregnant now? | Yes (1) No (0) I dont know (88) |
2017AQ | | PREG_EVER | How many times have you been pregnant? (Please count all your pregnancies including current pregnancy, live births, miscarriages, stillbirths, tubal pregnancies, and abortions.) (Please enter "88" if you don't know.) | Text Entry (-) |
2017AQ | | PREG_EVER | Did any of your pregnancies result in a delivery? | Yes (1) No (0) |
2017AQ | | PREG_DEL | How many vaginal deliveries have you had? (Please count the number of deliveries [for example, twins count as 1 delivery] and please include stillbirths and live births.) (Please enter “88” if you don't know.) | Text Entry (-) |
2017AQ | | PREG_DEL | How many cesarean deliveries, also known as C-sections, have you had? (Please count the number of deliveries [for example, twins count as 1 delivery] and please include stillbirths and live births.) (Please enter “88” if you don't know.) | Text Entry (-) |
2017AQ | | PREG_DEL | How many of your deliveries resulted in a live birth? (Please count the number of deliveries [for example, twins count as 1 delivery].) (Please enter “88” if you don't know.) | Text Entry (-) |
2017AQ | | PREG_EVER | How many miscarriages have you had? (A miscarriage is a pregnancy that ends naturally during the first 20 weeks of pregnancy.) (Please enter “88” if you don't know.) | Text Entry (-) |
2017AQ | | PREG_EVER | How many tubal pregnancies have you had? (A tubal pregnancy also known as an 'ectopic pregnancy' is a pregnancy that occurs in the fallopian tube.) (Please enter “88” if you don't know.) | Text Entry (-) |
2017AQ | | PREG_EVER | How many abortions have you had? (An abortion is a pregnancy that is ended during the first 6 months using medications, D&C, vacuum extraction, suction, and saline injections.) (Please enter “88” if you don't know.) | Text Entry (-) |
2017AQ | | PREG_EVER | How old were you at the time of your first pregnancy? (Please enter “88” if you don't know.) | Text Entry (-) |
2017AQ | | LIVE_BIRTH | How old were you at the time of your first live birth? (Please enter “88” if you don't know.) | Text Entry (-) |
2017AQ | | UTERUS_EVER | Have you ever breast/chest fed a child? | Yes (1) No (0) |
2017AQ | | BREASTFED | Were the children that you breast/chest fed born as a result of…? | My own pregnancy and delivery (1) Another persons pregnancy and delivery (2) Both, I have breast/chest fed both a child that I have delivered as well as a child that another person delivered (3) |
2017AQ | | | Sex Work | No Answers |
2017AQ | | | Have you ever engaged in sex or sexual activity for money (sex work) or worked in the sex industry (such as erotic dancing, webcam work, or porn films)? | Yes (1) No (0) |
2017AQ | | SEXWORK | What type of sex work or work in the sex industry have you ever done? (Check all that apply.) | SEXWORK1 (1) SEXWORK2 (2) SEXWORK3 (3) SEXWORK4 (4) SEXWORK5 (5) SEXWORK6 (6) SEXWORK7 (7) SEXWORK8 (8) SEXWORK9 (9) SEXWORK10 (10) SEXWORK11 (11) SEXWORK11 (TEXT) |
2017AQ | | | Have you engaged in sex or sexual activity for food? | Yes, within the past year (2) Yes, but more than a year ago (1) No (0) |
2017AQ | | | Have you engaged in sex or sexual activity for a place to sleep? | Yes, within the past year (2) Yes, but more than a year ago (1) No (0) |
2017AQ | | | Have you engaged in sex or sexual activity for drugs? | Yes, within the past year (2) Yes, but more than a year ago (1) No (0) |
2017AQ | | | Complementary and Integrative Health | No Answers |
2017AQ | | | The next questions are about your use of various practices that some people use to manage physical and/or mental health conditions. | No Answers |
2017AQ | | | IN THE PAST YEAR, have you used acupuncture to manage physical and/or or mental health conditions? | Yes (1) No (0) |
2017AQ | | ACU | What problem(s) or condition(s) do you use acupuncture to manage? | Text Entry (-) |
2017AQ | | ACU | How effective has acupuncture been in managing this/these problem(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2017AQ | | | IN THE PAST YEAR, have you used chiropractic or osteopathic manipulation to manage physical and/or or mental health conditions? | Yes (1) No (0) |
2017AQ | | CHIRO | What problem(s) or condition(s) do you use chiropractic or osteopathic manipulation to manage? | Text Entry (-) |
2017AQ | | CHIRO | How effective has chiropractic or osteopathic manipulation been in managing this/these problem(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2017AQ | | | IN THE PAST YEAR, have you used energy healing to manage physical and/or or mental health conditions? | Yes (1) No (0) |
2017AQ | | ENERGY | What problem(s) or condition(s) do you use energy healing to manage? | Text Entry (-) |
2017AQ | | ENERGY | How effective has energy healing been in managing this/these problem(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2017AQ | | | IN THE PAST YEAR, have you used massage therapy to manage physical and/or or mental health conditions? | Yes (1) No (0) |
2017AQ | | MASSAGE | What problem(s) or condition(s) do you use massage therapy to manage? | Text Entry (-) |
2017AQ | | MASSAGE | How effective has massage therapy been in managing this/these problem(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2017AQ | | | IN THE PAST YEAR, have you practiced any form of meditation regularly? | Yes (1) No (0) |
2017AQ | | MEDITATION | Please estimate how many minutes per week you spent meditating, on average, over the past year. | Text Entry (-) |
2017AQ | | MEDITATION | Was your meditation practice intended to manage physical and/or mental health conditions? | Yes (1) No (0) |
2017AQ | | MEDITATION_MANAGE | What problem(s) or condition(s) do you use meditation to manage? | Text Entry (-) |
2017AQ | | MEDITATION_MANAGE | How effective has meditation been in managing this/these problem(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2017AQ | | | IN THE PAST YEAR, have you practiced any form of yoga regularly? | Yes (1) No (0) |
2017AQ | | YOGA | Please estimate how many minutes per week you spent practicing yoga, on average, over the past year. | Text Entry (-) |
2017AQ | | YOGA | Was your yoga practice intended to manage physical and/or mental health conditions? | Yes (1) No (0) |
2017AQ | | YOGA_MANAGE | What problem(s) or condition(s) do you use yoga to manage? | Text Entry (-) |
2017AQ | | YOGA_MANAGE | How effective has yoga been in managing this/these problem(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2017AQ | | | Medical Marijuana | No Answers |
2017AQ | | | Do you currently use medical cannabis/marijuana to manage any physical or mental health conditions? | Yes, it is legal in my state and I have a physicians recommendation to do so (2) Yes, but it is not legal in my state and/or I do not have a physicians recommendation to do so (1) No (0) |
2017AQ | | | What problems or conditions do you use medical cannabis/marijuana to manage? | Text Entry (-) |
2017AQ | | MEDMJ | How effective has medical cannabis/marijuana been in managing this/these problem(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2017AQ | | MEDMJ | What forms of medical cannabis/marijuana have you used in the past month? (Check all that apply.) | Smoking cannabis/marijuana in flower/plant form (1) Vaporizing cannabis/marijuana in flower/plant form or as an extract (2) Dabbing cannabis/marijuana concentrates (e.g., wax, shatter) (3) Eating cannabis/marijuana in capsules or food products (4) Applying cannabis-containing balms, tinctures, or other products (5) Other (please specify) (6) Other (please specify) (TEXT) |
2017AQ | | | Vitamins and Minerals | No Answers |
2017AQ | | | Are you taking any of the following supplements? (Check all that apply.) | None of these (0) Multivitamin (1) Fish Oil/Omega-3 Fatty Acids (2) Glucosamine and/or chondroitin (3) Probiotics/prebiotics (4) Melatonin (5) Coenzyme Q10 (6) Echinacea (7) Cranberry (pills, capsules) (8) Garlic supplements (9) Ginseng (10) Ginkgo biloba (11) Other (please specify, enter 1 item only) (12) Other (please specify, enter 1 item only) (TEXT) Other (please specify, enter 1 item only) (13) Other (please specify, enter 1 item only) (TEXT) Other (please specify, enter 1 item only) (14) Other (please specify, enter 1 item only) (TEXT) |
2017AQ | | | This section asks additional questions about you and your identities, your use of social media, income, military service, and future research in The PRIDE Study. Your honest answers will help us understand the overall health of our communities. Your answers will be kept confidential. Please do your best to answer every question, but you may skip questions that feel too uncomfortable to answer. This section should take about 5 minutes to complete. | No Answers |
2017AQ | | | More About Me | No Answers |
2017AQ | | | What is your ZIP code? (This is the 5-digit code that helps direct US Mail to you.) | Text Entry (-) |
2017AQ | | | If a national survey company, like Gallup, asked you the following question: “We are asking only for statistical purposes: Do you personally identify as lesbian, gay, bisexual, or transgender?” How would you answer? | I would answer Yes. (1) I would answer No. (0) I would not answer the question. (2) |
2017AQ | | | In politics, as of today, do you consider yourself a Democrat, an Independent, a Republican, or another party? | Democrat (1) Independent (2) Republican (3) Another party (4) |
2017AQ | | POLPARTY | As of today, do you lean more toward the Democratic Party or the Republican Party? | Democratic Party (1) Republican Party (2) Neither/Other (3) |
2017AQ | | | How would you describe your political views? | Very conservative (1) Conservative (2) Moderate (3) Liberal (4) Very liberal (5) |
2017AQ | | | Do you identity as intersex? | Yes (1) No (2) |
2017AQ | | INTERSEX | What does intersex mean to you? | Text Entry (-) |
2017AQ | | | Do you consider yourself a member of any of the following communities? (Check all that apply.) | None of these (1) BDSM (2) Kink (3) Leather (4) Puppy pack (5) Faeries (6) Bear (7) Another community (please specify) (8) Another community (please specify) (TEXT) |
2017AQ | | | What is your best estimate (in US dollars) of your earnings before taxes and deductions from ALL sources (including jobs, businesses, welfare, child support, disability, social security, etc.) in 2016? | Text Entry (-) |
2017AQ | | | What is your current total student loan debt (in US dollars)? | Text Entry (-) |
2017AQ | | | Did you work for pay at any time in 2016? | Yes (1) No (2) |
2017AQ | | JOB | How many months in 2016 did you have at least one job or business? | Text Entry (-) |
2017AQ | | | What is your current relationship status? | Partnered, living with 1 or more partners (1) Partnered, not living with a partner (2) Single (3) Something else (4) Something else (TEXT) |
2017AQ | | | What is your current legal marital status? | Married (1) Legally recognized civil union (2) Registered domestic partnership (3) Widowed (4) Divorced (5) Separated (6) Single, never married (7) |
2017AQ | | | What are your current living arrangements? | Living in house/apartment/condo I own alone or with others (with a mortgage or that you own free and clear) (1) Living in house/apartment/condo I rent alone or with others (2) Living with a partner, spouse, or other person who pays for the housing (3) Living with parents or family I grew up with (4) Living in campus/university housing (5) Living in military barracks (6) Living in a foster group home or other foster care (7) Living in a nursing home or other adult care facility (8) Living in a hospital (9) Living in a hotel or motel that I pay for myself (10) Living in a hotel or motel with an emergency shelter voucher (11) Living temporarily with friends or family because I cannot afford my own housing (12) Living in transitional housing/halfway house (13) Living on the street, in a car, in an abandoned building, in a park, or a place that is NOT a house, apartment, shelter, or other housing (14) Living in a homeless shelter (15) Living in a domestic violence shelter (16) Living in a shelter that is not a homeless shelter or domestic violence shelter (17) A living arrangement not listed above (please specify) (18) A living arrangement not listed above (please specify) (TEXT) |
2017AQ | | | What is your citizenship or immigration status in the U.S.? As a reminder, your answers are confidential and cannot be used against you. We have obtained a Certificate of Confidentiality from the National Institutes of Health. We can use this Certificate to legally refuse to disclose information that may identify you in any federal, state, or local civil, criminal, administrative, legislative, or other proceedings (for example, if there is a court subpoena). | U.S. citizen by birth (1) U.S. citizen by naturalization (2) Permanent resident (Green card holder) (3) A visa holder (such as F-1, J-1, H-1B, and U) (4) DACA (Deferred Action for Childhood Arrival) (5) DAPA (Deferred Action for Parental Accountability) (6) Refugee status (7) Undocumented resident (8) Currently under a withholding of removal status (9) Other documented status not mentioned above (10) Id prefer not to disclose this (11) |
2017AQ | | | Military Service | No Answers |
2017AQ | | | Have you ever served on active duty in the U.S. Armed Forces, Reserves, or National Guard? As a reminder, your answers are confidential and cannot be used against you. We have obtained a Certificate of Confidentiality from the National Institutes of Health. We can use this Certificate to legally refuse to disclose information that may identify you in any federal, state, or local civil, criminal, administrative, legislative, or other proceedings (for example, if there is a court subpoena). | Now on active duty (1) Only on active duty for training in the Reserves or National Guard (2) On active duty in the past but not now (3) Never served in the military (0) |
2017AQ | | MIL_EVER | Are you still serving in the military including Reserves and National Guard? | Yes (1) No (0) |
2017AQ | | MIL_EVER | What is your current or most recent branch of service? | Air Force (1) Air Force Reserve (2) Air National Guard (3) Army (4) Army Reserve (5) Army National Guard (6) Coast Guard (7) Coast Guard Reserve (8) Marine Corps (9) Marine Corps Reserve (10) Navy (11) Navy Reserve (12) |
2017AQ | | MIL_NOW | Did you separate from military service within the last 10 years? | Yes (1) No (0) |
2017AQ | | MIL_NOW | What was your character of discharge? | Entry level separation (1) Honorable (2) General (3) Medical (4) Other-than-honorable (5) Bad conduct (6) Dishonorable (7) None of these (please specify) (8) None of these (please specify) (TEXT) |
2017AQ | | MIL_EVER | Did you ever get any type of health care through the VA? | Yes (1) No (0) |
2017AQ | | VACARE_EVER | Do you currently get any type of health care through the VA? | Yes (1) No (0) |
2017AQ | | | Social Media | No Answers |
2017AQ | | | On which social media sites, do you have a profile? (Check all that apply.) | None of these (0) Facebook (1) Google (2) Instagram (3) LinkedIn (4) Pinterest (5) Snapchat (6) Twitter (7) |
2017AQ | | SOCMED_PROFILE | Please select up to two sites that you use the most? | Facebook (1) Google (2) Instagram (3) LinkedIn (4) Pinterest (5) Snapchat (6) Twitter (7) |
2017AQ | | | Please indicate how true or not true the following statement is to you:I am very active in social networking sites | Completely not true (1) Mostly not true (2) Neither not true or true (3) Mostly true (4) Completely true (5) |
2017AQ | | | Please indicate how true or not true the following statement is to you:I often comment on friends' posts or status | Completely not true (1) Mostly not true (2) Neither not true or true (3) Mostly true (4) Completely true (5) |
2017AQ | | | Please indicate how true or not true the following statement is to you: I often browse social networking sites but don't post status updates | Completely not true (1) Mostly not true (2) Neither not true or true (3) Mostly true (4) Completely true (5) |
2017AQ | | | Please indicate how true or not true the following statement is to you: I rarely interact with others on social networking sites | Completely not true (1) Mostly not true (2) Neither not true or true (3) Mostly true (4) Completely true (5) |
2017AQ | | | Please indicate how true or not true the following statement is to you: I am relatively passive in social networking sites | Completely not true (1) Mostly not true (2) Neither not true or true (3) Mostly true (4) Completely true (5) |
2017AQ | | | Future Research in The PRIDE Study | No Answers |
2017AQ | | | In the future, The PRIDE Study may conduct optional research studies that involve taking certain measurements at home such as your heart rate or blood pressure. Additionally, The PRIDE Study may conduct optional research studies that include collection of biological specimens such as saliva, urine, hair samples, or blood.In order to determine if these are research studies that we should conduct, we are asking the next questions to find out which devices our participants own and what specimens they would be willing to give us for research purposes. | No Answers |
2017AQ | | | Do you own a scale that can measure your weight? It does not need to be a digital scale or a "smart" scale that is connected to the Internet. | Yes (1) No (0) I dont know (88) |
2017AQ | | | Do you own an automatic (digital) blood pressure cuff that goes around your upper arm (not your wrist)? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Do you own a glucometer (a device that checks your blood sugar level using a small drop of blood obtained by a fingerstick)? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Would you be willing to participate in research studies that request you submit a saliva sample? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Would you be willing to participate in research studies that request you submit a urine sample? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Would you be willing to participate in research studies that request you submit a hair sample? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Would you be willing to participate in research studies that request you submit a blood sample? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Would you be willing to participate in research studies that request you submit a cheek scraping (where you gently scrape the inside of your cheek to get cells from inside your mouth)? This is also know as a buccal swab. | Yes (1) No (0) I dont know (88) |
2017AQ | | | Have you ever done DNA genetic testing with the company 23andMe? | Yes (1) No (0) I dont know (88) |
2017AQ | | 23ANDME | Would you be willing to share your 23andMe results with The PRIDE Study? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Have you ever done DNA genetic testing with the company Ancestry.com? | Yes (1) No (0) I dont know (88) |
2017AQ | | ANCESTRY | Would you be willing to share your Ancestry.com results with The PRIDE Study? | Yes (1) No (0) I dont know (88) |
2017AQ | | | Is there anything else you would like to share with us about your health or well-being? | Text Entry (-) |
2018AQ | | | What is your current gender identity? (Check all that apply.) | Genderqueer (1) Man (2) Transgender man (3) Transgender woman (4) Woman (5) Another gender identity (please specify) (6) Another gender identity (please specify) (TEXT) |
2018AQ | | | What was your sex assigned at birth, for example on your original birth certificate? | Female (2) Male (1) |
2018AQ | | | Do you identify as intersex? | Yes (1) No (0) |
2018AQ | | INTERSEX | What does being intersex mean to you? | Text Entry (-) |
2018AQ | | | What is your current sexual orientation? (Check all that apply.) | Asexual (1) Bisexual (2) Gay (3) Lesbian (4) Pansexual (5) Queer (6) Questioning (7) Same-gender loving (8) Straight/Heterosexual (9) Another sexual orientation (please specify) (10) Another sexual orientation (please specify) (TEXT) |
2018AQ | | | What is your ZIP code? (This is the 5-digit code that helps direct U.S. Mail to you.) | Text Entry (-) |
2018AQ | | | What is your current weight in pounds (lbs)? If you don't know, please give your best estimate. | Text Entry (-) |
2018AQ | | | What is your current height in feet and inches? If you don't know, please give your best estimate. | Text Entry (-) |
2018AQ | | | Which categories describe you? (Check all that apply.) | American Indian or Alaska Native (For example: Aztec, Blackfeet Tribe, Mayan, Navajo Nation, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, etc.) (1) Asian (For example: Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, etc.) (2) Black, African American or African (For example: African American, Ethiopian, Haitian, Jamaican, Nigerian, Somali, etc.) (3) Hispanic, Latino, or Spanish (For example: Colombian, Cuban, Dominican, Mexican or Mexican American, Puerto Rican, Salvadoran, etc.) (4) Middle Eastern or North African (For example: Algerian, Egyptian, Iranian, Lebanese, Moroccan, Syrian, etc.) (5) Native Hawaiian or other Pacific Islander (For example: Chamorro, Fijian, Marshallese, Native Hawaiian, Tongan, etc.) (6) White (For example: English, European, French, German, Irish, Italian, Polish, etc.) (7) None of these fully describe me. (please specify) (8) None of these fully describe me. (please specify) (TEXT) |
2018AQ | | | Problems You May Have Had | No Answers |
2018AQ | | | Have you EVER thought that you had a problem with anxiety? | I have never had this problem (0) Yes, I have in the past, but not now (1) Yes, and I think I still have this problem (2) |
2018AQ | | | Have you EVER thought that you had depression? | I have never had this problem (0) Yes, I have in the past, but not now (1) Yes, and I think I still have this problem (2) |
2018AQ | | | Have you EVER thought that you had an eating disorder or a problem with eating? | I have never had this problem (0) Yes, I have in the past, but not now (1) Yes, and I think I still have this problem (2) |
2018AQ | | | Have you EVER thought that you had a problem with alcohol use? | I have never had this problem (0) Yes, I have in the past, but not now (1) Yes, and I think I still have this problem (2) |
2018AQ | | | Have you EVER thought that you had a problem with drug or substance use (other than alcohol)? | I have never had this problem (0) Yes, I have in the past, but not now (1) Yes, and I think I still have this problem (2) |
2018AQ | | | Have you EVER thought that you had a problem with pulling out your hair? | I have never had this problem (0) Yes, I have in the past, but not now (1) Yes, and I think I still have this problem (2) |
2018AQ | | | Have you EVER thought that you had a problem with picking at your skin to the point it caused damage? | I have never had this problem (0) Yes, I have in the past, but not now (1) Yes, and I think I still have this problem (2) |
2018AQ | | | Has a mental health professional or health care provider EVER told you that you have any of the following? (Check all that apply.) | Depression (1) Bipolar Disorder (2) Any anxiety disorder (3) Generalized Anxiety Disorder (4) Post-Traumatic Stress Disorder (PTSD) (5) None of the above (6) |
2018AQ | | | Has a mental health professional or health care provider EVER told you that you have any of the following? (Check all that apply.) | Agoraphobia or Panic Disorder (1) Social Phobia or Social Anxiety Disorder (2) Schizophrenia or a psychotic disorder or that you had a psychotic episode or psychotic break (3) Obsessive Compulsive Disorder (OCD) (4) Chronic Tic Disorder or Tourette Syndrome (5) None of the above (6) |
2018AQ | | | Has a mental health professional or health care provider EVER told you that you have any of the following? (Check all that apply.) | Trichotillomania (hair pulling disorder) (1) Chronic skin picking or Excoriation Disorder (2) Body Dysmorphic Disorder (BDD) (3) Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD) (4) Any personality disorder (such as Borderline Personality Disorder or Narcissistic Personality Disorder) (5) None of the above (6) |
2018AQ | | | Has a mental health professional or health care provider EVER told you that you have any of the following? (Check all that apply.) | Alcoholism or Alcohol Use Disorder (1) Drug or Substance Use Disorder (2) Any eating disorder (such as anorexia or bulimia) (3) Insomnia or another sleep disorder (4) Hypochondriasis or Illness Anxiety Disorder (5) Dissociative Identity Disorder or another dissociative disorder (6) None of the above (7) |
2018AQ | | | How satisfied or dissatisfied are you with the amount of body fat you have? | Very dissatisfied (0) Somewhat dissatisfied (1) Neither satisfied nor dissatisfied (2) Somewhat satisfied (3) Very satisfied (4) |
2018AQ | | BSAT_FAT | Would you prefer to have more body fat, or less body fat? | More body fat (0) Less body fat (1) |
2018AQ | | | How satisfied or dissatisfied are you with the amount of muscle mass you have? | Very dissatisfied (0) Somewhat dissatisfied (1) Neither satisfied nor dissatisfied (2) Somewhat satisfied (3) Very satisfied (4) |
2018AQ | | BSAT_MUSC | Would you prefer to have more muscle mass, or less muscle mass? | More muscle mass (0) Less muscle mass (1) |
2018AQ | | | Which of the following best describes your use of medications for stress or mental health problems? | I have never taken medication for these reasons (0) I used to take medication for at least one of these reasons (1) I currently take medication for at least one of these reasons (2) |
2018AQ | | MED_MENTAL | Which of the following best describes your use of medications for stress or mental health problems? | All of the medications I took for stress or mental health problems were prescribed to me (0) Some of the medications I took for stress or mental health problems were prescribed to me (1) None of the medications I took for stress or mental health problems were prescribed to me (2) |
2018AQ | | | Which of the following best describes your use of medications for substance use problems? | I have never taken medication for this reason (0) I used to take medication for this reason (1) I currently take medication for this reason (2) |
2018AQ | | | Which of the following best describes your use of psychotherapy/counseling for stress or mental health problems? | I have never been in psychotherapy/counseling for these reasons (0) I used to be in psychotherapy/counseling for at least one of these reasons (1) I am currently in psychotherapy/counseling for at least one of these reasons (2) |
2018AQ | | | Which of the following best describes your use of psychotherapy/counseling for substance use problems? | I have never been in psychotherapy/counseling for this reason (0) I used to be in psychotherapy/counseling for this reason (1) I am currently in psychotherapy/counseling for this reason (2) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Little interest or pleasure in doing things | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Feeling down, depressed, or hopeless | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Trouble falling or staying asleep, or sleeping too much | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Feeling tired or having little energy | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Poor appetite or overeating | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Feeling bad about yourself - or that you are a failure or have let yourself or your family down | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Trouble concentrating on things, such as reading the newspaper or watching television | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Thoughts that you would be better off dead or of hurting yourself in some way | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | PHQ9 | We at The PRIDE Study value the health and mental health of sexual and gender minority people like you. Suicide has taken too many of us. We sincerely urge you to get help, as we know that things can get better with help. Please consider reaching out for services in your area, and also consider calling 1-800-273-8255 (National Suicide Prevention Lifeline) or 1-888-843-4564 (LGBT National Hotline) to talk with someone. Go to the emergency room or call 911 if you are in crisis and don't know where to get help. The PRIDE Study team cares about you and the health of our community. | No Answers |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Feeling nervous, anxious or on edge | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Not being able to stop or control worrying | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Worrying too much about different things | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Trouble relaxing | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Being so restless that it is hard to sit still | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Becoming easily annoyed or irritable | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | Over the last 2 weeks, how often have you been bothered by the following problem: Feeling afraid as if something awful might happen | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2018AQ | | | In the past month, how much have you been bothered by the following problem: Repeated, disturbing memories, thoughts, or images of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2018AQ | | | In the past month, how much have you been bothered by the following problem: Feeling very upset when something reminded you of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2018AQ | | | In the past month, how much have you been bothered by the following problem: Avoided activities or situations because they reminded you of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2018AQ | | | In the past month, how much have you been bothered by the following problem: Feeling distant or cut off from other people? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2018AQ | | | In the past month, how much have you been bothered by the following problem: Feeling irritable or having angry outbursts? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2018AQ | | | In the past month, how much have you been bothered by the following problem: Having difficulty concentrating? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2018AQ | | | Sometimes things happen to people that are unusually or especially frightening, horrible, or traumatic. For example: a serious accident or fire, a physical or sexual assault or abuse, an earthquake or flood, a war, seeing someone be killed or seriously injured, having a loved one die through homicide or suicide.Have you ever experienced this kind of event? | Yes (1) No (0) |
2018AQ | | | How often do you have difficulty concentrating on what people say to you, even when they are speaking to you directly? | Never (1) Rarely (2) Sometimes (3) Often (4) Very Often (5) |
2018AQ | | | How often do you leave your seat in meetings or other situations in which you are expected to remain seated? | Never (1) Rarely (2) Sometimes (3) Often (4) Very Often (5) |
2018AQ | | | How often do you have difficulty unwinding and relaxing when you have time to yourself? | Never (1) Rarely (2) Sometimes (3) Often (4) Very Often (5) |
2018AQ | | | When you're in a conversation, how often do you find yourself finishing the sentences of the people you are talking to before they can finish them themselves? | Never (1) Rarely (2) Sometimes (3) Often (4) Very Often (5) |
2018AQ | | | How often do you put things off until the last minute? | Never (1) Rarely (2) Sometimes (3) Often (4) Very Often (5) |
2018AQ | | | How often do you depend on others to keep your life in order and attend to details? | Never (1) Rarely (2) Sometimes (3) Often (4) Very Often (5) |
2018AQ | | | When I want to feel more positive emotion (such as joy or amusement), I change what I'm thinking about. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2018AQ | | | I keep my emotions to myself. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2018AQ | | | When I want to feel less negative emotion (such as sadness or anger), I change what I'm thinking about. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2018AQ | | | When I am feeling positive emotions, I am careful not to express them. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2018AQ | | | When I'm faced with a stressful situation, I make myself think about it in a way that helps me stay calm. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2018AQ | | | I control my emotions by not expressing them. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2018AQ | | | When I want to feel more positive emotion, I change the way I'm thinking about the situation. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2018AQ | | | I control my emotions by changing the way I think about the situation I'm in. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2018AQ | | | When I am feeling negative emotions, I make sure not to express them. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2018AQ | | | When I want to feel less negative emotion, I change the way I'm thinking about the situation. | 1 Strongly Disagree (1) 2 (2) 3 (3) 4 Neutral (4) 5 (5) 6 (6) 7 Strongly Agree (7) |
2018AQ | | | I tend to bounce back quickly after hard times. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQ | | | I have a hard time making it through stressful events. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQ | | | It does not take me long to recover from a stressful event. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQ | | | It is hard for me to snap back when something bad happens. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQ | | | I usually come through difficult times with little trouble. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQ | | | I tend to take a long time to get over set-backs in my life. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQ | | | You will find a list of statements below. Please rate how true each statement is for you by selecting one option per question. | No Answers |
2018AQ | | | My painful experiences and memories make it difficult for me to live a life that I would value. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2018AQ | | | I'm afraid of my feelings. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2018AQ | | | I worry about not being able to control my worries and feelings. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2018AQ | | | My painful memories prevent me from having a fulfilling life. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2018AQ | | | Emotions cause problems in my life. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2018AQ | | | It seems like most people are handling their lives better than I am. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2018AQ | | | Worries get in the way of my success. | Never true (1) Very seldom true (2) Seldom true (3) Sometimes true (4) Frequently true (5) Almost always true (6) Always true (7) |
2018AQ | | | Have you ever purposefully physically harmed or injured yourself (for example, cutting or burning yourself)? | Yes (1) No (0) |
2018AQ | | SELFHARM | When was the last time you purposefully physically harmed or injured yourself? | More than 1 year ago (0) More than a month ago but less than a year ago (1) Within the past month (2) |
2018AQ | | | Have you ever thought about or attempted to kill yourself? | Never (0) It was just a brief passing thought. (1) I have had a plan at least once to kill myself but did not try to do it. (2) I have had a plan at least once to kill myself and really wanted to die. (3) I have attempted to kill myself, but did not want to die. (4) I have attempted to kill myself, and really hoped to die. (5) |
2018AQ | | SBQ1 | How often have you thought about killing yourself in the past year? | Never (0) Rarely (1 time) (1) Sometimes (2 times) (2) Often (3-4 times) (3) Very often (5 or more times) (4) |
2018AQ | | | Have you ever told someone that you were going to commit suicide, or that you might do it? | No. (0) Yes, at one time, but did not really want to die. (1) Yes, at one time, and really wanted to die. (2) Yes, more than once, but did not want to do it. (3) Yes, more than once, and really wanted to do it. (4) |
2018AQ | | SBQ1 | When was the last time you attempted to kill yourself? | Within the past year (2) 1-5 years ago (1) More than 5 years ago (0) |
2018AQ | | | How likely is it that you will attempt suicide someday? | Never (0) No chance at all (1) Rather unlikely (2) Unlikely (3) Likely (4) Rather likely (5) Very likely (6) |
2018AQ | | | We at The PRIDE Study value the health and mental health of sexual and gender minority people like you. Suicide has taken too many of us. We sincerely urge you to get help, as we know that things can get better with help. Please consider reaching out for services in your area, and also consider calling 1-800-273-8255 (National Suicide Prevention Lifeline) or 1-888-843-4564 (LGBT National Hotline) to talk with someone. Go to the emergency room or call 911 if you are in crisis and don't know where to get help. The PRIDE Study team cares about you and the health of our community. | No Answers |
2018AQ | | | Have you ever tried cigarette smoking, even one or two puffs? | Yes (1) No (0) |
2018AQ | | SMOKE_EVER | Have you smoked at least 100 cigarettes in your entire life? | Yes (1) No (0) |
2018AQ | | SMOKE_EVER | Do you now smoke cigarettes every day, some days, or not at all? | Every day (2) Some days (1) Not at all (0) |
2018AQ | | SMOKE_EVER | When was the last time you smoked a cigarette, even one or two puffs? | Within the past 24 hours (8) Within the past 7 days (7) Within the past 30 days (6) Within the past 3 months (5) Within the past 6 months (4) Within the past 1 year (3) Within the past 5 years (2) Within the past 15 years (1) More than 15 years ago (0) |
2018AQ | | SMOKE_NOW | On average, about how many cigarettes a day do you now smoke? | Text Entry (-) |
2018AQ | | SMOKE_NOW | How long after waking up do you smoke your first cigarette? | Within 5 minutes (3) 5-30 minutes (2) 31-60 minutes (1) After 60 minutes (0) |
2018AQ | | SMOKE_NOW | During the past 12 months, have you stopped smoking for 24 hours or more? (Do not count times when you weren't allowed to smoke, like if you were in a hospital or in jail.) | Yes (1) No (0) |
2018AQ | | SMOKE_NOW | In any previous quit attempts, which of the following methods/resources have you used to help you quit? (Check all that apply.) | Never tried to quit (0) Quit cold turkey (1) Gradually cut down (2) Stop smoking class/program for a fee (3) Stop smoking class/program (no fee) (4) Advice or counseling from a doctor, nurse, psychologist, or other health professional (5) Telephone hotline (6) Hypnosis (7) Acupuncture (8) Nicotine gum (9) Nicotine patch (10) Nicotine spray (11) Nicotine inhaler (12) Nicotine lozenge (13) Zyban, Wellbutrin, or bupropion for smoking cessation (14) Chantix or varenicline (15) E-cigarette (e.g., vaping, hookah pen) with nicotine (16) E-cigarette (e.g., vaping, hookah pen) without nicotine (17) Internet (please specify website) (18) Internet (please specify website) (TEXT) Other (please specify) (19) Other (please specify) (TEXT) |
2018AQ | | SMOKE_NOW | How interested are you in quitting smoking in the near future? | Not at all interested (0) Somewhat interested (1) Very interested (2) Extremely interested (3) |
2018AQ | | | In the past month, have you used any tobacco or nicotine products OTHER THAN cigarettes? (Check all that apply.) | Blunt (with another substance) (1) Blunt (without any other substance) (2) Bidi (3) Chewing tobacco (chew) (4) Other cigars with tobacco inside (e.g., cigarillos, little cigars, bidis) (5) Other cigars with another substance (e.g., cigarillos, little cigars, bidis) (6) Dip (7) E-cigarette or vape device with nicotine (8) Nicotine replacement products (e.g., patch, gum, lozenge) (9) Snuff (10) Snus (11) E-cigarette or vape device without nicotine (12) Other tobacco or nicotine containing product (please specify) (13) Other tobacco or nicotine containing product (please specify) (TEXT) No other tobacco product other than cigarettes (0) I dont use any tobacco- or nicotine-containing products (14) |
2018AQ | | | How long has it been since you last had 5 or more drinks containing alcohol on one occasion? | Within the past 30 days (3) More than 30 days ago but within the past 12 months (2) More than 12 months ago (1) Never had 5 or more drinks on one occasion (0) |
2018AQ | | ALC5 | In the past 30 days, on how many days have you had 5 or more drinks containing alcohol on one occasion? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (1) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | | How long has it been since you last had 4 or more drinks containing alcohol on one occasion? | Within the past 30 days (3) More than 30 days ago but within the past 12 months (2) More than 12 months ago (1) Never had 4 or more drinks on one occasion (0) |
2018AQ | | ALC4 | In the past 30 days, on how many days have you had 4 or more drinks containing alcohol on one occasion? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | | How often did you have a drink containing alcohol in the past year? | Never (0) Monthly or less (1) 2-4 times a month (2) 2-3 times a week (3) 4 or more times a week (4) |
2018AQ | | AUDIT1 | How many drinks containing alcohol did you have on a typical day when you were drinking in the past year? | 1 or 2 (0) 3 or 4 (1) 5 or 6 (2) 7 to 9 (3) 10 or more (4) |
2018AQ | | AUDIT1 | How often do you have six or more drinks on one occasion? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2018AQ | | AUDIT1 | How often during the last year have you found that you were not able to stop drinking once you had started? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2018AQ | | AUDIT1 | How often during the last year have you failed to do what was normally expected from you because of drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2018AQ | | AUDIT1 | How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2018AQ | | AUDIT1 | How often during the last year have you had a feeling of guilt or remorse after drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2018AQ | | AUDIT1 | How often during the last year have you been unable to remember what happened the night before because you had been drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2018AQ | | | Have you or someone else been injured as a result of your drinking? | No (0) Yes, but not in the last year (2) Yes, during the last year (4) |
