1. CREATE Leaders Workshop Survey The University of Maryland Prevention Research Center (UMD-PRC) is a member of the Prevention Research Centers Program, supported by a grant (U48DP001929) from the Centers for Disease Control and Prevention (CDC).

2. How much physical activity do you participate in during the week? A.Not at All B.A Little C.Quite a Bit D.A lot

3. Your Gender: A. Male B. Female C.Other

4. Your Age: A.14-15 B.16-17 C.18-25 D.26-35 E.36-50 F.51+

5. Your Race/Ethnicity: A.Hispanic/Latino B.American Indian/Alaska Native C.Asian D.Black /African American E.Native Hawaiian/Other Pacific Islander F.White G.Other

6. Have you ever been part of a high school free lunch program or received food stamps: A.Yes B.No

7. How often do you attend religious services: A.Never B.Rarely C.Monthly D.Weekly

8. Are you sexually active: A.Yes B.No

9. Beliefs

10. A.Mostly True B.Mostly False C.Don’t Know Coughing and sneezing spread HIV.

11. A.Mostly True B.Mostly False C.Don’t Know Sharing a glass of water spreads HIV.

12. A.Mostly True B.Mostly False C.Don’t Know Pulling out before climax prevents HIV.

13. A.Mostly True B.Mostly False C.Don’t Know A woman can get HIV through anal sex.

14. A.Mostly True B.Mostly False C.Don’t Know Washing genitals prevents HIV.

15. A.Mostly True B.Mostly False C.Don’t Know HIV infected women will have babies born with AIDS.

16. A.Mostly True B.Mostly False C.Don’t Know HIV positive people quickly show serious signs of being infected.

17. A.Mostly True B.Mostly False C.Don’t Know There is a vaccine that can prevent HIV.

18. A.Mostly True B.Mostly False C.Don’t Know Deep kissing spreads HIV.

19. A.Mostly True B.Mostly False C.Don’t Know Having sex during a women’s period prevents HIV.

20. A.Mostly True B.Mostly False C.Don’t Know Female condoms exist and help prevent HIV.

21. A.Mostly True B.Mostly False C.Don’t Know Natural skin versus latex condoms works better against HIV.

22. A.Mostly True B.Mostly False C.Don’t Know Antibiotics protect against HIV.

23. A.Mostly True B.Mostly False C.Don’t Know Having multiple sex partners increases risks of HIV.

24. A.Mostly True B.Mostly False C.Don’t Know HIV testing one week after having sex tells if someone is HIV infected.

25. A.Mostly True B.Mostly False C.Don’t Know Hot tubs and swimming pools spread HIV.

26. A.Mostly True B.Mostly False C.Don’t Know A person can get HIV from oral sex.

27. A.Mostly True B.Mostly False C.Don’t Know Using Vaseline or baby oil with condoms prevents HIV.

28. 1.Strongly Disagree 2.Disagree 3.Neutral 4.Agree 5.Strongly Agree People who have HIV are dirty

29. People who have HIV are cursed 1.Strongly Disagree 2.Disagree 3.Neutral 4.Agree 5.Strongly Agree

30. People who have HIV should be ashamed 1.Strongly Disagree 2.Disagree 3.Neutral 4.Agree 5.Strongly Agree

31. It is not safe for children to be around someone who is infected with HIV 1.Strongly Disagree 2.Disagree 3.Neutral 4.Agree 5.Strongly Agree

32. A person with HIV must have done something wrong and deserves to be punished 1.Strongly Disagree 2.Disagree 3.Neutral 4.Agree 5.Strongly Agree

33. People who have HIV should be isolated 1.Strongly Disagree 2.Disagree 3.Neutral 4.Agree 5.Strongly Agree

34. I do not want to be friends with someone who has HIV 1.Strongly Disagree 2.Disagree 3.Neutral 4.Agree 5.Strongly Agree

35. Homosexuals contribute positively to society 1.Strongly Disagree 2.Disagree 3.Neutral 4.Agree 5.Strongly Agree

36. Homosexuality is disgusting 1.Strongly Disagree 2.Disagree 3.Neutral 4.Agree 5.Strongly Agree

37. Homosexuals are just as moral as heterosexuals 1.Strongly Disagree 2.Disagree 3.Neutral 4.Agree 5.Strongly Agree

38. Homosexuals should have equal civil rights 1.Strongly Disagree 2.Disagree 3.Neutral 4.Agree 5.Strongly Agree

39. Homosexuals corrupt young people 1.Strongly Disagree 2.Disagree 3.Neutral 4.Agree 5.Strongly Agree

40. Homosexuality is a sin 1.Strongly Disagree 2.Disagree 3.Neutral 4.Agree 5.Strongly Agree

41. Homosexuality should be against the law 1.Strongly Disagree 2.Disagree 3.Neutral 4.Agree 5.Strongly Agree

42. Influence

43. A.Not at All B.A Little Bit C.Quite a Bit D.A lot How much do you think FAITH LEADERS have educated people about HIV in your community?

44. A.Not at All B.A Little Bit C.Quite a Bit D.A lot How much do you think FAITH LEADERS have encouraged consistent use of condoms among sexually active people in your community?

45. A.Not at All B.A Little Bit C.Quite a Bit D.A lot How much do you think FAITH LEADERS have encouraged sexually active people in your community to take an HIV test?

46. A.Not at All B.A Little Bit C.Quite a Bit D.A lot How much do you think your PEERS have educated people about HIV in your community?

47. A.Not at All B.A Little Bit C.Quite a Bit D.A lot How much do you think your PEERS have encouraged consistent use of condoms among sexually active people in your community?

48. A.Not at All B.A Little Bit C.Quite a Bit D.A lot How much do you think your PEERS have encouraged sexually active people in your community to take an HIV test?

49. A.Not at All B.A Little Bit C.Quite a Bit D.A lot How much do you think SCHOOLS have educated people about HIV in your community?

50. A.Not at All B.A Little Bit C.Quite a Bit D.A lot How much do you think SCHOOLS have encouraged sexually active people in your community to take an HIV test?

51. A.Not at All B.A Little Bit C.Quite a Bit D.A lot How much do you think SCHOOLS have encouraged consistent use of condoms among sexually active people in your community?

52. A.Not at All B.A Little Bit C.Quite a Bit D.A lot How much do you think ELDERS have educated people about HIV in your community?

53. A.Not at All B.A Little Bit C.Quite a Bit D.A lot How much do you think ELDERS have encouraged consistent use of condoms among sexually active people in your community ?

54. A.Not at All B.A Little Bit C.Quite a Bit D.A lot How much do you think ELDERS have encouraged sexually active people in your community to take an HIV test?

55. Thank you for your participation in this survey!