APPENDIX KABB Questionnaire INTRO1. Hello, my name is _____________, and Im calling from Survey Methods Group.

We are not selling any type of service or product, but are conducting a statewide survey on important health issues for the University of California School of Public Health and the California Department of Health Services Office of AIDS. To do this, we are talking to people all over California. Some of the information from this study will be used to help guide health related public policies in the state. S1. It is important that we interview a diverse group of adults in California. The way that we select who to interview in each house that we call is to ask for the person in your household who is 18 years old or older and who had the last or most recent birthday. Is this person at home now? [IF NOT SURE OF OTHERS BIRTHDAYS: Of those birthdays you do know, who most recently had a birthday?] YES, IT IS I 1 [SKIP TO INTRO3] YES, ILL GET HER/HIM 2 SHE/HE IS NOT HOME NOW 3 CALLBACK REFUSED - 9 CODE AS REFUSAL INTRO2. Hello, my name is _____________, and Im calling from Survey Methods Group. We are not selling any type of service or product. SKIP TO INTRO4 INTRO3. As I mentioned. . . INTRO4. We are conducting a survey for the University of California Berkeley School of Public Health and the California Department of Health Services. Your phone number was randomly chosen from all households in California. The information from this survey will be used to improve AIDS prevention activities in California. The interview will take about 20 minutes of your time. Before we begin I need to read you the following brief explanation. All of your responses are confidential and I will not ask you for your full name or address. None of the information that you provide will be linked to your phone number and there will be no way to identify anyone when the responses are analyzed. At the end of the survey I will provide you with a toll free phone number to an AIDS hotline where you can ask more questions about HIV and AIDS. Some of the questions are about things people do that put them at risk for AIDS, like sex and drug-use. Some people find these questions embarrassing; others do not. If you would like to participate in the survey but would prefer to schedule the interview for another time or at another phone number that would be more convenient for you, I can do that. If you agree to participate in the survey, we can stop the interview at any time, or we can do it in more than one session. If you do not want to answer a certain question we can skip it and go on to the next question. Although I am not going to offer you any money or other benefits for participating in this survey, I hope you will know how important your responses are in helping us to prevent the spread of HIV and AIDS. [IF NECESSARY: A computer randomly selected your household phone number to be called in the study. For our study to be scientifically sound we need to select people randomly and then
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complete interviews with those who are randomly selected. Your cooperation is very important because your household was selected at random as being representative of this region.] [IF NECESSARY: If you are interested, we can provide you with some phone numbers of persons you can contact for more information on this study. The phone number for the research center here is 1-800-998-9112. My supervisor's name is Ms./Mr. (fill name) if you would like the phone number for the research sponsors at U.C. Berkeley or at the California Department of Health Services, my supervisor can give you that information. All of these numbers are either toll free or you can call collect.] [IF R INDICATES SHE/HE DOESNT HAVE TIME TO RESPOND NOW, TRY TO ARRANGE FOR A MORE CONVENIENT CALL BACK TIME] GENDER INTRV: CODE GENDER OF R [INTRV: IF UNSURE OF R GENDER Because some of the questions I have tonight are specific to women, and others to men, could you please tell me your gender?] MALE 1 FEMALE 5 S2. Before we begin, would you prefer to complete this interview in English or in Spanish? ENGLISH 1 SPANISH 5 [IF GENDER==SEX OF INTERVIEWER THEN SKIP TO S4]