2018AQ | | | Has a relative or friend or a doctor or another health worker been concerned about your drinking or suggested you cut down? | No (0) Yes, but not in the last year (2) Yes, during the last year (4) |
2018AQ | | | In your LIFETIME, which of the following substances have you ever used? (Check all that apply.) | Cannabis (marijuana, pot, grass, hash, etc.) (1) Cocaine (coke, crack, etc.) (2) Prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) (3) Methamphetamine (speed, crystal meth, tina, ice, etc.) (4) Inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers) (5) Inhaled nitrates (poppers) (6) Sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) (7) GHB (G, gamma-hydroxybutyric acid) (8) Hallucinogens (LSD, acid, mushrooms, PCP, ketamine, etc.) (9) Street opioids (heroin, opium, etc.) (10) Prescription opioids (fentanyl, oxycodone OxyContin, Percocet, hydrocodone Vicodin, methadone, buprenorphine, etc.) (11) MDMA (Ecstasy or Molly) (12) Other 1 (please list only 1 drug) (13) Other 1 (please list only 1 drug) (TEXT) Other 2 (please list only 1 drug) (14) Other 2 (please list only 1 drug) (TEXT) I have never used any substances (0) |
2018AQ | | DRUGS_LIFETIME | How long has it been since you last used cannabis (marijuana, pot, grass, hash, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2018AQ | | CAN_LASTUSE | In the past 30 days, on how many days have you used cannabis (marijuana, pot, grass, hash, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | CAN_LASTUSE | In the past three months, how often have you used cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | CAN_FREQ | Was any of your cannabis (marijuana, pot, grass, hash, etc.) use in the past three months recommended or prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2018AQ | | CAN_ANYMD | Was all of your cannabis (marijuana, pot, grass, hash, etc.) use in the past three months used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2018AQ | | CAN_FREQ | In the past 3 months, how often have you had a strong desire or urge to use cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | CAN_FREQ | During the past 3 months, how often has your use of cannabis (marijuana, pot, grass, hash, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | CAN_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of cannabis (marijuana, pot, grass, hash, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using cannabis (marijuana, pot, grass, hash, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | How long has it been since you last used cocaine (coke, crack, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2018AQ | | COKE_LASTUSE | In the past 30 days, on how many days have you used cocaine (coke, crack, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | COKE_LASTUSE | In the past three months, how often have you used cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | COKE_FREQ | In the past 3 months, how often have you had a strong desire or urge to use cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | COKE_FREQ | During the past 3 months, how often has your use of cocaine (coke, crack, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | COKE_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of cocaine (coke, crack, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using cocaine (coke, crack, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever used cocaine (coke, crack, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | How long has it been since you last used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2018AQ | | STIM_LASTUSE | In the past 30 days, on how many days have you used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | STIM_LASTUSE | In the past three months, how often have you used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | STIM_FREQ | Was any of your prescription stimulant (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2018AQ | | STIM_ANYMD | Was all of your prescription stimulant (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2018AQ | | STIM_FREQ | In the past 3 months, how often have you had a strong desire or urge to use prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | STIM_FREQ | During the past 3 months, how often has your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | STIM_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | How long has it been since you last used methamphetamine (speed, crystal meth, tina, ice, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2018AQ | | METH_LASTUSE | In the past 30 days, on how many days have you used methamphetamine (speed, crystal meth, tina, ice, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | METH_LASTUSE | In the past three months, how often have you used methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | METH_FREQ | In the past 3 months, how often have you had a strong desire or urge to use methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | METH_FREQ | During the past 3 months, how often has your use of methamphetamine (speed, crystal meth, tina, ice, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | METH_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of methamphetamine (speed, crystal meth, tina, ice, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using methamphetamine (speed, crystal meth, tina, ice, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever used methamphetamine (speed, crystal meth, tina, ice, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | How long has it been since you last used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2018AQ | | INHALE_LASTUSE | In the past 30 days, on how many days have you used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 () 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | INHALE_LASTUSE | In the past three months, how often have you used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | INHALE_FREQ | In the past 3 months, how often have you had a strong desire or urge to use inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | INHALE_FREQ | During the past 3 months, how often has your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | INHALE_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | How long has it been since you last used inhaled nitrates (poppers)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2018AQ | | POP_LASTUSE | In the past 30 days, on how many days have you used inhaled nitrates (poppers)? | 0 (0) 1 (1) 2 (3) 3 (3) 4 (4) 5 (5) 6 (7) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | POP_LASTUSE | In the past three months, how often have you used inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | POP_FREQ | In the past 3 months, how often have you had a strong desire or urge to use inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | POP_FREQ | During the past 3 months, how often has your use of inhaled nitrates (poppers) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | POP_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | POP_FREQ | During the past 3 months, during what activities have you used inhaled nitrates (poppers)? (Check all that apply.) | Sexual activity with yourself (for example, masturbation) (0) Sexual activity with another person (1) Dancing or clubbing (2) Other activities (3) |
2018AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever used inhaled nitrates (poppers) in the 24 hours after you took a medication intended to give people stronger erections (for example, Viagra, Cialis, or Levitra)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | | WARNING: Using inhaled nitrates (poppers) in combination with medications that help with sexual activity like Viagra, Cialis, or Levitra can kill you by causing a lethal drop in blood pressure with even one use. We are aware that this information may not be widely known among our communities. If you use inhaled nitrates (poppers) in combination with medications that help with sexual activity like Viagra, Cialis, or Levitra, please contact a health care provider to get more information right away. | No Answers |
2018AQ | | DRUGS_LIFETIME | How long has it been since you last used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2018AQ | | SED_LASTUSE | In the past 30 days, on how many days have you used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | 0 (0) 1 (2) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (2) 28 (28) 29 (29) 30 (30) |
2018AQ | | SED_LASTUSE | In the past three months, how often have you used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | SED_FREQ | Was any of your sedative or sleeping pill (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2018AQ | | SED_ANYMD | Was all of your sedative or sleeping pill (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2018AQ | | SED_FREQ | In the past 3 months, how often have you had a strong desire or urge to use sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | SED_FREQ | During the past 3 months, how often has your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | SED_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | How long has it been since you last used GHB (G, gamma-hydroxybutyric acid)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2018AQ | | GHB_LASTUSE | In the past 30 days, on how many days have you used GHB (G, gamma-hydroxybutyric acid)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (2) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | GHB_LASTUSE | In the past three months, how often have you used GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | GHB_FREQ | Was any of your GHB (G, gamma-hydroxybutyric acid) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2018AQ | | GHB_ANYMD | Was all of your GHB (G, gamma-hydroxybutyric acid) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2018AQ | | GHB_FREQ | In the past 3 months, how often have you had a strong desire or urge to use GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | GHB_FREQ | During the past 3 months, how often has your use of GHB (G, gamma-hydroxybutyric acid) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | GHB_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of GHB (G, gamma-hydroxybutyric acid)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using GHB (G, gamma-hydroxybutyric acid)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | How long has it been since you last used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2018AQ | | HALL_LASTUSE | In the past 30 days, on how many days have you used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (2) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | HALL_LASTUSE | In the past three months, how often have you used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | HALL_FREQ | Was any of your hallucinogen (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) use in the past three months prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2018AQ | | HALL_ANYMD | Was all of your hallucinogen (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) use in the past three months used exactly as prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2018AQ | | HALL_FREQ | In the past 3 months, how often have you had a strong desire or urge to use hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | HALL_FREQ | During the past 3 months, how often has your use of hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | HALL_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | How long has it been since you last used street opioids (heroin, opium, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2018AQ | | HEROIN_LASTUSE | In the past 30 days, on how many days have you used street opioids (heroin, opium, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | HEROIN_LASTUSE | In the past three months, how often have you used street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | HEROIN_FREQ | In the past 3 months, how often have you had a strong desire or urge to use street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | HEROIN_FREQ | During the past 3 months, how often has your use of street opioids (heroin, opium, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | HEROIN_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of street opioids (heroin, opium, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using street opioids (heroin, opium, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever used street opioids (heroin, opium, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | How long has it been since you last used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2018AQ | | NARC_LASTUSE | In the past 30 days, on how many days have you used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | NARC_LASTUSE | In the past three months, how often have you used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | NARC_FREQ | Was any of your prescription opioid (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2018AQ | | NARC_ANYMD | Was all of your prescription opioid (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2018AQ | | NARC_FREQ | In the past 3 months, how often have you had a strong desire or urge to use prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | NARC_FREQ | During the past 3 months, how often has your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | NARC_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | How long has it been since you last used MDMA (Molly or ecstasy)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2018AQ | | MDMA_LASTUSE | In the past 30 days, on how many days have you used MDMA (Molly or ecstasy)? | 0 (0) 1 (2) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (2) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | MDMA_LASTUSE | In the past three months, how often have you used MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | MDMA_FREQ | Was any of your MDMA (Molly or ecstasy) use in the past three months recommended or prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2018AQ | | MDMA_ANYMD | Was all of your MDMA (Molly or ecstasy) use in the past three months used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2018AQ | | MDMA_FREQ | In the past 3 months, how often have you had a strong desire or urge to use MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | MDMA_FREQ | During the past 3 months, how often has your use of MDMA (Molly or ecstasy) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | MDMA_FREQ | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of MDMA (Molly or ecstasy)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using MDMA (Molly or ecstasy)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever used MDMA (Molly or ecstasy) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | How long has it been since you last used ${q://QID136/ChoiceTextEntryValue/11}? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2018AQ | | OTDRUG1_LASTUSE | In the past 30 days, on how many days have you used ${q://QID136/ChoiceTextEntryValue/11}? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (290) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | OTDRUG1_LASTUSE DRUGS_LIFETIME | In the past three months, how often have you used ${q://QID136/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | OTDRUG1_FREQ DRUGS_LIFETIME | Was any of your ${q://QID136/ChoiceTextEntryValue/11} use in the past three months recommended or prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2018AQ | | OTDRUG1_ANYMD | Was all of your ${q://QID136/ChoiceTextEntryValue/11} use in the past three months used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2018AQ | | OTDRUG1_FREQ DRUGS_LIFETIME | In the past 3 months, how often have you had a strong desire or urge to use ${q://QID136/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | OTDRUG1_FREQ DRUGS_LIFETIME | During the past 3 months, how often has your use of ${q://QID136/ChoiceTextEntryValue/11} led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | OTDRUG1_FREQ DRUGS_LIFETIME | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of ${q://QID136/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of ${q://QID136/ChoiceTextEntryValue/11}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using ${q://QID136/ChoiceTextEntryValue/11}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever used ${q://QID136/ChoiceTextEntryValue/11} by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | How long has it been since you last used ${q://QID136/ChoiceTextEntryValue/12}? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2018AQ | | OTDRUG2_LASTUSE | In the past 30 days, on how many days have you used ${q://QID136/ChoiceTextEntryValue/12}? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2018AQ | | OTDRUG2_LASTUSE DRUGS_LIFETIME | In the past three months, how often have you used ${q://QID136/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | OTDRUG2_FREQ DRUGS_LIFETIME | Was any of your ${q://QID136/ChoiceTextEntryValue/12} use in the past three months recommended or prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2018AQ | | OTDRUG2_ANYMD | Was all of your ${q://QID136/ChoiceTextEntryValue/12} use in the past three months used exactly as prescribed or recommended by a doctor or other health care professional? | Yes (1) No (0) |
2018AQ | | OTDRUG2_FREQ DRUGS_LIFETIME | In the past 3 months, how often have you had a strong desire or urge to use ${q://QID136/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | OTDRUG2_FREQ DRUGS_LIFETIME | During the past 3 months, how often has your use of ${q://QID136/ChoiceTextEntryValue/12} led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | OTDRUG2_FREQ DRUGS_LIFETIME | During the past 3 months, how often have you failed to do what was normally expected of you because of your use of ${q://QID136/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2018AQ | | DRUGS_LIFETIME | Has a friend or relative or anyone else ever expressed concern about your use of ${q://QID136/ChoiceTextEntryValue/12}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever tried and failed to control, cut down or stop using ${q://QID136/ChoiceTextEntryValue/12}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | DRUGS_LIFETIME | Have you ever used ${q://QID136/ChoiceTextEntryValue/12} by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2018AQ | | | You have completed the Mental Health Block! This is one of 3 blocks! Thank you for the time and energy you have put into helping us understand LGBTQ people's diverse and vibrant lives as we work towards helping LGBTQ people thrive! Your answers are bringing us closer to health equity for LGBTQ people. Thank you! | No Answers |
2018AQ | | | Do you identify as a person with a disability? | Yes (1) No (2) |
2018AQ | | | What condition(s) or problem(s) are related to your disability identity? (Check all that apply.) | Arthritis/rheumatism (1) Back or neck problem (2) Benign tumors, cysts (3) Birth defect (4) Cancer (5) Circulation problems (including blood clots) (6) Depression/anxiety/emotional problem (7) Diabetes (8) Epilepsy, seizures (9) Fibromyalgia, lupus (10) Fracture, bone/joint injury (11) Hearing problem (12) Heart problem (13) Hernia (14) Hypertension/high blood pressure (15) Intellectual disability, also known as mental retardation (16) Kidney, bladder or renal problems (17) Knee problems (not arthritis, not joint injury) (18) Lung/breathing problem(for example, asthma and emphysema) (19) Memory (20) Migraine headaches (not just headaches) (21) Missing limbs (fingers, toes or digits), amputee (22) Multiple Sclerosis (MS), Muscular Dystrophy (MD) (23) Osteoporosis, tendinitis (24) Other developmental problem (for example cerebral palsy) (25) Other injury (26) Other nerve damage, including carpal tunnel syndrome (27) Parkinsons disease, other tremors (28) Polio(myelitis), paralysis, para/quadriplegia (29) Stroke problem (30) Thyroid problems, Graves disease, gout (31) Ulcer (32) Varicose veins, hemorrhoids (33) Vision/problem seeing (34) Weight problem (35) Other impairment/problem (please specify one) (36) Other impairment/problem (please specify one) (TEXT) Other impairment/problem (please specify one) (37) Other impairment/problem (please specify one) (TEXT) |
2018AQ | | | Are you deaf or do you have serious difficulty hearing? | Yes (1) No (0) |
2018AQ | | | Are you blind or do you have serious difficulty seeing, even when wearing glasses? | Yes (1) No (0) |
2018AQ | | | Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions? | Yes (1) No (0) |
2018AQ | | | Do you have serious difficulty walking or climbing stairs? | Yes (1) No (0) |
2018AQ | | | Do you have difficulty dressing or bathing? | Yes (1) No (0) |
2018AQ | | | Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor's office or shopping? | Yes (1) No (0) |
2018AQ | | | The next set of questions ask about employment. | No Answers |
2018AQ | | | Do you currently work one or more paid jobs? | Yes (1) No (0) |
2018AQ | | WORK | At how many paid jobs do you currently work? | 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) |
2018AQ | | | Which of the following describes your current occupation? (Check all that apply.) | Employed, working 40 or more hours per week (1) Employed, working 1-39 hours per week (2) Temporarily employed (3) Self-employed (4) Not employed, looking for work (5) Not employed, not looking for work (6) Homemaker (7) Student (Full time) (8) Student (Part time) (9) Disabled, not able to work (10) Retired (11) |
2018AQ | | | Which of the following describe(s) your current occupation(s)? (Check all that apply.) | Arts, Design, Entertainment, Sports, and Media Occupations (1) Architecture and Engineering Occupations (2) Building and Grounds Cleaning and Maintenance Occupations (3) Business and Financial Operations Occupations (4) Community and Social Service Occupations (5) Computer and Mathematical Occupations (6) Construction and Extraction Occupations (7) Education, Training, and Library Occupations (8) Farming, Fishing, and Forestry Occupations (9) Food Preparation and Serving Related Occupations (10) Healthcare Practitioners and Technical Occupations (11) Healthcare Support Occupations (12) Installation, Maintenance, and Repair Occupations (13) Legal Occupations (14) Life, Physical, and Social Science Occupations (15) Management Occupations (16) Office and Administrative Support Occupations (17) Personal Care and Service Occupations (18) Production Occupations (19) Protective Service Occupations (20) Sales and Related Occupations (21) Transportation and Materials Moving Occupations (22) Other (please specify) (23) Other (please specify) (TEXT) |
2018AQ | | | What is your job(s)? (Please be as specific as possible.) | Text Entry (-) |
2018AQ | | WORK | In a typical week, how many hours do you work at your paid job(s)? | 1-10 (0) 11-20 (1) 21-30 (2) 31-40 (3) 41-50 (4) 51-60 (5) 61 (6) |
2018AQ | | | IN THE LAST 12 MONTHS, have you been unable to work due to a disability? | Yes (1) No (2) |
2018AQ | | | IN THE LAST 12 MONTHS, have you received Supplemental Security Income (SSI) or other government disability assistance related to a disability status? | Yes (1) No (0) |
2018AQ | | | What were your individual earnings (in US Dollars) before taxes and deductions from ALL sources (including jobs, businesses, welfare, child support, disability, social security, etc.) in the 2017 tax year? | 0 (0) 1 - 10,000 (1) 10,000 - 20,000 (2) 20,000 - 30,000 (3) 30,000 - 40,000 (4) 40,000 - 50,000 (5) 50,000 - 60,000 (6) 60,000 - 70,000 (7) 70,000 - 80,000 (8) 80,000 - 90,000 (9) 90,000 - 100,000 (10) 100,000 (11) |
2018AQ | | | What is your best estimate (in US dollars) of your household earnings before taxes and deductions from ALL sources (including jobs, businesses, welfare, child support, disability, social security, etc.) in the 2017 tax year? | 0 (0) 1 - 10,000 (1) 10,000 - 20,000 (2) 20,000 - 30,000 (3) 30,000 - 40,000 (4) 40,000 - 50,000 (5) 50,000 - 60,000 (6) 60,000 - 70,000 (7) 70,000 - 80,000 (8) 80,000 - 90,000 (9) 90,000 - 100,000 (10) 100,000 (11) |
2018AQ | | | How many individuals are dependent upon the household income you just described? Please enter 1 for yourself. | Text Entry (-) |
2018AQ | | | What is your current total student loan debt (in US dollars), if any? | 0 (I have no student loans.) (0) 1 - 50,000 (1) 50,000 - 100,000 (2) 100,000 - 150,000 (3) 150,000 - 200,000 (4) 200,000-250,000 (6) 250,000-300,000 (7) 300,000-350,000 (8) 350,000 (9) |
2018AQ | | | What is your highest education level completed? | No schooling (1) Nursery school to high school, no diploma (2) High school graduate or equivalent (e.g., GED) (3) Trade/Technical/Vocational training (4) Some college (5) 2-year college degree (6) 4-year college degree (7) Masters degree (8) Doctoral degree (9) Professional degree (e.g., M.D., J.D., M.B.A.) (10) |
2018AQ | | | Have you EVER been held in jail, prison, or juvenile detention? | Yes (1) No (0) |
2018AQ | | INCAR_EVER | In the PAST YEAR, at any time, were you held in jail, prison, or juvenile detention? | Yes (1) No (0) |
2018AQ | | | Have you ever spent any nights sleeping in a shelter or public space including buildings, cars, stairwells, streets, parks, or other outside areas? Please do not include recreational camping. | Yes (1) No (0) |
2018AQ | | HMLS_EV | In the past year, have you spent any nights sleeping in a shelter or public place including buildings, cars, stairwells, streets, parks, or other outside areas? Please do not include recreational camping. | Yes (1) No (0) |
2018AQ | | HMLS_YR | Approximately how many nights in the past year have you spent sleeping in a shelter or public place including buildings, cars, stairwells, streets, parks, or other outside areas? Please do not include recreational camping. | Text Entry (-) |
2018AQ | | | Have you ever spent any nights living temporarily doubled up with others, where you were in a transitional or transitory setting, or you had no fixed address? | Yes (1) No (0) |
2018AQ | | UNSTB_EV | In the past year, have you spent any nights living temporarily doubled up with others, where you were in a transitional or transitory setting, or you had no fixed address? | Yes (1) No (0) |
2018AQ | | UNSTB_YR | Approximately how many nights in the past year have you been living temporarily doubled up with others, where you were in a transitional or transitory setting, or you had no fixed address? | Text Entry (-) |
2018AQ | | | What are your current living arrangements? | Living in house/apartment/condo I own alone or with others (with a mortgage or that you own free and clear) (1) Living in house/apartment/condo I rent alone or with others (2) Living with a partner, spouse, or other person who pays for the housing (3) Living with parents or family I grew up with (4) Living in campus/university housing (5) Living in military barracks (6) Living in a foster group home or other foster care (7) Living in a nursing home or other adult care facility (8) Living in a hospital (9) Living in a hotel or motel that I pay for myself (10) Living in a hotel or motel with an emergency shelter voucher (11) Living temporarily with friends or family because I cannot afford my own housing (12) Living in transitional housing/halfway house (13) Living on the street, in a car, in an abandoned building, in a park, or a place that is NOT a house, apartment, shelter, or other housing (14) Living in a homeless shelter (15) Living in a domestic violence shelter (16) Living in a shelter that is not a homeless shelter or domestic violence shelter (17) A living arrangement not listed above (please describe) (18) A living arrangement not listed above (please describe) (TEXT) |
2018AQ | | | How many people, including yourself, live in your household who are 18 years of age or older? | Text Entry (-) |
2018AQ | | | How many people live in your household who are younger than 18 years of age? | Text Entry (-) |
2018AQ | | | Are you a parent? | Yes (1) No (2) |
2018AQ | | | To how many people are you/have you been a parent?This includes people who are now adults, are deceased, or are not biologically related to you. | Text Entry (-) |
2018AQ | | | We are going to ask you a question about the different people that you parent/have parented. To help you remember which person we are asking a question about, please type in the person's first name, initials, or nickname. We will use these names in the following questions. | Text Entry (-) |
2018AQ | | | Please indicate how you became a parent to ${q://QID1188/ChoiceTextEntryValue/1}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens naturally in pregnancy if you did not undergo in-vitro fertilization) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2018AQ | | | Please indicate how you became a parent to ${q://QID1188/ChoiceTextEntryValue/2}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens naturally in pregnancy if you did not undergo in-vitro fertilization) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2018AQ | | | Please indicate how you became a parent to ${q://QID1188/ChoiceTextEntryValue/3}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens naturally in pregnancy if you did not undergo in-vitro fertilization) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2018AQ | | | Please indicate how you became a parent to ${q://QID1188/ChoiceTextEntryValue/4}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens naturally in pregnancy if you did not undergo in-vitro fertilization) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2018AQ | | | Please indicate how you became a parent to ${q://QID1188/ChoiceTextEntryValue/5}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens naturally in pregnancy if you did not undergo in-vitro fertilization) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2018AQ | | | Please indicate how you became a parent to ${q://QID1188/ChoiceTextEntryValue/6}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens naturally in pregnancy if you did not undergo in-vitro fertilization) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2018AQ | | | Please indicate how you became a parent to ${q://QID1188/ChoiceTextEntryValue/7}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens naturally in pregnancy if you did not undergo in-vitro fertilization) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2018AQ | | | Please indicate how you became a parent to ${q://QID1188/ChoiceTextEntryValue/8}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens naturally in pregnancy if you did not undergo in-vitro fertilization) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2018AQ | | | Please indicate how you became a parent to ${q://QID1188/ChoiceTextEntryValue/9}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens naturally in pregnancy if you did not undergo in-vitro fertilization) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2018AQ | | | Please indicate how you became a parent to ${q://QID1188/ChoiceTextEntryValue/10}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens naturally in pregnancy if you did not undergo in-vitro fertilization) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2018AQ | | | Please indicate how you became a parent to ${q://QID1188/ChoiceTextEntryValue/11}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens naturally in pregnancy if you did not undergo in-vitro fertilization) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2018AQ | | | Please indicate how you became a parent to ${q://QID1188/ChoiceTextEntryValue/12}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens naturally in pregnancy if you did not undergo in-vitro fertilization) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2018AQ | | | Please indicate how you became a parent to ${q://QID1188/ChoiceTextEntryValue/13}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens naturally in pregnancy if you did not undergo in-vitro fertilization) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2018AQ | | | Please indicate how you became a parent to ${q://QID1188/ChoiceTextEntryValue/14}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens naturally in pregnancy if you did not undergo in-vitro fertilization) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2018AQ | | | Now we will ask about sources of emotional and social support. Please respond to each item that follows by selecting one option. | No Answers |
2018AQ | | | I have someone who will listen to me when I need to talk. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2018AQ | | | I have someone to confide in or talk to about myself or my problems. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2018AQ | | | I have someone who makes me feel appreciated. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2018AQ | | | I have someone to talk with when I have a bad day. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2018AQ | | | Has a mental health professional or health care provider EVER told you that you have Autism Spectrum Disorder or Asperger's Syndrome? | Yes (1) No (0) I dont know (88) |
2018AQ | | ASD | At what age were you first told by a mental health professional or health care provider that you have Autism Spectrum Disorder or Asperger's Syndrome? If you are not sure, please provide your best guess. | Text Entry (-) |
2018AQ | | | Do you identify as "neurodivergent" or with any associated term that people sometimes use within the neurodiversity movement (aspie, autistic, etc.)? | Yes (1) No (0) |
2018AQ | | | Are you currently in a relationship? | Yes (1) No (0) |
2018AQ | | RELATIONSHIP | Which of the following best describes your current romantic relationship(s)? | I am in a romantic relationship with one person (0) I am in a romantic relationship with two or more people (polyamorous) (1) Other (please specify) (2) Other (please specify) (TEXT) |
2018AQ | | | How many people are you currently in a romantic relationship with? | 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 or more (6) |
2018AQ | | RELATIONSHIP | Please select the gender(s) of your romantic partner(s). (Check all that apply.) | Cisgender man (identifies as a man and was assigned male sex at birth) (1) Cisgender woman (identifies as a woman and was assigned female sex at birth) (2) Transgender man (identifies as a man and was assigned female sex at birth (3) Transgender woman (identifies as a woman and was assigned male sex at birth) (4) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned female sex at birth (5) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned male sex at birth (6) Person of another gender(s) (please specify) (7) Person of another gender(s) (please specify) (TEXT) I dont know (88) Decline to state (0) |
2018AQ | | RELATIONSHIP | In general, how satisfied are you with your current romantic relationship(s)? | Very dissatisfied (0) Dissatisfied (1) Neutral (2) Satisfied (3) Very satisfied (4) |
2018AQ | | RELATIONSHIP | Which of the following scenarios best describes the current agreement that you have with your romantic partner(s)? | We cannot have any sex with an outside partner (0) We can have sex with outside partners but with some restrictions (1) We can have sex with outside partners without any restrictions (2) We do not have an agreement (3) I have different agreements with different partners (4) |
2018AQ | | | Do you live with your partner(s)? | Yes, I live with 1 partner (0) Yes, I live with 2 or more partners (1) No, I do not live with a partner (2) Something else (please specify) (4) Something else (please specify) (TEXT) |
2018AQ | | | What is your current legal marital status? | Married (1) Legally recognized civil union (2) Registered domestic partnership (3) Widowed (4) Divorced (5) Separated (6) Single, never married (7) |
2018AQ | | | What gender do YOU currently live as in your day-to-day life? | Man (1) Woman (2) Sometimes man, sometimes woman (3) Third gender or something other than man or woman (4) |
2018AQ | | | Have you EVER experienced harassment or name calling from strangers in public? | Yes (1) No (0) |
2018AQ | | EVHARASS | Was any of this harassment or name calling from strangers in public due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | EVHARASS | In the PAST YEAR, have you experienced harassment or name calling from strangers in public? | Yes (1) No (0) |
2018AQ | | YRHARASS | Was any of this harassment or name calling that occurred in the PAST YEAR due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | | Have you EVER been physically attacked or deliberately injured? | Yes (1) No (0) |
2018AQ | | EVATTACK | Were any of these physical attacks or injuries due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | EVATTACK | In the PAST YEAR, have you been physically attacked or deliberately injured? | Yes (1) No (0) |
2018AQ | | YRATTACK | Were any of these physical attacks or injuries that occurred in the PAST YEAR due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | | Have you EVER experienced physical violence from a romantic partner? | Yes (1) No (0) |
2018AQ | | EVDV | Was any of this physical violence from a romantic partner due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | EVDV | In the PAST YEAR, have you experienced physical violence from a romantic partner? | Yes (1) No (0) |
2018AQ | | YRDV | Was any of this physical violence from a romantic partner that occurred in the PAST YEAR due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | | Have you EVER been treated unfairly at work or when applying/interviewing for a job? | Yes (1) No (0) |
2018AQ | | EVJOBDISC | Was any of this unfair treatment in employment due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | EVJOBDISC | In the PAST YEAR, have you been treated unfairly at work or when applying/interviewing for a job? | Yes (1) No (0) |
2018AQ | | YRJOBDISC | Was any of this unfair treatment at work or while applying for jobs in the PAST YEAR due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | | Have you EVER been treated unfairly while trying to rent an apartment or buy a home, or been unfairly evicted from your residence? | Yes (1) No (0) |
2018AQ | | EVHOUSDISC | Was any of this unfair treatment in housing/eviction due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | EVHOUSDISC | In the PAST YEAR, have you been treated unfairly while trying to rent an apartment or buy a home, or been unfairly evicted from your residence? | Yes (1) No (0) |
2018AQ | | YRHOUSDISC | Was any of this unfair treatment in housing/eviction in the PAST YEAR due to your … (Check all that apply.) | Ability/disability (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | | Have you EVER received poorer service than other people in restaurants, stores, other businesses or agencies? | Yes (1) No (0) |
2018AQ | | EVSERVDISC | Was any of the poorer service due to your… (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | EVSERVDISC | In the PAST YEAR, have you received poorer service than other people in restaurants, stores, other businesses or agencies? | Yes (1) No (0) |
2018AQ | | YRSERVDISC | Was any of this poorer service in the PAST YEAR due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | | Have you EVER been treated unfairly while you were a student at school or in another educational setting? | Yes (1) No (0) |
2018AQ | | EVSCHDISC | Was any of this unfair treatment in educational settings due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | EVSCHDISC | In the PAST YEAR, have you been treated unfairly while you were a student at school or in another educational setting? | Yes (1) No (0) |
2018AQ | | YRSCHDISC | Was any of this unfair treatment in educational settings in the PAST YEAR due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | | Have you EVER been denied or given lower quality medical care? | Yes (1) No (0) |
2018AQ | | EVMED | Was any of this discrimination in a medical setting due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | EVMED | In the PAST YEAR, have you been denied or given lower quality medical care? | Yes (1) No (0) |
2018AQ | | YRMED | Was any of this discrimination in a medical setting in the PAST YEAR due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | | Was there a time in the PAST YEAR when you needed to see a health care provider but did not because you thought you would be disrespected or mistreated? | Yes (1) No (2) |
2018AQ | | ANTMEDDISC | When you put off seeing a health care provider because you thought you were going to be disrespected or mistreated, were you concerned you would be disrespected or mistreated because of your... (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | | Have you EVER been denied or given lower quality mental health care? | Yes (1) No (0) |
2018AQ | | EVMENTAL | Was any of this discrimination in a mental health setting due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | EVMENTAL | In the PAST YEAR, have you been denied or given lower quality mental health care? | Yes (1) No (0) |
2018AQ | | YRMENTAL | Was any of this discrimination in a mental health setting in the PAST YEAR due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | | Have you EVER experienced unfair treatment or harassment from the police or another law enforcement officer? | Yes (1) No (0) |
2018AQ | | EVPOLICE | Was any of this unfair treatment or harassment from a law enforcement officer due to … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | EVPOLICE | In the PAST YEAR, have you experienced unfair treatment or harassment from the police or another law enforcement officer? | Yes (1) No (0) |
2018AQ | | YRPOLICE | Was any of this unfair treatment or harassment from a law enforcement officer in the PAST YEAR due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | | Have you EVER experienced unwanted sexual contact? | Yes (1) No (0) |
2018AQ | | EVSA | Was any of this unwanted sexual contact due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (8) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | EVSA | How old were you when this unwanted sexual contact occurred? (Check all that apply.) | Child (0-12 years) (1) Adolescent (12-17 years) (2) Adult (18 years) (3) |
2018AQ | | EVSA | In the PAST YEAR, have you experienced unwanted sexual contact? | Yes (1) No (0) |
2018AQ | | YRSA | Was any of this unwanted sexual contact that occurred in the PAST YEAR due to your … (Check all that apply.) | Ability/disability status (6) Age (5) Body size, weight, or shape (9) Gender expression (3) Gender identity (2) Race and/or ethnicity (4) Sexual orientation (1) Something else (please specify) (7) Something else (please specify) (TEXT) None of the above (0) |
