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PrEP Survey
To assist us to make PrEP more easily accessible, please complete the short survey below.
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Email
*
Your email
1. Age ?
Your answer
2.Gender ?
Female
Male
Transgender
Other:
Clear selection
3. Sexual Orientation ?
Heterosexual (I’m attracted to people of the opposite sex)
Homosexual (I'm attracted to people who are the same sex me)
Bisexual (I'm attracted to both males and females)
I am not sure
Other:
Clear selection
4. Highest Level of education ?
No schooling
Primary School
Secondary school
Post Matric
Clear selection
5. Occupation?
Student
Unemployed
Temporary employment
Permanently employment
Clear selection
6. What is your country of birth?
South Africa
Zimbabwe
Malawi
Mozambique
Other:
Clear selection
7. Do you know what PrEP is?
Yes
No
Clear selection
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