S3. And, would you prefer to be interviewed by a male or female interviewer, or doesnt it matter? If you have any concerns about this, I can get a male/female interviewer to complete the survey with you now. MALE 1 FEMALE 2 DONT CARE 3 [INTRV: IF R INDICATES SHE/HE DOESNT HAVE TIME TO RESPOND NOW: Im sorry, when would be a better time to call you back?] [IF S3 IS SAME GENDER AS INTERVIEWER, CONTINUE. IF DIFFERENT, DISPLAY: INTERVIEWER: If an interviewer of the appropriate gender is available, continue with the interviewer of the appropriate gender. If not, schedule a callback.] S4. To start, could you please tell me your age? AGE ________ REFUSED 999 [IF S4<18 THEN DISPLAY: INTERVIEWER: ASK FOR AN ADULT IN THE HOUSE AND GO TO INTRO1]
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[IF R REFUSES AT ANY TIME IN INTERVIEW DISPLAY: So we can know who is included and who is not included in this study can I ask you just a couple of demographic items. AND SKIP TO Q57] Now I would like to ask you some general questions about HIV and AIDS as a public health issue. Q1. How concerned are you about HIV and AIDS as a public health issue? On a scale of 0 to 10, where 0 means you are not concerned at all and 10 means you are extremely concerned, how would you rate yourself? RATING ______ DK 88 REFUSED 99 Q2. Have you ever contributed time or money to an organization that is concerned with HIV or AIDS related issues? YES 1 NO 5 SKIP TO Q4 DK 8 SKIP TO Q4 REFUSED 9 SKIP TO Q4 Q3. Have you contributed time or money to these organizations within the past 12 months? YES 1 NO 5 DK 8 REFUSED 9 Q4. Do you think that HIV prevention information should be provided in public schools? YES 1 NO 5 [SKIP TO Q6] DK 8 [SKIP TO Q6] REFUSED 9 [SKIP TO Q6] Q5. At what grade do you think children should begin receiving education in school about HIV infection and AIDS? GRADE _____ KINDERGARTEN 0 NEVER 77 DK 88 REFUSED 99 Q6. Generally speaking, how much do you feel that you know ways to prevent getting HIV, the virus that causes AIDS? On a scale of 0 to 10, where 0 means you are not at all informed and 10 means you are very informed, please tell me how informed you are about ways to prevent getting HIV? RATING ___________ DK 88

REFUSED 99
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Q7. Next I am going to read a list of statements to you. After I read each statement, please tell me if you think that it is very likely, somewhat likely, not very likely, definitely not possible or you dont know how likely it is that a person can get HIV, the virus that causes AIDS, that way. [READ EACH ITEM AND ASK: How likely is it that a person can get HIV from. . . ] A. Using public facilities, such as buses and telephones? B. Using public toilets? C. Going to school with a child or teacher who is infected with HIV? D. Being bitten by a mosquito or other animal? E. Sharing drug needles with a person with HIV? F. Kissing a person on the cheek that has HIV? G. Having sexual intercourse with a person who has HIV without a condom? [INTRV REPEAT AS NEEDED: is it very likely, somewhat likely, not very likely, definitely not possible or you don't know how likely it is that a person can get HIV, the virus that causes AIDS, that way] VERY LIKELY 1 SOMEWHAT LIKELY 2 NOT VERY LIKELY 3 DEFINITELY NOT POSSIBLE 4 DK 8 REFUSED 9 Q8. Can an HIV-infected pregnant woman pass HIV to her unborn child? [INTRV CLARIFY IF NECESSARY: Yes or No?] YES 1 NO 5 [SKIP TO Q10] DK 8 [SKIP TO Q10] REFUSED 9 [SKIP TO Q10] Q9. Do you know if there are any medicines that an HIV-infected pregnant woman could take to help prevent her baby from getting HIV? YES, I KNOW THERE ARE SOME 1 NO, I DONT KNOW IF THERE ARE ANY 5 REFUSED 9 Q10. There has been considerable debate about whether people with HIV should be counted and thus reported to health departments. And if so, what is the best way to do this. Do you feel that persons with HIV should be reported to health departments using a unique code to protect their identity, by their name for greater accuracy, or not be reported at all? Be reported by a unique code 1 [SKIP to Q12] Be reported by name 2 [SKIP to Q12] Not be reported at all 3 [Go to Q11] DK 8 [SKIP to Q12] REFUSED 9 [SKIP to Q12] RANDOMIZE ORDER OF PRESENTATION Q7A Q7G