2018AQ | | EVSA | We realize that recalling past experiences with sexual violence can be difficult. If you'd like to talk with someone about these experiences, please consider reaching out to the National Sexual Assault Hotline (800-656-4673), operated by Rape, Abuse, & Incest National Network (RAINN; rainn.org). | No Answers |
2018AQ | | | How welcomed and accepted do you feel in LGBTQ spaces (including community groups, social clubs, bars, etc.)? | Unaccepted/unwelcomed in all of these spaces (1) Unaccepted/unwelcomed in most of these spaces (but accepted/welcomed in at least one) (2) Accepted/welcomed in about half of these spaces (3) Accepted/welcomed in most, but not all, of these spaces (4) Accepted/welcomed in all of these spaces (5) |
2018AQ | | WELCOME | You mentioned feeling unaccepted/unwelcomed in some or all LGBTQ spaces. People sometimes feel that these spaces are not welcoming towards them due to various aspects of their identities. Please select aspects of your identity that feel unwelcome in these spaces. (Check all that apply.) | My ability/disability status (1) My age (2) My body size, weight, or shape (3) My gender expression (4) My gender identity (5) The language I speak or sign (6) My participation in BDSM, kink, or other sexual activities (7) My political views (8) My race and/or ethnicity (9) My sexual orientation (10) My skin color (11) My spiritual/religious affiliation (12) Another reason (please specify) (13) Another reason (please specify) (TEXT) None of the above (0) |
2018AQ | | | Overall, how safe do you feel LGBTQ spaces are for you? | Very unsafe (4) Somewhat unsafe (3) Neither safe nor unsafe (2) Mostly safe (1) Completely safe (0) |
2018AQ | | | Is there at least one LGBTQ space (e.g., social club, group, bar, etc.) in which you feel safe? | Yes (1) No (0) |
2018AQ | | | We are asking the following question in the 2018 Annual Questionnaire so we can better customize this questionnaire for you.We have three available versions available:o A version for people who identify as a gender minority (e.g., genderqueer, non-binary, questioning one's gender identity, transgender, etc.) that will ask about gender identity/expression.o A version for people who identify as a sexual minority (e.g., asexual, bisexual, gay, lesbian, queer, questioning one's sexual orientation, etc.) that will ask about sexual orientation.o A version or people who identify as both a gender and sexual minority that will ask about gender identity/expression and sexual orientation.Please choose the option that you think is best for you. | No Answers |
2018AQ | | | I would like to complete a survey designed for: | Gender minority people (for example: genderqueer, non-binary, questioning ones gender identity, transgender, etc.) (0) Sexual minority people (for example: asexual, bisexual, gay, lesbian, queer, questioning ones sexual orientation, etc.) (1) People who identify as both a sexual AND gender minority (2) |
2018AQ | | | To what extent do you think about your identity as a gender minority (for example: genderqueer, non-binary, questioning one's gender identity, transgender) person? (Choose one.) | Almost never (0) Several times a year (1) Once a month (2) Once a week (3) A few times a week (4) Once a day (5) Many times a day (6) |
2018AQ | | | To what extent do you think about your identity as a sexual minority (for example: asexual, bisexual, gay, lesbian, queer, questioning one's sexual orientation) person? (Choose one.) | Almost never (0) Several times a year (1) Once a month (2) Once a week (3) A few times a week (4) Once a day (6) Many times a day (6) |
2018AQ | | CYOA | The next questions are about your views about communities that you have lived in. | No Answers |
2018AQ | | CYOA | Overall, how accepting of sexual minority (for example: asexual, bisexual, gay, lesbian, queer, etc.) people was the community in which you were raised? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
2018AQ | | CYOA | Overall, how accepting of sexual minority people is the community in which you currently live? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
2018AQ | | CYOA | Overall, how safe for sexual minority people was the community in which you were raised? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
2018AQ | | CYOA | Overall, how safe for sexual minority people is the community in which you currently live? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
2018AQ | | CYOA | Overall, how accepting of gender minority (for example: genderqueer, non-binary, transgender, etc.) people was the community in which you were raised? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
2018AQ | | CYOA | Overall, how accepting of gender minority people is the community in which you currently live? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
2018AQ | | CYOA | Overall, how safe for gender minority people was the community in which you were raised? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
2018AQ | | CYOA | Overall, how safe for gender minority people is the community in which you currently live? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
2018AQ | | CYOA | I wish I weren't gay/lesbian/bisexual/sexual minority. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2018AQ | | CYOA | I have tried to stop being attracted to people of the same gender in general. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) Not applicable because I am not attracted to people of my gender (11) |
2018AQ | | CYOA | If someone offered me the chance to be completely heterosexual, I would accept the chance. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2018AQ | | CYOA ORIENTATION | If someone offered me the chance to be completely gay/lesbian, I would accept the chance. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2018AQ | | CYOA | I feel that being gay/lesbian/bisexual/sexual minority is a personal shortcoming for me. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2018AQ | | CYOA | I would like to get professional help in order to change my sexual orientation from gay/lesbian/bisexual/sexual minority to heterosexual. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2018AQ | | CYOA | I am proud of my sexual orientation. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2018AQ | | CYOA | I think my life is better because of my sexual orientation. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2018AQ | | CYOA | We are excited to know about people's positive experiences in relation to their sexual orientation! Please tell us what you most like about being or are most proud of being gay/lesbian/bisexual/or a sexual minority. | Text Entry (-) |
2018AQ | | CYOA | I wish I weren't genderqueer, transgender, or gender minority. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2018AQ | | CYOA | In general, I have tried to stop identifying with a gender that differs from my assigned sex at birth. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2018AQ | | CYOA | If someone offered me the chance to have a gender that conformed with my sex assigned at birth, I would accept the chance. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2018AQ | | CYOA | I feel that being genderqueer, transgender, or gender minority is a personal shortcoming for me. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2018AQ | | CYOA | I would like to get professional help in order to have a gender that conformed with my sex assigned at birth. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2018AQ | | CYOA | I am proud of my gender. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2018AQ | | CYOA | I think my life is better because I am genderqueer, transgender, or gender minority. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2018AQ | | CYOA | We are excited to know about people's positive experiences in relation to their gender identity! Please tell us what you are most proud about being genderqueer/transgender/gender non-binary/or a gender minority. | Text Entry (-) |
2018AQ | | | Have you ever been in therapy or been part of a program or group intended to change your sexual orientation to heterosexual/straight? | Yes (1) No (0) |
2018AQ | | | Who provided the therapy, program, or group intended to change your sexual orientation to heterosexual/straight? (Check all that apply.) | A licensed mental health provider (1) A religious group or leader (2) Someone or something else (please specify) (3) Someone or something else (please specify) (TEXT) |
2018AQ | | | How old were you when you FIRST were in therapy or part of a program or group intended to change your sexual orientation to heterosexual/straight? | Text Entry (-) |
2018AQ | | | How old were you when you LAST were in therapy or part of a program or group intended to change your sexual orientation to heterosexual/straight? | Text Entry (-) |
2018AQ | | | Have you ever been in therapy or been part of a program or group intended to change your gender or gender identity to be consistent with your sex assigned at birth? | Yes (1) No (0) |
2018AQ | | | Who provided the therapy, program, or group intended to change your gender or gender identity to be consistent with your sex assigned at birth? (Check all that apply.) | A licensed mental health provider (1) A religious group or leader (2) Someone or something else (please specify) (3) Someone or something else (please specify) (TEXT) |
2018AQ | | | How old were you when you FIRST were in therapy or part of a program or group intended to change your gender or gender identity to be consistent with your sex assigned at birth? | Text Entry (-) |
2018AQ | | | How old were you when you LAST were in therapy or part of a program or group intended to change your gender or gender identity to be consistent with your sex assigned at birth? | Text Entry (-) |
2018AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself straight, gay, etc.)? Members of your immediate family (for example, parents and siblings) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2018AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself straight, gay, etc.)? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2018AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself straight, gay, etc.)? People you socialize with (for example, friends and acquaintances) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2018AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself straight, gay, etc.)? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2018AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself straight, gay, etc.)?Strangers (for example, someone you have a casual conversation with in line at the store) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2018AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself straight, gay, etc.)? Your health care providers | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2018AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Members of your immediate family (for example, parents and siblings) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2018AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2018AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? People you socialize with (for example, friends and acquaintances) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2018AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2018AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2018AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Your health care providers | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2018AQ | | | For people in your life who do not know you, what sexual orientation do they USUALLY think you are? (Choose one.) | Asexual (1) Bisexual (2) Gay (3) Heterosexual or Straight (4) Lesbian (5) Queer (6) Another sexual orientation (7) They cannot tell (8) It varies (9) I dont know what they think (88) |
2018AQ | | CYOA | What percent of the people in this group do you think are aware of your gender identity (meaning they are aware of your gender or gender expression)? Members of your immediate family (for example, parents and siblings) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2018AQ | | CYOA | What percent of the people in this group do you think are aware of your gender identity (meaning they are aware of your gender or gender expression)? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2018AQ | | CYOA | What percent of the people in this group do you think are aware of your gender identity (meaning they are aware of your gender or gender expression)? People you socialize with (for example, friends and acquaintances) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2018AQ | | CYOA | What percent of the people in this group do you think are aware of your gender identity (meaning they are aware of your gender or gender expression)? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2018AQ | | CYOA | What percent of the people in this group do you think are aware of your gender identity (meaning they are aware of your gender or gender expression)? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2018AQ | | CYOA | What percent of the people in this group do you think are aware of your gender identity (meaning they are aware of your gender or gender expression)? Your health care providers | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2018AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Members of your immediate family (for example, parents and siblings) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2018AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2018AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? People you socialize with (for example, friends and acquaintances) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2018AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2018AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2018AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Your health care providers | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2018AQ | | | For people in your life who do not know you, what gender do they USUALLY think you are? (Choose one.) | Man (1) Woman (2) Transgender Man (3) Transgender Woman (4) Non-binary/Genderqueer (5) They cannot tell (6) It varies (7) I dont know what they think (88) |
2018AQ | | | What is your felt gender? | Man or primarily masculine (1) Woman or primarily feminine (2) Both man/masculine and woman/feminine (3) Neither man/masculine nor woman/feminine (4) I dont know (88) |
2018AQ | | | You have completed the Social Health block! This is one of 3 blocks! Phew! We know this survey is long and we thank you for the time and energy you have put into helping us advance our collective understanding of LGBTQ Health. Your answers are bringing us one step closer to LGBTQ health equity! | No Answers |
2018AQ | | | Acid reflux (heartburn) | No Answers |
2018AQ | | | Anemia | No Answers |
2018AQ | | | Angina pectoris (angina) | No Answers |
2018AQ | | | Anxiety | No Answers |
2018AQ | | | Asthma | No Answers |
2018AQ | | | Atrial fibrillation (Afib) | No Answers |
2018AQ | | | Benign prostatic hypertrophy (BPH, enlarged prostate) | No Answers |
2018AQ | | | Bipolar disorder | No Answers |
2018AQ | | | Cancer | No Answers |
2018AQ | | | Cataracts | No Answers |
2018AQ | | | Chronic kidney disease | No Answers |
2018AQ | | | Chronic obstructive pulmonary disease (COPD) | No Answers |
2018AQ | | | Coagulation (bleeding or clotting) problem | No Answers |
2018AQ | | | Congestive heart failure (CHF) | No Answers |
2018AQ | | | Coronary artery disease | No Answers |
2018AQ | | | Depression | No Answers |
2018AQ | | | Diabetes mellitus (diabetes, sugar diabetes) | No Answers |
2018AQ | | | Diabetes mellitus (borderline) | No Answers |
2018AQ | | | Erectile dysfunction | No Answers |
2018AQ | | | Glaucoma | No Answers |
2018AQ | | | Heart attack | No Answers |
2018AQ | | | Heart murmur | No Answers |
2018AQ | | | High cholesterol | No Answers |
2018AQ | | | HIV | No Answers |
2018AQ | | | Hypertension (high blood pressure) | No Answers |
2018AQ | | | Inflammatory bowel disease (Crohn's disease, ulcerative colitis) | No Answers |
2018AQ | | | Irritable bowel syndrome (IBS) | No Answers |
2018AQ | | | Kidney stone (nephrolithiasis) | No Answers |
2018AQ | | | Liver disease | No Answers |
2018AQ | | | Lupus (systemic lupus erhthematous, SLE) | No Answers |
2018AQ | | | Menopause | No Answers |
2018AQ | | | Migraine headache | No Answers |
2018AQ | | | Obstructive sleep apnea (OSA) | No Answers |
2018AQ | | | Peripheral vascular disease (PVD) | No Answers |
2018AQ | | | Psoriasis | No Answers |
2018AQ | | | Pulmonary embolism (PE) | No Answers |
2018AQ | | | Seizure disorder (epilepsy) | No Answers |
2018AQ | | | Stroke (cerebrovascular accident, CVA) | No Answers |
2018AQ | | | Thyroid problem (hyperthyroidism, hypothyroidism) | No Answers |
2018AQ | | | Ulcer (stomach/peptic, duodenal) | No Answers |
2018AQ | | | Uterine fibroids | No Answers |
2018AQ | | | Is the list of medical conditions above correct? | Yes (1) No (0) |
2018AQ | | | Has a doctor or health care provider ever told you that you have the following conditions? (Check all that apply.)Although this list of conditions may seem to repeat what you may have filled out as part of "My Health," we want to make sure everything is as up-to-date as possible. | Acid reflux (heartburn) (1) Anemia (2) Angina pectoris (angina) (3) Anxiety (4) Asthma (5) Atrial fibrillation (Afib) (6) Benign prostatic hypertrophy (BPH, enlarged prostate) (7) Bipolar disorder (8) Cancer (9) Cataracts (10) Chronic kidney disease (11) Chronic obstructive pulmonary disease (COPD) (12) None of these (0) |
2018AQ | | MEDHX1 | With what type(s) of cancer have you been diagnosed? (Check all that apply.) | Anal (1) Breast (2) Colon (3) Kidney (4) Lung (5) Leukemia/Lymphoma (6) Ovary (7) Pancreas (8) Prostate (9) Skin (melanoma) (10) Skin (non-melanoma) (11) Uterus (13) Other (please specify) (12) Other (please specify) (TEXT) |
2018AQ | | CA_TYPE | In what year were you diagnosed with anal cancer? | Text Entry (-) |
2018AQ | | CA_TYPE | In what year were you diagnosed with breast cancer? | Text Entry (-) |
2018AQ | | CA_TYPE | In what year were you diagnosed with colon cancer? | Text Entry (-) |
2018AQ | | CA_TYPE | In what year were you diagnosed with kidney cancer? | Text Entry (-) |
2018AQ | | CA_TYPE | In what year were you diagnosed with lung cancer? | Text Entry (-) |
2018AQ | | CA_TYPE | In what year were you diagnosed with leukemia/lymphoma? | Text Entry (-) |
2018AQ | | CA_TYPE | In what year were you diagnosed with ovarian cancer? | Text Entry (-) |
2018AQ | | CA_TYPE | In what year were you diagnosed with pancreatic cancer? | Text Entry (-) |
2018AQ | | CA_TYPE | In what year were you diagnosed with prostate cancer? | Text Entry (-) |
2018AQ | | CA_TYPE | In what year were you diagnosed with melanoma? | Text Entry (-) |
2018AQ | | CA_TYPE | In what year were you diagnosed with non-melanoma skin cancer? | Text Entry (-) |
2018AQ | | CA_TYPE | In what year were you diagnosed with cancer of the uterus? | Text Entry (-) |
2018AQ | | CA_TYPE | In what year were you diagnosed with ${q://QID1250/ChoiceTextEntryValue/12} cancer? | Text Entry (-) |
2018AQ | | | How about any of these? Has a doctor or other health care provider ever told you that you have the following conditions? (Check all that apply.) | Coagulation (bleeding or clotting) problem (1) Congestive heart failure (CHF) (2) Coronary artery disease (3) Depression (4) Diabetes mellitus (diabetes, sugar diabetes) (5) Diabetes (borderline) (6) Erectile dysfunction (7) Glaucoma (8) Heart attack (9) Heart murmur (10) High cholesterol (11) HIV (12) None of these (0) |
2018AQ | | MEDHX2 | In what year were you diagnosed with HIV? | Text Entry (-) |
2018AQ | | | Here's the last set! Has a doctor or other health care provider ever told you that you have the following conditions? (Check all that apply.) | Hypertension (high blood pressure) (1) Inflammatory bowel disease (Crohns disease, ulcerative colitis) (2) Irritable bowel syndrome (IBS) (3) Kidney stone (nephrolithiasis) (4) Liver disease (5) Lupus (systemic lupus erythematous, SLE) (6) Menopause (7) Migraine headache (8) Obstructive sleep apnea (OSA) (9) Peripheral vascular disease (PVD) (10) Polycystic ovarian syndrome (PCOS) (11) Psoriasis (12) Pulmonary embolism (PE) (13) Seizure disorder (epilepsy) (14) Stroke (cerebrovascular accident, CVA) (15) Thyroid problem (hyperthyroidism, hypothyroidism) (16) Ulcer (stomach/peptic, duodenal) (17) Uterine fibroids (18) None of these (0) |
2018AQ | | | Please list up to five additional medical conditions that a doctor or other health care provider told you that you have. (One condition per line.) If no additional conditions, please click next. | Text Entry (-) |
2018AQ | | | Do you have any of the following symptoms? (Check all that apply.) | Arthritis (joint pain) (1) Bleeding between your periods (2) Chronic low back pain (back pain lasting more than 3 months) (3) Irregular, painful, or heavy menstrual periods (4) Pelvic pain lasting more than 6 months (pain between the belly button and pubic bone) (5) Urinary incontinence (leaking of urine) (6) None of these (0) |
2018AQ | | | Coronary stent placement | No Answers |
2018AQ | | | Coronary artery bypass graft (CABG, bypass surgery) | No Answers |
2018AQ | | | Heart valve replacement | No Answers |
2018AQ | | | Pacemaker implantation | No Answers |
2018AQ | | | Implantable cardiac defibrillator (ICD) implantation | No Answers |
2018AQ | | | Bone marrow transplant | No Answers |
2018AQ | | | Heart transplant | No Answers |
2018AQ | | | Lung transplant | No Answers |
2018AQ | | | Liver transplant | No Answers |
2018AQ | | | Pancreas transplant | No Answers |
2018AQ | | | Kidney transplant | No Answers |
2018AQ | | | Small intestine transplant | No Answers |
2018AQ | | | Gallbladder removal (cholecystectomy) | No Answers |
2018AQ | | | Appendix removal (appendectomy) | No Answers |
2018AQ | | | C section (cesarean section) | No Answers |
2018AQ | | | Uterus removal with cervix retained (supracervical hysterectomy) | No Answers |
2018AQ | | | Uterus removal with cervix removed (total hysterectomy) | No Answers |
2018AQ | | | Ovary removal (oophorectomy) | No Answers |
2018AQ | | | Is this list of general surgeries and procedures correct?(We will ask about gender-affirming or transition-related surgeries and procedures later.) | Yes (1) No (0) |
2018AQ | | | Have you ever had the following surgeries or procedures? (Check all that apply.) (Gender-affirming or transition-related surgeries and procedures are asked about later.)Although this list of procedures may seem to repeat what you may have entered in "My Health," getting the most up-to-date information will make sure that we can customize the survey for you. | Coronary stent placement (1) Coronary artery bypass graft (CABG, bypass surgery) (2) Heart valve replacement (3) Pacemaker implantation (4) Implantable cardiac defibrillator (ICD) implantation (5) Bone marrow transplant (6) Organ transplant (7) Gallbladder removal (cholecystectomy) (8) Appendix removal (appendectomy) (9) C section (cesarean section) (10) Uterus removal with cervix retained (supracervical hysterectomy) (11) Uterus removal with cervix removed (total hysterectomy) (12) Ovary removal (oophorectomy) (13) None of these (18) |
2018AQ | | | Which organ(s) have you received through a transplant? (Check all that apply.) | Heart (1) Lung (2) Liver (3) Pancreas (4) Kidney (5) Small intestine (6) Other (please specify) (7) Other (please specify) (TEXT) |
2018AQ | | | Please list up to five additional general surgeries/procedures that you had (not including gender-affirming or transition-related surgeries or procedures, which we ask about later). Please write in one surgery/procedure per line. If no additional surgeries/procedures, please click next. | Text Entry (-) |
2018AQ | | | Have you EVER used hormones or medications for the purposes of gender affirmation (also called gender transition)? | Yes (1) No (0) I dont know (88) |
2018AQ | | | Which hormones or medications for the purposes of gender affirmation (also called gender transition) have you EVER taken? (Check all that apply.) | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histarelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium or Provera) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) Another hormone/medication not listed here (please specify) (17) Another hormone/medication not listed here (please specify) (TEXT) I have (also) taken some other hormone(s)/medication(s), but I am not sure what it is called. (18) None of the above (19) |
2018AQ | | | Of the hormones or medications for the purposes of gender affirmation (also called gender transition) that you ever took, please indicate the hormones or medications that you are CURRENTLY taking. (Check all that apply.) | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histarelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium or Provera) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) q://QID1289/ChoiceTextEntryValueቭ (17) I am not currently taking any hormones for gender affirmation (18) |
2018AQ | | | Please tell us when you STARTED taking cyproterone acetate (sometimes called: CPA or Cyprostat) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking cyproterone acetate (sometimes called: CPA or Cyprostat) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking cyproterone acetate (sometimes called CPA or Cyprostat), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking dutasteride (sometimes called: Avodart) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking dutasteride (sometimes called: Avodart) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking dutasteride (sometimes called: Avodart), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking depo leuprolide or leuprolide acetate (sometimes called: Lupron) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking depo leuprolide or leuprolide acetate (sometimes called: Lupron) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking depo leuprolide or leuprolide acetate (sometimes called: Lupron), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking depo (injection) provera (sometimes called: “Depo” or medroxyprogesterone acetate) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking depo (injection) provera (sometimes called: "Depo" or medroxyprogesterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking depo (Injection) provera (sometimes called: “Depo” or medroxyprogesterone acetate), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking estrogen (any type in any formulation such as: gel, injection, patch, pill) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking estrogen (any type in any formulation such as: gel, injection, patch, pill) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking estrogen (any type in any formulation such as: gel, injection, patch, pill), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking estradiol valerate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking estradiol valerate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking estradiol valerate (a specific type of estrogen), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking estradiol cypionate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking estradiol cypionate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking estradiol cypionate (a specific type of estrogen), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking finasteride (sometimes called: Proscar or Propecia) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking finasteride (sometimes called: Proscar or Propecia) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking finasteride (sometimes called: Proscar or Propecia), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking histarelin acetate (sometimes called: Vantas or Supprelin) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking histarelin acetate (sometimes called: Vantas or Supprelin) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking histarelin acetate (sometimes called: Vantas or Supprelin), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking progesterone (sometimes called: progestagen or progestins) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking progesterone (sometimes called: progestagen or progestins) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking progesterone (sometimes called: progestagen or progestins), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking micronized progesterone (sometimes called: Prometrium or Provera) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking micronized progesterone (sometimes called: Prometrium or Provera) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking micronized progesterone (sometimes called: Prometrium or Provera), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking spironolactone (sometimes called: "Spiro" or Aldactone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking spironolactone (sometimes called: "Spiro" or Aldactone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking spironolactone (sometimes called: “Spiro” or Aldactone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking testosterone (any type in any formulation such as: gel, injection, patch) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking testosterone (any type in any formulation such as: gel, injection, patch) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking testosterone (any type in any formulation such as: gel, injection, patch), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking testosterone cypionate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking testosterone cypionate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking testosterone cypionate (a specific type of testosterone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking testosterone enanthate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking testosterone enanthate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking testosterone enanthate (a specific type of testosterone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking testosterone undecanoate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking testosterone undecanoate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking testosterone undecanoate (a specific type of testosterone), please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Please tell us when you STARTED taking ${q://QID1289/ChoiceTextEntryValue/17} for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Please tell us when you STOPPED taking ${q://QID1289/ChoiceTextEntryValue/17} for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | No Answers |
2018AQ | | | Because you indicated that you are no longer taking ${q://QID1289/ChoiceTextEntryValue/17}, please tell us why you are no longer taking it. (Check all that apply.) | I no longer needed the hormones/medications. (1) I had achieved the desired effect I wanted from the hormones/medications. (2) I didnt like the effects of the hormones/medications. (3) I had health or medical complications as a result of the hormones/medications. (4) I was unable to access them (e.g., unable to get a prescription). (5) I was unable to afford them. (6) Another reason(s) (please specify) (7) Another reason(s) (please specify) (TEXT) |
2018AQ | | | Brow lift | No Answers |
2018AQ | | | Chin augmentation (genioplasty) | No Answers |
2018AQ | | | Forehead reconstruction/contouring | No Answers |
2018AQ | | | Jaw bone revision (mandible contouring) | No Answers |
2018AQ | | | Lip lift | No Answers |
2018AQ | | | Nose reconstruction (rhinoplasty) | No Answers |
2018AQ | | | Scalp advancement | No Answers |
2018AQ | | | Tracheal shave (reduction thyrochondroplasty) | No Answers |
2018AQ | | | Vocal cord/voice surgery | No Answers |
2018AQ | | | Breast augmentation | No Answers |
2018AQ | | | Breast/chest reduction (total reduction mammoplasty) | No Answers |
2018AQ | | | Top surgery/chest reconstruction/mastectomy (scars under the chest) | No Answers |
2018AQ | | | Top surgery/chest reconstruction/mastectomy (keyhole, through the areola) | No Answers |
2018AQ | | | Ovary removal (oophorectomy) | No Answers |
2018AQ | | | Fallopian tube removal (salpingectomy) | No Answers |
2018AQ | | | Uterus removal with cervix retained (supracervical hysterectomy) | No Answers |
2018AQ | | | Uterus removal with cervix removed (total hysterectomy) | No Answers |
2018AQ | | | Removal of vaginal tissue (vaginectomy) | No Answers |
2018AQ | | | Phallo/creation of a new penis (phalloplasty) | No Answers |
2018AQ | | | Penile implant insertion | No Answers |
2018AQ | | | Creation of new scrotum (scrotoplasty) | No Answers |
2018AQ | | | Testicular implant insertion | No Answers |
2018AQ | | | Removal of the testes (orchiectomy) | No Answers |
2018AQ | | | Creation of new labia without creation of new vagina (labioplasty) | No Answers |
2018AQ | | | Creation of a new vagina using colon graft (vaginoplasty, colon graft) | No Answers |
2018AQ | | | Creation of a new vagina using penile tissue (vaginoplasty, penile inversion) | No Answers |
2018AQ | | | Fat grafting (e.g., face, hips, buttocks, breasts/chest) | No Answers |
2018AQ | | | Soft tissue filler injection (e.g., silicone) | No Answers |
2018AQ | | | Is this list of gender-affirming or transition-related surgeries or procedures correct? | Yes (1) No (0) |
2018AQ | | | Have you had any gender-affirming or transition-related surgeries or procedures?Although this question and the ones that follow about procedures may seem to repeat what you may have entered in "My Health," getting the most up-to-date information will make sure that we can customize the survey for you. | Yes (1) No (2) |
2018AQ | | GAS_AQ | Have you had any of the following gender-affirming or transition-related surgeries or procedures that involve your head or neck? (Check all that apply.) | Brow lift (1) Chin augmentation (genioplasty) (2) Forehead reconstruction/contouring (3) Jaw bone revision (mandible contouring) (4) Lip lift (5) Nose reconstruction (rhinoplasty) (6) Scalp advancement (7) Tracheal shave (reduction thyrochondroplasty) (8) Vocal cord/voice surgery (9) None of these (10) |
2018AQ | | GAS_AQ | Have you had any of the following gender-affirming or transition-related surgeries or procedures that involve your chest? (Check all that apply.) | Breast augmentation (1) Breast/chest reduction (total reduction mammoplasty) (2) Top surgery/chest reconstruction/mastectomy (scars under the chest) (3) Top surgery/chest reconstruction/mastectomy (keyhole, through the areola) (4) None of these (5) |
2018AQ | | GAS_AQ | Have you had any of the following gender-affirming or transition-related surgeries or procedures that involve abdomen or pelvis? (Check all that apply.) | Ovary removal (oophorectomy) (1) Fallopian tube removal (salpingectomy) (2) Uterus removal with cervix retained (supracervical hysterectomy) (3) Uterus removal with cervix removed (total hysterectomy) (4) Removal of vaginal tissue (vaginectomy) (5) Meta/meto or clitoral release (metoidioplasty) (6) Phallo/creation of a new penis (phalloplasty) (7) Penile implant insertion (8) Creation of new scrotum (scrotoplasty) (9) Testicular implant insertion (10) Removal of the testes (orchiectomy) (11) Creation of new labia without creation of new vagina (labioplasty) (12) Creation of a new vagina using colon graft (vaginoplasty, colon graft) (13) Creation of a new vagina using penile tissue (vaginoplasty, penile inversion) (14) None of these (15) |
2018AQ | | GAS_AQ | Last set! Have you had any of the following gender-affirming or transition-related surgeries or procedures? (Check all that apply.) | Electrolysis (long-term hair removal) (1) Fat grafting (e.g., face, hips, buttocks, breasts/chest) (2) Soft tissue filler injection (e.g., silicone) (3) None of these (4) |
2018AQ | | GAS_PORTAL_CORRECT | Please list up to five additional gender-affirming surgeries/procedures that you had. (One surgery/procedure per line.) If no additional surgeries/procedures, please click next. | Text Entry (-) |
2018AQ | | | In general, would you say your health is... | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2018AQ | | | In general, would you say your quality of life is... | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2018AQ | | | In general, how would you rate your physical health? | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2018AQ | | | In general, how would you rate your mental health, including your mood and your ability to think? | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2018AQ | | | In general, how would you rate your satisfaction with your social activities and relationships? | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2018AQ | | | In general, please rate how well you carry out your usual social activities and roles. (This includes activities at home, at work and in your community, and responsibilities as a parent, child, spouse, employee, friend, etc.) | Excellent (5) Very good (4) Good (3) Fair (2) Poor (1) |
2018AQ | | | To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair? | Completely (5) Mostly (4) Moderately (3) A little (2) Not at all (1) |
2018AQ | | | In the PAST 7 DAYS, how often have you been bothered by emotional problems, such as feeling anxious, depressed or irritable? | Never (5) Rarely (4) Sometimes (3) Often (2) Always (1) |
2018AQ | | | In the PAST 7 DAYS, how would you rate your fatigue on average? | None (5) Mild (4) Moderate (3) Severe (2) Very severe (1) |
2018AQ | | | In the PAST 7 DAYS, how would you rate your pain on average? | 0 No pain (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Worst imaginable pain (10) |
2018AQ | | | Physical Activity | No Answers |
2018AQ | | | How many days per week do you do VIGOROUS leisure-time physical activities for AT LEAST 10 MINUTES that cause HEAVY sweating or LARGE increases in breathing or heart rate? Examples include aerobics, tennis, bicycling up hills, and running. | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2018AQ | | VIG_DAYS | About how long (in minutes) do you do these vigorous leisure-time physical activities each time? | Text Entry (-) |
2018AQ | | | How many days per week do you do LIGHT OR MODERATE leisure-time physical activities for AT LEAST 10 MINUTES that cause ONLY LIGHT sweating or a SLIGHT to MODERATE increase in breathing or heart rate? Examples include walking, golf, moving boxes, and gardening. | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2018AQ | | MOD_DAYS | About how long (in minutes) do you do these light or moderate leisure-time physical activities each time? | Text Entry (-) |
2018AQ | | | How many days per week do you do leisure-time physical activities specifically designed to STRENGTHEN your muscles such as lifting weights or doing calisthenics? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2018AQ | | | Have you EVER used the following drugs/supplements for the purpose of enhancing appearance or performance? (Check all that apply.) | Anabolic Steroids (1) Protein supplements (such as whey protein, protein shakes, protein bars) (2) Creatine supplements (including creatine monohydrate, creatine ethyl ester, and others) (3) Synthetic muscle enhancers (such as testosterone replacement therapy, clenbuterol, human growth hormone) (4) Diuretics/water pills (such as furosemide (Lasix), hydrochlorothiazide, spironolactone, and others) (5) I have never used these drugs or supplements. (0) |
2018AQ | | | I use/have used anabolic steroids primarily for: | Performance (including athletic performance) (1) Appearance (2) Both performance and appearance (3) Neither performance or appearance (4) |
2018AQ | | | IN THE PAST 12 MONTHS, I have used anabolic steroids for approximately: | Not used in the last 12 months (0) 1-2 months (1) 3-4 months (2) 5-6 months (3) 7-8 months (4) 9-10 months (5) 11-12 months (6) |
2018AQ | | | Healthcare Access | No Answers |
2018AQ | | | Is there a place that you USUALLY go to when you are sick or need advice about your health? | Yes (1) There is NO place (2) There is MORE THAN ONE place (3) I dont know (88) |
2018AQ | | PLACESICK | What kind of place do you go to MOST often – a clinic, doctor's office, emergency room, or some other place? | Clinic or health center (1) Doctors office or HMO (2) Hospital emergency room (3) Hospital outpatient department (4) Some other place (5) I dont go to one place most often (6) I dont know (88) |
2018AQ | | PLACESICK | Is that the same place you USUALLY go when you need routine or preventive care, such as a physical examination or check up? | Yes (1) No (0) I dont know (88) |
2018AQ | | PLACEROUTINE | What kind of place do you USUALLY go to when you need routine or preventive care, such as a physical examination or check-up? | I dont get routine or preventative care anywhere (0) Clinic or health center (1) Doctors office or HMO (2) Hospital emergency room (3) Hospital outpatient department (4) Some other place (5) I dont go to one place most often (6) I dont know (88) |
2018AQ | | | DURING THE PAST 12 MONTHS, did you have any trouble finding a general doctor or health care provider who would see you? | Yes (1) No (0) I havent tried to see a doctor or health care provider in the past 12 months. (2) I dont know (88) |
2018AQ | | | DURING THE PAST 12 MONTHS, have you seen or talked to any of the following health care providers about your own health? (Check all that apply.) | A mental health professional such as a psychiatrist, psychologist, psychiatric nurse, or clinical social worker (1) An optometrist, ophthalmologist, or eye doctor (someone who prescribes eye glasses) (2) A foot doctor (a podiatrist) (3) A chiropractor (4) A physical therapist, speech therapist, respiratory therapist, audiologist, or occupational therapist (5) A nurse practitioner, physician assistant, or midwife (6) A doctor who specializes in womens health (an obstetrician/gynecologist) (7) A medical doctor who specializes in a particular medical disease or problem (other than obstetrician/gynecologist, psychiatrist, or ophthalmologist) (8) A general doctor who treats a variety of illnesses (a doctor in general practice, family medicine, or internal medicine) (9) I have not seen or talked to any of these providers. (0) |
