What issues are important to young gay/bisexual men in Montana? 1. What is life like in Montana for young gay/bisexual men? 2. What gay or gay friendly groups are available in your community? If any, which ones are you a member of? 3. Where do young gay/bisexual men like to hang out in your community? 4. QueerCore has many different objectives and goals, but one of them is to unite the young gay men of Montana through fun, relaxed activities. What are some activities or events you would like to see, as a member of the gay community in Montana? Please answer the below questions regarding risk 1. Do you smoke cigarettes? Yes No 2. If yes, at what age did you start smoking? 3. Have you thought about quitting smoking? Yes No 4. If yes, what measures have you tried? 5. What, if any, are the reasons why you smoke? 6. Do you feel you have experienced problems in any of these areas in the last year? Depression Self Esteem Alcohol/Drugs Smoking Isolation Other (please specify): 7. In the last year, have you used any of the following drugs to party of for stress? Alcohol Tobacco Ecstasy Meth Cocaine Marijuana Oxycotton/Prescriptions Other (please specify): 7a. If you used alcohol or recreational drugs in the last year, why did you use them? To unwind/escape stress To be social To reward myself To overcome feelings of depression Other (please specify): 8. In the past year, how often have you had unprotected anal sex after drinking and/or using drugs? Where 5 = Always and 1 = Never 5 4 3 2 1 8a. Please approximate the number of times in the past year you have had unprotected anal sex after drinking and/or using drugs ? Number of times: 9. Before having sex with a new partner(s), how often do you talk about safer sex? Where 5 = Always and 1 = Never 5 4 3 2 1 9a. Compared to when I first came out, I've had _________ unprotected anal sex after drinking and/or using drugs. A lot more Somewhat more About the same amount of Somewhat less A lot less 10. If you do not use condoms for anal sex, what are some of the reasons? Regular sex partner Both HIV Negative PnP He did not want to use them No condoms were handy I just don't like them Both HIV Positive Other (please specify): 11. Do you feel you’re at risk for HIV? Yes No 11a. I feel that I am at risk for contracting HIV. Strongly disagree Somewhat disagree Neither agree nor disagree Somewhat agree Strongly agree 12. Have you been diagnosed with a sexually transmitted infection (STD/STI) in the past year? Yes No If yes, which one? Syphilis Chlamydia Gonorrhea Herpes Genital Warts Other (please specify): Would you like to learn more about activities we offer young gay/bisexual men in Montana? Please provide us your email address below! We will send you important information about retreats and M-Groups facilitated by MpowerMT.