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Q11. What is the MAIN REASON you think they should NOT be reported?? [Interviewer: Based on respondent's open-ended response, mark appropriate responses below or if necessary or IF NECESSARY PROBEis it because(and read responses 1, 2 and 3)] HIV status is a private medical matter 1 The identify of the person should not be revealed 2 You dont trust the health department with this information 3 OTHER/SPECIFY_____________________________________ 97 DK 98 REFUSED 99 Now Im going to tell you about several methods that have been suggested to fight the spread of HIV, the virus that causes AIDS. I would like for you to tell me if you think each method would help prevent the spread of HIV or not. Q12. Providing clean needles for injection drug users in the community. [IF NECESSARY: Would this help prevent the spread of HIV?] YES, EFFECTIVE 1 NO, NOT EFFECTIVE 5 [SKIP TO Q13] DK 8 [SKIP TO Q13]

REFUSED 9 [SKIP TO Q13] Q12A. Do you think the State should pay for this or should private individuals and organizations pay for it? STATE 1 PRIVATE 2 NEITHER, NO ONE SHOULD PAY 3 BOTH THE STATE AND THE PRIVATE SOURCES SHOULD PAY 4 DK 8 REFUSED 9 Q13. Providing clean needles for injection drug users in prisons. Would this help prevent the spread of HIV or not? YES, EFFECTIVE 1 NO, NOT EFFECTIVE 5 [SKIP TO Q14] DK 8 [SKIP TO Q14] REFUSED 9 [SKIP TO Q14] Q13A. Do you think the State should pay for this or should private individuals and organizations pay for it? STATE 1 PRIVATE 2 NEITHER, NO ONE SHOULD PAY 3 BOTH THE STATE AND THE PRIVATE SOURCES SHOULD PAY 4 DK 8 REFUSED 9 RANDOMIZE ORDER OF PRESENTATION Q12/12A - Q16/16A
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Q14. Providing condoms for use by people in prisons. Would this help prevent the spread of HIV or not? YES, EFFECTIVE 1 NO, NOT EFFECTIVE 5 [SKIP TO Q15] DK 8 [SKIP TO Q15] REFUSED 9 [SKIP TO Q15] Q14A. Do you think the State should pay for this or should private individuals and organizations pay for it? STATE 1 PRIVATE 2 NEITHER, NO ONE SHOULD PAY 3 BOTH THE STATE AND THE PRIVATE SOURCES SHOULD PAY 4 DK 8 REFUSED 9 Q15. Requiring doctors and clinics to report cases of HIV infection to the State Health Department. [IF NECESSARY: Would this help prevent the spread of HIV or not?] YES, EFFECTIVE 1 NO, NOT EFFECTIVE 5 [SKIP TO Q16] DK 8 [SKIP TO Q16] REFUSED 9 [SKIP TO Q16] Q15A. Do you think the State should pay for this or should private individuals and organizations pay for it? STATE 1 PRIVATE 2 NEITHER, NO ONE SHOULD PAY 3 BOTH THE STATE AND THE PRIVATE SOURCES SHOULD PAY 4 DK 8 REFUSED 9 Q16. Requiring pregnant women to get an HIV test. [IF NECESSARY: Would this help prevent the spread of HIV or not?] YES, EFFECTIVE 1 NO, NOT EFFECTIVE 5 [SKIP TO Q17] DK 8 [SKIP TO Q17] REFUSED 9 [SKIP TO Q17]

Q16A. Do you think the State should pay for this or should private individuals and health insurance organizations pay for it? STATE 1 PRIVATE 2 NEITHER, NO ONE SHOULD PAY 3 BOTH THE STATE AND THE PRIVATE SOURCES SHOULD PAY 4 DK 8 REFUSED 9 Q17. Now I would like to tell you about some new ways that people may be able to protect themselves from HIV as well as other sexually transmitted diseases. Currently scientists are developing substances that can block organisms that cause these diseases. Imagine that these new substances could be added to a cream or to a jelly, a suppository or a sponge that a woman could insert directly into her vagina before having intercourse. And imagine that this would greatly
