Physician Information

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In the following questions, we will be asking you to answer general questions pertaining to your personal history. This is for research purposes only, and is still COMPLETELY CONFIDENTIAL and ANONYMOUS. You will NOT be asked your name, phone number, office address, home address, marital status, salary, or other specific personal information. If you choose not to answer some of the personal questions FEEL FREE to omit your answers. If you feel uncertain in taking this opinion poll, please leave E-mail briefly stating why you wish not to answer the questionairre.

E-Mail Address:

Country:
GenderAge
Physician Type:Profession and Degree Earned
Community Settings:AIDS Patient Contact

How did you first hear about this site?

Because the project has been completed and published, no other physicians will be accepted.

Do you want to take the survey and see how you compare with other physicians? Take the Main Survey.