2018AQ | | | In the PAST 12 MONTHS, have you seen any of the following specialists? (Check all that apply.) | I did not see any specialists (0) Addiction medicine specialist (1) Allergist or immunologist (allergy doctor) (2) Cardiologist (heart doctor) (3) Dermatologist (skin doctor) (4) Endocrinologist (hormone doctor) (5) Gastroenterologist (digestive doctor) (6) Hematologist (blood doctor) (7) Hepatologist (liver doctor) (8) Infectious disease specialist (9) Oncologist (cancer doctor) (10) Nephrologist (kidney doctor) (11) Neurologist (brain and nerve doctor) (12) Neurosurgeon (brain and spine surgeon) (13) Gynecologist (reproductive and genital/urinary doctor) (14) Ophthalmologist (eye doctor) (15) Orthopedist (bone and joint doctor) (16) Otorhinolaryngologist (ear, nose, and throat doctor) (17) Pain management specialist (18) Plastic surgeon (repair, reconstruction, and physical replacement surgeon) (19) Podiatrist (foot doctor) (20) Psychiatric nurse practitioner (21) Psychiatrist (mental health doctor) (22) Psychologist, psychotherapist, or other mental health counselor (23) Pulmonologist (lung doctor) (24) Rheumatologist (joint and inflammation doctor) (25) Sleep specialist (26) Speech/language therapist (27) Urologist (genital/urinary health doctor) (28) Someone not listed here (please specify) (29) Someone not listed here (please specify) (TEXT) I did not see any specialists (0) |
2018AQ | | | A primary care provider is a health care provider who takes care of your overall general health and may coordinate your care with other medical specialists. Do you have a primary care provider (PCP)? | Yes (1) No (0) I dont know (88) |
2018AQ | | | Have you seen your primary care provider in the past 12 months? | Yes (1) No (0) I dont know (88) |
2018AQ | | | In the PAST 12 MONTHS, have you gone to a doctor, health care provider, or clinic for transgender-related health care (such as hormone treatment)? | Yes (1) No (0) I dont know (88) |
2018AQ | | TRANS_DOC | Does the person or place who provides your transgender-related health care also take care of your overall general health? | Yes (1) No (0) I dont know (88) |
2018AQ | | | In the PAST 12 MONTHS, have you visited a doctor, health care provider, or clinic that focuses on sexual or reproductive health (such as sexually transmitted infections, PrEP, birth control, abortion, etc.)? | Yes (1) No (0) I dont know (88) |
2018AQ | | SEX_DOC | Does the person or place who provides your sexual or reproductive health care also take care of your overall general health? | Yes (1) No (0) I dont know (88) |
2018AQ | | | In the PAST 12 MONTHS, was there any time when you did NOT have ANY health insurance or coverage? In other words, were you uninsured for any time during the previous 12 months? | Yes (1) No (0) I dont know (88) |
2018AQ | | UNINSUR | In the PAST 12 MONTHS, about how many months were you without coverage? | Less than one month (0) 1 month (1) 2 months (2) 3 months (3) 4 months (4) 5 months (5) 6 months (6) 7 months (7) 8 months (8) 9 months (9) 10 months (10) 11 months (11) 12 months (12) |
2018AQ | | | Are you CURRENTLY covered by any health insurance or health coverage plan? | Yes (1) No (0) I dont know (88) |
2018AQ | | INSURANCE | Are you CURRENTLY covered by any of the following types of health insurance or health coverage plans? (If you have more than one insurance/coverage plans, please select your primary insurance/coverage plan.) | Insurance through my current or former employer or union (1) Insurance through someone elses current or former employer or union (2) Insurance purchased through HealthCare.gov or another health insurance marketplace (sometimes called Obamacare or the Affordable Care Act) (3) Insurance purchased directly from an insurance company (4) Medicare (for people 65 and older or people with certain disabilities) (5) Medicaid (government-assistance plan for those with low incomes or a disability) (6) TRICARE or other military health care (7) Veterans Affairs (VA) (8) Indian Health Service (9) Other (10) Other (TEXT) |
2018AQ | | | In regard to your current health insurance or health care coverage, how does it compare to a year ago? Is it better, worse, or about the same? | Better (2) Worse (0) About the same (1) I dont know (88) |
2018AQ | | | In the last 12 months, were you DELAYED in getting medical care, tests, or treatments that you or a health care provider believed necessary? | Yes (1) No (0) |
2018AQ | | DELAYCARE | Which of these reasons describes why you were DELAYED in getting medical care, tests, or treatments you or a health care provider believed necessary? (Check all that apply.) | I couldnt afford care (0) My insurance company wouldnt approve, cover, or pay for care (1) Health care provider refused to accept the insurance plan (2) Problems getting to health care providers office (3) The health care provider could not schedule me in a timely fashion (13) I speak a different language (4) I couldnt get time off work or school (5) I dont know where to go to get care (6) I was refused services (7) I thought I would be mistreated or disrespected on the basis of my sexual orientation (11) I thought I would be mistreated or disrespected on the basis of my gender identity (12) I couldnt get child care (8) I didnt have time or took too long (9) Other (please specify) (10) Other (please specify) (TEXT) |
2018AQ | | | In the last 12 months, were you UNABLE to obtain medical care, tests, or treatments that you or a health care provider believed necessary? | Yes (1) No (0) |
2018AQ | | NOCARE | Which of these best describes the main reason you were UNABLE to get medical care, tests, or treatments you or a health care provider believed necessary? | I couldnt afford care (0) My insurance company wouldnt approve, cover, or pay for care (1) Doctor refused to accept the insurance plan (2) Problems getting to doctors office (3) The health care provider could not schedule me in a timely fashion (13) I speak a different language (4) I couldnt get time off work or school (5) I dont know where to go to get care (6) I was refused services (7) I thought I would be mistreated or disrespected on the basis of my sexual orientation (11) I thought I would be mistreated or disrespected on the basis of my gender identity (12) I couldnt get child care (8) I didnt have time or took too long (9) Other (please specify) (10) Other (please specify) (TEXT) |
2018AQ | | | To understand your health and customize this survey for you, we need to know what organs you were born with. Note: People may have a wide range of language or terms for their physical anatomy. Some people are not comfortable with the term ‘vagina' and may prefer the term ‘front hole.' The PRIDE Study chooses to include both the terms ‘vagina' and ‘front hole' for all relevant questions to honor the preferences and comfort of our participants. Later you will have an opportunity to tell us more about language you prefer that we use.Which of the following organs were you born with? (Check all that apply.) | Cervix (you likely have this if you have a uterus or womb) (1) Ovaries (2) Penis/Phallus (this is a part of your body, not a dildo) (3) Prostate (you likely have this if you were assigned male sex at birth) (4) Testicles (5) Uterus/Womb (6) Vagina/Frontal genital opening/Front hole (7) |
2018AQ | | | Have you ever had breasts or breast tissue? | Yes (1) No (0) I dont know (88) |
2018AQ | | | Which of the following organs do you have now? (Check all that apply.) | Breasts or breast tissue (1) Cervix (you likely have this if you have a uterus or womb) (2) Ovaries (3) Penis/Phallus (this is a part of your body, not a dildo) (4) Prostate (you likely have this if you were assigned male sex at birth) (5) Testicles (6) Uterus/Womb (7) Vagina/Frontal genital opening/Front hole (8) |
2018AQ | | | The PRIDE Study is exploring new ways to ask about body parts as we recognize that the names we provided above may not apply to everyone. Do you feel that the way we asked about body parts and organs works for you? | Yes (1) No (0) |
2018AQ | | | Please indicate which word(s) you use for the following body part(s). | Text Entry (-) |
2018AQ | | | Cancer Screening | No Answers |
2018AQ | | ORGANS_BORN | Have you EVER had a Pap smear or Pap test? (A Pap smear or Pap test is a routine test in which a health care provider places an instrument inside the vagina or front hole, examines the cervix, and takes a few cells from the cervix with a small stick or brush to look for abnormal or cancer cells.) | Yes (1) No (0) I dont know (88) |
2018AQ | | PAP_EVER | How long has it been since your last Pap smear or Pap test? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) Over 5 years ago (4) I dont know (88) |
2018AQ | | PAP_LAST ORGANS_NOW | What is the most important reason you have NOT had a Pap test in the LAST 5 YEARS? | I do not have a reason or I never thought about it (0) I did not know I needed this type of test (1) My health care provider told me I did not need it (2) I was told I could stop screening or I am over the age of 65 (12) I have not had any problems (3) I put it off or I did not get around to it (4) It was too expensive or I have no insurance (5) It was too painful, unpleasant, or embarrassing (6) I do not have a cervix or I have had a hysterectomy (7) I do not have a provider (8) I had an HPV vaccine (9) I dont know (10) |
2018AQ | | PAP_EVER | What is the most important reason you have NEVER had a Pap test? | I do not have a reason or I never thought about it (0) I did not know I needed this type of test (1) My health care provider told me I did not need it (2) I have not had any problems (3) I put it off or I did not get around to it (4) It was too expensive or I have no insurance (5) It was too painful, unpleasant, or embarrassing (6) I do not have a cervix or I have had a hysterectomy (7) I do not have a provider (8) I had an HPV vaccine (9) I am under the age of 21 (10) I dont know (11) |
2018AQ | | PAP_LAST | Have you had a Pap smear or Pap test in the LAST 3 YEARS where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2018AQ | | ORGANS_NOW | Have you ever heard of HPV? HPV stands for human papillomavirus. Some types of HPV increase risk for cervical or anal cancer while others do not. | Yes (1) No (0) I dont know (88) |
2018AQ | | HPV_HEARD | An HPV test is sometimes added to the Pap test for cervical cancer screening. Did you have an HPV test with your most recent Pap? | Yes (1) No (0) I dont know (88) |
2018AQ | | HPV_HEARD | Have you had a cervical HPV test in the LAST 3 YEARS where the results were NOT normal? | Yes (1) No (0) I dont know (88) |
2018AQ | | ORGANS_BREASTS | Have you EVER HAD a mammogram? A mammogram is when breast tissue is squeezed between two firm surfaces to obtain X-rays/pictures of the breast tissue. | Yes (1) No (0) I dont know (88) |
2018AQ | | MAMMO_EVER | How long has it been since your last mammogram? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) Over 5 years ago (4) I dont know (88) |
2018AQ | | MAMMO_EVER | How many mammograms have you had in the LAST 6 YEARS? | Text Entry (-) |
2018AQ | | MAMMO_6YR | Have you had a mammogram in the LAST 6 YEARS where the results were NOT normal? | Yes (1) No (2) I dont know (88) |
2018AQ | | ORGANS_BORN | Have you EVER HAD a PSA test? A PSA test is a blood test to detect prostate cancer. It is also called a prostate-specific antigen test. | Yes (1) No (0) I dont know (88) |
2018AQ | | PSA_EVER | How long has it been since your last PSA test? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) Over 5 years ago (4) I dont know (88) |
2018AQ | | PSA_EVER | Who first suggested the PSA test? | I did (0) My health care provider did (1) Someone else (2) I dont know (88) |
2018AQ | | PSA_EVER | How many PSA tests have you had in the LAST 5 years? | Text Entry (-) |
2018AQ | | PSA_EVER | Did a doctor or health care provider EVER talk with you about the advantages of the PSA test? | Yes (1) No (0) I dont know (88) |
2018AQ | | | IN THE LAST YEAR, have you had a digital anal rectal examination performed by a doctor or health care provider? This is when the doctor or health care provider inserts their finger into your anus (butt). | Yes (1) No (0) I dont know (88) |
2018AQ | | | Have you EVER had any of the following tests as an evaluation for anal or rectal cancer? (Check all that apply.) | Digital anal rectal exam (an examination with a health care providers finger) (1) Anal HPV test (a routine test with a swab that tests for human papillomavirus, HPV) (2) Anal Pap smear (a routine test in which a health care provider takes a few cells from the anus using a swab to look for abnormal or cancer cells) (3) High-Resolution Anoscopy (HRA) (an exam with a microscope of the rectum and anus) (4) I dont know (5) None of these (6) |
2018AQ | | ANORECTCA_SCREEN | Was your digital anal/rectal examination test ever abnormal? | Yes (1) No (0) I dont know (88) |
2018AQ | | ANORECTCA_SCREEN | Was your anal HPV test ever abnormal? | Yes (1) No (0) I dont know (88) |
2018AQ | | ANORECTCA_SCREEN | Was your anal Pap smear ever abnormal? | Yes (1) No (0) I dont know (88) |
2018AQ | | ANORECTCA_SCREEN | Was your high-resolution anoscopy (HRA) ever abnormal? | Yes (1) No (0) I dont know (88) |
2018AQ | | | Have you and your doctor or other health care provider ever DISCUSSED getting a test to check for colon or rectal cancer? | Yes (1) No (0) I dont know (88) |
2018AQ | | | Colon or rectal cancer tests include blood stool tests, colonoscopy, and sigmoidoscopy. A blood stool test or occult blood test, also known as the fecal immunochemical (FIT) test, determines whether you have blood in your stool or bowel movement. These tests can be done at home using a kit. You use a stick or brush to obtain a small amount of stool at home and send it back to the doctor or lab. A sigmoidoscopy and colonoscopy are exams in which a tube is inserted in the rectum to view the colon for signs of cancer or other health problems. For a sigmoidoscopy, the doctor checks only part of the colon and you are fully awake. For a colonoscopy, the doctor checks the entire colon, and you are given medication through a needle in your arm to make you sleepy, and told to have someone drive you home. Before a sigmoidoscopy or colonoscopy, you are asked to take a medication that causes diarrhea. Have you EVER HAD any of these tests for colon or rectal cancer? (Check all that apply.) | None of these (0) Blood stool test (FIT test) (1) Sigmoidoscopy (2) Colonoscopy (3) |
2018AQ | | COLON_TEST | How long has it been since your last blood stool test (FIT test)? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) More than 5 years ago but not more than 10 years (4) Over 10 years ago (5) I dont know (88) |
2018AQ | | COLON_TEST | Have you EVER had a blood stool test (FIT) where the results were NOT normal? | Yes (1) No (2) I dont know (88) |
2018AQ | | COLON_TEST | How long has it been since your last sigmoidoscopy? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) More than 5 years ago but not more than 10 years (4) Over 10 years ago (5) I dont know (88) |
2018AQ | | COLON_TEST | Have you EVER had a sigmoidoscopy where the results were NOT normal? | Yes (1) No (2) I dont know (88) |
2018AQ | | COLON_TEST | How long has it been since your last colonoscopy? | A year ago or less (0) More than 1 year but not more than 2 years ago (1) More than 2 years but not more than 3 years ago (2) More than 3 years but not more than 5 years ago (3) More than 5 years ago but not more than 10 years (4) Over 10 years ago (5) I dont know (88) |
2018AQ | | COLON_TEST | Have you EVER had a colonoscopy where the results were NOT normal? | Yes (1) No (2) I dont know (88) |
2018AQ | | | Sleep | No Answers |
2018AQ | | | On average, how many hours of sleep do you get in a 24-hour period? (Please round to the nearest whole hour.) | Text Entry (-) |
2018AQ | | | Oral Health | No Answers |
2018AQ | | | About how long has it been since you last visited a dentist? Include all types of dentists, such as orthodontists, oral surgeons, and all other dental specialists, as well as dental hygienists. | 6 months or less (0) More than 6 months, but not more than 1 year ago (1) More than 1 year, but not more than 2 years ago (2) More than 2 years, but not more than 3 years ago (3) More than 3 years, but not more than 5 years ago (4) More than 5 years ago (5) Never have been to dentist (6) |
2018AQ | | | During the past 12 months, was there a time when you needed dental care but could not get it at that time? | Yes (1) No (0) |
2018AQ | | DENTCARE_NO | What were the reasons that you could not get the dental care you needed? (Check all that apply.) | I could not afford the cost (0) I did not want to spend the money (1) Insurance did not cover recommended procedures (2) Dental office is too far away (3) Dental office is not open at convenient times (4) Another dentist recommended not doing it (5) I was afraid or do not like dentists (6) I was unable to take time off from work or school (7) I was too busy (8) I did not think anything serious was wrong/expected dental problems to go away (9) I thought I would be mistreated or disrespected on the basis of my sexual orientation (10) I thought I would be mistreated or disrespected on the basis of my gender identity (11) I thought I would be mistreated or disrespected on the basis of my HIV status (12) Other (13) Other (TEXT) |
2018AQ | | | Overall, how would you rate the health of your teeth and gums? Would you say...? | Excellent (4) Very good (3) Good (2) Fair (1) Poor (0) |
2018AQ | | | Sexual Health and Activities The next questions will ask you about your sexual activities including specific sexual behaviors and acts. If you wish to opt out of this survey because of this, please indicate below. | I wish to answer this section. (1) I wish to skip this section. (0) |
2018AQ | | | Have you engaged in any kind of sexual activity with another person in the PAST 12 MONTHS? | Yes (1) No (0) |
2018AQ | | SEX_PASTYR | Have you EVER engaged in any kind of sexual activity with another person? | Yes (1) No (0) |
2018AQ | | SEX_PASTYR | Thinking about all your sexual partner(s) from the LAST 12 MONTHS, what is the gender identity of your sexual partner(s)? (Check all that apply.) We use the term ‘cisgender' to describe someone whose current gender identity is consistent with their sex assigned at birth and ‘transgender' to describe someone whose current gender identity is different than their sex assigned at birth. | I didnt have any sexual partners in the LAST 12 MONTHS (0) Cisgender man (identifies as a man and was assigned male sex at birth) (1) Cisgender woman (identifies as a woman and was assigned female sex at birth) (2) Transgender man (identifies as a man and was assigned female sex at birth) (3) Transgender woman (identifies as a woman and was assigned male sex at birth) (4) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned female sex at birth (5) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned male sex at birth (6) Person of another gender(s) (please specify) (7) Person of another gender(s) (please specify) (TEXT) I dont know (88) Decline to state (89) |
2018AQ | | SEX_PASTYR | Thinking about all your sexual partner(s) IN YOUR LIFE, what is the gender identity of your sexual partner(s)? (Check all that apply.) We use the term ‘cisgender' to describe someone whose current gender identity is consistent with their sex assigned at birth and ‘transgender' to describe someone whose current gender identity is different than their sex assigned at birth. | Cisgender man (identifies as a man and was assigned male sex at birth) (1) Cisgender woman (identifies as a woman and was assigned female sex at birth) (2) Transgender man (identifies as a man and was assigned female sex at birth) (3) Transgender woman (identifies as a woman and was assigned male sex at birth) (4) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned female sex at birth (5) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned male sex at birth (6) Person of another gender(s) (please specify) (7) Person of another gender(s) (please specify) (TEXT) I dont know (88) Decline to state (0) |
2018AQ | | SEX_PASTYR | IN THE LAST 12 MONTHS, have you had receptive vaginal/front hole sex? This means a penis/phallus (this is a part of another person's body, not a dildo) in your vagina/front hole. | Yes (1) No (2) |
2018AQ | | SEX_EVER | Have you ever had receptive vaginal/front hole sex? This means a penis/phallus (this is a part of another person's body, not a dildo) in your vagina/front hole. | Yes (1) No (0) |
2018AQ | | VAGSEX_VAG_YR | How often do you have receptive vaginal/front hole sex? This means a penis/phallus (this is a part of another person's body, not a dildo) in your vagina/front hole. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQ | | SEX_PASTYR | IN THE LAST 12 MONTHS, have you had insertive vaginal/front hole sex? This means putting your penis/phallus (this is a part of your body, not a dildo) in someone's vagina/front hole. | Yes (1) No (2) |
2018AQ | | SEX_EVER | Have you ever had insertive vaginal/front hole sex? This means putting your penis/phallus (this is a part of your body, not a dildo) in someone's vagina/front hole. | Yes (1) No (0) |
2018AQ | | VAGSEX_PEN_YR | How often do you have insertive vaginal/front hole sex? This means putting your penis/phallus (this is a part of your body, not a dildo) in someone's vagina/front hole. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQ | | SEX_PASTYR | IN THE LAST 12 MONTHS, have you had sex where your vagina/front hole is touching another person's vagina/front hole? | Yes (1) No (2) |
2018AQ | | SEX_EVER | Have you ever had sex where your vagina/front hole is touching another person's vagina/front hole? | Yes (1) No (0) |
2018AQ | | VAG2VAG_YR | How often do you have sex where your vagina/front hole is touching another person's vagina/front hole? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQ | | SEX_PASTYR | Have you performed oral sex in the LAST 12 MONTHS? This means putting your mouth on another person's genitals. (Check all that apply.) | Yes, on a person with a penis/phallus (this is a part of another persons body, not a dildo) (1) Yes, on a person with a vagina/front hole (2) No (0) |
2018AQ | | ORAL_GIVE_PASTYR SEX_EVER | Have you EVER performed oral sex? This means putting your mouth on another person's genitals. (Check all that apply.) | Yes, on a person with a penis/phallus (this is a part of another persons body, not a dildo) (1) Yes, on a person with a vagina/front hole (2) No (0) |
2018AQ | | ORAL_GIVE_PASTYR | How often do you perform oral sex on a person with a penis/phallus (this is a part of another person's body, not a dildo)? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQ | | ORAL_GIVE_PASTYR | How often do you perform oral sex on a person with a vagina/front hole? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQ | | SEX_PASTYR | Have you received oral sex in the LAST 12 MONTHS? This means someone put their mouth on your genitals. | Yes (1) No (0) |
2018AQ | | SEX_EVER | Have you EVER received oral sex? This means someone put their mouth on your genitals. | Yes (1) No (0) |
2018AQ | | ORAL_GET_PASTYR | How often have you received oral sex? This means someone put their mouth on your genitals. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQ | | SEX_PASTYR | IN THE PAST 12 MONTHS, have you had anal sex? This means contact between a penis/phallus (this is a part of another person's body, not a dildo) and your anus or butt. | Yes (1) No (2) |
2018AQ | | SEX_EVER | Have you ever had anal sex? This means contact between a penis/phallus (this is a part of another person's body, not a dildo) and your anus or butt. | Yes (1) No (0) |
2018AQ | | ANAL_VAG_YR | How often do you have anal sex? This means contact between a penis/phallus (this is a part of another person's body, not a dildo) and your anus or butt. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQ | | SEX_PASTYR | Have you had anal sex in the LAST 12 MONTHS? (Check all that apply.) | Yes, I have had contact between my penis/phallus (this is a part of my body, not a dildo) and someones anus or butt (also known as insertive anal sex or topping) (1) Yes, I have had contact between someones penis/phallus (this is a part of my body, not a dildo) and my anus or butt (also known as receptive anal sex or bottoming) (2) No (0) |
2018AQ | | SEX_EVER | Have you EVER had anal sex? (Check all that apply.) | Yes, I have had contact between my penis/phallus (this is a part of my body, not a dildo) and someones anus or butt (also known as insertive anal sex or topping) (1) Yes, I have had contact between someones penis/phallus (this is a part of my body, not a dildo) and my anus or butt (also known as receptive anal sex or bottoming) (2) No (0) |
2018AQ | | ANAL_PEN_PASTYR | How often do you have contact between your penis/phallus (a part of your body, not a dildo) and someone's anus or butt (also known as insertive anal sex or "topping")? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQ | | ANAL_PEN_PASTYR | How often do you have contact between someone's penis/phallus (a part of another person's body, not a dildo) and your anus or butt (also known as receptive anal sex or "bottoming")? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQ | | SEX_PASTYR | Have you performed oral-anal sex (also called "rimming") in the LAST 12 MONTHS? This means contact between your mouth and someone's anus or butt. | Yes (1) No (2) |
2018AQ | | SEX_EVER | Have you EVER performed oral-anal sex (also called "rimming")? This means contact between your mouth and someone's anus or butt. | Yes (1) No (0) |
2018AQ | | RIM_PASTYR | How often do you perform oral-anal sex (also called "rimming")? This means contact between your mouth and someone's anus or butt. | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQ | | SEX_PASTYR | Have you performed digital penetration (also called "fingering") in the LAST 12 MONTHS? This means putting your fingers into someone's vagina/front hole or someone's anus or butt. (Check all that apply.) | Yes, I have had contact between my finger(s) and someones vagina/front hole (1) Yes, I have had contact between my finger(s) and someones anus or butt (2) No (0) |
2018AQ | | SEX_EVER | Have you EVER performed digital penetration (also called "fingering")? This means putting your fingers into someone's vagina/front hole or someone's anus or butt. (Check all that apply.) | Yes, I have had contact between my finger(s) and someones vagina/front hole (1) Yes, I have had contact between my finger(s) and someones anus or butt (2) No (0) |
2018AQ | | FINGER_PASTYR | How often do you perform digital penetration (also called "fingering") by putting your fingers into someone's vagina/front hole? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQ | | FINGER_PASTYR | How often do you perform digital penetration (also called "fingering") by putting your fingers into someone's anus or butt? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQ | | SEX_PASTYR | Have you used sex toys (such as dildos) with a sexual partner in the LAST 12 MONTHS? (Check all that apply.) | Yes, I inserted the sex toy into someones body (1) Yes, I received the sex toy into my body (2) No (0) |
2018AQ | | SEX_EVER | Have you EVER used sex toys (such as dildos) with a sexual partner? | Yes, I inserted the sex toy into someones body (1) Yes, I received the sex toy into my body (2) No (0) |
2018AQ | | SEXTOY_PASTYR | How often do you insert a sex toy into someone's body? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQ | | SEXTOY_PASTYR | How often do you receive a sex toy into your body? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQ | | SEX_EVER | Please tell us about other kinds of sex that you have. | Text Entry (-) |
2018AQ | | SEX_EVER | How old were you the first time you had any kind of sex with another person including vaginal/front hole, oral, and anal? (Do not include masturbation.) | Text Entry (-) |
2018AQ | | SEX_EVER | In your lifetime, with how many different people have you had any kind of sex? (If you are unsure, please estimate as best you can.) | Text Entry (-) |
2018AQ | | SEX_PASTYR | In the past 12 months, with how many different people have you had any kind of sex? (If you are unsure, please estimate as best you can.) | Text Entry (-) |
2018AQ | | VAGSEX_VAG_YR | In the past 12 months, with how many people have you had receptive vaginal/front hole sex? (This means someone put their penis/phallus (this is a part of another person's body, not a dildo) in your vagina/front hole.) | Text Entry (-) |
2018AQ | | VAGSEX_YEAR_VAG | In the past 12 months, about how often have you had receptive vaginal/front hole sex without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2018AQ | | VAGSEX_RECEP_NOCON | In the past 12 months, with how many different people have you had receptive vaginal/front hole sex without a condom? | Text Entry (-) |
2018AQ | | VAGSEX_PEN_YR | In the past 12 months, with how many people have you had insertive vaginal/front hole sex? (This means you put your penis/phallus (this is a part of your body, not a dildo) in someone's vagina/front hole.) | Text Entry (-) |
2018AQ | | VAGSEX_YEAR_PEN | In the past 12 months, about how often have you had insertive vaginal/front hole sex without using a condom? | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2018AQ | | VAGSEX_INSERT_NOCON | In the past 12 months, with how many different people have you had insertive vaginal/front hole sex without a condom? | Text Entry (-) |
2018AQ | | ANAL_VAG_YR | In the past 12 months, with how many people have you "bottomed" or had receptive anal sex? (This means contact between a penis/phallus (this is a part of another person's body, not a dildo) and your anus or butt.) (If you are unsure, please estimate as best you can.) | Text Entry (-) |
2018AQ | | ANALSEX_YEAR | In the past 12 months, about how often have you "bottomed" or had receptive anal sex without using a condom? (This means contact between a penis/phallus (a part of another person's body, not a dildo) and your anus or butt.) | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2018AQ | | ANALSEX_NOCON | In the past 12 months, with how many different people have you "bottomed" or had receptive anal sex without a condom? (This means contact between a penis/phallus (this is a part of another person's body, not a dildo) and your anus or butt.) | Text Entry (-) |
2018AQ | | ANAL_PEN_PASTYR | In the past 12 months, with how many people have you "topped" or had insertive anal sex? (This means contact between your penis/phallus (this is a part of your body, not a dildo) and someone's anus or butt.) | Text Entry (-) |
2018AQ | | TOP_YEAR | In the past 12 months, about how often have you "topped" or had insertive anal sex without using a condom? (This means contact between your penis/phallus (this is a part of your body, not a dildo) and someone's anus or butt.) | Never (0) Less than half of the time (1) About half of the time (2) Not always, but more than half of the time (3) Always (4) |
2018AQ | | TOP_NOCON | In the past 12 months, with how many different people have you "topped" or had insertive anal sex without a condom? (This means contact between your penis/phallus (this is a part of your body, not a dildo) and someone's anus or butt.) (If you are unsure, please estimate as best you can.) | Text Entry (-) |
2018AQ | | | Sexual Health and Infections | No Answers |
2018AQ | | | Has a doctor or other health care professional ever told you that you had genital herpes? | Yes (1) No (0) |
2018AQ | | HERPES_EVER | Has a doctor or other health care professional told you that you had genital herpes in the last 12 months? | Yes (1) No (0) |
2018AQ | | | Has a doctor or other health care professional ever told you that you had genital warts? | Yes (1) No (0) |
2018AQ | | WARTS_EVER | Has a doctor or other health care professional told you that you had genital warts in the last 12 months? | Yes (1) No (0) |
2018AQ | | | Has a doctor or other health care professional ever told you that you had human papillomavirus or HPV? | Yes (1) No (0) |
2018AQ | | HPV_EVER | Has a doctor or other health care professional told you that you had human papillomavirus or HPV in the last 12 months? | Yes (1) No (0) |
2018AQ | | | Has a doctor or other health care professional ever told you that you had gonorrhea, sometimes called 'GC' or the 'clap'? | Yes (1) No (0) |
2018AQ | | GC_EVER | Has a doctor or other health care professional told you that you had gonorrhea (also called 'GC' or the 'clap') in the last 12 months? | Yes (1) No (0) |
2018AQ | | | Has a doctor or other health care professional ever told you that you had chlamydia? | Yes (1) No (0) |
2018AQ | | CT_EVER | Has a doctor or other health care professional told you that you had chlamydia in the last 12 months? | Yes (1) No (0) |
2018AQ | | | Has a doctor or other health care professional ever told you that you had syphilis? | Yes (1) No (0) |
2018AQ | | SYPHILIS_EVER | Has a doctor or other health care professional told you that you had syphilis in the last 12 months? | Yes (1) No (0) |
2018AQ | | | Except for tests that you may have had as part of blood donations, have you ever been tested for HIV? | Yes (1) No (0) I dont know (88) |
2018AQ | | HIVTEST_EVER | Have you been tested for HIV in the last 12 months? | Yes (1) No (0) I dont know (88) |
2018AQ | | | What is your HIV status? | Positive (I have HIV.) (1) Negative (I do not have HIV.) (0) I dont know (I dont know whether or not I have HIV.) (88) |
2018AQ | | | PrEP (pre-exposure prophylaxis) is when HIV-negative people take anti-HIV medications (like Truvada) on a regular basis to prevent HIV infection. Regardless of your current HIV status, have you ever heard of PREP before today? | Yes (1) No (0) I dont know (88) |
2018AQ | | PREP_HEARD | Would you be interested in learning more about PrEP for yourself or others? | Yes (1) No (0) |
2018AQ | | PREP_HEARD | Have you EVER been on PrEP to prevent HIV infection? | Yes (1) No (0) |
2018AQ | | PREP_EVER | Are you CURRENTLY on PrEP to prevent HIV infection? | Yes (1) No (0) |
2018AQ | | | Are you currently on PrEP as part of a clinical or research study? | Yes (1) No (0) |
2018AQ | | PREP_NOW | How would you rate your ability to take your PrEP pills as prescribed? | Very poor (0) Poor (1) Fair (2) Good (3) Very good (4) |
2018AQ | | PREP_NOW | In the past 7 days, how many days did you take your PrEP pill? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) |
2018AQ | | PREP_NOW | Why are you no longer on PrEP? (Check all that apply.) | My risk of getting HIV is now less because I am in a relationship and/or having less risky sexual activity. (1) PrEP is too expensive. (2) My insurance coverage has changed or I have lost insurance coverage. (3) I forgot to take it most of the time so I decided to stop. (4) It is too much of a hassle to get labs every 3 months. (5) I was having side effects so I decided to stop. (6) My doctor or health care provider said that I needed to stop the medication because of my lab results. (7) I feel discriminated against or stigmatized because I am on PrEP. (8) I became infected with HIV. (9) Something else (10) Something else (TEXT) |
2018AQ | | | If you are interested in learning more about PrEP, we encourage you to check out the following resources and talk with your medical provider. For information about PrEP from the Centers for Disease Control and Prevention, please visit: cdc.gov/hiv/risk/prep/ To find a PrEP provider near you, please visit: pleaseprepme.org For information on programs to help pay for PrEP, please visit: gilead.com/responsibility/us-patient-access | No Answers |
2018AQ | | | Although PrEP is for individuals who are HIV negative, we want to share more information about PrEP with individuals who are living with HIV in case they wish to pass this along to other individuals close to them. For information about PrEP from the Centers for Disease Control and Prevention, please visit: cdc.gov/hiv/risk/prep/ To find a PrEP provider near you, please visit: pleaseprepme.org For information on programs to help pay for PrEP, please visit: gilead.com/responsibility/us-patient-access | No Answers |
2018AQ | | | PEP (post-exposure prophylaxis) is when HIV-negative people take anti-HIV medications AFTER potentially being exposed to HIV in order to prevent HIV infection. Regardless of your HIV status, have you ever heard of PEP (post-exposure prophylaxis)? | Yes (1) No (0) |
2018AQ | | PEP_HEARD | Regardless of your current HIV status, have you EVER taken anti-HIV medications (PEP) AFTER potentially being exposed to HIV? | Yes (1) No (0) |
2018AQ | | | Do you have a doctor or other health care provider who manages your HIV care? This person may be the same as your primary care provider or it may be another provider, such as a HIV specialist. | Yes (1) No (0) I dont know (88) |
2018AQ | | HIVDOC | How frequently do you see this health care provider? | Monthly (0) Every 1-3 months (1) Every 4-6 months (2) Every 7-12 months (3) Less than every 12 months (4) |
2018AQ | | | How frequently do you have HIV blood work (lab tests) done? | Monthly (1) Every 1-3 months (2) Every 4-6 months (3) Every 7-12 months (4) Less than every 12 months (5) I dont know (88) I have never had these lab tests done (0) |
2018AQ | | | Are you on HIV medications, sometimes call anti-retrovirals (ARVs) or anti-retroviral therapy (ART)? | Yes (1) No (2) I dont know (3) |
2018AQ | | | When was the last time that you had your HIV viral load checked? A viral load test is a lab test that measures the number of HIV virus particles in a milliliter of your blood. These particles are called “copies.” | Within the last month (1) 1-3 months ago (2) 4-6 months ago (3) 7-12 months ago (4) More than 1 year ago (5) I dont know (88) I have never had my HIV viral load checked (0) |
2018AQ | | | Is your HIV viral load “suppressed” or “undetectable”? This means that the number of copies of the HIV virus in your blood is at a very low level or not detectable by modern medical tests. This does not mean that your HIV is cured. | Yes (1) No (2) I dont know (3) |
2018AQ | | | Vaccinations | No Answers |
2018AQ | | | DURING THE PAST 12 MONTHS, have you had a flu vaccine - usually a shot in your arm or sprayed in your nose by a doctor or other health professional? These are usually given in the fall and protect against influenza for the flu season. | Yes (1) No (0) I dont know (88) |
2018AQ | | | Have you EVER had a pneumonia shot? This shot is usually given only once or twice in a person's lifetime and is different from the flu shot. It is also called the pneumococcal vaccine. | Yes (1) No (0) I dont know (88) |
2018AQ | | | Have you EVER received the hepatitis B vaccine? This is given in three separate doses and has been available since 1991. It is recommended for newborn infants, adolescents, and people such as health care workers, who may be exposed to the hepatitis B virus. | Yes (1) No (0) I dont know (88) |
2018AQ | | | The hepatitis A vaccine is given as a two-dose series routinely to some children starting at 1 year of age, and to some adults and people who travel outside the United States. Although it can be given as a combination vaccine with hepatitis B, it is different from the hepatitis B shot, and has only been available since 1995. Have you ever received the hepatitis A vaccine? | Yes (1) No (0) I dont know (88) |
2018AQ | | | Shingles is an outbreak of a rash or blisters on the skin that may be associated with severe pain. The pain is generally on one side of the body or face. Shingles is caused by the chicken pox virus. A vaccine for shingles has been available since May 2006. Have you ever had the Zoster or Shingles vaccine, also called Zostavax®? | Yes (1) No (0) I dont know (88) |
2018AQ | | | Have you ever received an HPV shot or vaccine? HPV stands for human papillomavirus. The vaccines are sometimes called CERVARIX® or GARDASIL®. The HPV vaccine is given as a three-dose series routinely to people from age 9-26. It was released in 2006. | Yes (1) No (0) Doctor refused when asked (2) I dont know (88) |
2018AQ | | HPVSHOT | How many HPV vaccine shots did you have? | One (1) Two (2) Three (3) I dont know (88) |
2018AQ | | | Reproductive History | No Answers |
2018AQ | | ORGANS_BORN | Has your sperm (also known as semen, cum, nut, ejaculate) EVER resulted in a pregnancy? | Yes (1) No (0) I dont know (88) |
2018AQ | | PREGNANT_SPERM | How many pregnancies? (If you are unsure, please estimate.) | Text Entry (-) |
2018AQ | | ORGANS_BORN | Have you ever had a menstrual period? | Yes (1) No (0) I dont know (88) |
2018AQ | | MENSES_EVER | How old were you when your menstrual period started? (Please enter “88” if you don't know.) | Text Entry (-) |
2018AQ | | MENSES_EVER | Have you had at least one menstrual period in the past 12 months? Please do not include bleedings caused by medical conditions, hormone therapy, or surgeries. | Yes (1) No (0) I dont know (88) |
2018AQ | | MENSES_YEAR | What is the reason(s) that you have not had a period in the past 12 months? (Check all that apply.) | Pregnancy (1) Breastfeeding/chestfeeding (2) Hysterectomy (removal of the uterus) (3) Menopause/change of life (4) Hormones, medications, or devices (like an IUD) to stop my periods (5) Other (please specify) (6) Other (please specify) (TEXT) I dont know (88) |
2018AQ | | MENSES_NOYEAR | About how old were you when you had your last menstrual period? (Please enter “88” if you don't know.) | Text Entry (-) |
2018AQ | | ORGANS_NOW | Are you personally planning to be pregnant in the next year? | Yes (1) No (0) I dont know (88) |
2018AQ | | ORGANS_NOW | Have you ever attempted to become pregnant over a period of at least a year without becoming pregnant? | Yes (1) No (0) I dont know (88) |
2018AQ | | ORGANS_NOW | Have you ever been to a doctor or other medical provider because you have been unable to become pregnant? | Yes (1) No (0) I dont know (88) |
2018AQ | | ORGANS_NOW | Have you ever been treated for an infection in your fallopian tubes, uterus or ovaries, also called a pelvic infection, pelvic inflammatory disease, or PID? | Yes (1) No (0) I dont know (88) |
2018AQ | | ORGANS_NOW | Have you ever been pregnant? Please include any current pregnancy, live births, miscarriages, stillbirths, tubal pregnancies, and abortions. | Yes (1) No (0) I dont know (88) |
2018AQ | | ORGANS_NOW PREG_EVER | Are you pregnant now? | Yes (1) No (0) I dont know (88) |
2018AQ | | PREG_EVER | How many times have you been pregnant? (Please count all your pregnancies including current pregnancy, live births, miscarriages, stillbirths, tubal pregnancies, and abortions.) (Please enter "88" if you don't know.) | Text Entry (-) |
2018AQ | | PREG_EVER | Did any of your pregnancies result in a delivery? | Yes (1) No (0) |
2018AQ | | PREG_DEL | How many vaginal deliveries have you had? (Please count the number of deliveries [for example, twins count as 1 delivery] and please include stillbirths and live births.) (Please enter “88” if you don't know.) | Text Entry (-) |