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reduce a womans chances of getting HIV or other diseases, even if her partner didnt use a condom. How great of a need, if any, do you think there is for these substances? Would you say there is . . . No need for this at all 1 There is a small need 2 There is a great need for these new substances 3 DONT UNDERSTAND QUESTION 7 DK 8 REFUSED 9 [IF GENDER==1 SKIP TO Q18] Q17A. If such items were available, how interested would you be in using them? Would you say that you would be . . . Not interested at all 1 A little interested or 2 Very interested 3 Cant imagine such a product 4(VOLUNTEERED) DK 8 REFUSED 9 Q18. Now Im going to read a list of statements that some people have made. As I read each statement, based on the information you have, please tell me how much you disagree or agree, using a scale from 0 to 10, where 0 means that you completely disagree and 10 means that you completely agree. [KABB] [RQ3c,8] RANDOMIZE ORDER OF PRESENTATION Q18A Q18H, D&E should never be asked consecutively. A. In Africa, most AIDS patients are heterosexual. B. Not everyone infected with the HIV virus will go on to develop AIDS. C. Infected individuals may look and feel fine and may not know that they are capable of spreading the disease. D . Only homosexuals need to worry about contracting AIDS. E. AIDS is a gay mans disease. F. People who are HIV positive are easy to pick out of a crowd even if they have not developed AIDS. G. Women are at very low risk of getting HIV, the virus that causes AIDS. [INTRV REPEAT AS NEEDED: how much you disagree or agree, using a scale from 0 to 10, where 0 means that you completely disagree and 10 means that you completely agree.] DK 88 REFUSED 99
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Q19. Would you agree or disagree with the following statement? I would feel uncomfortable if I learned that my neighbor was a gay man. AGREE 1 DISAGREE 2 NEITHER AGREE OR DISAGREE 3 [SKIP TO Q20] DK 8 [SKIP TO Q20] REFUSED 9 [SKIP TO Q20] Q19A. Would that be strongly or somewhat? STRONGLY 1 SOMEWHAT 2 DK 8 REFUSED 9

Q20. Next I would like to know, do you favor or oppose allowing students with HIV to attend school if health officials say there is no danger? FAVOR 1 OPPOSE 5 DK 8 REFUSED 9 Q21. If a person with HIV worked in the produce department of a grocery store where you shop, would you be concerned about buying produce there? YES, CONCERNED 1 NO, NOT CONCERNED 5 [GOTO Q22] DK 8 [GOTO Q22] REFUSED 9 [GOTO Q22] Q21A. Would you be. . . VERY CONCERNED 1 SOMEWHAT CONCERNED, OR 2 JUST A LITTLE BIT CONCERNED 3 DK 8 REFUSED 9 Q22. Do you personally know or have you known anyone who has been diagnosed with HIV or died from AIDS or any AIDS-related condition? YES 1 NO 5 [SKIP TO Q25] DK 8 [SKIP TO Q25] REFUSED 9 [SKIP TO Q25] Q23. Of those people you personally know who were diagnosed with HIV, how many are still living? NUMBER _____ DK 888 [SKIP TO Q25] REFUSED 999 [SKIP TO Q25] Q24. How many people do you know who have died from AIDS? NUMBER _____ DK 888 [SKIP TO Q25] REFUSED 999 [SKIP TO Q25]
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Q25. What are your chances of getting infected with HIV, the virus that causes AIDS? Would you say high, medium, low, or none? HIGH 1 MEDIUM 2 LOW 3 NONE 4 DK 8 REFUSED 9 Q26. Have you donated blood in the last 12 months? YES 1 NO 5 DK 8 REFUSED 9 Q27. Except for tests you may have had as part of blood donations, have you ever been tested for HIV? [INTRV: IF NECESSARY: this includes the saliva test.] YES 1 NO 5 [SKIP TO Q34] DK 8 [SKIP TO Q34] REFUSED 9 [SKIP TO Q34] Q28. When were you last tested? I need to know the year. [If necessary: Interviewer probe to help R remember the year how old were you?, what happened during that year?, etc.] YEAR ____ _____ ____ ____ DK 8888 REFUSED 9999

Q29. What was the main reason you had your last test for HIV? REASON CODE ________ HOSPITALIZATION OR SURGICAL PROCEDURE 1 TO APPLY FOR HEALTH INSURANCE 2 TO APPLY FOR LIFE INSURANCE 3 FOR EMPLOYMENT 4 TO APPLY FOR A MARRIAGE LICENSE 5 FOR MILITARY INDUCTION OR MILITARY SERVICE 6 FOR IMMIGRATION 7 JUST TO FIND OUT IF YOU WERE INFECTED 8 BECAUSE OF REFERRAL BY A DOCTOR 9 BECAUSE OF PREGNANCY 10 BECAUSE OF REFERRAL BY YOUR SEX PARTNER 11 BECAUSE IT WAS PART OF A BLOOD DONATION PROCESS 12 FOR ROUTINE CHECK UP 13 BECAUSE OF OCCUPATIONAL EXPOSURE 14 BECAUSE OF ILLNESS 15 BECAUSE I AM AT RISK FOR HIV 16 WORRIED MY SEX PARTNER HAD SEX WITH OTHERS 17 OTHER 77 DONT KNOW/NOT SURE 88 REFUSED 99
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Q30. Where did you have your last test for HIV? FACILITY CODE _____ PRIVATE DOCTOR, HMO 1 BLOOD BANK, PLASMA CENTER, RED CROSS 2 HEALTH DEPARTMENT/CLINIC 3 HOSPITAL, EMERGENCY ROOM, OUTPATIENT CLINIC 4 MILITARY INDUCTION OR MILITARY SERVICE SITE 6 IMMIGRATION SITE 7 AT HOME, HOME VISIT BY NURSE OR HEALTH WORKER 8 AT HOME USING SELF-SAMPLING KIT 9 IN JAIL OR PRISON 10 OTHER 77 DONT KNOW/NOT SURE 88 REFUSED 99 Q31. Did you receive the results of your last test? YES 1 NO 5 [SKIP TO Q34] REFUSED 9 [SKIP TO Q34] Q32. Did you receive counseling or talk with a health care professional about the results of your test? YES 1 NO 5 DK 8 REFUSED 9 Q33. What was the result of that test? HIV POSITIVE 1 HIV NEGATIVE 5 Indeterminate or test could not tell 7 DK 8 REFUSE 9 Q34. Generally speaking, are you familiar with the concept of safe sex, or not very familiar with it?? FAMILIAR WITH SAFE SEX 1 NOT FAMILIAR WITH SAFE SEX 5 [SKIP TO Q36] DK 8 [SKIP TO Q36] REFUSED 9 [SKIP TO Q36] Q35. According to the information you have, how would you define. Safe Sex? [DO NOT READ RESPONSE SET. PROBE THOROUGHLY AND ACCEPT MULTIPLE ANSWERS]

CODES _______ REDUCE NUMBER OF SEX PARTNERS 1 NO EXCHANGE OF BODY FLUIDS 2 USE CONDOMS 3 AVOID ANAL INTERCOURSE 4 BE MONOGAMOUS (ONE PARTNER) 5 BE CELIBATE (BE ABSTINENT) 6 TAKE SANITARY PRECAUTIONS/BE CLEAN 7
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KNOW PARTNERS/BE AWARE OF PARTNERS BACKGROUND 8 AVOID HIGH-RISK PARTNERS 9 HAVING SEX WITH ONLY ONE PERSON WHO IS NOT INFECTED 10 GET TESTED FOR HIV 11 OTHER ANSWER 77 DK 88 REFUSED 99 These next few questions are about your own personal behaviors, including sexual intercourse. By sexual intercourse I mean vaginal intercourse, which is when the penis is put into a vagina, or anal intercourse, which is when a penis is put in an anus or rectum. Do you understand this? [If NO, repeat definitions]. It is important for us to ask these questions of everyone so we can find out how many people are at risk in California. I want to remind you that all of your answers are confidential. In order to protect your privacy, you will be able to give me just the number of your answers for some of these questions. Q36. Have you ever used needles to inject non-prescription drugs including vitamins and steroids,1 yes, 5 no? YES 1 NO 5 [SKIP TO Q38] DK 8 [SKIP TO Q38] REFUSED 9 [SKIP TO Q38] Q37. Have you injected these drugs within the past 12 months? YES 1 NO 5 DK 8 REFUSED 9 [IF GENDER==FEMALE THEN SKIP TO Q41] Q38. Have you ever had sexual intercourse with a partner who at the time was any of the following: another man, a person who has injected non-prescription drugs, or a person who has tested positive for HIV or has AIDS,1 yes, 5 no? [If necessary: without telling me which one, tell me, have you ever had sex with any of these people?] YES 1 NO 5 [SKIP TO Q44] DK 8 [SKIP TO Q44] REFUSED 9 [SKIP TO Q44]
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Q39. About how many of these were casual sex partners? By casual sex I mean any sex that is not a part of a long-term or committed relationship. [If necessary, Those people include any casual sex partners who were men who had sex with other men, injected non prescription drugs, or who tested positive for HIV/AIDS]. NONE 1 [SKIP to Q44] 1 2 [SKIP to Q40] 2 3 [SKIP to Q41] 3 OR MORE 4 [SKIP to Q41] DK 8 [SKIP to Q44] REFUSED 9 [SKIP to Q44] Q40. Have you had sex with this person within the past 12 months,1 yes, 5 no? [If necessary, This person was a casual sex partner and was a man who had sex with another man, a person who has injected non-prescription drugs, or a person who has tested positive for HIV/AIDS]. YES 1 [SKIP to Q44] NO 5 [SKIP to Q44] DK 8 [SKIP to Q44]

REFUSED 9 [SKIP to Q44] Q41. Have you had sex with any of those people within the past 12 months,1 yes, 5 no? [If necessary, Those people include any casual sex partners who were men who had sex with other men, injected non-prescription drugs, or who tested positive for HIV/AIDS]. YES 1 NO 5 DK 8 REFUSED 9 [IF GENDER==MALE THEN SKIP TO Q46] Q42. Have you ever had sexual intercourse with a partner who at the time was any of the following: a man who has had sex with other men, a person who has injected non-prescription drugs, a person who has tested positive for HIV/AIDS,1 yes, 5 no? [If necessary: without telling me which one, tell me, have you ever had sex with any of these people?] YES 1 NO 5 [SKIP TO Q46] DK 8 [SKIP TO Q46] REFUSED 9 [SKIP TO Q46] Q43. About how many of these were casual sex partners? By casual sex I mean any people with whom you were not in a long-term or committed relationship. [If necessary, Those people include any casual sex partners who were men who had sex with other men, injected nonprescription drugs, or tested positive for HIV/AIDS]. NONE 1 [SKIP to Q45] 1 2 [SKIP to Q44] 2 3 [SKIP to Q45] 3 OR MORE 4 [SKIP to Q45] DK 8 [SKIP to Q46] REFUSED 9 [SKIP to Q46]
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Q44. Have you had sex with this person within the past 12 months, 1 yes, 5 no? ? [If necessary, This person was a casual sex partner and was a man who had sex with another man, a person who has injected non-prescription drugs, or a person who has tested positive for HIV/AIDS]. YES 1 [SKIP to Q46] NO 5 [SKIP to Q46] DK 8 [SKIP to Q46] REFUSED 9 [SKIP to Q46] Q45. Have you had sex with any of those people within the past 12 months, 1 yes, 5 no? [If necessary, Those people include any casual sex partners who were men who had sex with other men, injected non-prescription drugs, or who tested positive for HIV/AIDS]. YES 1 NO 5 DK 8 REFUSED 9 Q46. During the last 12 months, with how many people have you had sexual intercourse? Again, by sexual intercourse I mean vaginal or anal sex. [If Q46 =0/888/999 then skip to Q57] NUMBER _______ DK 888 REFUSED 999 [IF Q46==0|888|999 THEN SKIP TO Q57] [IF Q46==1 THEN GO TO Q47] [IF Q46>1 &<888 THEN SKIP TO Q48] Q47. Was this person a casual sex partner? By casual sex I mean any sex that was not a part of a long term or committed relationship? YES 1 [SKIP TO Q49] NO 5 [SKIP TO Q50] DK 8 [SKIP TO Q50] REFUSED 9 [SKIP TO Q50] Q48. About how many of these were casual sex partners? By casual sex I mean any sex that was not a part of a long term or committed relationship.

NUMBER _______ DK 888 REFUSED 999 Q49. Thinking only about your casual sexual partners, during the last 12 months, when you have had sexual intercourse with these people, how often have you used a condom? Every time 1 Most of the time 2 Sometimes, or 3 Never 4 DK 8 REFUSED 9
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Q50. Thinking about your steady sexual partners, during the last 12 months, when you have had sexual intercourse with these people/this person, how often have you used a condom . . .By steady sexual partner I mean someone with whom you had a close, ongoing sexual relationship. Every time 1 Most of the time 2 Sometimes, or 3 Never 4 DONT HAVE ANY STEADY SEXUAL PARTNERS 6 DK 8 REFUSED 9 Q51. How difficult is it to talk to your casual sex partner about using condoms? Would you say it is . . . Very difficult 1 Somewhat difficult, or 2 Not difficult at all 3 DONT USE CONDOMS 4 DK 8 REFUSED 9 Q52. How difficult is it to talk to your steady sex partner about using condoms? Would you say it is . . . Very difficult 1 Somewhat difficult, or 2 Not difficult at all 3 DONT USE CONDOMS 4 DK 8 REFUSED 9 Q53. Have you and your sexual partner ever used the female condom, 1 yes, 5 no? YES 1 NO 5 I DONT KNOW WHAT A FEMALE CONDOM IS 6 KNOW WHAT IT IS, NOT SURE IF USED IT 8 REFUSED 9 Q54. Was a spermicide such as a foam or gel used the last time you had sexual intercourse? This does not include a condom that was coated with nonoxynol-9 spermicide. YES 1 NO 5 [SKIP TO Q56] DK 8 [SKIP TO Q56] REFUSED 9 [SKIP TO Q56] Q55. The last time you had sexual intercourse, was the spermicide used 1 to prevent pregnancy, 2 to prevent diseases like syphilis, gonorrhea, and HIV, 3 for both of those reasons, or 4 for some other reason? [If necessary: You can give me the number corresponding to your answer if you like.] TO PREVENT PREGNANCY 1 TO PREVENT DISEASES LIKE SYPHILIS, GONORRHEA, AND HIV 2 FOR BOTH OF THESE REASONS OR 3 FOR SOME OTHER REASON 4 DK 8
