Please take a moment to answer the following questions. Leave questions blank if they do not apply to you.

How will this information be used?
Your answers will be kept PRIVATE. You will not be identified by name in any database, publication or presentation of the data collected. Your honest answers will be used to help determine the easiest way to provide testing for sexually transmitted infections in order to help you be healthy.

Click here to fill out our questionnaire after you've used the kit.

What if I've decided not to take the test or live outside Denver, CO, Maryland, West Virginia, Washington, D.C., or select counties of Illinois?
That's okay! Even if you decide not to take the test or live outside of the coverage area of the study, you can help us by letting us know what you think! We may contact you in the future regarding input into program improvement.

Click here to fill out the questionnaire if you've decided not to use the kit or live outside Denver, CO, Maryland, West Virginia, Washington, D.C., or select counties of Illinois.