2018AQ | | PREG_DEL | How many cesarean deliveries, also known as C-sections, have you had? (Please count the number of deliveries [for example, twins count as 1 delivery] and please include stillbirths and live births.) (Please enter “88” if you don't know.) | Text Entry (-) |
2018AQ | | PREG_DEL | How many of your deliveries resulted in a live birth? (Please count the number of deliveries [for example, twins count as 1 delivery].) (Please enter “88” if you don't know.) | Text Entry (-) |
2018AQ | | PREG_EVER | How many miscarriages have you had? (A miscarriage is a pregnancy that ends naturally during the first 20 weeks of pregnancy.) (Please enter “88” if you don't know.) | Text Entry (-) |
2018AQ | | PREG_EVER | How many tubal pregnancies have you had? (A tubal pregnancy also known as an 'ectopic pregnancy' is a pregnancy that occurs in the fallopian tube.) (Please enter “88” if you don't know.) | Text Entry (-) |
2018AQ | | PREG_EVER | How many abortions have you had? (An abortion is a pregnancy that is ended during the first 6 months using medications, D&C, vacuum extraction, suction, and saline injections.) (Please enter “88” if you don't know.) | Text Entry (-) |
2018AQ | | PREG_EVER | How old were you when you became pregnant with your first pregnancy? (Please enter “88” if you don't know.) | Text Entry (-) |
2018AQ | | LIVE_BIRTH | Please tell us the month and year of your FIRST live birth. | No Answers |
2018AQ | | LIVE_BIRTH | Please tell us the month and year of your MOST RECENT live birth. | No Answers |
2018AQ | | ORGANS_BORN | Have you ever breast/chest fed a child? | Yes (1) No (0) |
2018AQ | | BREASTFED ORGANS_BORN | Were the children that you breast/chest fed born as a result of…? | My own pregnancy and delivery (1) Another persons pregnancy and delivery (2) Both, I have breast/chest fed both a child that I have delivered as well as a child that another person delivered (3) |
2018AQ | | | Have you EVER used any type of method for birth control (prevention of pregnancy)? | Yes (1) No (0) I dont know (88) |
2018AQ | | | Please select the method(s) of birth control you have EVER used. (Check all that apply.) | Abstinence (1) Condoms (2) Diaphragm (3) Arm implant (4) Injection (5) Intrauterine Device (IUD) -- Copper -- has no hormones (6) Intrauterine Device (IUD) -- Mirena or Skyla -- has hormones (7) Intrauterine Device (IUD) -- Im not sure what type (8) Menopause (9) Pill (10) Rhythm method (11) Spermicide (12) Sponge (13) Surgical (permanent) sterilization (e.g., tubal ligation, tubes tied) (14) Surgical (permanent) sterilization of your partner (e.g., vasectomy) (15) Patch/transdermal (16) Vaginal ring (17) Withdrawal (18) Another method not listed here (please specify) (19) Another method not listed here (please specify) (TEXT) None of these (20) |
2018AQ | | | Have you used any type of method for birth control (prevention of pregnancy) in the past 12 MONTHS? | Yes (1) No (0) I dont know (88) |
2018AQ | | | Please select the method(s) of birth control you have used in the past 12 MONTHS. (Check all that apply.) | Abstinence (1) Condoms (2) Diaphragm (3) Arm implant (4) Injection (5) Intrauterine Device (IUD) -- Copper -- has no hormones (6) Intrauterine Device (IUD) -- Mirena or Skyla -- has hormones (7) Intrauterine Device (IUD) -- Im not sure what type (8) Menopause (9) Pill (10) Rhythm method (11) Spermicide (12) Sponge (13) Surgical (permanent) sterilization (e.g., tubal ligation, tubes tied) (14) Surgical (permanent) sterilization of your partner (e.g., vasectomy) (15) Patch/transdermal (16) Vaginal ring (17) Withdrawal (18) Another method not listed here (please specify) (19) Another method not listed here (please specify) (TEXT) None of these (20) |
2018AQ | | | Medical Marijuana | No Answers |
2018AQ | | | Do you currently use medical cannabis/marijuana to manage any physical or mental health conditions? | Yes, it is legal in my state and/or I have a health care providers recommendation to do so (2) Yes, but it is not legal in my state and/or I do not have a health care providers recommendation to do so (1) No (0) |
2018AQ | | | What problems or conditions do you use medical cannabis/marijuana to manage? (One problem or condition per line.) | Text Entry (-) |
2018AQ | | MEDMJ | How effective has medical cannabis/marijuana been in managing this/these problem(s) or condition(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2018AQ | | MEDMJ | What forms of medical cannabis/marijuana have you used in the past month? (Check all that apply.) | Smoking cannabis/marijuana in flower/plant form (1) Vaporizing cannabis/marijuana in flower/plant form or as an extract (2) Dabbing cannabis/marijuana concentrates (e.g., wax, shatter) (3) Eating cannabis/marijuana in capsules or food products (4) Applying cannabis-containing balms, tinctures, or other products (5) Other (please specify) (6) Other (please specify) (TEXT) |
2018AQ | | | You have completed the Physical Health Block! This is one of 3 blocks! WOOHOO - another one done! Each block you will out helps us understand LGBTQ peoples' unique lives and health experiences as we work towards helping LGBTQ people thrive. Thank you for bringing us closer to health equity for LGBTQ people. You rock! | No Answers |
2018AQ | | | More About Me | No Answers |
2018AQ | | | In what ZIP code did you spend most of your childhood (until age 18)? (If you do not remember or if it was not within the United States, please leave blank.) | Text Entry (-) |
2018AQ | | | It looks like you did not fill in the ZIP code where you spent most of your childhood. Some people may have difficulty remembering this. Please provide the city and state (and country if outside the United States) where you spent most of your childhood (until age 18). | Text Entry (-) |
2018AQ | | | If a national survey company, like Gallup, asked you the following question: “We are asking only for statistical purposes: Do you personally identify as lesbian, gay, bisexual, or transgender?” How would you answer? | I would answer Yes. (1) I would answer No. (0) I would not answer the question. (2) |
2018AQ | | | Do you consider yourself a member of any of the following communities? (Check all that apply.) | None of these (1) BDSM (2) Kink (3) Leather (4) Puppy pack (5) Faeries (6) Bear (7) Furry (8) Polyamorous (9) Another community (please specify) (10) Another community (please specify) (TEXT) |
2018AQ | | | Military Service | No Answers |
2018AQ | | | Have you ever served on active duty in the U.S. Armed Forces, Reserves, or National Guard? As a reminder, your answers are confidential and cannot be used against you. To protect your privacy, we have obtained a Certificate of Confidentiality from the National Institutes of Health. We can use this Certificate to legally refuse to disclose information that may identify you in any federal, state, or local civil, criminal, administrative, legislative, or other proceedings (for example, if there is a court subpoena). | Now on active duty (1) Only on active duty for training in the Reserves or National Guard (2) On active duty in the past but not now (3) Never served in the military (0) |
2018AQ | | MIL_EVER | Are you still serving in the military including Reserves and National Guard? | Yes (1) No (0) |
2018AQ | | MIL_EVER | What is your current or most recent branch of service? | Air Force (1) Air Force Reserve (2) Air National Guard (3) Army (4) Army Reserve (5) Army National Guard (6) Coast Guard (7) Coast Guard Reserve (8) Marine Corps (9) Marine Corps Reserve (10) Navy (11) Navy Reserve (12) |
2018AQ | | MIL_EVER | When did you begin your military service? (If you can't recall precisely, please estimate.) | No Answers |
2018AQ | | MIL_NOW | When did you separate from military service? (If you can't recall precisely, please estimate.) | No Answers |
2018AQ | | MIL_NOW | What was your character of discharge? | Entry level separation (1) Honorable (2) General (3) Medical (4) Other-than-honorable (5) Bad conduct (6) Dishonorable (7) None of these (please specify) (8) None of these (please specify) (TEXT) |
2018AQ | | MIL_EVER | Did you ever get any type of health care through the VA? | Yes (1) No (0) |
2018AQ | | VACARE_EVER | Do you currently get any type of health care through the VA? | Yes (1) No (0) |
2018AQ | | | Is there anything else you would like to share with us about your health or well-being? | Text Entry (-) |
2018AQ | | | YOU ARE ALMOST DONE WITH THIS SURVEY - PLEASE READ BELOW AND THEN CLICK NEXT This is required in order for the system to mark your survey as "Complete." Thank you for completing the 2018 Annual Questionnaire and for advancing scientific knowledge about the health of LGBTQ people! In addition to our commitment to communicating findings from the study back to our community in the future, we also want to connect our participants with some resources that may be helpful to them now. Please find below a list of websites, organizations, and hotlines that may be helpful in promoting LGBTQ people's health, safety, and wellbeing. - Find an LGBTQ center near you with Centerlink, The Community of LGBT Centers: lgbtcenters.org - Find free HIV testing in your area through the Centers for Disease Control's GetTested program: https://gettested.cdc.gov/ - Find an LGBTQ -friendly doctor through GLMA: Health Professionals Advancing LGBT Equality: https://glmaimpak.networkats.com/members_online_new/members/dir_provider.asp - Talk with someone 24/7 if you are in crisis or thinking of suicide: National Suicide Prevention Lifeline: 1-800-273-8255 - Talk with someone 24/7 if you need support related to being a survivor of sexual assault: National Sexual Assault Hotline: 1-800-656-4673 Thank you again for completing the 2018 Annual Questionnaire. We deeply appreciate for your time, your interest in The PRIDE Study, and your investment in research that will help our communities understand how the experience of being LGBTQ is related to all aspects of health and life. TO LOG YOUR SURVEY AS COMPLETE, PLEASE ADVANCE TO THE NEXT SCREEN and then select "Back to Dashboard | No Answers |
2018AQSUPP | | | Which categories describe you? (Check all that apply.) | American Indian or Alaska Native (For example: Aztec, Blackfeet Tribe, Mayan, Navajo Nation, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, etc.) (1) Asian (For example: Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, etc.) (2) Black, African American or African (For example: African American, Ethiopian, Haitian, Jamaican, Nigerian, Somali, etc.) (3) Hispanic, Latino, or Spanish (For example: Colombian, Cuban, Dominican, Mexican or Mexican American, Puerto Rican, Salvadoran, etc.) (4) Middle Eastern or North African (For example: Algerian, Egyptian, Iranian, Lebanese, Moroccan, Syrian, etc.) (5) Native Hawaiian or other Pacific Islander (For example: Chamorro, Fijian, Marshallese, Native Hawaiian, Tongan, etc.) (6) White (For example: English, European, French, German, Irish, Italian, Polish, etc.) (7) None of these fully describe me. (please specify) (8) None of these fully describe me. (please specify) (TEXT) |
2018AQSUPP | | | Which additional categories describe you? (Check all that apply.) | Dutch (1) English (2) European (3) French (4) German (5) Irish (6) Italian (7) Norwegian (8) Polish (9) Scottish (10) Spanish (11) None of these fully describe me (please tell us about additional categories that describe you) (12) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2018AQSUPP | | | Which additional categories describe you? (Check all that apply.) | Colombian (1) Cuban (2) Dominican (3) Ecuadorian (4) Honduran (5) Mexican or Mexican American (6) Puerto Rican (7) Salvadoran (8) Spanish (9) None of these fully describe me (please tell us about additional categories that describe you) (10) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2018AQSUPP | | | Which additional categories describe you? (Check all that apply.) | Asian Indian (1) Cambodian (2) Chinese (3) Filipino (4) Hmong (5) Japanese (6) Korean (7) Pakistani (8) Vietnamese (9) None of these fully describe me (please tell us about additional categories that describe you) (10) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2018AQSUPP | | | Which additional categories describe you? (Check all that apply.) | African American (1) Barbadian (2) Caribbean (3) Ethiopian (4) Ghanaian (5) Haitian (6) Jamaican (7) Liberian (8) Nigerian (9) Somali (10) South African (11) None of these fully describe me (please tell us about additional categories that describe you) (12) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2018AQSUPP | | | Which additional categories describe you? (Check all that apply.) | American Indian (1) Alaska Native (2) Central or South American Indian (3) None of these fully describe me (please tell us about additional categories that describe you) (4) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2018AQSUPP | | | Please provide the name of the tribe(s) in which you are enrolled or affiliated or your tribal descent. (For example, Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, etc.) Please list tribes separated by commas.For example, one answer may be: "Navajo Nation, Pomo" | Text Entry (-) |
2018AQSUPP | | | Which additional categories describe you? (Check all that apply.) | Afghan (1) Algerian (2) Egyptian (3) Iranian (4) Iraqi (5) Israeli (6) Lebanese (7) Moroccan (8) Syrian (9) Tunisian (10) None of these fully describe me (please tell us about additional categories that describe you) (11) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2018AQSUPP | | | Which additional categories describe you? (Check all that apply?) | Chamorro (1) Chuukese (2) Fijian (3) Marshallese (4) Native Hawaiian (5) Palauan (6) Samoan (7) Tahitian (8) Tongan (9) None of these fully describe me (please tell us about additional categories that describe you) (10) None of these fully describe me (please tell us about additional categories that describe you) (TEXT) |
2018AQSUPP | | | With which ethnic and/or cultural group(s) DO YOU IDENTIFY? (Please list all the ethnic and/or cultural groups with which you identify. Please list only one ethnic or cultural group per box.) | Text Entry (-) |
2018AQSUPP | | | I have a strong sense of IDENTIFICATION with my ethnic/cultural group: ${q://QID1124/ChoiceTextEntryValue/1} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQSUPP | | | I have a strong sense of BELONGING to my ethnic/cultural group: ${q://QID1124/ChoiceTextEntryValue/1} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQSUPP | | | I have a strong sense of IDENTIFICATION with my ethnic/cultural group: ${q://QID1124/ChoiceTextEntryValue/2} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQSUPP | | | I have a strong sense of BELONGING to my ethnic/cultural group: ${q://QID1124/ChoiceTextEntryValue/2} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQSUPP | | | I have a strong sense of IDENTIFICATION with my ethnic/cultural group: ${q://QID1124/ChoiceTextEntryValue/3} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQSUPP | | | I have a strong sense of BELONGING to my ethnic/cultural group: ${q://QID1124/ChoiceTextEntryValue/3} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQSUPP | | | I have a strong sense of IDENTIFICATION with my ethnic/cultural group: ${q://QID1124/ChoiceTextEntryValue/4} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQSUPP | | | I have a strong sense of BELONGING to my ethnic/cultural group: ${q://QID1124/ChoiceTextEntryValue/4} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQSUPP | | | I have a strong sense of IDENTIFICATION with my ethnic/cultural group: ${q://QID1124/ChoiceTextEntryValue/5} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQSUPP | | | I have a strong sense of BELONGING to my ethnic/cultural group: ${q://QID1124/ChoiceTextEntryValue/5} | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2018AQSUPP | | | Are you worried about how you look? | Yes (1) No (0) |
2018AQSUPP | | BDDQ_1A | Do you think about your appearance problems a lot and wish you could think about them less? | Yes (1) No (0) |
2018AQSUPP | | BDDQ_1B | Please list the areas of your body you don't like. Examples of disliked body areas include: your skin (for example, acne, scars, wrinkles, paleness, redness); hair; the shape or size of your nose, mouth, jaw, lips, stomach, hips, etc.; or defects of your hands, genitals, breasts, or any other body part. | Text Entry (-) |
2018AQSUPP | | BDDQ_1B | Is your main concern with how you look is that you aren't thin enough or that you might get too fat? | Yes (1) No (0) |
2018AQSUPP | | BDDQ_2A | Is your main concern with how you look that you aren't muscular enough? | Yes (1) No (0) |
2018AQSUPP | | BDDQ_1B | Has it often upset you a lot? | Yes (1) No (0) |
2018AQSUPP | | BDDQ_1B | Has it often gotten in the way of doing things with friends, dating, your relationships with people, or your social activities? | Yes (1) No (0) |
2018AQSUPP | | BDDQ_1B | Has it caused any problems with school, work, or other activities? | Yes (1) No (0) |
2018AQSUPP | | BDDQ_1B | Are there things you avoid because of how you look? | Yes (1) No (0) |
2018AQSUPP | | BDDQ_1B | On an average day, how much time do you usually spend thinking about how you look? (Add up all the time you spend in total in a day then select one.) | Less than 1 hour a day (1) 1-3 hours a day (2) More than 3 hours a day (3) |
2018AQSUPP | | | I often notice small sounds when others do not. | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
2018AQSUPP | | | When I'm reading a story I find it difficult to work out the characters' intentions. | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
2018AQSUPP | | | I find it easy to 'read between the lines' when someone is talking to me. | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
2018AQSUPP | | | I usually concentrate more on the whole picture, rather than the small details. | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
2018AQSUPP | | | I know how to tell if someone listening to me is getting bored. | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
2018AQSUPP | | | I find it easy to do more than one thing at once. | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
2018AQSUPP | | | I find it easy to work out what someone is thinking or feeling just by looking at their face. | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
2018AQSUPP | | | If there is an interruption, I can switch back to what I was doing very quickly. | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
2018AQSUPP | | | I like to collect information about categories of things (e.g., types of cars, types of birds, types of trains, types of plants, etc.) | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
2018AQSUPP | | | I find it difficult to work out people's intentions. | Strongly agree (1) Slightly agree (2) Slightly disagree (3) Strongly disagree (4) |
2018AQSUPP | | | The next few items ask about how you feel in your environment relating to other people. | No Answers |
2018AQSUPP | | | I feel left out. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2018AQSUPP | | | I feel that people barely know me. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2018AQSUPP | | | I feel isolated from others. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2018AQSUPP | | | I feel that people are around me but not with me. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2018AQSUPP | | | The following questions concern types of unwanted sexual experiences that you may have had. Your responses to these questions help us better understand the unwanted sexual experiences of LGBTQ people. We understand that responding to these questions may bring up memories of very difficult experiences. Please indicate if you would like to complete these questions, or if you would like to skip these questions and move on to the next topic. | Yes, I would like to complete these questions (1) No, I would like to skip these questions (0) |
2018AQSUPP | | | Have you ever had the following experience?Someone fondled, kissed, or rubbed up against the private areas of my body (lips, breast/chest, crotch, or butt) or removed some of my clothes without my consent (but DID NOT attempt sexual penetration) | Yes (1) No (0) |
2018AQSUPP | | SES1 | How many times has this happened in the past 12 months? | 0 (0) 1 (1) 2 (2) 3 (3) |
2018AQSUPP | | SES1 | How many times has this happened since age 14? | 0 (0) 1 (1) 2 (2) 3 (3) |
2018AQSUPP | | SES1 | How many times did this happen to you before age 14? | 0 (0) 1 (2) 2 (2) 3 (3) |
2018AQSUPP | | | Have you ever had the following experience?Someone had oral sex with me or made me have oral sex with them without my consent. | Yes (1) No (0) |
2018AQSUPP | | SES2 | How many times has this happened in the past 12 months? | 0 (0) 1 (1) 2 (2) 3 (3) |
2018AQSUPP | | SES2 | How many times has this happened since age 14? | 0 (0) 1 (1) 2 (2) 3 (3) |
2018AQSUPP | | SES2 | How many times did this happen to you before age 14? | 0 (0) 1 (1) 2 (2) 3 (3) |
2018AQSUPP | | | Have you ever had the following experience?Someone put their penis, fingers, or objects into my butt and/or vagina/front hole without my consent. Note: People may have a wide range of language or terms for their physical anatomy. Some people are not comfortable with the term ‘vagina' and may prefer the term ‘front hole.' The PRIDE Study chooses to include both the terms ‘vagina' and ‘front hole' for all relevant questions to honor the preferences and comfort of our participants. | Yes (1) No (0) |
2018AQSUPP | | SES3 | How many times has this happened in the past 12 months? | 0 (1) 1 (1) 2 (2) 3 (3) |
2018AQSUPP | | SES3 | How many times has this happened since age 14? | 0 (0) 1 (1) 2 (2) 3 (3) |
2018AQSUPP | | SES3 | How many times did this happen to you before age 14? | 0 (0) 1 (1) 2 (2) 3 (3) |
2018AQSUPP | | | Have you ever had the following experience?Even though it didn't happen, someone TRIED to make me have oral sex with them, or TRIED to put fingers, objects, or a penis into my butt and/or vagina/front hole. | Yes (1) No (0) |
2018AQSUPP | | SES4 | How many times has this happened in the past 12 months? | 0 (0) 1 (1) 2 (2) 3 (3) |
2018AQSUPP | | SES4 | How many times has this happened since age 14? | 0 (1) 1 (1) 2 (2) 3 (3) |
2018AQSUPP | | SES4 | How many times did this happen to you before age 14? | 0 (1) 1 (1) 2 (2) 3 (3) |
2018AQSUPP | | | Have you ever been sexually assaulted and/or raped? | Yes (1) No (0) |
2018AQSUPP | | | Thank you for answering these questions to better our understanding of LGBTQ people's experiences with sexual violence. We realize that recalling past experiences with sexual violence can be difficult. If you'd like to talk with someone about these experiences, please consider reaching out to the National Sexual Assault Hotline (800-656-4673), operated by Rape, Abuse, & Incest National Network (RAINN; rainn.org). | No Answers |
2018AQSUPP | | | The PRIDE Study is interested in giving voice to our communities' experiences with discrimination, violence, and harassment. If you would like to tell us more about any experiences that you have had along these lines, please do so here. | Text Entry (-) |
2018AQSUPP | | | We are asking the following question in the 2018 Annual Questionnaire Supplement so we can better customize this questionnaire for you.We have three available versions available: o A version for people who identify as a gender minority (e.g., genderqueer, non-binary, questioning one's gender identity, transgender, etc.) that will ask about gender identity/expression. o A version for people who identify as a sexual minority (e.g., asexual, bisexual, gay, lesbian, queer, questioning one's sexual orientation, etc.) that will ask about sexual orientation. o A version or people who identify as both a gender and sexual minority that will ask about gender identity/expression and sexual orientation. Please choose the option that you think is best for you. | No Answers |
2018AQSUPP | | | I would like to complete a survey designed for: | Gender minority people (for example: genderqueer, non-binary, questioning ones gender identity, transgender, etc.) (0) Sexual minority people (for example: asexual, bisexual, gay, lesbian, queer, questioning ones sexual orientation, etc.) (1) People who identify as both a sexual AND gender minority (2) |
2018AQSUPP | | | The next questions are about your experiences with spiritual and/or religious groups. | No Answers |
2018AQSUPP | | | Were you raised with spiritual or religious involvement? | Yes (1) No (2) |
2018AQSUPP | | RAISED_REL CYOA | How accepting of sexual minority people (for example: asexual, bisexual, gay, lesbian, queer, etc.) was the religious community in which you were raised? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2018AQSUPP | | RAISED_REL CYOA | How accepting of gender minority people (for example: genderqueer, non-binary, transgender, etc.) was the religious community in which you were raised? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2018AQSUPP | | RAISED_REL | In which religion or spiritual tradition were you raised? (Check all that apply.) | Agnostic (1) Atheist (2) Bahai (3) Buddhist (4) Christian (5) Confucianist (6) Druid (7) Hindu (8) Jain (9) Jehovahs Witness (10) Jewish (11) Muslim (12) Native American Traditional Practitioner or Ceremonial (13) Pagan (14) Rastafarian (15) Scientologist (16) Secular Humanist (17) Shinto (18) Sikh (19) Taoist (20) Tenrikyo (21) Wiccan (22) Spiritual, but no religious affiliation (23) No affiliation (0) A religious affiliation or spiritual identity not listed above (please specify) (24) A religious affiliation or spiritual identity not listed above (please specify) (TEXT) |
2018AQSUPP | | RELIGION_RAISED | In which Christian affiliation were you raised? | African Methodist Episcopal (1) African Methodist Episcopal Zion (2) Assembly of God (3) Baptist (4) Catholic/Roman Catholic (5) Church of Christ (6) Church of God in Christ (7) Christian Orthodox (8) Christian Methodist Episcopal (9) Christian Reformed Church (CRC) (10) Episcopalian (11) Evangelical (12) Greek Orthodox (13) Lutheran (14) Mennonite (15) Moravian (16) Nondenominational Christian (17) Pentecostal (18) Presbyterian (19) Protestant (20) Protestant Reformed Church (21) Quaker (22) Reformed Church of America (RCA) (23) Russian Orthodox (24) Seventh Day Adventist (25) The Church of Jesus Christ of Latter-day Saints (26) United Methodist (27) Unitarian Universalist (28) United Church of Christ (29) A Christian affiliation not listed above (please specify) (30) A Christian affiliation not listed above (please specify) (TEXT) |
2018AQSUPP | | RELIGION_RAISED | In which Jewish affiliation were you raised? | Conservative (1) Hasidic (2) Humanist (3) Orthodox (4) Reconstructionist (5) Reform (6) A Jewish affiliation not listed above (please specify) (7) A Jewish affiliation not listed above (please specify) (TEXT) |
2018AQSUPP | | RELIGION_RAISED | In which Muslim affiliation were you raised? | Muslim (not specifically Sunni or Shia) (1) Sunni (for example, Hanafi, Maliki, Shafi, or Hanbali) (2) Shia (for example, Ithna Ashari/Twelver or Ismaili/Sevener) (3) A Muslim affiliation not listed above (please specify) (4) A Muslim affiliation not listed above (please specify) (TEXT) |
2018AQSUPP | | | Are you currently spiritual or religious? | Yes (1) No (0) |
2018AQSUPP | | RELIGIOUS CYOA | How accepting of sexual minority people (for example: asexual, bisexual, gay, lesbian, queer, etc.) is your current spiritual or religious community? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not apply to me, I dont have a spiritual or religious community (5) |
2018AQSUPP | | RELIGIOUS CYOA | How accepting of gender minority people (for example: genderqueer, non-binary, transgender, etc.) is your current spiritual or religious community? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not apply to me, I dont have a spiritual or religious community (5) |
2018AQSUPP | | RELIGIOUS | What is your current religious or spiritual identity? (Check all that apply.) | Agnostic (1) Atheist (2) Bahai (3) Buddhist (4) Christian (5) Confucianist (6) Druid (7) Hindu (8) Jain (9) Jehovahs Witness (10) Jewish (11) Muslim (12) Native American Traditional Practitioner or Ceremonial (13) Pagan (14) Rastafarian (15) Scientologist (16) Secular Humanist (17) Shinto (18) Sikh (19) Taoist (20) Tenrikyo (21) Wiccan (22) Spiritual, but no religious affiliation (23) No affiliation (0) A religious affiliation or spiritual identity not listed above (please specify) (24) A religious affiliation or spiritual identity not listed above (please specify) (TEXT) |
2018AQSUPP | | RELIGION | Please select your Christian affiliation. | African Methodist Episcopal (1) African Methodist Episcopal Zion (2) Assembly of God (3) Baptist (4) Catholic/Roman Catholic (5) Church of Christ (6) Church of God in Christ (7) Christian Orthodox (8) Christian Methodist Episcopal (9) Christian Reformed Church (CRC) (10) Episcopalian (11) Evangelical (12) Greek Orthodox (13) Lutheran (14) Mennonite (15) Moravian (16) Nondenominational Christian (17) Pentecostal (18) Presbyterian (19) Protestant (20) Protestant Reformed Church (21) Quaker (22) Reformed Church of America (RCA) (23) Russian Orthodox (24) Seventh Day Adventist (25) The Church of Jesus Christ of Latter-day Saints (26) United Methodist (27) Unitarian Universalist (28) United Church of Christ (29) A Christian affiliation not listed above (please specify) (30) A Christian affiliation not listed above (please specify) (TEXT) |
2018AQSUPP | | RELIGION | Please select your Jewish affiliation. | Conservative (1) Hasidic (2) Humanist (3) Orthodox (4) Reconstructionist (5) Reform (6) A Jewish affiliation not listed above (please specify) (7) A Jewish affiliation not listed above (please specify) (TEXT) |
2018AQSUPP | | RELIGION | Please select your Muslim affiliation. | Muslim (not specifically Sunni or Shia) (1) Sunni (for example, Hanafi, Maliki, Shafi, or Hanbali) (2) Shia (for example, Ithna Ashari/Twelver or Ismaili/Sevener) (3) A Muslim affiliation not listed above (please specify) (4) A Muslim affiliation not listed above (please specify) (TEXT) |
2018AQSUPP | | | We are going to ask you questions about up to four different people who raised you (for example, parents, family members, or parental figures). To help you remember which person we are asking a question about, please type in the person's first name, initials, or nickname. We will use these names in the questions that follow. | Text Entry (-) |
2018AQSUPP | | | How is ${q://QID932/ChoiceTextEntryValue/1} related to you? | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2018AQSUPP | | | How is ${q://QID932/ChoiceTextEntryValue/2} related to you? | Mother (1) Father (2) Stepmother (3) Stepfather (4) Foster mother (5) Foster father (6) Aunt (7) Uncle (8) Grandmother (9) Grandfather (10) Cousin (11) Sister (12) Brother (13) Another way (please specify) (14) Another way (please specify) (TEXT) |
2018AQSUPP | | | How is ${q://QID932/ChoiceTextEntryValue/3} related to you? | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2018AQSUPP | | | How is ${q://QID932/ChoiceTextEntryValue/4} related to you? | Mother (1) Father (2) Stepmother (3) Stepfather (4) Foster mother (5) Foster father (6) Aunt (7) Uncle (8) Grandmother (9) Grandfather (10) Cousin (11) Sister (12) Brother (13) Another way (please specify) (14) Another way (please specify) (TEXT) |
2018AQSUPP | | CYOA | The next questions are about how ${q://QID932/ChoiceTextEntryValue/1} reacted to learning about your identity. | No Answers |
2018AQSUPP | | CYOA RELATE_NAMES | When ${q://QID932/ChoiceTextEntryValue/1} INITIALLY LEARNED about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my gender identity (88) Did not know about my gender identity and is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | In your most RECENT INTERACTIONS with ${q://QID932/ChoiceTextEntryValue/1}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my gender identity (88) Did not know about my gender identity and is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | When ${q://QID932/ChoiceTextEntryValue/1} INITIALLY LEARNED about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my sexual orientation (88) Did not know about my sexual orientation and is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | In your most RECENT INTERACTIONS with ${q://QID932/ChoiceTextEntryValue/1}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my sexual orientation (88) Did not know about my sexual orientation nand is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | The next questions are about how ${q://QID932/ChoiceTextEntryValue/2} reacted to learning about your identity. | No Answers |
2018AQSUPP | | CYOA RELATE_NAMES | When ${q://QID932/ChoiceTextEntryValue/2} INITIALLY LEARNED about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my gender identity (88) Did not know about my gender identity and is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | In your most RECENT INTERACTIONS with ${q://QID932/ChoiceTextEntryValue/2}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my gender identity (88) Did not know about my gender identity and is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | When ${q://QID932/ChoiceTextEntryValue/2} INITIALLY LEARNED about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my sexual orientation (88) Did not know about my sexual orientation and is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | In your most RECENT INTERACTIONS with ${q://QID932/ChoiceTextEntryValue/2}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my sexual orientation (88) Did not know about my sexual orientation and is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | The next questions are about how ${q://QID932/ChoiceTextEntryValue/3} reacted to learning about your identity. | No Answers |
2018AQSUPP | | CYOA RELATE_NAMES | When ${q://QID932/ChoiceTextEntryValue/3} INITIALLY LEARNED about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my gender identity (88) Did not know about my gender identity and is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | In your most RECENT INTERACTIONS with ${q://QID932/ChoiceTextEntryValue/3}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my gender identity (88) Did not know about my gender identity and is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | When ${q://QID932/ChoiceTextEntryValue/3} INITIALLY LEARNED about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my sexual orientation (88) Did not know about my sexual orientation and is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | In your most RECENT INTERACTIONS with ${q://QID932/ChoiceTextEntryValue/3}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my sexual orientation (88) Did not know about my sexual orientation and is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | The next questions are about how ${q://QID932/ChoiceTextEntryValue/4} reacted to learning about your identity. | No Answers |
2018AQSUPP | | CYOA RELATE_NAMES | When ${q://QID932/ChoiceTextEntryValue/4} INITIALLY LEARNED about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my gender identity (88) Did not know about my gender identity and is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | In your most RECENT INTERACTIONS with ${q://QID932/ChoiceTextEntryValue/4}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my gender identity (88) Did not know about my gender identity and is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | When ${q://QID932/ChoiceTextEntryValue/4} INITIALLY LEARNED about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my sexual orientation (88) Did not know about my sexual orientation and is now deceased or not in contact (87) |
2018AQSUPP | | CYOA RELATE_NAMES | In your most RECENT INTERACTIONS with ${q://QID932/ChoiceTextEntryValue/4}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) Does not know about my sexual orientation (88) Did not know about my sexual orientation and is now deceased or not in contact (87) |
2018AQSUPP | | | Some in our community have people who they are emotionally close to and consider family even though they are not biologically or legally related. This is sometimes called a chosen family.Do you have a chosen family? | Yes (1) No (0) |
2018AQSUPP | | CHOFAM | Please describe anything you would like to share about your chosen family and their role in your life. | Text Entry (-) |
2018AQSUPP | | | The next questions are about money that you have spent out of pocket on medical care. | No Answers |
2018AQSUPP | | | In the PAST 12 MONTHS, about how much did you spend in total for medical care and dental care? Please include copays, coinsurance, prescription medications, etc. Please do NOT include your monthly health insurance premiums, over-the-counter drugs, or costs that you will be reimbursed for. | Zero (0) Less than 500 (1) 500 - 1,999 (2) 2,000 - 2,999 (3) 3,000 - 4,999 (4) 5,000 or more (5) I dont know (88) |
2018AQSUPP | | OOP | In the PAST 12 MONTHS, did you borrow money to pay for health care? Please do NOT count health insurance premiums, over the counter drugs, or costs that you will be reimbursed for. | Yes (1) No (0) |
2018AQSUPP | | | In the PAST 12 MONTHS, about how much did you spend for prescription medications? | Zero (0) Less than 500 (1) 500 - 1,999 (2) 2,000 - 2,999 (3) 3,000 - 4,999 (4) 5,000 or more (5) I dont know (88) |
2018AQSUPP | | | Vitamins and Minerals | No Answers |
2018AQSUPP | | | Are you taking any of the following supplements? (Check all that apply.) | None of these (0) Biotin (1) Calcium (2) Coenzyme Q10 (3) Cranberry (pills, capsules) (4) Echinacea (5) Fiber Supplement (6) Fish Oil/Omega-3 Fatty Acids (7) Folate/Folic Acid (B-9) (8) Garlic supplements (9) Ginkgo biloba (10) Ginseng (11) Glucosamine and/or chondroitin (12) Iron (13) Magnesium (14) Melatonin (15) Multivitamin - not prenatal vitamin (16) Prenatal vitamins (17) Probiotics/prebiotics (18) Turmeric (19) Vitamin B-12 (20) Vitamin B Complex (21) Vitamin C (22) Vitamin D (23) Zinc (24) Other (please specify, enter 1 item only) (25) Other (please specify, enter 1 item only) (TEXT) Other (please specify, enter 1 item only) (26) Other (please specify, enter 1 item only) (TEXT) Other (please specify, enter 1 item only) (27) Other (please specify, enter 1 item only) (TEXT) None of these (0) |
2018AQSUPP | | | We are asking the following question in the 2018 Annual Questionnaire Supplement so we can better customize this questionnaire for you.Note: People may have a wide range of language or terms for their physical anatomy. Some people are not comfortable with the term ‘vagina' and may prefer the term ‘front hole.' The PRIDE Study chooses to include both the terms ‘vagina' and ‘front hole' for all relevant questions to honor the preferences and comfort of our participants. | No Answers |
2018AQSUPP | | | How often during the last year have you had painful aching anywhere in your mouth? Would you say…? | Very often (4) Fairly often (3) Occasionally (2) Hardly ever (1) Never (0) |
2018AQSUPP | | | Have you ever had an exam for oral cancer in which the doctor or dentist pulls on your tongue, sometimes with gauze wrapped around it, and feels under the tongue and inside the cheeks? | Yes (1) No (0) |
2018AQSUPP | | | Complementary and Integrative Health | No Answers |
2018AQSUPP | | | IN THE PAST YEAR, have you used any of the following to manage physical and/or mental health conditions? (Check all that apply.) | Acupuncture (1) Chiropractic or osteopathic manipulation (2) Energy healing (3) Massage therapy (4) None of these (0) |
2018AQSUPP | | CIH_PASTYR | What problem(s) or condition(s) do you use acupuncture to manage? (One condition per line.) | Text Entry (-) |
2018AQSUPP | | CIH_PASTYR | How effective has acupuncture been in managing this/these problem(s) or condition(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2018AQSUPP | | CIH_PASTYR | What problem(s) or condition(s) do you use chiropractic or osteopathic manipulation to manage? (One condition per line.) | Text Entry (-) |
2018AQSUPP | | CIH_PASTYR | How effective has chiropractic or osteopathic manipulation been in managing this/these problem(s) or condition(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2018AQSUPP | | CIH_PASTYR | What problem(s) or condition(s) do you use energy healing to manage? | Text Entry (-) |
2018AQSUPP | | CIH_PASTYR | How effective has energy healing been in managing this/these problem(s) or condition(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2018AQSUPP | | CIH_PASTYR | What problem(s) or condition(s) do you use massage therapy to manage? (One condition per line.) | Text Entry (-) |
2018AQSUPP | | CIH_PASTYR | How effective has massage therapy been in managing this/these problem(s) or condition(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2018AQSUPP | | | IN THE PAST YEAR, have you practiced any form of meditation regularly? | Yes (1) No (0) |
2018AQSUPP | | MEDITATION | Please estimate how many minutes per week you spent meditating, on average, over the past year. | Text Entry (-) |
2018AQSUPP | | MEDITATION | Was your meditation practice intended to manage physical and/or mental health conditions? | Yes (1) No (0) |
2018AQSUPP | | MEDITATION_MANAGE | What problem(s) or condition(s) do you use meditation to manage? (One condition per line.) | Text Entry (-) |
2018AQSUPP | | MEDITATION_MANAGE | How effective has meditation been in managing this/these problem(s) or condition(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2018AQSUPP | | | IN THE PAST YEAR, have you practiced any form of yoga regularly? | Yes (1) No (0) |
2018AQSUPP | | YOGA | Please estimate how many minutes per week you spent practicing yoga, on average, over the past year. | Text Entry (-) |
2018AQSUPP | | YOGA | Was your yoga practice intended to manage physical and/or mental health conditions? | Yes (1) No (0) |
2018AQSUPP | | YOGA_MANAGE | What problem(s) or condition(s) do you use yoga to manage? (One condition per line.) | Text Entry (-) |
2018AQSUPP | | YOGA_MANAGE | How effective has yoga been in managing this/these problem(s) or condition(s)? | Not at all effective (0) Somewhat effective (1) Moderately effective (2) Very effective (3) Almost completely effective (4) |
