• DSHS HIV/STD Program

    Post Office Box 149347, MC 1873
    Austin, Texas 78714

    Phone: (737) 255-4300

    Email the HIV/STD Program

    Email data requests to HIV/STD Program - This email can be used to request data and statistics on HIV, TB, and STDs in Texas. It cannot be used to get treatment or infection history for individuals, or to request information on programs and services. Please do not include any personal, identifying health information in your email such as HIV status, Date of Birth, Social Security Number, etc.

    For treatment/testing history, please contact your local Health Department.

    For information on HIV testing and services available to Persons Living with HIV and AIDS, please contact your local HIV services organization.

MMP Response Cards

Calendar

 

Response Card A

Columns
  

Monthly Household Income

Yearly Household Income

  a. $0 to $416 or   $0 to $4,999
  b. $417 to $749 or $5,000 to $8,999
  c. $750 to $916 or $9,000 to $10,999
  d. $917 to $1,083 or $11,000 to $12,999
  e. $1,084 to $1,249 or $13,000 to $14,999
  f. $1,250 to $1,416 or $15,000 to $16,999
  g. $1,417 to $1,666 or $17,000 to $19,999
  h. $1,667 to $2,083 or $20,000 to $24,999
  i. $2,084 to $2,499 or $25,000 to $29,999
  j. $2,500 to $3,333 or $30,000 to $39,999
  k. $3,334 to $4,166 or $40,000 to $49,999
  l. $4,167 to $6,249 or $50,000 to $74,999
  m. $6,250 or more or $75,000 or more

 



Response Card B

  • Extremely

  • Quite a Bit

  • Somewhat

  • A little bit

  • Not at all

 



Response Card C

  • None of the time

  • A little of the time

  • About half the time

  • Most of the time

  • All of the time

 



Response Card D

  • Never                        

  • Rarely                        

  • About half the time

  • Most of the time

  • Always

 



Response Card E

  • <=24 years old

  • 25-29 years old

  • 30-34 years old

  • 35-39 years old

  • 40-44 years old

  • 45-49 years old

  • >=50 years old

 



Response Card F

  • Strongly disagree

  • Somewhat disagree

  • Neutral

  • Somewhat agree

  • Strongly agree

 



Response Card G

  • Not at all

  • Several days

  • More than half the days

  • Nearly every day

 



Response Card H

  • Daily

  • Weekly

  • Monthly

  • Less than monthly

  • Never

 



Alcohol Response Card

Alcohol Response Card

 



Response Card I

  • General Medical Care                                                                          

  • Hepatitis                                                                          

  • Depression                          

  • Diabetes                          

  • Gastroesophageal Reflux Disease (GERD)

  • Cancer                        

  • Hypertension/High Blood Pressure                        

  • Heart Disease                        

  • Kidney Disease                        

  • High Cholesterol/Lipid Disorders

  • Other

 



Response Card J

  • 48 Hours or Less

  • 3 to 30 Days

  • 1 to 11 Months

  • 1 to 5 Years

  • More than 5 Years

 



Response Card K

  • With a condom, sex is less pleasurable

  • You or your partner lose an erection when using condoms

  • You or your partner have a latex allergy

  • You have the same HIV status as your partner

  • Either you or your partner are on PrEP or pre-exposure prophylaxis

  • You or your partner used the withdrawal or pull-out method

  • A condom wasn't available

  • You and/or your partner did not want to use a condom

  • In the heat of the moment, you didn't think about using a condom

  • You are in a monogamous relationship with this partner

  • You, your partner, or both had a viral load that was undetectable

 



Response Card L

  • Through the media - TV, radio, newspaper

  • Scientific meeting/conference

  • Internet

  • Local Health Department/Clinic

  • My medical care provider discussed/prescribed it for my partner(s)

  • From friends, partners or peer support groups

 



Response Card M

  • General printed media - newspaper, magazines

  • HIV or LGBT printed media - newspaper, magazines

  • Electronic media - TV, radio

  • Internet websites, mobile apps, podcasts

  • Social media - Facebook, Twitter, etc.

  • Other

 



Response Card N

  • Daily

  • Weekly

  • Monthly

  • Less than Monthly

 


Last updated April 28, 2020