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REFUSED 9 [IF Q51 OR 52 == 4 THEN SKIP TO Q57] Q56. Was a condom used the last time you had sexual intercourse, 1 yes, 5 no ? YES 1 NO 5 [SKIP TO Q57] DK 8 [SKIP TO Q57] REFUSED 9 [SKIP TO Q57] Q56A. Was the condom coated with nonoxynol-9 spermicide? YES 1 NO 5 DK 8 REFUSED 9 Q56B. The last time you had sexual intercourse, was the condom used 1 to prevent pregnancy, 2 to prevent diseases like syphilis, gonorrhea, and HIV, 3 for both of those reasons, or 4 for some other reason? TO PREVENT PREGNANCY 1 TO PREVENT DISEASES LIKE SYPHILIS, GONORRHEA, AND HIV 2 FOR BOTH OF THESE REASONS OR 3 FOR SOME OTHER REASON 4 DK 8 REFUSED 9 Lastly, I would like to ask you a few questions so we can compare your response with those of others in California. Q57. Your phone number was chosen at random. For statistical purposes I need to know, are there any other telephone numbers in your house that are used primarily for personal phone calls? YES 1 NO 5 [SKIP TO Q59] DK 8 [SKIP TO Q59] REFUSED 9 [SKIP TO Q59] Q58. How many other telephone numbers are there in your house that are used for personal phone calls? [INTRV: THIS INCLUDES HOUSEMATES LINES, KIDS LINES, AND BUSINESS LINES. IF INCLUDING BUSINESS LINE, PROBE TO BE SURE THAT R NORMALLY ACCEPTS PERSONAL PHONE CALLS AT THAT NUMBER.] NUMBER ______ DK 88 REFUSED 99 Q59. Can you please tell me your zip code? ZIP CODE ________ DK 88888 REFUSED 99999
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Q60. Which of the following categories comes closest to describing where you live: In a large city 1 In a suburb 2 In a small city or town (under 50,000) 3 In a rural area 4 Other /specify 5 DK 8 REFUSED 9 Q61. Do you rent or own your home? RENT 1 OWN 5 DK 8 REFUSED 9 Q62. Including yourself, how many adults 18 and older live in your house at least 6 months out of the year? NUMBER ADULTS _______ DK 888

REFUSED 999 Q63. Do you have any children under the age of 18? YES 1 NO 5 [SKIP TO Q64] DK 8 [SKIP TO Q64] REFUSED 9 [SKIP TO Q64] Q64. How many of them currently live with you at least 6 months of the year? NUMBER _______ DK 88 REFUSED 99 Q65. Are you employed full-time, part-time, are you not employed for pay, or are you retired? FULL-TIME 1 PART-TIME 2 NOT EMPLOYED 3 RETIRED 4 DK 8 REFUSED 9 Q66. Are you currently a full-time or part-time student? NOT A STUDENT 1 FULL-TIME STUDENT 2 PART-TIME STUDENT 3 DK 8 REFUSED 9 Q67. What was the highest grade or year of school that you completed? <12 [GO TO Q67a] = 12 [SKIP TO Q67b] > 12 [SKIP TO 67c]
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Q67A. [If Q67 < 12] Did you receive a G.E.D.? YES 1 NO 5 DK 8 REFUSED 9 Q67B. [If Q67 = 12] Did you receive a High School Diploma or G.E.D.? YES 1 NO 5 DK 8 REFUSED 9 Q67C. [If Q67> 12] Did you receive a 2 or 4-year degree? 2-YEAR(AA) 1 4-YEAR 5 GRADUATE DEGREE 6 NEITHER 7 DK 8 REFUSED 9 Q68. Which of the following categories best describes your racial background? Are you: White 1 African American 2 Hispanic or Latino 3 Asian or Pacific Islander 4 American Indian 5 Alaskan Native 6 Something else (SPECIFY)_________________ 7 DK 8 REFUSED 9 Q69. Next I would like to get a general idea of your household income. I dont need an exact figure just a general range. . So thinking about everyone who lives in your house, could you tell me whether your 1999 total annual income before taxes was under $25,000 or $25,000 or more? UNDER $25,000 1

