1. Are you?:

• A Man
• A Trans Man
• A Woman - this survey is for men only. If you are a woman please do not complete it.

2. How do you identity yourself?

• Bisexual
• Gay Man
• MSM (Men who has sex with men)
• I do not usually use a term

3. What age are you

4. What is your ethnic group?

• Asian or Asian British:
• Indian
• Pakistani
• Bangladeshi
• Any other Asian background
• Black or Black British:
• Caribbean
• African
• Any other Black background
• Mixed:
• White and Black background
• White and Black African
• White and Asian
• Any other Mixed background
• White:
• British
• Irish
• Any other White background
• Other ethnic groups:
• Chinese
• Any other ethnic background

5. Where do you live?

• Hull
• East Riding
• Other

6. Are you?

• Single
• Married to a woman
• In a relationship with a man
• In a relationship with a woman
• In a relationship with a man and a woman
• In a civil partnership
• Other

7. In the last 12 months aprroximately how many men have you had sex with?

• 1-5
• 6-20
• 21-40
• 41-60
• 61-80
• 81-100
• 101 and more

8. In the last 12 months approximately how many men have you had anal intercourse with?

• 0
• 1-5
• 6-20
• 21-40
• 41-60
• 61-80
• 81-100
• 101 and more

9. In the last 12 months approximately how many men have you had anal intercourse without a condom?

• 0
• 1-5
• 6-20
• 21-40
• 41-60
• 61-80
• 81-100
• 101 and more

10. Do you practice safer sex? (e.g. using a condom)

• Always (please go to Q 13)
• Most of the time
• Sometimes
• Never

11. Please tell us what prevents you from practicing safer sex:

12. Which of the following would encourage/help you to practice safer sex?

• Having free condoms availabel via:
• Condom vending machines (for free)
• Cottaging/Cruising grounds
• Gay friendly pubs/clubs
• General sexual health clinic
• GP's (Family doctors)
• Genito Urinary Medicine (GUM)
• Men who have sex with men support groups
• Specialist clinic for men who have sex with men
• Other

13. If you use condoms, do you buy or get them free?

• Buy (please tell us why)
• Free (please go to Q15)
• Don't use (please go to Q16)

14. If you buy condoms do you know where to get free ones?

• Yes
• No

15. If you use free condoms where do you get them from?(tick as many boxes as apply)

• Gay Bars, clubs, sauna (please state which one)
• Cornerhouse
• Drop - in at Conifer House(1st Floor)
• GP's (Family doctors)
• Hull and East Riding Genito Urinary Medicine (GUM) - clinics which test and treat sexually transmitted infextions, including HIV
• Lesbian, Gay, Bisexual and Transgender Forum
• 167 Centre
• The Council for Dependency Problems (CDP)
• The Warren - sexual health projects
• Other
• Not applicable
• Don't use free condoms

16. Are there any other places you would like to get free condoms and lube?

• Yes
• No

17. Do you know how to protect yourself and others from sexually transmitted infections, including HIV?

• Yes (please state)
• No
• Don't know

18. How would you rate your knowledge about?

19. Have you ever been tested for HIV?

• Yes
• No
• Dont know

20. If you needed a HIV test would you know where to go?

• Yes, please say where?
• No
• Don't know