HIV Diagnostic Feedback
Thanks for participating in our survey, we value your feedback! All of your answers will be anonymous. Please watch the video below and then answer the questions that follow it.
Tochikunda Continuous Viral Diagnostic video
Did you watch the entire video? *
One of the main messages of the video is that our diagnostic can enable continuous testing of HIV, thereby enabling early diagnosis. Was this clear from the video? *
One of the ways to use our product is to apply it on a small patch in the anus, rectum, penis or vagina. On detection of HIV, it would cause a mild, local and temporary allergic response, similar to soreness and itchiness. Using our product this way may alert you to HIV early enough for you to take HIV medication and avoid getting infected. On a scale of 0 to 5 (0 being absolutely unwilling, 5 being absolutely willing), how willing would you be to use our product? *
Absolutely unwilling
Absolutely willing
Please explain the score that you gave in the above question.
Another way to use our product is to apply it to a small patch of skin anywhere on the body. On detection of HIV, it would cause a mild, local and temporary allergic response, similar to soreness and itchiness. Using our product this way is unlikely to alert you to HIV early enough for you to take medication to avoid getting infected. However, it may alert you before you spread HIV and there are health benefits if you start medication right away. On a scale of 0 to 5 (0 being absolutely unwilling, 5 being absolutely willing), how willing would you be to use our product? *
Absolutely unwilling
Absolutely willing
Please explain the score that you gave in the above question.
Which of the three forms of our product would you feel comfortable using (check all options that apply). *
Required
Please explain your choice(s) in the above question.
What, if any, concerns would you have about using our product?
What is your age? *
What is your sex? *
What gender do you identify as? *
What is your sexual orientation? *
Please share any other thoughts, suggestions or queries you have regarding our product. We would also be delighted to hear from you via email! Please send an email to hello@tochikunda.com
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy