HEARD Assessment

  • Are you a Doctor or Prescriber?

  • Doctor or Prescriber Zip Code

  • Patient Zip Code

  • What is your current age?

  • With which gender do you identify?

  • What is your highest level of education completed?

  • What is your race/ethnicity?

  • HEARD Part I: PTSD Self-Report Questionnaire

    Instructions: Below is a list of problems that people sometimes have in response to a very stressful experience. Keeping your worst event in mind, please read each problem carefully and then select one of the numbers to the right to indicate how much you have been bothered by that problem in the past month.

  • Repeated, disturbing, and unwanted memories of the
    stressful experience?

  • Repeated, disturbing dreams of the stressful experience?

  • Suddenly feeling or acting as if the stressful experience
    were actually happening again (as if you were actually
    back there reliving it)?

  • Feeling very upset when something reminded you of the
    stressful experience?

  • Having strong physical reactions when something
    reminded you of the stressful experience (for example,
    heart pounding, trouble breathing, sweating)?

  • Avoiding memories, thoughts, or feelings related to the
    stressful experience?

  • Avoiding external reminders of the stressful experience
    (for example, people, places, conversations, activities,
    objects, or situations)?

  • Trouble remembering important parts of the stressful
    experience?

  • Having strong negative beliefs about yourself, other
    people, or the world (for example, having thoughts such as:
    I am bad, there is something seriously wrong with me, no
    one can be trusted, the world is completely dangerous)?

  • Blaming yourself or someone else for the stressful
    experience or what happened after it?

  • Having strong negative feelings such as fear, horror, anger,
    guilt, or shame?

  • Loss of interest in activities that you used to enjoy?

  • Feeling distant or cut off from other people?

  • Trouble experiencing positive feelings (for example,
    being unable to feel happiness or have loving feelings for
    people close to you)?

  • Irritable behavior, angry outbursts, or acting aggressively?

  • Taking too many risks or doing things that could cause
    you harm?

  • Being “superalert” or watchful or on guard?

  • Feeling jumpy or easily startled?

  • Having difficulty concentrating?

  • Trouble falling or staying asleep?

  • HEARD Part II: Brief HIV-Knowledge Questionnaire

    The following questions will test your knowledge about HIV and then may recommend consulting with a healthcare specialist.

  • Coughing and sneezing DO NOT spread HIV.

  • A person can get HIV by sharing a glass of water with someone who has HIV.

  • Pulling out the penis before a man climaxes/cums keeps a woman from getting HIV during sex.

  • A woman can get HIV if she has anal sex with a man.

  • Showering, or washing one’s genitals/private parts, after sex keeps a person from getting HIV.

  • All pregnant women infected with HIV will have babies born with AIDS.

  • People who have been infected with HIV quickly show serious signs of being infected.

  • There is a vaccine that can stop adults from getting HIV.

  • People are likely to get HIV by deep kissing, putting their tongue in their partner’s mouth, if their partner has HIV.

  • A woman cannot get HIV if she has sex during her period.

  • There is a female condom that can help decrease a woman’s chance of getting HIV.

  • A natural skin condom works better against HIV than does a latex condom.

  • A person will NOT get HIV if she or he is taking antibiotics.

  • Having sex with more than one partner can increase a person’s chance of being infected with HIV.

  • Taking a test for HIV one week after having sex will tell a person if she or he has HIV.

  • A person can get HIV by sitting in a hot tub or a swimming pool with a person who has HIV.

  • A person can get HIV from oral sex.

  • Using Vaseline or baby oil with condoms lowers the chance of getting HIV.