Welcome to the BRAHMS Qualification Questionnaire!

This questionnaire is designed to inform you whether you qualify to participate in the BRAHMS study.

No personal information must be given to see if you qualify.

The questionnaire consists of six multiple choice questions. At the end of the questionnaire, if you qualify, then you will be given a link that will direct you to additional information about the study.

In the past 6 months, have you ever had anal sex (either receptive or insertive) with a male partner without a condom?
How many different male partners have you had condomless anal sex (insertive or receptive) with?
In the past 6 months were you ever diagnosed with Syphilis?
In the last 6 months were you ever diagnosed with rectal gonorrhea or chlamydia?
Have you ever participated in a previous HIV vaccine study?
Do you currently participate in a trial for investigational agents for treatment or prevention of HIV-1 infection?