Screening

Can I join
the Study?

1. Are you currently in a committed steady relationship with a main or primary partner (example: husband/wife or boyfriend/girlfriend)? *

Yes No

2. Is this relationship a heterosexual (“opposite-sex” male/female) relationship? *

Yes No

3. Have you and your partner been in a relationship for at least 3 months? *

Yes No

4. Do you and your partner live in or arround New York City? *

Yes No

5. Are you and your partner both 18 years of age or older? *

Yes No

6. Do you and your partner have a different HIV status? That is, one of you is HIV-negative and the other is HIV-positive. *

Yes No Don't know

521 Fifth Avenue
New York, NY 10175