AIDS STIGMA SURVEY QUESTIONNAIRE


This study measures the pervasiveness of stigmatizing attitudes and beliefs concerning AIDS among the local public.

DO NOT write your name on this survey. The answers you give will be kept private.  No one will know what you write. 
Answer the questions based on what you really do.

Completing the survey is voluntary. 
If you are not comfortable answering a question, just leave it blank.
     
The questions that ask about your background will be used only to describe the types of students completing this survey.
The information will not be used to find out your name. No names will ever be reported.

Make sure to read every question. Fill in the ovals completely. When you are finished, follow the instructions of the 
person giving you the survey.


	Thank you very much for your help.




Directions

o	Use a #2 pencil only.
o	Make dark marks.
o	Fill in a response by completely darkening the oval that corresponds to the letter for your answer.
o	To change your answer, erase completely.

1.	How old are you?
A.	17 years old or younger
B.	18 years old
C.	19 years old
D.	20 years oldor older

2.	What is your sex?
A.	Female
B.	Male

3.  	In what grade are you?

5.	How do you describe your health in general?
A.  	Excellent 
B. 	Very good 
C.  	Good 
D.  	Fair  
E. 	Poor
	 



Feelings Towards Persons with AIDS  People have many different feelings when they think about people who have AIDS. As I read each of the following feelings, please tell me how you personally feel. 
   
 1. How about feeling angry at them? Would you say you feel: 
(a) very angry, 
(b) somewhat, 
(c) a little, or 
(d) not at all angry at people with AIDS? 
   
 2. (How about) afraid of them? 
  
 3. (How about) disgusted by them? 
  
Coercive Attitudes and Blame  Now I'm going to read a list of statements people have made. As I read each one, please tell me how much you agree or disagree. 
   
 1. How about "people with AIDS should be legally separated from others to protect the public health?" Would you say you: 
(a) agree strongly, 
(b) agree somewhat, 
(c) disagree somewhat, or 
(d) disagree strongly? 
   
 2. (How about) "The names of people with AIDS should be made public so that others can avoid them?" 
   
 3. (How about) "People who got AIDS through sex or drug use have gotten what they deserve?" 
   
Avoidant Behavioral Intentions  1. Suppose you had a close friend or relative who developed AIDS. 

(a) Would you be willing to take care of him/her, or
(b) is that something you would not be willing to do? 
IF (b): Is that because 
(c) you wouldn't want to take care of someone with AIDS, or 
(d) for some other reason? 
[supportive response = a; avoidant response = c] 
  
 
 2. And suppose you had a young child who was attending school where one of the students was known to have AIDS. What would you do? Would you: 
(a) send your child to another school, or 
(b) leave your child in the same school? 
IF (b): Would you 
(c) encourage your child to be especially nice to the student with AIDS, 
(d) discourage your child from contact with him/her, or 
(e) encourage your child to treat him/her as always? 
[supportive responses = c, e; avoidant responses = a, d] 
  
 
 3. Now suppose you had an office job where one of the men working with you developed AIDS. Would you: 
(a) still be willing to work with him, 
(b) ask he be assigned someplace else, 
(c) or ask to be assigned with someone else. 
IF (a): Would you 
(d) go out of your way to help him, 
(e) try to avoid contact with him, or 
(f) treat him the same as always? 
[supportive responses = d, f; avoidant responses = b, c, e] 
  
 
 4. Suppose that you found out that the owner of a small neighborhood grocery store where you like to shop had AIDS. Would you: 
(a) continue to shop there, or 
(b) probably go someplace else to shop? 
IF (a): Do you think you would shop there 
(c) more often or 
(d) less often than you did before you found out the owner had AIDS, or 
(e) would you continue to shop there as much as you did before you found out? 
[supportive responses = c, e; avoidant responses = b, d] 
  
 
Casual Contact  These next questions are about the different ways some people think AIDS might be spread. As I read each of the following, please tell me how likely you think it is that a person could get AIDS or AIDS virus infection in that way. 
   
 1. How about kissing someone on the cheek who has the AIDS virus? Would you say if someone does that they're: 
(a) very likely, 
(b) somewhat likely, 
(c) somewhat unlikely, 
(d) very unlikely to get AIDS, or is it 
(e) impossible to get AIDS by kissing someone on cheek? 
   
 2. How about sharing a drink out of the same glass with someone who has AIDS? 
   
 3. How about by using public toilets? 
   
 4. How about from being coughed on or sneezed on by someone who has the AIDS virus? 
   
 5. How about from mosquito or other insect bites? 
   
Transmission through Homosexuality and Drug Use  We're also interested in knowing what you think the chances are that certain types of people will get AIDS in certain types of situations. 
   
 1. First, think of two healthy homosexual men – neither of whom is infected with the AIDS virus. Now suppose they have sexual intercourse. If they use condoms, would you say that at least one of them is: 
(a) almost sure to become infected, 
(b) has a fairly strong chance, 
(c) has very little chance, or 
(d) has no chance of becoming infected 
   
 2. Now suppose the same two healthy men have sexual intercourse but this time they do not use condoms. 
   
  3. Now think of someone who uses drugs intravenously (and who is not a homosexual). 
If this person does not share needles, what do you think this person's chances are of becoming infected with the AIDS virus?
  







	This is the end of the survey.
	Thank you very much for your help.