ADS.120
I am going to read some reasons people might have the test for the AIDS virus infection.
FR: SHOW CARD A19.
Tell me which of these statements explain WHY YOU expect to have the test in the next 12 months?
(Anything else?)
Card A191. Because you want to find out if you are infected
2. Because it will be part of hospitalization or surgery you expect to have
3. Because you expect to apply for life or health insurance
4. Because you expect to apply for a job
5. Because you expect to join the military
6. Because of guidelines for health care workers
7. Because it will be a required part of some other activity that includes automatic AIDS testing
8. Because it is required in your non-health care employment
9. Because you plan to have/begin sexual relationship
10. Because you are pregnant or expect to become pregnant
11. For some other reason (Specify)
WHY12U
WHY12U
(01) Because you want to find out if you are infected (ADS.130)
(02) Because it will be part of hospitalization or surgery you expect to have (ADS.130)
(03) Because you expect to apply for life or health insurance (ADS.130)
(04) Because you expect to apply for a job (ADS.130)
(05) Because you expect to join the military (ADS.130)
(06) Because of guidelines for health care workers (ADS.130)
(07) Because it will be a required part of some other activity that includes automatic AIDS testing (ADS.130)
(08) Because it is required in your non-health care employment (ADS.130)
(09) Because you plan to have/begin sexual relationship (ADS.130)
(10) Because you are pregnant or expect to become pregnant (ADS.130)
(11) Other reason - specify (ADS.125)
(12) Other reason - specify (ADS.126)
(97) Refused (ADS.130)
(99) Don't Know (ADS.130)
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ADS.125
Specify the additional reason for the test.
W12SPEC1 First reason: _______________
ADS.126
Specify the additional reason for the test.
W12SPEC2 Second reason: _______________