$25,000 OR MORE 5 [SKIP TO Q69B] DK 8 [SKIP TO Q71] REFUSED 9 [SKIP TO Q71] Q69A. In 1999, was your total family income before taxes . . . Under $10,000 1 [SKIP TO POVERTY CHECK] $10,000 to $14,999 or 2 [SKIP TO POVERTY CHECK] $15,000 to $24,999 3 [SKIP TO POVERTY CHECK] DK 8 [SKIP TO Q71] REFUSED 9 [SKIP TO Q71]
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Q69B. In 1999, was your total family income before taxes under $50,000 or $50,000 or more? Under $50,000 1 $50,000 or more 5 [SKIP TO Q69D] DK 8 [SKIP TO Q71] REFUSED 9 [SKIP TO Q71] Q69C. In 1999, was your total family income before taxes . . . $25,000 to $34,999 or 1 [SKIP TO POVERTY CHECK] $35,000 to $49,999 5 [SKIP TO POVERTY CHECK] DK 8 [SKIP TO POVERTY CHECK] REFUSED 9 [SKIP TO POVERTY CHECK] Q69D. In 1999, was your total family income before taxes under $100,000 or $100,000 or more? Under $100,000 1 $100,000 or more 5 [SKIP TO POVERTY CHECK] DK 8 [SKIP TO POVERTY CHECK] REFUSED 9 [SKIP TO POVERTY CHECK] Q69E. In 1999, was your total family income before taxes . . . $50,000 to $74,999 or 1 [SKIP TO POVERTY CHECK] $75,000 to $99,999 5 [SKIP TO POVERTY CHECK] DK 8 [SKIP TO POVERTY CHECK] REFUSED 9 [SKIP TO POVERTY CHECK] POVERTY CHECK If 2 persons in HH AND Q69A is 2 - GO TO 70A If 3 persons in HH AND Q69A is 2 - GO TO 70B If 4 persons in HH AND Q69A is 3 - GO TO 70C If 5 persons in HH AND Q69A is 3 - GO TO 70D If 6 persons in HH AND Q69A is 3 - GO TO 70E If 7 persons in HH AND Q69C is 1 - GO TO 70F If 8 persons in HH AND Q69C is 1 - GO TO 70G ALL OTHERS SKIP TO 71
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Q70A. In 1999, was your total family income before taxes... Under $11,250 or 1 [GO TO 71] Over $11,250 2 [GO TO 71] 33 DK 8 [GO TO 71] REFUSED 9 [GO TO 71] Q70B. In 1999, was your total family income before taxes... Under $14,150 or 1 [GO TO 71] Over $14,150 2 [GO TO 71] DK 8 [GO TO 71] REFUSED 9 [GO TO 71] Q70C. In 1999, was your total family income before taxes... Under $17,050 or 1 [GO TO 71] Over $17,050 2 [GO TO 71] DK 8 [GO TO 71] REFUSED 9 [GO TO 71] Q70D. In 1999, was your total family income before taxes...

Under $19,950 or 1 [GO TO 71] Over $19,950 2 [GO TO 71] DK 8 [GO TO 71] REFUSED 9 [GO TO 71] Q70E. In 1999, was your total family income before taxes... Under $22,850 or 1 [GO TO 71] Over $22,850 2 [GO TO 71] DK 8 [GO TO 71] REFUSED 9 [GO TO 71] Q70F. In 1999, was your total family income before taxes... Under $25,750 or 1 [GO TO 71] Over $25,750 2 [GO TO 71] 33 DK 8 [GO TO 71] REFUSED 9 [GO TO 71] Q70G. In 1999, was your total family income before taxes... Under $28,650 or 1 [GO TO 71] Over $28,650 2 [GO TO 71] DK 8 [GO TO 71] REFUSED 9 [GO TO 71] Q71. What county do you live in? NUMBER _______ DK 888 REFUSED 999
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Q72. Lastly, do you consider yourself heterosexual or straight, gay, lesbian, or bisexual? HETEROSEXUAL/STRAIGHT 1 GAY/LESBIAN 2 BISEXUAL 3 DONT KNOW 8 REFUSED 9 END. That was my last question. We greatly appreciate your help with this survey. Thank you for your time and goodnight. INTRV AFTER HANGING UP PHONE, RATE: R1. OVERALL, HOW GREAT WAS Rs INTEREST IN THE INTERVIEW? VERY HIGH 1 ABOVE AVERAGE 2 AVERAGE 3 BELOW AVERAGE 4 VERY LOW 5 R2. HOW FORTHCOMING DID R SEEM TO BE IN HIS/HER ANSWERS? COMPLETELY SINCERE 1 USUALLY SINCERE 2 OFTEN SEEMED TO BE INSINCERE 3
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Q71 COUNTY CODES County Code Name County Code Name 01 Alameda 02 Alpine 03 Amador 04 Butte 05 Calaveras 06 Colusa 07 Contra Costa 08 Del Norte 09 El Dorado 10 Fresno 11 Glenn 12 Humboldt 13 Imperial 14 Inyo 15 Kern 16 Kings 17 Lake 18 Lassen 19 Los Angeles 20 Madera 21 Marin 22 Mariposa 23 Mendocino 24 Merced 25 Modoc 26 Mono 27 Monterey 28 Napa 29 Nevada 30 Orange 31 Placer 32 Plumas 33 Riverside 34 Sacramento 35 San Benito 36 San Bernardino 37 San Diego 38 San Francisco 39 San Joaquin 40 San Luis Obispo 41 San Mateo 42 Santa Barbara 43 Santa Clara 44 Santa Cruz 45 Shasta 46 Sierra 47 Siskiyou 48 Solano 49 Sonoma 50 Stanislaus 51 Sutter 52 Tehama 53 Trinity 54 Tulare 55 Tuolumne 56 Ventura 57 Yolo 58 Yuba