2018AQSUPP | | | Which of the following organs do you have now? (Check all that apply.) | Breasts or breast tissue (1) Cervix (you likely have this if you have a uterus or womb) (2) Ovaries (3) Penis/phallus (a part of your body, not a dildo) (4) Prostate (you likely have this if you were assigned male sex at birth) (5) Testicles (6) Uterus/Womb (7) Vagina/Frontal genital opening/Front hole (8) |
2018AQSUPP | | | Have you ever masturbated? Masturbation is touching yourself for sexual pleasure. | Yes (1) No (2) |
2018AQSUPP | | | How often do you masturbate? | More than once a day (1) Daily (2) More than once a week (3) Weekly (4) Monthly (5) Less than monthly (6) |
2018AQSUPP | | | Do you ever masturbate in the presence of an intimate or romantic partner? | Yes (1) No (2) |
2018AQSUPP | | ORGANS_NOW | Sexual Satisfaction / Dysfunction | No Answers |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how often did you feel sexual desire or interest? | Almost always or always (5) Most times (more than half the time) (4) Sometimes (about half the time) (3) A few times (less than half the time) (2) Almost never or never (1) |
2018AQSUPP | | | Have you had any sexual activity in the last 4 weeks? Recall that sexual activity can be any kind of sex with a partner(s) or self-stimulation (masturbation). | Yes (1) No (2) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how would you rate your level (degree) of sexual desire or interest? | Very high (5) High (4) Moderate (3) Low (2) Very low or none at all (1) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how often did you feel sexually aroused ("turned on") during sexual activity? | No sexual activity (0) Almost always or always (5) Most times (more than half the time) (4) Sometimes (about half the time) (3) A few times (less than half the time) (2) Almost never or never (1) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how would you rate your level of sexual arousal ("turn on") during sexual activity? | No sexual activity (0) Very high (5) High (4) Moderate (3) Low (2) Very low or none at all (1) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how confident were you about becoming sexually aroused during sexual activity? | No sexual activity (0) Very high confidence (5) High confidence (4) Moderate confidence (3) Low confidence (2) Very low or no confidence (1) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how often have you been satisfied with your arousal (excitement) during sexual activity? | No sexual activity (0) Almost always or always (5) Most times (more than half the time) (4) Sometimes (about half the time) (3) A few times (less than half the time) (2) Almost never or never (1) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how often did you become lubricated ("wet") during sexual activity? | No sexual activity (0) Almost always or always (5) Most times (more than half the time) (4) Sometimes (about half the time) (3) A few times (less than half the time) (2) Almost never or never (1) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how difficult was it to become lubricated ("wet") during sexual activity? | No sexual activity (0) Extremely difficult or impossible (1) Very difficult (2) Difficult (3) Slightly difficult (4) Not difficult (5) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how often did you maintain your lubrication ("wetness") until completion of sexual activity? | No sexual activity (0) Almost always or always (5) Most times (more than half the time) (4) Sometimes (about half the time) (3) A few times (less than half the time) (2) Almost never or never (1) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how difficult was it to maintain your lubrication ("wetness") until completion of sexual activity? | No sexual activity (0) Extremely difficult or impossible (1) Very difficult (2) Difficult (3) Slightly difficult (4) Not difficult (5) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, when you had sexual stimulation, how often did you reach orgasm (climax)? | No sexual activity (0) Almost always or always (5) Most times (more than half the time) (4) Sometimes (about half the time) (3) A few times (less than half the time) (2) Almost never or never (1) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, when you had sexual stimulation, how difficult was it for you to reach orgasm (climax)? | No sexual activity (0) Extremely difficult or impossible (1) Very difficult (2) Difficult (3) Slightly difficult (4) Not difficult (5) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how satisfied were you with your ability to reach orgasm (climax) during sexual activity? | No sexual activity (0) Very satisfied (5) Moderately satisfied (4) About equally satisfied and dissatisfied (3) Moderately dissatisfied (2) Very dissatisfied (1) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how satisfied have you been with the amount of emotional closeness during sexual activity between you and your partner? | No sexual activity (0) Very satisfied (5) Moderately satisfied (4) About equally satisfied and dissatisfied (3) Moderately dissatisfied (2) Very dissatisfied (1) Not applicable. I dont have a partner(s) (88) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how satisfied have you been with your sexual relationship with your partner? | Very satisfied (5) Moderately satisfied (4) About equally satisfied and dissatisfied (3) Moderately dissatisfied (2) Very dissatisfied (1) Not applicable, I dont have a partner(s) (88) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how satisfied have you been with your overall sexual life? | Very satisfied (5) Moderately satisfied (4) About equally satisfied and dissatisfied (3) Moderately dissatisfied (2) Very dissatisfied (1) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how often did you experience discomfort or pain during vaginal or front hole penetration? | Did not attempt or do not engage in vaginal/front hole penetration (0) Almost always or always (1) Most times (more than half the time) (2) Sometimes (about half the time) (3) A few times (less than half the time) (4) Almost never or never (5) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how often did you experience discomfort or pain following vaginal or front hole penetration? | Did not attempt or do not engage in vaginal/front hole penetration (0) Almost always or always (1) Most times (more than half the time) (2) Sometimes (about half the time) (3) A few times (less than half the time) (4) Almost never or never (5) |
2018AQSUPP | | ORGANS_NOW | Over the past 4 weeks, how would you rate your level (degree) of discomfort or pain during or following vaginal or front hole penetration? | Did not attempt or do not engage in vaginal/front hole penetration (0) Very high (1) High (2) Moderate (3) Low (4) Very low or none at all (5) |
2018AQSUPP | | ORGANS_NOW | In the last month, have you taken Viagra or any similar drugs for problems with your erection? | Yes (1) No (0) |
2018AQSUPP | | ORGANS_NOW | In the last month, without using drugs like Viagra, how often have you been able to get an erection when you wanted to? (Check only one) | All of the time (5) Most of the time (4) About half of the time (3) Less than half of the time (2) None of the time (1) Used Viagra or similar drug with every sexual encounter (0) Not applicable. I did not want to get an erection (7) |
2018AQSUPP | | ORGANS_NOW | In the last month, if you were able to get an erection without using drugs like Viagra, how often were you able to stay hard as long as you wanted to? (Check only one) | All of the time (5) Most of the time (4) About half of the time (3) Less than half of the time (2) None of the time (1) Used Viagra or similar drug with every sexual encounter (0) |
2018AQSUPP | | ORGANS_NOW | In the last month, if you were able to get an erection, without using drugs like Viagra, how would you rate the hardness of your erection? (Check only one) | Completely hard (5) Almost completely hard (4) Mostly hard, but can be slightly bent (3) A little hard, but bends easily (2) Not at all hard (1) Used Viagra or similar drug with every sexual encounter (0) |
2018AQSUPP | | ORGANS_NOW | In the last month, if you have had difficulty getting hard or staying hard without using drugs like Viagra, have you been bothered by this problem?… (Check only one) | Not at all bothered/Did not have a problem with erection (5) A little bit bothered (4) Moderately bothered (3) Very bothered (2) Extremely bothered (1) |
2018AQSUPP | | | We know that some people who have a penis or phallus have never had the capacity to ejaculate or "cum." Have you ever had the capacity to ejaculate or "cum? | Yes (1) No (2) |
2018AQSUPP | | ORGANS_NOW | In the last month, how often have you been able to ejaculate when having sexual activity? (Check only one) | All of the time (5) Most of the time (4) About half of the time (3) Less than half of the time (2) None of the time/Could not ejaculate (1) |
2018AQSUPP | | ORGANS_NOW | In the last month, when having sexual activity, how often did you feel that you took too long to ejaculate or “cum”? (Check only one) | None of the time (5) Less than half of the time (4) About half of the time (3) Most of the time (2) All of the time (1) Could not ejaculate (0) |
2018AQSUPP | | ORGANS_NOW | In the last month, when having sexual activity, how often have you felt like you were ejaculating (“cumming”), but no fluid came out? | None of the time (5) Less than half of the time (4) About half of the time (3) Most of the time (2) All of the time (1) Could not ejaculate (0) |
2018AQSUPP | | ORGANS_NOW | In the last month, how would you rate the strength or force of your ejaculation? | As strong as it always was (5) A little less strong than it used to be (4) Somewhat less strong than it used to be (3) Much less strong than it used to be (2) Very much less strong than it used to be (1) Could not ejaculate (0) |
2018AQSUPP | | ORGANS_NOW | In the last month, how would you rate the amount or volume of semen when you ejaculate? | As much as it always was (5) A little less than it used to be (4) Somewhat less than it used to be (3) Much less than it used to be (2) Very much less than it used to be (1) Could not ejaculate (0) |
2018AQSUPP | | ORGANS_NOW | Compared to ONE month ago, would you say the physical pleasure you feel when you ejaculate has… | Increased a lot (5) Increased moderately (4) Neither increased nor decreased (3) Decreased moderately (2) Decreased a lot (1) Could not ejaculate (0) |
2018AQSUPP | | ORGANS_NOW | In the last month, have you experienced any physical pain or discomfort when you ejaculated? Would you say you have… | No pain at all (5) Slight amount of pain or discomfort (4) Moderate amount of pain or discomfort (3) Strong amount of pain or discomfort (2) Extreme amount of pain or discomfort (1) Could not ejaculate (0) |
2018AQSUPP | | ORGANS_NOW | In the last month, if you have had any ejaculation difficulties or have been unable to ejaculate, have you been bothered by this? | Not at all bothered (5) A little bit bothered (4) Moderately bothered (3) Very bothered (2) Extremely bothered (1) Not applicable because I dont have any ejaculation difficulties (0) |
2018AQSUPP | | ORGANS_NOW | Do you have a “main partner”? | Yes (1) No (0) |
2018AQSUPP | | ORGANS_NOW | Generally, how satisfied are you with the overall sexual relationship you have with your main partner? (Check only one.) | Extremely satisfied (5) Moderately satisfied (4) Neither satisfied nor unsatisfied (3) Moderately unsatisfied (2) Extremely unsatisfied (1) |
2018AQSUPP | | ORGANS_NOW | Generally, how satisfied are you with the quality of the sex life you have with your main partner? | Extremely satisfied (5) Moderately satisfied (4) Neither satisfied nor unsatisfied (3) Moderately unsatisfied (2) Extremely unsatisfied (1) |
2018AQSUPP | | ORGANS_NOW | Generally, how satisfied are you with the number of times you and your main partner have sex? | Extremely satisfied (5) Moderately satisfied (4) Neither satisfied nor unsatisfied (3) Moderately unsatisfied (2) Extremely unsatisfied (1) |
2018AQSUPP | | ORGANS_NOW | Generally, how satisfied are you with the way you and your main partner show affection during sex? | Extremely satisfied (5) Moderately satisfied (4) Neither satisfied nor unsatisfied (3) Moderately unsatisfied (2) Extremely unsatisfied (1) |
2018AQSUPP | | ORGANS_NOW | Generally, how satisfied are you with the way you and your main partner communicate about sex? | Extremely satisfied (5) Moderately satisfied (4) Neither satisfied nor unsatisfied (3) Moderately unsatisfied (2) Extremely unsatisfied (1) |
2018AQSUPP | | ORGANS_NOW | Aside from your sexual relationship, how satisfied are you with all other aspects of the relationship you have with your main partner? | Extremely satisfied (5) Moderately satisfied (4) Neither satisfied nor unsatisfied (3) Moderately unsatisfied (2) Extremely unsatisfied (1) |
2018AQSUPP | | ORGANS_NOW | In the last month, how often have you had sexual activity, including masturbating, intercourse, oral sex, or any other type of sex? (Check only one) | Daily or almost daily (5) More than 6 times per month (4) 4-6 times per month (3) 1-3 times per month (2) 0 times per month (1) |
2018AQSUPP | | ORGANS_NOW | When was the last time you had sex? (Check only one) | 1-3 months ago (5) 4-6 months ago (4) 7-12 months ago (3) 13-24 months ago (2) More than 24 months ago (1) |
2018AQSUPP | | ORGANS_NOW | What are the reasons you have not had sex in the last month? (Check all that apply.) | I could not have sex because I could not get an erection. (1) I could not have sex because I could not ejaculate or cum. (4) I did not want to have sex in the last month. (7) I had no partner. (3) Other (please specify) (4) Other (please specify) (TEXT) |
2018AQSUPP | | ORGANS_NOW | Compared to ONE month ago, has the number of times you have had sexual activity increased or decreased? | Increased a lot (5) Increased moderately (4) Neither increased nor decreased (3) Decreased moderately (2) Decreased a lot (1) |
2018AQSUPP | | ORGANS_NOW | In the last month, have you been bothered by these changes in the number of times you have had sexual activity? | Not at all bothered (5) A little bit bothered (4) Moderately bothered (3) Very bothered (2) Extremely bothered (1) |
2018AQSUPP | | ORGANS_NOW | In the last month, how often have you felt an urge or desire to have sex with your main partner? | All of the time (5) Most of the time (4) About half of the time (3) Less than half of the time (2) None of the time (1) |
2018AQSUPP | | ORGANS_NOW | In the last month, how would you rate your urge or desire to have sex with your main partner? | Very high (5) High (4) Moderate (3) Low (2) Very low or none at all (1) |
2018AQSUPP | | ORGANS_NOW | In the last month, have you been bothered by your level of sexual desire? Have you been… | Not at all bothered (5) A little bit bothered (4) Moderately bothered (3) Very bothered (2) Extremely bothered (1) |
2018AQSUPP | | ORGANS_NOW | Compared to ONE month ago, has your urge or desire for sex with your main partner increased or decreased? | Increased a lot (5) Increased moderately (4) Neither increased nor decreased (3) Decreased moderately (2) Decreased a lot (1) |
2018AQSUPP | | | Do you use lubrication (also called "lube") when you masturbate? | Always (3) Sometimes (2) Never (1) |
2018AQSUPP | | | Do you use lubrication (also called "lube") when you have vaginal/front hole sex? | Always (3) Sometimes (2) Never (1) I do not engage in this type of sex (0) |
2018AQSUPP | | | Do you use lubrication (also called "lube") when you have anal sex? | Always (3) Sometimes (2) Never (1) I do not engage in this type of sex (0) |
2018AQSUPP | | | Sex Work | No Answers |
2018AQSUPP | | | Have you ever engaged in sex or sexual activity in exchange for money (sex work) or worked in the sex industry (such as erotic dancing, webcam work, or porn films)? | Yes (1) No (0) |
2018AQSUPP | | SEXWORK | What type of sex work or work in the sex industry have you ever done? (Check all that apply.) | SEXWORK1 (1) SEXWORK2 (2) SEXWORK3 (3) SEXWORK4 (4) SEXWORK5 (5) SEXWORK6 (6) SEXWORK7 (7) SEXWORK8 (8) SEXWORK9 (9) SEXWORK10 (10) SEXWORK11 (11) SEXWORK11 (TEXT) |
2018AQSUPP | | | Have you engaged in sex or sexual activity in exchange for food? | Yes, within the past year (2) Yes, but more than a year ago (1) No (0) |
2018AQSUPP | | | Have you engaged in sex or sexual activity in exchange for a place to sleep? | Yes, within the past year (2) Yes, but more than a year ago (1) No (0) |
2018AQSUPP | | | Have you engaged in sex or sexual activity in exchange for drugs? | Yes, within the past year (2) Yes, but more than a year ago (1) No (0) |
2018AQSUPP | | | Please select up to 3 of the following dating sites/apps that you use the most. | I dont use any dating sites/apps (0) Adam4Adam (1) BBRT (2) Blendr (3) Bumble (4) Chappy (5) Coffee Meets Bagel (6) Compatible Partners (7) Craigslist (8) Feeld (9) FetLife (10) FWB (Friends With Benefits) (11) Grindr (12) Growlr (13) Happn (14) Hinge (15) Her (16) Hornet (17) Jackd (18) Manhunt (19) Match.com (20) MR X (21) OKCupid (22) Plenty of Fish (POF) (23) Recon (24) Seeking Arrangement (25) Scissr (26) Scruff (27) Surge (28) The League (29) Thrust (30) Tinder (31) Zoe (32) Other (please specify) (33) Other (please specify) (TEXT) |
2018AQSUPP | | | On average, which best describes the amount of time you spend on dating sites/apps? | Less than 1 hour a week (1) 1-6 hours per week (2) 1 hour per day (3) 2 hours per day (4) 3 or more hours per day (5) |
2018AQSUPP | | | How often do you meet up with someone from a dating site/app? | Almost never (1) About once per month (2) A couple of times per month (3) About once per week (4) Several times per week (5) Daily (6) |
2018AQSUPP | | | Some people report experiencing discrimination or harassment on dating sites/apps due to their personal characteristics. Have you ever experienced discrimination or harassment on a dating site/app due to any of the following? (Check all the apply.) | I have never experienced discrimination/harassment on dating sites/apps (0) My ability/disability status (1) My age (2) My body size or shape (3) My gender expression (4) My gender identity (5) My HIV status (6) The language I speak or sign (7) My participation in BDSM, kink, or other sexual activities (8) My political views (9) My preferred safer sex practices (e.g., PrEP, condoms) (10) My race and/or ethnicity (11) My sexual orientation (12) My skin color (13) My spiritual/religious affiliation (14) Another reason (please specify) (15) Another reason (please specify) (TEXT) |
2018AQSUPP | | | If you would like to, please tell us more about your experiences (positive and/or negative) using dating sites/apps. | Text Entry (-) |
2018AQSUPP | | | More About Me | No Answers |
2018AQSUPP | | | In politics, as of today, do you consider yourself a Democrat, an Independent, a Republican, or another party? | Democrat (1) Independent (2) Republican (3) Another party (please specify) (4) Another party (please specify) (TEXT) I do not identify with any political party. (5) |
2018AQSUPP | | POLPARTY | As of today, do you lean more toward the Democratic Party or the Republican Party? | Democratic Party (1) Republican Party (2) Neither/Other (3) |
2018AQSUPP | | | Did you vote in the 2016 election year? | Yes (1) No (2) I do not remember (3) I am not eligible to vote (4) |
2018AQSUPP | | | Did you intend to vote, or have you already voted, in the 2018 election year? | Yes (1) No (2) I do not remember if I voted (3) I have not yet decided (4) I am not eligible to vote (5) |
2018AQSUPP | | | How would you describe your political views? | Very conservative (1) Conservative (2) Moderate (3) Liberal (4) Very liberal (5) |
2018AQSUPP | | | What is your citizenship or immigration status in the U.S.? As a reminder, your answers are confidential and cannot be used against you. To protect your privacy, we have obtained a Certificate of Confidentiality from the National Institutes of Health. We can use this Certificate to legally refuse to disclose information that may identify you in any federal, state, or local civil, criminal, administrative, legislative, or other proceedings (for example, if there is a court subpoena). | U.S. citizen by birth (1) U.S. citizen by naturalization (2) Permanent resident (Green card holder) (3) A visa holder (such as F-1, J-1, H-1B, and U) (4) DACA (Deferred Action for Childhood Arrival) (5) Refugee status (6) Undocumented resident (7) Currently under a withholding of removal status (8) Other documented status not mentioned above (9) Id prefer not to disclose this (10) |
2018AQSUPP | | | Future Research in The PRIDE Study | No Answers |
2018AQSUPP | | | In the future, The PRIDE Study may conduct optional research studies that involve taking certain measurements at home such as your heart rate or blood pressure. Additionally, The PRIDE Study may conduct optional research studies that include collection of biological specimens such as saliva, urine, hair samples, or blood.In order to determine if these are research studies that we should conduct, we are asking the next questions to find out which devices our participants own and what specimens they would be willing to give us for research purposes. | No Answers |
2018AQSUPP | | | Do you own a scale that can measure your weight? It does not need to be a digital scale or a "smart" scale that is connected to the Internet. | Yes (1) No (0) I dont know (88) |
2018AQSUPP | | | Do you own an automatic (digital) blood pressure cuff that goes around your upper arm (not your wrist)? | Yes (1) No (0) I dont know (88) |
2018AQSUPP | | | Do you own a glucometer (a device that checks your blood sugar level using a small drop of blood obtained by a fingerstick)? | Yes (1) No (0) I dont know (88) |
2018AQSUPP | | | Would you be willing to participate in research studies that request that you submit a saliva (spit) sample? | Yes (1) No (0) I dont know (88) |
2018AQSUPP | | | Would you be willing to participate in research studies that request that you submit a urine (pee) sample? | Yes (1) No (0) I dont know (88) |
2018AQSUPP | | | Would you be willing to participate in research studies that request that you submit a hair sample? | Yes (1) No (0) I dont know (88) |
2018AQSUPP | | | Would you be willing to participate in research studies that request that you submit a blood sample? | Yes (1) No (0) I dont know (88) |
2018AQSUPP | | | Would you be willing to participate in research studies that request that you submit a cheek scraping (where you gently scrape the inside of your cheek to get cells from inside your mouth)? This is also known as a buccal swab. | Yes (1) No (0) I dont know (88) |
2018AQSUPP | | | If you have any specific ideas or concerns that you would like to share with us about giving biological samples to The PRIDE Study, please describe them here. | Text Entry (-) |
2018AQSUPP | | | Have you ever done DNA genetic testing with any of the following companies? (Check all that apply.) | 23andMe (1) AncestryDNA (2) CRI Genetics (3) FamilyTree DNA (4) HomeDNA (5) Living DNA (6) MyHeritage DNA (7) National Geographic Genographic Project (8) Another company (please specify) (9) Another company (please specify) (TEXT) None of these (0) |
2018AQSUPP | | DNA | Would you be willing to share your DNA genetic testing results with The PRIDE Study? | Yes (1) No (0) I dont know (88) |
2018AQSUPP | | | We at The PRIDE Study are interested in what makes people thrive. Therefore, can you tell us a bit about what brings you joy? | Text Entry (-) |
2018AQSUPP | | | Is there anything else you would like to share with us about your health or well-being? | Text Entry (-) |
2018AQSUPP | | | YOU ARE ALMOST DONE WITH THIS SURVEY - PLEASE READ BELOW AND THEN CLICK NEXT This is required in order for the system to mark your survey as "Complete." Thank you for completing the 2018 Annual Questionnaire Supplement and for advancing scientific knowledge about the health of LGBTQ people! In addition to our commitment to communicating findings from the study back to our community in the future, we also want to connect our participants with some resources that may be helpful to them now. Please find below a list of websites, organizations, and hotlines that may be helpful in promoting LGBTQ people's health, safety, and wellbeing. - Find an LGBTQ center near you with Centerlink, The Community of LGBT Centers: lgbtcenters.org - Find free HIV testing in your area through the Centers for Disease Control's GetTested program: https://gettested.cdc.gov/ - Find an LGBTQ -friendly doctor through the Gay and Lesbian Medical Association: https://glmaimpak.networkats.com/members_online_new/members/dir_provider.asp - Talk with someone 24/7 if you are in crisis or thinking of suicide: National Suicide Prevention Lifeline: 1-800-273-8255 - Talk with someone 24/7 if you need support related to being a survivor of sexual assault: National Sexual Assault Hotline: 1-800-656-4673 TO LOG YOUR SURVEY AS COMPLETE, PLEASE ADVANCE TO NEXT SCREEN and then select "Back to Dashboard | No Answers |
2019AQ | | | What is your current gender identity? (Check all that apply.) | Agender (1) Cisgender man (2) Cisgender woman (3) Genderqueer (4) Man (5) Non-binary (6) Questioning (7) Transgender man (8) Transgender woman (9) Two-spirit (10) Woman (11) Another gender identity (please specify) (12) Another gender identity (please specify) (TEXT) |
2019AQ | | | What was the sex assigned to you at birth, for example on your original birth certificate? | Female (2) Male (1) |
2019AQ | | | What is your current sexual orientation? (Check all that apply.) | Asexual (1) Bisexual (2) Gay (3) Lesbian (4) Pansexual (5) Queer (6) Questioning (7) Same-gender loving (8) Straight (9) Two-spirit (10) Another sexual orientation (11) Another sexual orientation (TEXT) |
2019AQ | | | What is your current height in feet and inches? If you don't know, please give your best estimate. | Text Entry (-) |
2019AQ | | | What is your current weight in pounds (lbs)? If you don't know, please give your best estimate. | Text Entry (-) |
2019AQ | | | What is your ZIP code? (This is the 5-digit code that helps direct U.S. Mail to you.) | Text Entry (-) |
2019AQ | | | I would like to complete a survey designed for: | Gender minority people (for example: genderqueer, non-binary, questioning ones gender identity, transgender, etc.) (1) Sexual minority people (for example: asexual, bisexual, gay, lesbian, queer, questioning ones sexual orientation, etc.) (2) People who identify as both a sexual AND gender minority (3) |
2019AQ | | | If you had to choose only one of the following terms, which best describes your current gender identity?("Cisgender" here means identifying with the sex assigned to you at birth. For example, a cisgender woman identifies as a woman and was assigned female sex at birth.) | Cisgender man (1) Cisgender woman (2) Non-binary (3) Transgender man (4) Transgender woman (5) Another gender identity (6) |
2019AQ | | | If you had to choose only one of the following terms, which best describes your current sexual orientation? | Asexual/Demisexual/Gray-Ace (1) Bisexual/Pansexual (2) Gay/Lesbian (3) Queer (4) Straight/Heterosexual (5) Another sexual orientation (6) |
2019AQ | | | We would like to know more about your current romantic feelings toward other people. Please select all of the people you have romantic feelings for: (Check all that apply.) | Cisgender men (identify as men and were assigned male sex at birth) (1) Transgender men (identify as men and were assigned female sex at birth) (2) Cisgender women (identify as women and were assigned female sex at birth) (3) Transgender women (identify as women and were assigned male sex at birth) (4) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned female sex at birth (5) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned male sex at birth (6) I am romantically attracted to people of another gender(s) (please specify) (7) I am romantically attracted to people of another gender(s) (please specify) (TEXT) I am not romantically attracted to people of any gender (0) I dont know (88) |
2019AQ | | | We would like to know more about your current sexual attractions to other people. Please select all of the people you are attracted to: (Check all that apply.) | Cisgender men (identify as men and were assigned male sex at birth) (1) Transgender men (identify as men and were assigned female sex at birth) (2) Cisgender women (identify as women and were assigned female sex at birth) (3) Transgender women (identify as women and were assigned male sex at birth) (4) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned female sex at birth (5) Genderqueer/non-binary/gender non-conforming individual(s) who were assigned male sex at birth (6) I am sexually attracted to people of another gender(s) (please specify) (7) I am sexually attracted to people of another gender(s) (please specify) (TEXT) I am not sexually attracted to people of any gender (0) I dont know (88) |
2019AQ | | | People are often referred to by pronouns instead of their names, such as they/theirs, she/hers, he/his, ze/hir. Which pronouns do you want people to use to refer to you? (Check all that apply.) | He, him, his (1) She, her, hers (2) They, them, theirs (3) Ze, hir, hirs (4) No pronouns. I want people to only use my name. (5) Any pronouns are fine. I dont have a preference. (6) Pronouns not listed above (7) Pronouns not listed above (TEXT) |
2019AQ | | | What percentage of time do people use the pronouns you selected above (considering all situations)? | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2019AQ | | | People often have a chosen name that is different than the name they were given at birth. Do you have a name like that? | Yes (1) No (2) |
2019AQ | | CHONAME | What percentage of time do people use your chosen name? | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2019AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Depression (1) Bipolar Disorder (2) Any anxiety disorder (3) Generalized Anxiety Disorder (4) Post-Traumatic Stress Disorder (PTSD) (5) None of the above (0) |
2019AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Agoraphobia or Panic Disorder (1) Social Phobia or Social Anxiety Disorder (2) Schizophrenia or a psychotic disorder or that you had a psychotic episode or psychotic break (3) Obsessive Compulsive Disorder (OCD) (4) Chronic Tic Disorder or Tourette Syndrome (5) None of the above (0) |
2019AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Trichotillomania (hair pulling disorder) (1) Chronic skin picking or Excoriation Disorder (2) Body Dysmorphic Disorder (BDD) (3) Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD) (4) Any personality disorder (such as Borderline Personality Disorder or Narcissistic Personality Disorder) (5) None of the above (0) |
2019AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Alcoholism or Alcohol Use Disorder (1) Drug or Substance Use Disorder (2) Any eating disorder (such as anorexia or bulimia) (3) Insomnia or another sleep disorder (4) Hypochondriasis or Illness Anxiety Disorder (5) Dissociative Identity Disorder or another dissociative disorder (6) None of the above (0) |
2019AQ | | | Were any of these conditions diagnosed within the PAST 12 MONTHS? (Check all that apply.) | None of these were diagnosed in the past 12 months. (0) Depression (1) Bipolar Disorder (2) Any anxiety disorder (3) Generalized Anxiety Disorder (4) Post-Traumatic Stress Disorder (PTSD) (5) Agoraphobia or Panic Disorder (6) Social Phobia or Social Anxiety Disorder (7) Schizophrenia or a psychotic disorder or that you had a psychotic episode or psychotic break (8) Obsessive Compulsive Disorder (OCD) (9) Chronic Tic Disorder or Tourette Syndrome (10) Trichotillomania (hair pulling disorder) (11) Chronic skin picking or Excoriation Disorder (12) Body Dysmorphic Disorder (BDD) (13) Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD) (14) Any personality disorder (such as Borderline Personality Disorder or Narcissistic Personality Disorder) (15) Alcoholism or Alcohol Use Disorder (16) Drug or Substance Use Disorder (17) Any eating disorder (such as anorexia or bulimia) (18) Insomnia or another sleep disorder (19) Hypochondriasis or Illness Anxiety Disorder (20) Dissociative Identity Disorder or another dissociative disorder (21) |
2019AQ | | | Problems You May Have Had | No Answers |
2019AQ | | | In the PAST 12 MONTHS, do you think that you had depression? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2019AQ | | | In the PAST 12 MONTHS, do you think that you had a problem with anxiety? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2019AQ | | | In the PAST 12 MONTHS, do you think that you had a problem with alcohol use? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2019AQ | | | In the PAST 12 MONTHS, do you think that you had a problem with drug or substance use (other than alcohol)? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2019AQ | | | In the PAST 12 MONTHS, do you think that you had an eating disorder or a problem with eating? | I have never had this problem in the past 12 months (0) Yes, I have at some time in the past 12 months, but not now (1) Yes, and I think I still have this problem (2) |
2019AQ | | | In the PAST 12 MONTHS, have you purposefully physically harmed or injured yourself (for example, cutting or burning yourself)? | Yes (1) No (0) |
2019AQ | | | Which of the following best describes your use of medications for stress or mental health problems in the PAST 12 MONTHS? | I have not taken medication for these reasons in the past 12 months (0) I took medication for at least one of these reasons in the past 12 months, but not now (1) I currently take medication for at least one of these reasons (2) |
2019AQ | | MED_MENTAL | Which of the following best describes your use of medications for stress or mental health problems in the PAST 12 MONTHS? | All of the medications I took for stress or mental health problems were prescribed to me (0) Some of the medications I took for stress or mental health problems were prescribed to me (1) None of the medications I took for stress or mental health problems were prescribed to me (2) |
2019AQ | | PROB_SUBST | Which of the following best describes your use of medications for substance use problems in the PAST 12 MONTHS? | I have not taken medication for this reason in the past 12 months (0) I took medication for this reason in the past 12 months, but not now (1) I currently take medication for this reason (2) |
2019AQ | | | Which of the following best describes your use of psychotherapy/counseling for stress or mental health problems in the PAST 12 MONTHS? | I have not been in psychotherapy/counseling for these reasons in the past 12 months (0) I was in psychotherapy/counseling for at least one of these reasons in the past 12 months, but not now (1) I am currently in psychotherapy/counseling for at least one of these reasons (2) |
2019AQ | | PROB_SUBST | Which of the following best describes your use of psychotherapy/counseling for substance use problems in the PAST 12 MONTHS? | I have not been in psychotherapy/counseling for this reason in the past 12 months (0) I was in psychotherapy/counseling for this reason in the past 12 months, but not now (1) I am currently in psychotherapy/counseling for this reason (2) |
2019AQ | | | Have you EVER tried cigarette smoking, even one or two puffs? | Yes (1) No (0) |
2019AQ | | SMOKE_EVER | Have you smoked at least 100 cigarettes in YOUR ENTIRE LIFE? | Yes (1) No (0) |
2019AQ | | SMOKER | Do you now smoke cigarettes every day, some days, or not at all? | Every day (2) Some days (1) Not at all (0) |
2019AQ | | SMOKE_EVER | When was the last time you smoked a cigarette, even one or two puffs? | Within the past 24 hours (8) Within the past 7 days (7) Within the past 30 days (6) Within the past 3 months (5) Within the past 6 months (4) Within the past 1 year (3) Within the past 5 years (2) Within the past 15 years (1) More than 15 years ago (0) |
2019AQ | | SMOKE_NOW | On average, about how many cigarettes a day do you now smoke? | Text Entry (-) |
2019AQ | | | In the PAST MONTH, have you used any tobacco or nicotine products other than cigarettes? (Check all that apply.) | Blunt (with another substance) (1) Blunt (without any other substance) (2) Bidi (3) Chewing tobacco (chew) (4) Other cigars with tobacco inside (e.g., cigarillos, little cigars, bidis) (5) Other cigars with another substance (e.g., cigarillos, little cigars, bidis) (6) Dip (7) E-cigarette or vape device with nicotine (8) E-cigarette or vape device without nicotine (9) Nicotine replacement products (e.g., patch, gum, lozenge) (10) Snuff (11) Snus (12) Other tobacco or nicotine containing product (please specify) (13) Other tobacco or nicotine containing product (please specify) (TEXT) I have never used any tobacco product other than cigarettes (14) I have never used any tobacco- or nicotine-containing products (0) |
2019AQ | | | How long has it been since you last had 5 or more drinks containing alcohol on one occasion? | Within the past 30 days (3) More than 30 days ago but within the past 12 months (2) More than 12 months ago (1) Never had 5 or more drinks on one occasion (0) |
2019AQ | | ALC5 | In the PAST 30 DAYS, on how many days have you had 5 or more drinks containing alcohol on one occasion? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (1) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | | How long has it been since you last had 4 or more drinks containing alcohol on one occasion? | Within the past 30 days (3) More than 30 days ago but within the past 12 months (2) More than 12 months ago (1) Never had 4 or more drinks on one occasion (0) |
2019AQ | | ALC4 | In the PAST 30 DAYS, on how many days have you had 4 or more drinks containing alcohol on one occasion? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | | How often did you have a drink containing alcohol in the PAST YEAR? | Never (0) Monthly or less (1) 2-4 times a month (2) 2-3 times a week (3) 4 or more times a week (4) |
2019AQ | | AUDIT1 | How many drinks containing alcohol did you have on a typical day when you were drinking in the PAST YEAR? | 1 or 2 (0) 3 or 4 (1) 5 or 6 (2) 7 to 9 (3) 10 or more (4) |
2019AQ | | AUDIT1 | How often do you have six or more drinks on one occasion? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2019AQ | | AUDIT1 | How often during the LAST YEAR have you found that you were not able to stop drinking once you had started? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2019AQ | | AUDIT1 | How often during the LAST YEAR have you failed to do what was normally expected from you because of drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2019AQ | | AUDIT1 | How often during the LAST YEAR have you needed a first drink in the morning to get yourself going after a heavy drinking session? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2019AQ | | AUDIT1 | How often during the LAST YEAR have you had a feeling of guilt or remorse after drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2019AQ | | AUDIT1 | How often during the LAST YEAR have you been unable to remember what happened the night before because you had been drinking? | Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) |
2019AQ | | | Have you or someone else been injured as a result of your drinking? | No (0) Yes, but not in the last year (2) Yes, during the last year (4) |
2019AQ | | | Has a relative or friend or a doctor or another health worker been concerned about your drinking or suggested you cut down? | No (0) Yes, but not in the last year (2) Yes, during the last year (4) |
2019AQ | | | Have you thought about or attempted to kill yourself? | Never (0) It was just a brief passing thought. (1) I have had a plan at least once to kill myself but did not try to do it. (2) I have had a plan at least once to kill myself and really wanted to die. (3) I have attempted to kill myself, but did not want to die. (4) I have attempted to kill myself, and really hoped to die. (5) |
2019AQ | | SBQ1 | How often have you thought about killing yourself? | Never (0) Rarely (1 time) (1) Sometimes (2 times) (2) Often (3-4 times) (3) Very often (5 or more times) (4) |
2019AQ | | | Have you told someone that you were going to commit suicide, or that you might do it? | No. (0) Yes, at one time, but did not really want to die. (1) Yes, at one time, and really wanted to die. (2) Yes, more than once, but did not want to do it. (3) Yes, more than once, and really wanted to do it. (4) |
2019AQ | | SBQ1 | When was the last time you attempted to kill yourself? | Within the past year (2) 1-5 years ago (1) More than 5 years ago (0) |
2019AQ | | | How likely is it that you will attempt suicide someday? | Never (0) No chance at all (1) Rather unlikely (2) Unlikely (3) Likely (4) Rather likely (5) Very likely (6) |
2019AQ | | SBQ1 SBQ5 | We at The PRIDE Study value the health and mental health of sexual and gender minority people like you. Suicide has taken too many of us. We sincerely urge you to get help, as we know that things can get better with help. Please consider reaching out for services in your area, and also consider calling 1-800-273-8255 (National Suicide Prevention Lifeline) or 1-888-843-4564 (LGBT National Hotline) to talk with someone. Go to the emergency room or call 911 if you are in crisis and don't know where to get help. The PRIDE Study team cares about you and the health of our community. | No Answers |
2019AQ | | | I tend to bounce back quickly after hard times. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2019AQ | | | I have a hard time making it through stressful events. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2019AQ | | | It does not take me long to recover from a stressful event. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2019AQ | | | It is hard for me to snap back when something bad happens. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2019AQ | | | I usually come through difficult times with little trouble. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2019AQ | | | I tend to take a long time to get over set-backs in my life. | Strongly disagree (1) Disagree (2) Neutral (3) Agree (4) Strongly agree (5) |
