Please enable JavaScript in your browser to complete this form.
Ask Me About PrEP (AMAP) survey
Hello! You’re being asked to complete this survey because someone talked with you about PrEP as part of the
Ask Me About PrEP
project. You can find out more about the project
HERE
. Answering the questions helps us to better understand how the project worked, and who it reached. We can’t trace any of the answers back to you – all your responses are confidential.
Please enable JavaScript in your browser to complete this form.
How did the conversation about PrEP take place?
*
A face-to-face/in-person conversation with just me
At an in-person event or in a group
Through social media (for example, Twitter or Facebook)
Through a dating/sex app (for example, Tindr or Grindr)
Through WhatsApp or Telegram or a similar channel
Another way
If you answered "Another way", please specify how:
*
As a direct result of the conversations you had through the Ask Me About PrEP project did YOU learn something new about PrEP?
*
Yes
No
Not sure
I don’t want to answer this question
If Yes – please would you tell us more about what you learned?
*
As a direct result of the conversations you had through the Ask Me About PrEP project, did YOU try to access PrEP?
*
Yes – I tried and was successful
Yes – I tried but wasn’t successful
No
Not applicable to me
I don’t want to answer this question
If Yes – please would you tell us more. If you tried but were unsuccessful, what were the barriers to accessing PrEP?
*
As a direct result of the conversations you had through the Ask Me About PrEP project did YOU start PrEP?
*
Yes
No
No – but I intend to/I’d like to
Not applicable to me
I don’t want to answer this question
If Yes – please would you tell us more.
*
As a direct result of the conversations you had through the Ask Me About PrEP project did YOU then go on to talk to SOMEONE ELSE about PrEP?
*
Yes
No
I don’t want to answer this question
If Yes – please would you tell us more about that? For example, how many people did you chat with; what did you cover; do you know if any of those people went on to start PrEP; if possible – tell us a little about the people (e.g. their age, sexuality, gender, ethnicity) – please don’t give their names!
*
Since your conversations about PrEP is there anything you’d still like to know concerning PrEP or sexual health?
*
Yes
No
I don’t want to answer this question
If Yes - please would you tell us more.
*
So we can get a better understanding of the types of people who have come into contact with the project, we’d like to know more about you. This information is confidential and can’t be traced back to you.
What is your age?
Skip if you don’t want to share this information
Which of the following best describes your sexuality?
*
Heterosexual/straight
Gay/lesbian
Bisexual
Queer
I would prefer not to say
Other
If you answered Other above, please specify
*
How do you identify?
*
Male (including trans male)
Female (including trans female)
Non-binary
Other
If you answered Other above, please specify
*
What sex were you assigned at birth?
Male
Female
Undetermined
Which of the following best describes your ethnicity?
*
White - British
White - Scottish
White - Irish
Any other White background
Mixed/multiple ethnic groups - White and Black Caribbean
Mixed/multiple ethnic groups - White and Black African
Mixed/multiple ethnic groups - White and Asian
Mixed/multiple ethnic group - Any other mixed background
Asian or Asian British - Indian
Asian or Asian British - Pakistani
Asian or Asian British - Bangladeshi
Asian or Asian British - Chinese
Asian or Asian British - Any other Asian background
Black or Black British - Caribbean
Black or Black British - African
Any other Black background
Arab
Hispanic/Latino
Any other ethnic group
Prefer not to say
Where were you when the conversations about PrEP took place?
*
England
Northern Ireland
Scotland
Wales
Somewhere else in Europe
Somewhere else outside of Europe
Don’t know
I don’t want to share this information
If you answered England, please sepcify
*
East England
East Midlands
London
North East
North West
South East
South West
West Midlands
Yorkshire and the Humber
Don't know
Don’t know? What is the closest town or city to you?
*
If you answered "Somewhere else in Europe", please specify
*
If you answered "Somewhere else outside of Europe", please specify (copy)
*
What country were you born in?
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua & Deps
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Rep
Chad
Chile
China
Colombia
Comoros
Congo
Congo {Democratic Rep}
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland {Republic}
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar, {Burma}
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russian Federation
Rwanda
St Kitts & Nevis
St Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Skip if you don’t want to share this information
Do you identify as a sex worker?
*
Yes
No
I’d prefer not to say
If you’re willing, please tell us about your own PrEP use.
I ‘ve used PrEP in the last six months
I’ve previously used PrEP but not in the last six months
I’ve never used PrEP
Not applicable to me
I don’t want to share this information
Submit