Survey Text

1999
1998
1997
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1999
Survey form view entire document:  text  image

ADS.050

Is there any particular reason why you have not been tested?

FR: IF "YES" ASK: What is the reason? Any other?
WHYTSU
(01) No reason (ADS.110)
(02) Don't consider myself at risk of AIDS (ADS.110)
(03) Doctor/HMO did not recommend it (ADS.110)
(04) Don't believe test results are accurate (ADS.110)
(05) Don't believe anything can be done if I am positive (ADS.110)
(06) Don't like needles (ADS.110)
(07) Don't trust results to be confidential (ADS.110)
(08) Afraid of losing job, insurance, housing, friends, family, if people knew I was positive for AIDS infection (ADS.110)
(09) Other reason - specify(ADS.055)
(10) Other reason - specify(ADS.056)
(97) Refused (ADS.110)
(99) Don't Know (ADS.110)

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ADS.055

Specify the additional reason for not having been tested.
WHYSPEC1 First reason: ________________

ADS.056

Specify the additional reason for not having been tested.
WHYSPEC2 Second reason: _______________

top
1998
Survey form view entire document:  text  image

ADS.050

Is there any particular reason why you have not been tested?

FR: IF "YES" ASK: What is the reason? Any other?
WHYTSU
(01) No reason (ADS.110)
(02) Don't consider myself at risk of AIDS (ADS.110)
(03) Doctor/HMO did not recommend it (ADS.110)
(04) Don't believe test results are accurate (ADS.110)
(05) Don't believe anything can be done if I am positive (ADS.110)
(06) Don't like needles (ADS.110)
(07) Don't trust results to be confidential (ADS.110)
(08) Afraid of losing job, insurance, housing, friends, family, if people knew I was positive for AIDS infection (ADS.110)
(09) Other reason - specify(ADS.055)
(10) Other reason - specify(ADS.056)
(97) Refused (ADS.110)
(99) Don't Know (ADS.110)

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[ ]
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[ ]
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ADS.055

Specify the additional reason for not having been tested.
WHYSPEC1 First reason: ________________

ADS.056

Specify the additional reason for not having been tested.
WHYSPEC2 Second reason: _______________

top
1997
Survey form view entire document:  text  image

ADS.050

Is there any particular reason why you have not been tested?

FR: IF "YES" ASK: What is the reason? Any other?
WHYTSU
(01) No reason (ADS.110)
(02) Don't consider myself at risk of AIDS (ADS.110)
(03) Doctor/HMO did not recommend it (ADS.110)
(04) Don't believe test results are accurate (ADS.110)
(05) Don't believe anything can be done if I am positive (ADS.110)
(06) Don't like needles (ADS.110)
(07) Don't trust results to be confidential (ADS.110)
(08) Afraid of losing job, insurance, housing, friends, family, if people knew I was positive for AIDS infection (ADS.110)
(09) Other reason - specify(ADS.055)
(10) Other reason - specify(ADS.056)
(97) Refused (ADS.110)
(99) Don't Know (ADS.110)

[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

ADS.055

Specify the additional reason for not having been tested.
WHYSPEC1 First reason: ________________

ADS.056

Specify the additional reason for not having been tested.
WHYSPEC2 Second reason: _______________