2019AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Repeated, disturbing memories, thoughts, or images of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2019AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Feeling very upset when something reminded you of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2019AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Avoided activities or situations because they reminded you of a stressful experience from the past? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2019AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Feeling distant or cut off from other people? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2019AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Feeling irritable or having angry outbursts? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2019AQ | | | In the PAST MONTH, how much have you been bothered by the following problem: Having difficulty concentrating? | Not at all (1) A little bit (2) Moderately (3) Quite a bit (4) Extremely (5) |
2019AQ | | | Sometimes things happen to people that are unusually or especially frightening, horrible, or traumatic. For example: a serious accident or fire, a physical or sexual assault or abuse, an earthquake or flood, a war, seeing someone be killed or seriously injured, having a loved one die through homicide or suicide.Have you experienced this kind of event in the PAST 12 MONTHS? | Yes, in the PAST 12 MONTHS (2) Yes, more than 12 months ago (1) No (0) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Little interest or pleasure in doing things | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling down, depressed, or hopeless | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Trouble falling or staying asleep, or sleeping too much | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling tired or having little energy | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Poor appetite or overeating | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling bad about yourself - or that you are a failure or have let yourself or your family down | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Trouble concentrating on things, such as reading the newspaper or watching television | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Thoughts that you would be better off dead or of hurting yourself in some way | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | PHQ9 | We at The PRIDE Study value the health and mental health of sexual and gender minority people like you. Suicide has taken too many of us. We sincerely urge you to get help, as we know that things can get better with help. Please consider reaching out for services in your area, and also consider calling 1-800-273-8255 (National Suicide Prevention Lifeline) or 1-888-843-4564 (LGBT National Hotline) to talk with someone. Go to the emergency room or call 911 if you are in crisis and don't know where to get help. The PRIDE Study team cares about you and the health of our community. | No Answers |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling nervous, anxious or on edge | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Not being able to stop or control worrying | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Worrying too much about different things | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Trouble relaxing | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Being so restless that it is hard to sit still | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Becoming easily annoyed or irritable | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | Over the LAST 2 WEEKS, how often have you been bothered by the following problem: Feeling afraid as if something awful might happen | Not at all (0) Several days (1) More than half the days (2) Nearly every day (3) |
2019AQ | | | In your LIFETIME, which of the following substances have you ever used - either prescribed or not prescribed by a health care provider? (Check all that apply.) | Cannabis (marijuana, pot, grass, hash, etc.) (1) Cocaine (coke, crack, etc.) (2) Prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) (3) Methamphetamine (speed, crystal meth, tina, ice, etc.) (4) Inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers) (5) Inhaled nitrates (poppers) (6) Sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) (7) GHB (G, gamma-hydroxybutyric acid) (8) Hallucinogens (LSD, acid, mushrooms, PCP, ketamine, etc.) (9) Street opioids (heroin, opium, etc.) (10) Prescription opioids (fentanyl, oxycodone OxyContin, Percocet, hydrocodone Vicodin, methadone, buprenorphine, etc.) (11) MDMA (Ecstasy or Molly) (12) Other 1 (please list only 1 drug) (13) Other 1 (please list only 1 drug) (TEXT) Other 2 (please list only 1 drug) (14) Other 2 (please list only 1 drug) (TEXT) I have never used any substances (0) |
2019AQ | | DRUGS | How long has it been since you last used cannabis (marijuana, pot, grass, hash, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2019AQ | | CAN_LASTUSE | In the PAST 30 DAYS, on how many days have you used cannabis (marijuana, pot, grass, hash, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | CAN_LASTUSE | In the PAST 3 MONTHS, how often have you used cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | CAN_FREQ | Was any of your cannabis (marijuana, pot, grass, hash, etc.) use in the past three months recommended or prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | CAN_ANYMD | Was all of your cannabis (marijuana, pot, grass, hash, etc.) use in the past three months used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | CAN_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | CAN_FREQ | During the PAST 3 MONTHS, how often has your use of cannabis (marijuana, pot, grass, hash, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | CAN_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of cannabis (marijuana, pot, grass, hash, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of cannabis (marijuana, pot, grass, hash, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER tried and failed to control, cut down or stop using cannabis (marijuana, pot, grass, hash, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | How long has it been since you last used cocaine (coke, crack, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2019AQ | | COKE_LASTUSE | In the PAST 30 DAYS, on how many days have you used cocaine (coke, crack, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | COKE_LASTUSE | In the PAST 3 MONTHS, how often have you used cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | COKE_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | COKE_FREQ | During the PAST 3 MONTHS, how often has your use of cocaine (coke, crack, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | COKE_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of cocaine (coke, crack, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of cocaine (coke, crack, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER tried and failed to control, cut down or stop using cocaine (coke, crack, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER used cocaine (coke, crack, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | How long has it been since you last used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2019AQ | | STIM_LASTUSE | In the PAST 30 DAYS, on how many days have you used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | STIM_LASTUSE | In the PAST 3 MONTHS, how often have you used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | STIM_FREQ | Was any of your prescription stimulant (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | STIM_ANYMD | Was all of your prescription stimulant (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | STIM_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | STIM_FREQ | During the PAST 3 MONTHS, how often has your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | STIM_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER tried and failed to control, cut down or stop using prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER used prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | How long has it been since you last used methamphetamine (speed, crystal meth, tina, ice, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2019AQ | | METH_LASTUSE | In the PAST 30 DAYS, on how many days have you used methamphetamine (speed, crystal meth, tina, ice, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | METH_LASTUSE | In the PAST 3 MONTHS, how often have you used methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | METH_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | METH_FREQ | During the PAST 3 MONTHS, how often has your use of methamphetamine (speed, crystal meth, tina, ice, etc.) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | METH_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of methamphetamine (speed, crystal meth, tina, ice, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of methamphetamine (speed, crystal meth, tina, ice, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER tried and failed to control, cut down or stop using methamphetamine (speed, crystal meth, tina, ice, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER used methamphetamine (speed, crystal meth, tina, ice, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | How long has it been since you last used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2019AQ | | INHALE_LASTUSE | In the PAST 30 DAYS, on how many days have you used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | INHALE_LASTUSE | In the PAST 3 MONTHS, how often have you used inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | INHALE_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | INHALE_FREQ | During the PAST 3 MONTHS, how often has your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers) led to health, social, legal, or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | INHALE_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER tried and failed to control, cut down or stop using inhalants (nitrous oxide, glue, gas, paint thinner, etc.) not including inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | How long has it been since you last used inhaled nitrates (poppers)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2019AQ | | POP_LASTUSE | In the PAST 30 DAYS, on how many days have you used inhaled nitrates (poppers)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | POP_LASTUSE | In the PAST 3 MONTHS, how often have you used inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | POP_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | POP_FREQ | During the PAST 3 MONTHS, how often has your use of inhaled nitrates (poppers) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | POP_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of inhaled nitrates (poppers)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | POP_FREQ | During the PAST 3 MONTHS, during what activities have you used inhaled nitrates (poppers)? (Check all that apply.) | Sexual activity with yourself (for example, masturbation) (0) Sexual activity with another person (1) Dancing or clubbing (2) Other activities (3) |
2019AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER tried and failed to control, cut down or stop using inhaled nitrates (poppers)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER used inhaled nitrates (poppers) in the 24 hours after you took a medication intended to give people stronger erections (for example, Viagra, Cialis, or Levitra)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | POP_PDE5INHIB | WARNING: Using inhaled nitrates (poppers) in combination with medications that help with sexual activity like Viagra, Cialis, or Levitra can kill you by causing a lethal drop in blood pressure with even one use. We are aware that this information may not be widely known among our communities. If you use inhaled nitrates (poppers) in combination with medications that help with sexual activity like Viagra, Cialis, or Levitra, please contact a health care provider to get more information right away. | No Answers |
2019AQ | | DRUGS | How long has it been since you last used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2019AQ | | SED_LASTUSE | In the PAST 30 DAYS, on how many days have you used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | SED_LASTUSE | In the PAST 3 MONTHS, how often have you used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | SED_FREQ | Was any of your sedative or sleeping pill (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | SED_ANYMD | Was all of your sedative or sleeping pill (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | SED_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | SED_FREQ | During the PAST 3 MONTHS, how often has your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | SED_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER tried and failed to control, cut down or stop using sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER used sedatives or sleeping pills (Valium, Serepax, Ativan, Xanax, Librium, Rohypnol, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | How long has it been since you last used GHB (G, gamma-hydroxybutyric acid)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2019AQ | | GHB_LASTUSE | In the PAST 30 DAYS, on how many days have you used GHB (G, gamma-hydroxybutyric acid)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | GHB_LASTUSE | In the PAST 3 MONTHS, how often have you used GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | GHB_FREQ | Was any of your GHB (G, gamma-hydroxybutyric acid) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GHB_ANYMD | Was all of your GHB (G, gamma-hydroxybutyric acid) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GHB_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | GHB_FREQ | During the PAST 3 MONTHS, how often has your use of GHB (G, gamma-hydroxybutyric acid) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | GHB_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of GHB (G, gamma-hydroxybutyric acid)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of GHB (G, gamma-hydroxybutyric acid)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER tried and failed to control, cut down or stop using GHB (G, gamma-hydroxybutyric acid)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | How long has it been since you last used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2019AQ | | HALL_LASTUSE | In the PAST 30 DAYS, on how many days have you used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | HALL_LASTUSE | In the PAST 3 MONTHS, how often have you used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | HALL_FREQ | Was any of your hallucinogen (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) use in the past three months prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2019AQ | | HALL_ANYMD | Was all of your hallucinogen (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) use in the past three months used exactly as prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2019AQ | | HALL_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | HALL_FREQ | During the PAST 3 MONTHS, how often has your use of hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | HALL_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER tried and failed to control, cut down or stop using hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER used hallucinogens (LSD, acid, mushrooms, PCP, ketamine, Special K, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | How long has it been since you last used street opioids (heroin, opium, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2019AQ | | HEROIN_LASTUSE | In the PAST 30 DAYS, on how many days have you used street opioids (heroin, opium, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | HEROIN_LASTUSE | In the PAST 3 MONTHS, how often have you used street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | HEROIN_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | HEROIN_FREQ | During the PAST 3 MONTHS, how often has your use of street opioids (heroin, opium, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | HEROIN_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of street opioids (heroin, opium, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of street opioids (heroin, opium, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER tried and failed to control, cut down or stop using street opioids (heroin, opium, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER used street opioids (heroin, opium, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | How long has it been since you last used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2019AQ | | NARC_LASTUSE | In the PAST 30 DAYS, on how many days have you used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | NARC_LASTUSE | In the PAST 3 MONTHS, how often have you used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | NARC_FREQ | Was any of your prescription opioid (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) use in the past three months prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | NARC_ANYMD | Was all of your prescription opioid (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) use in the past three months used exactly as prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | NARC_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | NARC_FREQ | During the PAST 3 MONTHS, how often has your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | NARC_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER tried and failed to control, cut down or stop using prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER used prescription opioids (fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine, etc.) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | How long has it been since you last used MDMA (Molly or ecstasy)? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2019AQ | | MDMA_LASTUSE | In the PAST 30 DAYS, on how many days have you used MDMA (Molly or ecstasy)? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | MDMA_LASTUSE | In the PAST 3 MONTHS, how often have you used MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | MDMA_FREQ | Was any of your MDMA (Molly or ecstasy) use in the past three months recommended or prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | MDMA_ANYMD | Was all of your MDMA (Molly or ecstasy) use in the past three months used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | MDMA_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | MDMA_FREQ | During the PAST 3 MONTHS, how often has your use of MDMA (Molly or ecstasy) led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | MDMA_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of MDMA (Molly or ecstasy)? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of MDMA (Molly or ecstasy)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER tried and failed to control, cut down or stop using MDMA (Molly or ecstasy)? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | | Have you EVER used MDMA (Molly or ecstasy) by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | How long has it been since you last used ${q://QID1903/ChoiceTextEntryValue/11}? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2019AQ | | OTDRUG1_LASTUSE | In the PAST 30 DAYS, on how many days have you used ${q://QID1903/ChoiceTextEntryValue/11}? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | OTDRUG1_LASTUSE | In the PAST 3 MONTHS, how often have you used ${q://QID1903/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | OTDRUG1_FREQ | Was any of your ${q://QID1903/ChoiceTextEntryValue/11} use in the past three months recommended or prescribed by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | OTDRUG1_ANYMD | Was all of your ${q://QID1903/ChoiceTextEntryValue/11} use in the past three months used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | OTDRUG1_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use ${q://QID1903/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | OTDRUG1_FREQ | During the PAST 3 MONTHS, how often has your use of ${q://QID1903/ChoiceTextEntryValue/11} led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | OTDRUG1_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of ${q://QID1903/ChoiceTextEntryValue/11}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of ${q://QID1903/ChoiceTextEntryValue/11}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER tried and failed to control, cut down or stop using ${q://QID1903/ChoiceTextEntryValue/11}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER used ${q://QID1903/ChoiceTextEntryValue/11} by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | How long has it been since you last used ${q://QID1903/ChoiceTextEntryValue/12}? | Within the past 30 days (0) More than 30 days ago but within the past 12 months (1) More than 12 months ago (2) |
2019AQ | | OTDRUG2_LASTUSE | In the PAST 30 DAYS, on how many days have you used ${q://QID1903/ChoiceTextEntryValue/12}? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | OTDRUG2_LASTUSE | In the PAST 3 MONTHS, how often have you used ${q://QID1903/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | OTDRUG2_FREQ | Was any of your ${q://QID1903/ChoiceTextEntryValue/12} use in the past three months recommended or prescribed by a doctor or other health care professional? | Yes (1) No (0) |
2019AQ | | OTDRUG2_ANYMD | Was all of your ${q://QID1903/ChoiceTextEntryValue/12} use in the past three months used exactly as prescribed or recommended by a doctor or other health care professional? | Yes (1) No (0) |
2019AQ | | OTDRUG2_FREQ | In the PAST 3 MONTHS, how often have you had a strong desire or urge to use ${q://QID1903/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | OTDRUG2_FREQ | During the PAST 3 MONTHS, how often has your use of ${q://QID1903/ChoiceTextEntryValue/12} led to health, social, legal or financial problems? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | OTDRUG2_FREQ | During the PAST 3 MONTHS, how often have you failed to do what was normally expected of you because of your use of ${q://QID1903/ChoiceTextEntryValue/12}? | Never (0) Once or Twice (1) Monthly (2) Weekly (3) Daily or Almost Daily (4) |
2019AQ | | DRUGS | Has a friend or relative or anyone else EVER expressed concern about your use of ${q://QID1903/ChoiceTextEntryValue/12}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER tried and failed to control, cut down or stop using ${q://QID1903/ChoiceTextEntryValue/12}? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | DRUGS | Have you EVER used ${q://QID1903/ChoiceTextEntryValue/12} by injection? | No, never (0) Yes, but not in the past 3 months (1) Yes, in the past 3 months (2) |
2019AQ | | | You have completed the Mental Health section! This is one of 4 sections! Thank you for the time and energy you have put into helping us understand LGBTQ people's diverse and vibrant lives as we work towards helping LGBTQ people thrive! Your answers are bringing us closer to health equity for LGBTQ people. Thank you! | No Answers |
2019AQ | | | Do you currently identify as a person with a disability? | Yes (1) No (0) |
2019AQ | | DIS_SELFID | What condition(s) or problem(s) are related to your disability identity? (Check all that apply.) | Arthritis/rheumatism (1) Autism (2) Back or neck problem (3) Benign tumors, cysts (4) Birth defect (5) Cancer (6) Circulation problems (including blood clots) (7) Depression/anxiety/emotional problem (8) Diabetes (9) Epilepsy, seizures (10) Fibromyalgia, lupus (11) Fracture, bone/joint injury (12) Hearing problem (13) Heart problem (14) Hernia (15) Hypertension/high blood pressure (16) Intellectual/developmental disability (17) Kidney, bladder or renal problems (18) Knee problems (not arthritis, not joint injury) (19) Lung/breathing problem (for example, asthma and emphysema) (20) Memory (21) Migraine headaches (not just headaches) (22) Missing limbs (fingers, toes or digits), amputee (23) Multiple Sclerosis (MS), Muscular Dystrophy (MD) (24) Osteoporosis, tendinitis (25) Other developmental problem (for example cerebral palsy) (26) Other injury (27) Other nerve damage, including carpal tunnel syndrome (28) Parkinsons disease, other tremors (29) Polio (myelitis), paralysis, para/quadriplegia (30) Stroke problem (31) Thyroid problems, Graves disease, gout (32) Ulcer (33) Varicose veins, hemorrhoids (34) Vision/problem seeing (35) Weight problem (36) Other impairment/problem (please specify one) (37) Other impairment/problem (please specify one) (TEXT) Other impairment/problem (please specify one) (38) Other impairment/problem (please specify one) (TEXT) |
2019AQ | | | In the PAST 12 MONTHS, have you been unable to work due to a disability? | Yes (1) No (0) |
2019AQ | | | In the PAST 12 MONTHS, have you received Supplemental Security Income (SSI) or other government disability assistance related to a disability status? | Yes (1) No (0) |
2019AQ | | | Are you deaf or do you have serious difficulty hearing? | Yes (1) No (0) |
2019AQ | | | Are you blind or do you have serious difficulty seeing, even when wearing glasses? | Yes (1) No (0) |
2019AQ | | | Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions? | Yes (1) No (0) |
2019AQ | | | Do you have serious difficulty walking or climbing stairs? | Yes (1) No (0) |
2019AQ | | | Do you have difficulty dressing or bathing? | Yes (1) No (0) |
2019AQ | | | Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor's office or shopping? | Yes (1) No (0) |
2019AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Standing for long periods such as 30 minutes? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2019AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Taking care of your household responsibilities? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2019AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Learning a new task, for example, learning how to get to a new place? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2019AQ | | | In the PAST 30 DAYS, how much of a problem did you have joining in community activities (for example, festivities, religious or other activities) as fully as someone who doesn't experience your health conditions? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2019AQ | | | In the PAST 30 DAYS, how much have you been emotionally affected by your health problems? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2019AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Concentrating on doing something for ten minutes? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2019AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Walking a long distance such as a kilometer [or approximately 0.6 miles]? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2019AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Washing your whole body? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2019AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Getting dressed? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2019AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Dealing with people you do not know? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2019AQ | | | In the PAST 30 DAYS, how much difficulty did you have: Maintaining a friendship? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2019AQ | | | In the PAST 30 DAYS, how much difficulty did you have with: Your day-to-day work? | None (0) Mild (1) Moderate (2) Severe (3) Extreme or cannot do (4) |
2019AQ | | | Overall, in the PAST 30 DAYS, how many days were these difficulties present? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | | In the PAST 30 DAYS, for how many days were you totally unable to carry out your usual activities or work because of any health condition? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | | In the PAST 30 DAYS, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition? | 0 (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 (10) 11 (11) 12 (12) 13 (13) 14 (14) 15 (15) 16 (16) 17 (17) 18 (18) 19 (19) 20 (20) 21 (21) 22 (22) 23 (23) 24 (24) 25 (25) 26 (26) 27 (27) 28 (28) 29 (29) 30 (30) |
2019AQ | | | The next set of questions ask about employment. | No Answers |
2019AQ | | | Do you currently work one or more paid jobs? | Yes (1) No (0) |
2019AQ | | WORK | What is the main reason you do not currently work? | Taking care of house or family (1) Going to school (2) Retired (3) On a planned vacation from work (4) On family or parental leave (5) Temporarily unable to work for health reasons (6) Have job or contract and off-season (7) On layoff (8) Disabled (9) Other (please specify) (10) Other (please specify) (TEXT) I dont know (88) |
2019AQ | | WORK | Which of the following describes your current occupation? (Check all that apply.) | Employed, working 40 or more hours per week (1) Employed, working 1-39 hours per week (2) Temporarily employed (3) Self-employed (4) Not employed, looking for work (5) Not employed, not looking for work (6) Homemaker (7) Student (Full time) (8) Student (Part time) (9) Disabled, not able to work (10) Retired (11) |
2019AQ | | WORK | In a typical week, how many hours do you work at your paid job(s)? | 1-10 (0) 11-20 (1) 21-30 (2) 31-40 (3) 41-50 (4) 51-60 (5) 61 (6) |
2019AQ | | | What were your individual earnings (in US Dollars) before taxes and deductions from ALL sources (including jobs, businesses, welfare, child support, disability, social security, etc.) in the 2018 tax year? | 0 (0) 1 - 10,000 (1) 10,000 - 20,000 (2) 20,000 - 30,000 (3) 30,000 - 40,000 (4) 40,000 - 50,000 (5) 50,000 - 60,000 (6) 60,000 - 70,000 (7) 70,000 - 80,000 (8) 80,000 - 90,000 (9) 90,000 - 100,000 (10) 100,000 (11) |
2019AQ | | | What is your best estimate (in US dollars) of your household earnings before taxes and deductions from ALL sources (including jobs, businesses, welfare, child support, disability, social security, etc.) in the 2018 tax year? | 0 (0) 1 - 10,000 (1) 10,000 - 20,000 (2) 20,000 - 30,000 (3) 30,000 - 40,000 (4) 40,000 - 50,000 (5) 50,000 - 60,000 (6) 60,000 - 70,000 (7) 70,000 - 80,000 (8) 80,000 - 90,000 (9) 90,000 - 100,000 (10) 100,000 (11) |
2019AQ | | | How many individuals are dependent upon the household income you just described? Please enter 1 for yourself. | Text Entry (-) |
2019AQ | | | What is your highest education level completed? | No schooling (1) Nursery school to high school, no diploma (2) High school graduate or equivalent (e.g., GED) (3) Trade/Technical/Vocational training (4) Some college (5) 2-year college degree (6) 4-year college degree (7) Masters degree (8) Doctoral degree (9) Professional degree (e.g., M.D., J.D., M.B.A.) (10) |
2019AQ | | | In the PAST 12 MONTHS, at any time, were you held in jail, prison, or juvenile detention? | Yes (1) No (0) |
2019AQ | | | In the PAST 12 MONTHS, have you spent any nights sleeping in a shelter or public place including buildings, cars, stairwells, streets, parks, or other outside areas? Please do not include recreational camping. | Yes (1) No (0) |
2019AQ | | HMLS_YR | Approximately how many nights in the PAST 12 MONTHS have you spent sleeping in a shelter or public place including buildings, cars, stairwells, streets, parks, or other outside areas? Please do not include recreational camping. | Text Entry (-) |
2019AQ | | | In the PAST 12 MONTHS, have you spent any nights living temporarily doubled up with others, where you were in a transitional or transitory setting, or you had no fixed address? | Yes (1) No (0) |
2019AQ | | UNSTB_YR | Approximately how many nights in the PAST 12 MONTHS have you been living temporarily doubled up with others, where you were in a transitional or transitory setting, or you had no fixed address? | Text Entry (-) |
2019AQ | | | What are your current living arrangements? | Living in house/apartment/condo I own alone or with others (with a mortgage or that you own free and clear) (1) Living in house/apartment/condo I rent alone or with others (2) Living with a partner, spouse, or other person who pays for the housing (3) Living with parents or family I grew up with (4) Living in campus/university housing (5) Living in military barracks (6) Living in a foster group home or other foster care (7) Living in a nursing home or other adult care facility (8) Living in a hospital (9) Living in a hotel or motel that I pay for myself (10) Living in a hotel or motel with an emergency shelter voucher (11) Living temporarily with friends or family because I cannot afford my own housing (12) Living in transitional housing/halfway house (13) Living on the street, in a car, in an abandoned building, in a park, or a place that is NOT a house, apartment, shelter, or other housing (14) Living in a homeless shelter (15) Living in a domestic violence shelter (16) Living in a shelter that is not a homeless shelter or domestic violence shelter (17) A living arrangement not listed above (please describe) (18) A living arrangement not listed above (please describe) (TEXT) |
2019AQ | | | How many people, including yourself, live in your household who are 18 years of age or older? | Text Entry (-) |
2019AQ | | | How many people live in your household who are younger than 18 years of age? | Text Entry (-) |
2019AQ | | | In the PAST 12 MONTHS, have you experienced harassment or name calling from strangers in public? | Yes (1) No (0) |
2019AQ | | YRHARASS | Do you think you were targeted for this harassment or name calling that occurred in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2019AQ | | | In the PAST 12 MONTHS, have you been physically attacked or deliberately injured? | Yes (1) No (0) |
2019AQ | | YRATTACK | Do you think you were targeted for these physical attacks or injuries that occurred in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2019AQ | | | In the PAST 12 MONTHS, have you experienced physical violence from a romantic or sexual partner? | Yes (1) No (0) |
2019AQ | | YRDV | Do you think you were targeted for this physical violence from a romantic or sexual partner that occurred in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2019AQ | | | In the PAST 12 MONTHS, have you been treated unfairly at work or when applying/interviewing for a job? | Yes (1) No (0) Not applicable, I have not worked and have not applied for jobs in the past 12 months (99) |
2019AQ | | YRJOBDISC | Do you think you were targeted for this unfair treatment at work or while applying for jobs in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2019AQ | | | In the PAST 12 MONTHS, have you been treated unfairly while trying to rent an apartment or buy a home, or been unfairly evicted from your residence? | Yes (1) No (0) |
2019AQ | | YRHOUSDISC | Do you think you were targeted for this unfair treatment in housing/eviction in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2019AQ | | | In the PAST 12 MONTHS, have you received poorer service than other people in restaurants, stores, other businesses or agencies? | Yes (1) No (0) |
2019AQ | | YRSERVDISC | Do you think you were targeted for this poorer service in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2019AQ | | | In the PAST 12 MONTHS, have you been treated unfairly while you were a student at school or in another educational setting? | Yes (1) No (0) Not applicable, I have not been in an educational setting in the past 12 months (99) |
2019AQ | | YRSCHDISC | Do you think you were targeted for this unfair treatment in educational settings in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2019AQ | | | In the PAST 12 MONTHS, have you been denied or given lower quality medical care? | Yes (1) No (0) Not applicable, I have not received or tried to receive medical care in the past 12 months (99) |
2019AQ | | YRMED | Do you think you were targeted for this discrimination in a medical setting in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2019AQ | | | Was there a time in the PAST 12 MONTHS when you needed to see a health care provider but did not because you thought you would be disrespected or mistreated? | Yes (1) No (0) |
2019AQ | | ANTMEDDISC | When you put off seeing a health care provider in the PAST 12 MONTHS because you thought you were going to be disrespected or mistreated, were you concerned you would be disrespected or mistreated because of your... (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2019AQ | | | In the PAST 12 MONTHS, have you been denied or given lower quality mental health care? | Yes (1) No (0) Not applicable, I have not received or tried to receive mental health care in the past 12 months (99) |
2019AQ | | YRMENTAL | Do you think you were targeted for this discrimination in a mental health setting in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2019AQ | | | In the PAST 12 MONTHS, have you experienced unfair treatment or harassment from the police or another law enforcement officer? | Yes (1) No (0) |
2019AQ | | YRPOLICE | Do you think you were targeted for this unfair treatment or harassment from a law enforcement officer in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2019AQ | | | In the PAST 12 MONTHS, have you experienced unwanted sexual contact? | Yes (1) No (0) |
2019AQ | | YRSA | Do you think you were targeted for this unwanted sexual contact that occurred in the PAST 12 MONTHS due to your … (Check all that apply.) | Ability/disability status (1) Age (2) Body size, weight, or shape (3) Gender expression (4) Gender identity (5) Race and/or ethnicity (6) Sexual orientation (7) Something else (please specify) (8) Something else (please specify) (TEXT) None of the above (0) |
2019AQ | | YRSA | Thank you for answering these questions to better our understanding of LGBTQ people's experiences with sexual violence. We realize that recalling past experiences with sexual violence can be difficult. If you'd like to talk with someone about these experiences, please consider reaching out to the National Sexual Assault Hotline (800-656-4673), operated by Rape, Abuse, & Incest National Network (RAINN; rainn.org). | No Answers |
2019AQ | | | Now we will ask about sources of emotional and social support. Please respond to each item that follows by selecting one option. | No Answers |
2019AQ | | | I have someone who will listen to me when I need to talk. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2019AQ | | | I have someone to confide in or talk to about myself or my problems. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2019AQ | | | I have someone who makes me feel appreciated. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2019AQ | | | I have someone to talk with when I have a bad day. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2019AQ | | | I feel left out. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2019AQ | | | I feel that people barely know me. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2019AQ | | | I feel isolated from others. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2019AQ | | | I feel that people are around me but not with me. | Never (0) Rarely (1) Sometimes (2) Usually (3) Always (4) |
2019AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? Members of your immediate family (for example, parents and siblings) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2019AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2019AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? People you socialize with (for example, friends and acquaintances) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2019AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2019AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2019AQ | | CYOA | What percent of the people in this group do you think are aware that you are a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.)? Your health care providers | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2019AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Members of your immediate family (for example, parents and siblings) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2019AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2019AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? People you socialize with (for example, friends and acquaintances) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2019AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2019AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2019AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your gender or gender identity (e.g., not correcting people when they use a name or pronoun that is not accurate for you) when interacting with members of this group? Your health care providers | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2019AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? Members of your immediate family (for example, parents and siblings) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2019AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2019AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? People you socialize with (for example, friends and acquaintances) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2019AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2019AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)?Strangers (for example, someone you have a casual conversation with in line at the store) | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2019AQ | | CYOA | What percent of the people in this group do you think are aware of your sexual orientation (meaning they are aware of whether you consider yourself bisexual, gay, straight, etc.)? Your health care providers | 0 (0) 10 (1) 20 (2) 30 (3) 40 (4) 50 (5) 60 (6) 70 (7) 80 (8) 90 (9) 100 (10) |
2019AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Members of your immediate family (for example, parents and siblings) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2019AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Members of your extended family (for example, aunts, uncles, grandparents, cousins) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2019AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? People you socialize with (for example, friends and acquaintances) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2019AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? People at your work/school (for example, coworkers, supervisors, instructors, students) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2019AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Strangers (for example, someone you have a casual conversation with in line at the store) | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2019AQ | | CYOA | How often do you avoid talking about topics related to or otherwise indicating your sexual orientation (e.g., not talking about your significant other, changing your mannerisms) when interacting with members of this group? Your health care providers | 0 Never (0) 1 (1) 2 (2) 3 (3) 4 (4) 5 Half the time (5) 6 (6) 7 (7) 8 (8) 9 (9) 10 Always (10) |
