Living with Herpes
Answers marked with a * are required.
About this Survey
This survey has been designed to collect data relating to your history and experiences living with the herpes virus. No personal identifying details are necessary and most questions are optional, however, the more questions you answer and the more detailed your responses, the more useful the data collected will be.
The survey is divided into five sections / pages:
1. Demographic Information - the usual general statistical info
2. Multiple Choice and Short Answer Questions - specific questions about your herpes
3. Essay Questions - general questions about your experience living with herpes
4. Safe Sex - open questions about your safe sex practices
5. Permission to Publish / Contact Info - your publication wishes and optional contact info
Note: The survey may occasionally be unavailable due to updates - your feedback is taken into account and changes made accordingly. Please check back later if you experience any problems.
If you are seeking information please see our website:
If you are seeking support, social activities or herpes dating, check out our herpes community social network:
If you have questions or prefer one2one support, email:
or phone the herpes support line: 0414 074 874 within Australia
+61 414 074 874 internationally
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