2019AQ | | | The following questions concern types of unwanted sexual experiences that you may have had. Your responses to these questions help us better understand the unwanted sexual experiences of LGBTQ people. We understand that responding to these questions may bring up memories of very difficult experiences. Please indicate if you would like to complete these questions, or if you would like to skip these questions and move on to the next topic. | Yes, I would like to complete these questions (1) No, I would like to skip these questions (0) |
2019AQ | | | How many times has this happened in the PAST 12 MONTHS?Someone fondled, kissed, or rubbed up against the private areas of my body (lips, breast/chest, crotch, or butt) or removed some of my clothes without my consent (but DID NOT attempt sexual penetration) | 0 (0) 1 (1) 2 (2) 3 (3) |
2019AQ | | | How many times has this happened in the PAST 12 MONTHS? Someone had oral sex with me or made me have oral sex with them without my consent. | 0 (0) 1 (1) 2 (2) 3 (3) |
2019AQ | | | Note: People may have a wide range of language or terms for their physical anatomy. Some people are not comfortable with the term ‘vagina' and may prefer the term ‘frontal genital opening.' The PRIDE Study chooses to include both the terms ‘vagina' and ‘frontal genital opening' for all relevant questions to honor the preferences and comfort of our participants. How many times has this happened in the PAST 12 MONTHS? Someone put their penis, fingers, or objects into my butt and/or vagina/frontal genital opening without my consent. | 0 (0) 1 (1) 2 (2) 3 (3) |
2019AQ | | | How many times has this happened in the PAST 12 MONTHS? Even though it didn't happen, someone TRIED to make me have oral sex with them, or TRIED to put fingers, objects, or a penis into my butt and/or vagina/frontal genital opening. | 0 (0) 1 (1) 2 (2) 3 (3) |
2019AQ | | | Have you been sexually assaulted and/or raped in the PAST 12 MONTHS? | Yes (1) No (0) |
2019AQ | | SES1_YR | We realize that recalling past experiences with sexual violence can be difficult. If you'd like to talk with someone about these experiences, please consider reaching out to the National Sexual Assault Hotline (800-656-4673), operated by Rape, Abuse, & Incest National Network (RAINN; rainn.org). | No Answers |
2019AQ | | CYOA | I wish I weren't genderqueer, transgender, or gender minority. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2019AQ | | CYOA | In general, I have tried to stop identifying with a gender that differs from my assigned sex at birth. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2019AQ | | CYOA | If someone offered me the chance to have a gender that conformed with my sex assigned at birth, I would accept the chance. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2019AQ | | CYOA | I feel that being genderqueer, transgender, or gender minority is a personal shortcoming for me. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2019AQ | | CYOA | I would like to get professional help in order to have a gender that conforms with my sex assigned at birth. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2019AQ | | CYOA | I am proud of my gender. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2019AQ | | CYOA | I think my life is better because I am genderqueer, transgender, or gender minority. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2019AQ | | CYOA | To what extent do you think about your identity as a gender minority (for example: genderqueer, non-binary, questioning one's gender identity, transgender) person? (Choose one.) | Almost never (0) Several times a year (1) Once a month (2) Once a week (3) A few times a week (4) Once a day (5) Many times a day (6) |
2019AQ | | CYOA | I wish I weren't lesbian/gay/bisexual/asexual/sexual minority. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2019AQ | | CYOA | I have tried to stop being attracted to people of the same gender in general. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) Not applicable because I am not attracted to people of my gender (0) |
2019AQ | | CYOA | If someone offered me the chance to be completely heterosexual, I would accept the chance. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2019AQ | | ORIENTATION CYOA | If someone offered me the chance to be completely gay/lesbian, I would accept the chance. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2019AQ | | CYOA | I feel that being lesbian/gay/bisexual/asexual/sexual minority is a personal shortcoming for me. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2019AQ | | CYOA | I would like to get professional help in order to change my sexual orientation from lesbian/gay/bisexual/asexual/sexual minority to heterosexual. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2019AQ | | CYOA | I am proud of my sexual orientation. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2019AQ | | CYOA | I think my life is better because of my sexual orientation. | Disagree strongly (1) Disagree somewhat (2) Neither agree nor disagree (3) Agree somewhat (4) Agree strongly (5) |
2019AQ | | CYOA | To what extent do you think about your identity as a sexual minority (for example: asexual, bisexual, gay, lesbian, queer, questioning one's sexual orientation) person? (Choose one.) | Almost never (0) Several times a year (1) Once a month (2) Once a week (3) A few times a week (4) Once a day (5) Many times a day (6) |
2019AQ | | | Did you become a parent in the PAST 12 MONTHS? | Yes (1) No (0) |
2019AQ | | PARENT | To how many children did you become a parent in the PAST 12 MONTHS? | Text Entry (-) |
2019AQ | | | We are going to ask you a question about the children who you became a parent to in the PAST 12 MONTHS. To help you remember which child we are asking a question about, please type in the child's first name, initials, or nickname. We will use these names in the following questions. | Text Entry (-) |
2019AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/1}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2019AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/2}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2019AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/3}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2019AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/4}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2019AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/5}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2019AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/6}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2019AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/7}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2019AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/8}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2019AQ | | CHILD_NAMES | Please indicate how you became a parent to ${q://QID491/ChoiceTextEntryValue/9}. (Check all that apply.) | I engaged in sexual activity with another parent of this child (1) I carried this child through a pregnancy and WAS also the egg source for this child (this is what happens in pregnancy if you did not undergo in-vitro fertilization or if you underwent in-vitro fertilization with your own egg) (2) I carried this child through a pregnancy but was NOT the egg source for this child (this can happen with in-vitro fertilization) (3) I provided the egg for this child that another person carried through pregnancy (4) I provided the sperm for this child (5) I adopted this child (6) I used donor (anonymous) sperm for this child (7) I used donor (known) sperm for this child (8) I underwent a second parent adoption of my partners biological child (9) I worked with a surrogate to carry this child (10) I worked with an egg donor to provide the egg source for this child (11) I am a step parent to this child (12) I foster parented this child (13) I became a parent through another method (please specify) (14) I became a parent through another method (please specify) (TEXT) |
2019AQ | | | In the PAST 12 MONTHS, have you been in therapy or been part of a program or group intended to change your gender or gender identity to be consistent with the sex assigned to you at birth? (This is sometimes called "conversion therapy.") | Yes (1) No (0) |
2019AQ | | GICONVTX | Who provided the therapy, program, or group intended to change your gender or gender identity to be consistent with the sex assigned to you at birth? (Check all that apply.) | A licensed mental health provider (1) A religious group or leader (2) Someone or something else (please specify) (3) Someone or something else (please specify) (TEXT) |
2019AQ | | | In the PAST 12 MONTHS, have you been in therapy or been part of a program or group intended to change your sexual orientation to heterosexual/straight? (This is sometimes called "conversion therapy.") | Yes (1) No (0) |
2019AQ | | SOCONVTX | Who provided the therapy, program, or group intended to change your sexual orientation to heterosexual/straight? (Check all that apply.) | A licensed mental health provider (1) A religious group or leader (2) Someone or something else (please specify) (3) Someone or something else (please specify) (TEXT) |
2019AQ | | CYOA | Overall, how accepting of gender minority people is the community in which you currently live? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
2019AQ | | CYOA | Overall, how accepting of sexual minority people is the community in which you currently live? | Extremely accepting (4) Accepting (3) Neutral (2) Unaccepting (1) Extremely unaccepting (0) |
2019AQ | | | How welcomed and accepted do you feel in LGBTQ spaces (including community groups, social clubs, bars, etc.)? | Unaccepted/unwelcomed in all of these spaces (1) Unaccepted/unwelcomed in most of these spaces (but accepted/welcomed in at least one) (2) Accepted/welcomed in about half of these spaces (3) Accepted/welcomed in most, but not all, of these spaces (4) Accepted/welcomed in all of these spaces (5) |
2019AQ | | WELCOME | You mentioned feeling unaccepted/unwelcomed in some or all LGBTQ spaces. People sometimes feel that these spaces are not welcoming towards them due to various aspects of their identities. Please select aspects of your identity that feel unwelcome in these spaces. (Check all that apply.) | My ability/disability status (1) My age (2) My body size, weight, or shape (3) My gender expression (4) My gender identity (5) The language I speak or sign (6) My participation in BDSM, kink, or other sexual activities (7) My political views (8) My race and/or ethnicity (9) My sexual orientation (10) My skin color (11) My spiritual/religious affiliation (12) Another reason (please specify) (13) Another reason (please specify) (TEXT) None of the above (0) |
2019AQ | | | Is there at least one LGBTQ space (e.g., social club, group, bar, etc.) in which you feel safe? | Yes (1) No (0) |
2019AQ | | | Overall, how safe do you feel LGBTQ spaces are for you? | Very unsafe (4) Somewhat unsafe (3) Neither safe nor unsafe (2) Mostly safe (1) Completely safe (0) |
2019AQ | | | Overall, how safe for gender minority people is the community in which you currently live? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
2019AQ | | CYOA | Overall, how safe for sexual minority people is the community in which you currently live? | Extremely safe (4) Safe (3) Neutral (2) Unsafe (1) Extremely unsafe (0) |
2019AQ | | | Are you currently in a relationship? | Yes (1) No (0) |
2019AQ | | RELATIONSHIP | Which of the following best describes your current romantic relationship(s)? | I am in a romantic relationship with one person (1) I am in a romantic relationship with two or more people (polyamorous) (2) Other (please specify) (3) Other (please specify) (TEXT) |
2019AQ | | REL_TYPE | How many people are you currently in romantic relationships with? | 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 or more (6) |
2019AQ | | RELATIONSHIP | In general, how satisfied are you with your current romantic relationship(s)? | Very dissatisfied (0) Dissatisfied (1) Neutral (2) Satisfied (3) Very satisfied (4) |
2019AQ | | RELATIONSHIP | Which of the following scenarios best describes the current agreement that you have with your romantic partner(s)? | We cannot have any sex with an outside partner (0) We can have sex with outside partners but with some restrictions (1) We can have sex with outside partners without any restrictions (2) We do not have an agreement (3) I have different agreements with different partners (4) |
2019AQ | | | Do you live with your partner(s)? | Yes, I live with 1 partner (0) Yes, I live with 2 or more partners (1) No, I do not live with a partner (2) Something else (please specify) (3) Something else (please specify) (TEXT) |
2019AQ | | | What is your current legal marital status? | Married (1) Legally recognized civil union (2) Registered domestic partnership (3) Widowed (4) Divorced (5) Separated (6) Single, never married (7) |
2019AQ | | | What gender do you currently live in on a day-to-day basis? | Man (1) Woman (2) Genderqueer/Non-binary/neither man nor woman (3) Part time one gender/part time another gender (4) |
2019AQ | | | For people in your life who do not know you, what gender do they USUALLY think you are? (Choose one.) | Man (1) Non-binary/Genderqueer (2) Transgender Man (3) Transgender Woman (4) Two-spirit (5) Woman (6) Another gender (7) It varies (8) They cannot tell (9) I dont know what they think (88) |
2019AQ | | CYOA | There are many ways people can feel supported and affirmed as a gender minority person. Did any of your immediate family members who you grew up with (parents, siblings, grandparents, people who raised you, etc.) do any of these things to support you about your gender? (Check all that apply.) | Told you that they respect and/or support you (1) Used your preferred name even if it was not your legal name (2) Used your correct pronouns (such as he/she/they) (3) Provided financial support to help with any part of your gender transition (4) Helped you change your name and/or gender on your identity documents (ID), like your drivers license (such as doing things like filling out papers or going with you to court) (5) Did research to learn how to best support you (such as reading books, using online information, or attending a conference) (6) Stood up for you with family, friends, or others (7) Supported you in another way not listed above (please specify) (8) Supported you in another way not listed above (please specify) (TEXT) None of the above (0) |
2019AQ | | | For people in your life who do not know you, what sexual orientation do they USUALLY think you are? (Choose one.) | Asexual (1) Bisexual (2) Gay (3) Heterosexual or Straight (4) Lesbian (5) Queer (6) They cannot tell (7) Two-spirit (8) It varies (9) Another sexual orientation (10) I dont know what they think (88) |
2019AQ | | CYOA | There are many ways people can feel supported and affirmed as a sexual minority person. Did any of your immediate family members who you grew up with (parents, siblings, grandparents, people who raised you, etc.) do any of these things to support you about your sexual orientation? (Check all that apply.) | Told you that they respect and/or support you (1) Positively acknowledged your relationship to your partner(s) (2) Positively acknowledged your sexual and/or romantic orientation (3) Welcomed your partner(s) to a family event (4) Provided financial support related to your relationship(s) (e.g., first date, family building, moving in together) (5) Attended an event that you hosted with a partner(s) (6) Researched how to best support you (such as reading books, using online information, or attending a conference) (7) Stood up for you with family, friends, or others (8) Supported you in another way not listed above (please specify) (9) Supported you in another way not listed above (please specify) (TEXT) None of the above (0) |
2019AQ | | | In the PAST 12 MONTHS, has a mental health professional or health care provider told you that you have Autism Spectrum Disorder or Asperger's Syndrome? | Yes (1) No (0) I dont know (88) |
2019AQ | | | Do you identify as "neurodivergent" or with any associated term that people sometimes use within the neurodiversity movement (aspie, autistic, etc.)? | Yes (1) No (0) |
2019AQ | | | Coming out about one's sexual orientation or gender is a process. People do not always come out to everyone at the same time. In the PAST 12 MONTHS, have you come out to any of the people who raised you? (Check all that apply.) | Yes, I came out about my sexual orientation (e.g., asexual, bisexual, gay, lesbian, queer, questioning ones sexual orientation, etc.) to someone who raised me (1) Yes, I came out about my gender identity (e.g., genderqueer, non-binary, questioning ones gender identity, transgender, etc.) to someone who raised me (2) No, I did not come out in the past 12 months to anyone who raised me (0) |
2019AQ | | COMEOUT_PSTYR | We are going to ask you follow-up questions about coming out about your sexual orientation (e.g., asexual, bisexual, gay, lesbian, queer, questioning one's sexual orientation, etc.) in the past 12 months to someone who raised you. To help you remember who we are asking about, please list the first names, initials, or nicknames of the person/people you came out to. We will use these names in questions that follow. | Text Entry (-) |
2019AQ | | COMEOUTSO_NAMES | How is ${q://QID622/ChoiceTextEntryValue/1} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2019AQ | | COMEOUTSO_NAMES | When ${q://QID622/ChoiceTextEntryValue/1} initially learned about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTSO_NAMES | In your most recent interactions with ${q://QID622/ChoiceTextEntryValue/1}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTSO_NAMES | How did your communication with ${q://QID622/ChoiceTextEntryValue/1} change after they learned about your sexual orientation? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2019AQ | | COMEOUTSO_NAMES | How is ${q://QID622/ChoiceTextEntryValue/2} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2019AQ | | COMEOUTSO_NAMES | When ${q://QID622/ChoiceTextEntryValue/2} initially learned about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTSO_NAMES | In your most recent interactions with ${q://QID622/ChoiceTextEntryValue/2}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTSO_NAMES | How did your communication with ${q://QID622/ChoiceTextEntryValue/2} change after they learned about your sexual orientation? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2019AQ | | COMEOUTSO_NAMES | How is ${q://QID622/ChoiceTextEntryValue/3} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2019AQ | | COMEOUTSO_NAMES | When ${q://QID622/ChoiceTextEntryValue/3} initially learned about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTSO_NAMES | In your most recent interactions with ${q://QID622/ChoiceTextEntryValue/3}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTSO_NAMES | How did your communication with ${q://QID622/ChoiceTextEntryValue/3} change after they learned about your sexual orientation? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2019AQ | | COMEOUTSO_NAMES | How is ${q://QID622/ChoiceTextEntryValue/4} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2019AQ | | COMEOUTSO_NAMES | When ${q://QID622/ChoiceTextEntryValue/4} initially learned about your sexual orientation, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTSO_NAMES | In your most recent interactions with ${q://QID622/ChoiceTextEntryValue/4}, how accepting were they of your sexual orientation? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTSO_NAMES | How did your communication with ${q://QID622/ChoiceTextEntryValue/4} change after they learned about your sexual orientation? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2019AQ | | | We are going to ask you follow-up questions about coming out about your gender identity (e.g., genderqueer, non-binary, questioning one's gender identity, transgender, etc.) in the past 12 months to someone who raised you. To help you remember who we are asking about, please list the first names, initials, or nicknames of the person/people you came out to. We will use these names in questions that follow. | Text Entry (-) |
2019AQ | | COMEOUTGI_NAMES | How is ${q://QID2154/ChoiceTextEntryValue/1} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2019AQ | | COMEOUTGI_NAMES | When ${q://QID2154/ChoiceTextEntryValue/1} initially learned about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTGI_NAMES | In your most recent interactions with ${q://QID2154/ChoiceTextEntryValue/1}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTGI_NAMES | How did your communication with ${q://QID2154/ChoiceTextEntryValue/1} change after they learned about your gender identity? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2019AQ | | COMEOUTGI_NAMES | How is ${q://QID2154/ChoiceTextEntryValue/2} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2019AQ | | COMEOUTGI_NAMES | When ${q://QID2154/ChoiceTextEntryValue/2} initially learned about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTGI_NAMES | In your most recent interactions with ${q://QID2154/ChoiceTextEntryValue/2}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTGI_NAMES | How did your communication with ${q://QID2154/ChoiceTextEntryValue/2} change after they learned about your gender identity? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2019AQ | | COMEOUTGI_NAMES | How is ${q://QID2154/ChoiceTextEntryValue/3} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2019AQ | | COMEOUTGI_NAMES | When ${q://QID2154/ChoiceTextEntryValue/3} initially learned about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTGI_NAMES | In your most recent interactions with ${q://QID2154/ChoiceTextEntryValue/3}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTGI_NAMES | How did your communication with ${q://QID2154/ChoiceTextEntryValue/3} change after they learned about your gender identity? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2019AQ | | COMEOUTGI_NAMES | How is ${q://QID2154/ChoiceTextEntryValue/4} related to you? (Check all that apply.) | Mother (1) Father (2) Parent (3) Stepmother (4) Stepfather (5) Step-parent (6) Foster mother (7) Foster father (8) Foster parent (9) Aunt (10) Uncle (11) Grandmother (12) Grandfather (13) Grandparent (14) Cousin (15) Sister (16) Brother (17) Sibling (18) Another way (please specify) (19) Another way (please specify) (TEXT) |
2019AQ | | COMEOUTGI_NAMES | When ${q://QID2154/ChoiceTextEntryValue/4} initially learned about your gender identity, how accepting were they? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTGI_NAMES | In your most recent interactions with ${q://QID2154/ChoiceTextEntryValue/4}, how accepting were they of your gender identity? | Very accepting (4) Somewhat accepting (3) Neutral (2) Somewhat rejecting (1) Very rejecting (0) |
2019AQ | | COMEOUTGI_NAMES | How did your communication with ${q://QID2154/ChoiceTextEntryValue/4} change after they learned about your gender identity? | It got a lot better (5) It got somewhat better (4) It did not change (3) It got somewhat worse (2) It got a lot worse (1) We stopped communicating after I came out (0) |
2019AQ | | | Please choose the response that best applies to you. | No Answers |
2019AQ | | CYOA | The decision to hide or reveal my sexual orientation to others causes me significant distress. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2019AQ | | | Because of my sexual orientation, no one understands my pain or distress. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2019AQ | | | I was rejected by a family member or friend after telling him/her my sexual orientation. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2019AQ | | | I feel confused or conflicted by my sexual orientation. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2019AQ | | | I feel comfortable revealing my sexual attractions and/or behavior. | Strongly Disagree (6) Moderately Disagree (5) Slightly Disagree (4) Slightly Agree (3) Moderately Agree (2) Strongly Agree (1) |
2019AQ | | | The decision to hide or reveal my gender identity or that I am a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.) to others causes me significant distress. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2019AQ | | | Because of my gender identity, no one understands my pain or distress. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2019AQ | | | I was rejected by a family member or friend after telling them my gender identity. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2019AQ | | | I feel confused or conflicted by my gender identity. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2019AQ | | | I feel comfortable revealing my gender identity and/or expression and/or status as a gender minority person (for example: genderqueer, non-binary, questioning one's gender identity, transgender, etc.). | Strongly Disagree (6) Moderately Disagree (5) Slightly Disagree (4) Slightly Agree (3) Moderately Agree (2) Strongly Agree (1) |
2019AQ | | | People treat me unfairly because of my race, ethnicity, sexual, and/or gender identity. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2019AQ | | | At times, I feel I stick out because of my race, ethnicity, sexual orientation, and/or gender identity. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2019AQ | | | Stereotypes about racial, ethnic, sexual, and gender minority people hurt my self-esteem or the way I see myself. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2019AQ | | | I believe the world is a dangerous place to be a racial, ethnic, sexual, and/or gender minority person. | Strongly Disagree (1) Moderately Disagree (2) Slightly Disagree (3) Slightly Agree (4) Moderately Agree (5) Strongly Agree (6) |
2019AQ | | | You have completed the Social Health section! This is one of 4 sections! Phew! We know this survey is long and we thank you for the time and energy you have put into helping us advance our collective understanding of LGBTQ health. Your answers are bringing us one step closer to LGBTQ health equity! | No Answers |
2019AQ | | | Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) Although this list of conditions may seem to repeat what you may have filled out as part of "My Health," we want to make sure everything is as up-to-date as possible. | Acid reflux (heartburn) (1) Anemia (2) Angina pectoris (angina) (3) Anxiety (4) Asthma (5) Atrial fibrillation (Afib) (6) Benign prostatic hypertrophy (BPH, enlarged prostate) (7) Bipolar disorder (8) Cancer (9) Cataracts (10) Chronic kidney disease (11) Chronic obstructive pulmonary disease (COPD) (12) None of these (0) |
2019AQ | | MEDHX1 | With what type(s) of cancer have you been diagnosed? (Check all that apply.) | Anal (1) Breast (2) Colon (3) Kidney (4) Lung (5) Leukemia/Lymphoma (6) Ovary (7) Pancreas (8) Prostate (9) Skin (melanoma) (10) Skin (non-melanoma) (11) Uterus (13) Other (please specify) (12) Other (please specify) (TEXT) |
2019AQ | | | How about any of these? Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Coagulation (bleeding or clotting) problem (1) Congestive heart failure (CHF) (2) Coronary artery disease (3) Depression (4) Diabetes mellitus (diabetes, sugar diabetes) (5) Diabetes (borderline) (6) Erectile dysfunction (7) Glaucoma (8) Heart attack (9) Heart murmur (10) High cholesterol (11) HIV (12) None of these (0) |
2019AQ | | | Here's the last set! Do you currently have any of the following conditions that have been diagnosed by a health care provider? (Check all that apply.) | Hypertension (high blood pressure) (1) Inflammatory bowel disease (Crohns disease, ulcerative colitis) (2) Irritable bowel syndrome (IBS) (3) Kidney stone (nephrolithiasis) (4) Liver disease (5) Lupus (systemic lupus erythematous, SLE) (6) Menopause (7) Migraine headache (8) Obstructive sleep apnea (OSA) (9) Peripheral vascular disease (PVD) (10) Polycystic ovarian syndrome (PCOS) (11) Psoriasis (12) Pulmonary embolism (PE) (13) Seizure disorder (epilepsy) (14) Stroke (cerebrovascular accident, CVA) (15) Thyroid problem (hyperthyroidism, hypothyroidism) (16) Ulcer (stomach/peptic, duodenal) (17) Uterine fibroids (18) None of these (0) |
2019AQ | | | Please list up to five additional medical conditions that a doctor or other health care provider told you that you have. (One condition per line.) If no additional conditions, please click next. | Text Entry (-) |
2019AQ | | | Were any of these conditions diagnosed within the PAST 12 MONTHS? (Check all that apply.) | None of these were diagnosed in the past 12 months. (0) Acid reflux (heartburn) (1) Anemia (2) Angina pectoris (angina) (3) Anxiety (4) Asthma (5) Atrial fibrillation (Afib) (6) Benign prostatic hypertrophy (BPH, enlarged prostate) (7) Bipolar disorder (8) Cataracts (9) Chronic kidney disease (10) Chronic obstructive pulmonary disease (COPD) (11) Anal cancer (12) Breast cancer (13) Colon cancer (14) Kidney cancer (15) Lung cancer (16) Leukemia/Lymphoma (17) Ovarian cancer (18) Pancreatic cancer (19) Prostate cancer (20) Skin cancer (melanoma) (21) Skin cancer (non-melanoma) (22) Uterine cancer (23) q://QID901/ChoiceTextEntryValueቨ cancer (24) Coagulation (bleeding or clotting) problem (25) Congestive heart failure (CHF) (26) Coronary artery disease (27) Depression (28) Diabetes mellitus (diabetes, sugar diabetes) (29) Diabetes (borderline) (30) Erectile dysfunction (31) Glaucoma (32) Heart attack (33) Heart murmur (34) High cholesterol (35) HIV (36) Hypertension (high blood pressure) (37) Inflammatory bowel disease (Crohns disease, ulcerative colitis) (38) Irritable bowel syndrome (IBS) (39) Kidney stone (nephrolithiasis) (40) Liver disease (41) Lupus (systemic lupus erythematous, SLE) (42) Menopause (43) Migraine headache (44) Obstructive sleep apnea (OSA) (45) Peripheral vascular disease (PVD) (46) Polycystic ovarian syndrome (PCOS) (47) Psoriasis (48) Pulmonary embolism (PE) (49) Seizure disorder (epilepsy) (50) Stroke (cerebrovascular accident, CVA) (51) Thyroid problem (hyperthyroidism, hypothyroidism) (52) Ulcer (stomach/peptic, duodenal) (53) Uterine fibroids (54) q://QID895/ChoiceTextEntryValueǗ (55) q://QID895/ChoiceTextEntryValueǘ (56) q://QID895/ChoiceTextEntryValueǙ (57) q://QID895/ChoiceTextEntryValueǚ (58) q://QID895/ChoiceTextEntryValueǛ (59) |
2019AQ | | | In the PAST 12 MONTHS, have you had the following surgeries or procedures? (Check all that apply.) (Gender-affirming or transition-related surgeries and procedures are asked about later.) | Coronary stent placement (1) Coronary artery bypass graft (CABG, bypass surgery) (2) Heart valve replacement (3) Pacemaker implantation (4) Implantable cardiac defibrillator (ICD) implantation (5) Bone marrow transplant (6) Organ transplant (7) Gallbladder removal (cholecystectomy) (8) Appendix removal (appendectomy) (9) C section (cesarean section) (10) Uterus removal with cervix retained (supracervical hysterectomy) (11) Uterus removal with cervix removed (total hysterectomy) (12) Ovary removal (oophorectomy) (13) None of these (0) |
2019AQ | | SURGHX | Which organ(s) have you received through a transplant? (Check all that apply.) | Heart (1) Lung (2) Liver (3) Pancreas (4) Kidney (5) Small intestine (6) Other (please specify) (7) Other (please specify) (TEXT) |
2019AQ | | | In the PAST 12 MONTHS, have you had any of the following procedures for any reason (including gender affirmation or transition)? (Check all that apply.) | Electrolysis (long-term hair removal) (1) Fat grafting (e.g., face, hips, buttocks, breasts/chest) (2) None of these (3) |
2019AQ | | | Please list up to five additional general surgeries/procedures that you had in the PAST 12 MONTHS (not including gender-affirming or transition-related surgeries or procedures, which we ask about later). Please write in one surgery/procedure per line. If no additional surgeries/procedures, please click next. | Text Entry (-) |
2019AQ | | | Have you had any gender-affirming or transition-related surgeries or procedures in the PAST 12 MONTHS? | Yes (1) No (0) |
2019AQ | | GAS_AQ | In the PAST 12 MONTHS, have you had any of the following gender-affirming or transition-related surgeries or procedures that involve your head or neck? (Check all that apply.) | Brow lift (1) Chin augmentation (genioplasty) (2) Forehead reconstruction/contouring (3) Jaw bone revision (mandible contouring) (4) Lip lift (5) Nose reconstruction (rhinoplasty) (6) Scalp advancement (7) Tracheal shave (reduction thyrochondroplasty) (8) Vocal cord/voice surgery (9) None of these (0) |
2019AQ | | GAS_AQ | In the PAST 12 MONTHS, have you had any of the following gender-affirming or transition-related surgeries or procedures that involve your chest? (Check all that apply.) | Breast augmentation (1) Breast/chest reduction (reduction mammoplasty) (2) Top surgery/chest reconstruction/mastectomy (scars under the chest, double incision) (3) Top surgery/chest reconstruction/mastectomy (keyhole, through the areola, periareolar) (4) None of these (0) |
2019AQ | | GAS_AQ | In the PAST 12 MONTHS, have you had any of the following gender-affirming or transition-related surgeries or procedures that involve your abdomen or pelvis? (Check all that apply.) | Creation of a new vagina using colon graft (vaginoplasty, colon graft) (1) Creation of a new vagina using penile tissue (vaginoplasty, penile inversion) (2) Creation of new labia without creation of new vagina (labiaplasty) (3) Creation of new scrotum (scrotoplasty) (4) Fallopian tube removal (salpingectomy) (5) Meta/meto or clitoral release (metoidioplasty) (6) Ovary removal (oophorectomy) (7) Penile implant insertion (8) Phallo/creation of a new penis (phalloplasty) (9) Removal of penis (penectomy) (10) Removal of testes (orchiectomy) (11) Removal of vaginal tissue (vaginectomy) (12) Testicular implant insertion (13) Uterus removal with cervix retained (supracervical hysterectomy) (14) Uterus removal with cervix removed (total hysterectomy) (15) None of these (0) |
2019AQ | | GAS_AQ | Please list up to five additional gender-affirming surgeries/procedures that you had in the PAST 12 MONTHS. (One surgery/procedure per line.) If no additional surgeries/procedures, please click next. | Text Entry (-) |
2019AQ | | | Are you CURRENTLY taking hormones or medications for the purposes of gender affirmation (also called gender transition)? | Yes (1) No (0) |
2019AQ | | GAHORMONE_AN | Which hormones or medications for the purposes of gender affirmation (also called gender transition) are you CURRENTLY taking? (Check all that apply.) | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histarelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium or Provera) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) Another hormone/medication not listed here (please specify) (17) Another hormone/medication not listed here (please specify) (TEXT) I have (also) taken some other hormone(s)/medication(s), but I am not sure what it is called. (18) |
2019AQ | | | Were any of the following hormones or medications that you used in the PAST 12 MONTHS for the purposes of gender affirmation (also called gender transition) prescribed by a doctor or health care provider? | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histarelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium or Provera) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) q://QID2316/ChoiceTextEntryValueቭ (17) I have (also) taken some other hormone(s)/medication(s), but I am not sure what it is called. (18) |
2019AQ | | GAHORMONE_ANYRX | Was all of the cyproterone acetate (sometimes called: CPA or Cyprostat) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the dutasteride (sometimes called: Avodart) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the depo leuprolide or leuprolide acetate (sometimes called: Lupron) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the depo (Injection) provera (sometimes called: “Depo” or medroxyprogesterone acetate) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the estrogen (any type in any formulation such as: gel, injection, patch, pill) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the estradiol valerate (a specific type of estrogen) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the estradiol cypionate (a specific type of estrogen) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the finasteride (sometimes called: Proscar or Propecia) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the histarelin acetate (sometimes called: Vantas or Supprelin) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the progesterone (sometimes called: progestagen or progestins) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the micronized progesterone (sometimes called: Prometrium or Provera) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the spironolactone (sometimes called: “Spiro” or Aldactone) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the testosterone (any type in any formulation such as: gel, injection, patch) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the testosterone cypionate (a specific type of testosterone) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the testosterone enanthate (a specific type of testosterone) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the testosterone undecanoate (a specific type of testosterone) used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | GAHORMONE_ANYRX | Was all of the ${q://QID2316/ChoiceTextEntryValue/17} used in the PAST 12 MONTHS used exactly as prescribed or recommended by a doctor or other health care provider? | Yes (1) No (0) |
2019AQ | | | In the PAST 12 MONTHS, did you start or stop taking any hormones or medications for the purposes of gender affirmation (also called gender transition)? (Check all that apply.) | Yes, I started taking some hormones/medications for gender affirmation in the PAST 12 MONTHS. (1) Yes, I stopped taking some hormones/medications for gender affirmation in the PAST 12 MONTHS. (0) No, I did not start or stop taking hormones/medications for gender affirmation in the PAST 12 MONTHS. (2) |
2019AQ | | GAHORMONE_CHANGE_YR | Which hormones or medications for the purposes of gender affirmation (also called gender transition) did you START in the PAST 12 MONTHS? (Check all that apply.) | Cyproterone acetate (sometimes called: CPA or Cyprostat) (1) Dutasteride (sometimes called: Avodart) (2) Depo leuprolide or leuprolide acetate (sometimes called: Lupron) (3) Depo (Injection) provera (sometimes called: Depo or medroxyprogesterone acetate) (4) Estrogen (any type in any formulation such as: gel, injection, patch, pill) (5) Estradiol valerate (a specific type of estrogen) (6) Estradiol cypionate (a specific type of estrogen) (7) Finasteride (sometimes called: Proscar or Propecia) (8) Histarelin acetate (sometimes called: Vantas or Supprelin) (9) Progesterone (sometimes called: progestagen or progestins) (10) Micronized progesterone (sometimes called: Prometrium or Provera) (11) Spironolactone (sometimes called: Spiro or Aldactone) (12) Testosterone (any type in any formulation such as: gel, injection, patch) (13) Testosterone cypionate (a specific type of testosterone) (14) Testosterone enanthate (a specific type of testosterone) (15) Testosterone undecanoate (a specific type of testosterone) (16) Another hormone/medication not listed here (please specify) (17) Another hormone/medication not listed here (please specify) (TEXT) I have (also) taken some other hormone(s)/medication(s), but I am not sure what it is called. (18) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking cyproterone acetate (sometimes called: CPA or Cyprostat) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking dutasteride (sometimes called: Avodart) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking depo leuprolide or leuprolide acetate (sometimes called: Lupron) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking depo (injection) provera (sometimes called: “Depo” or medroxyprogesterone acetate) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking estrogen (any type in any formulation such as: gel, injection, patch, pill) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking estradiol valerate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking estradiol cypionate (a specific type of estrogen) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking finasteride (sometimes called: Proscar or Propecia) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking histarelin acetate (sometimes called: Vantas or Supprelin) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking progesterone (sometimes called: progestagen or progestins) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking micronized progesterone (sometimes called: Prometrium or Provera) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking spironolactone (sometimes called: "Spiro" or Aldactone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking testosterone (any type in any formulation such as: gel, injection, patch) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) September 2020 (44) September I dont know/remember (45) October (46) October 2018 (47) October 2019 (48) October 2020 (49) October I dont know/remember (50) November (51) November 2018 (52) November 2019 (53) November 2020 (54) November I dont know/remember (55) December (56) December 2018 (57) December 2019 (58) December 2020 (59) December I dont know/remember (60) I dont know/remember (61) I dont know/remember 2018 (62) I dont know/remember 2019 (63) I dont know/remember 2020 (64) I dont know/remember I dont know/remember (65) |
2019AQ | | GAHORMONE_START_YR | Please tell us when you STARTED taking testosterone cypionate (a specific type of testosterone) for gender affirmation or gender transition. (If you do not know the precise month and year, please estimate.) | January (1) January 2018 (2) January 2019 (3) January 2020 (4) January I dont know/remember (5) February (6) February 2018 (7) February 2019 (8) February 2020 (9) February I dont know/remember (10) March (11) March 2018 (12) March 2019 (13) March 2020 (14) March I dont know/remember (15) April (16) April 2018 (17) April 2019 (18) April 2020 (19) April I dont know/remember (20) May (21) May 2018 (22) May 2019 (23) May 2020 (24) May I dont know/remember (25) June (26) June 2018 (27) June 2019 (28) June 2020 (29) June I dont know/remember (30) July (31) July 2018 (32) July 2019 (33) July 2020 (34) July I dont know/remember (35) August (36) August 2018 (37) August 2019 (38) August 2020 (39) August I dont know/remember (40) September (41) September 2018 (42) September 2019 (43) Sep |