Aptivus | Looking Forward

What is your age?

Under 20 20-30 31-40 41-50 51-60 Over 60

What is your gender?

Male Female

Which of the following best describes you?

A person living with HIV A caregiver of a person living with HIV A healthcare provider A patient educator
Other I have not been diagnosed with HIV

If you are a person living with HIV, are you on treatment?

Yes No Does not apply

In what part of the United States do you live?

Northeast Southeast Midwest West

1. I learned new information about HIV resistance.

Strongly Agree Agree Neutral Disagree Strongly Disagree

2. As a result of this Web video, I am more likely to ask my healthcare provider about HIV resistance testing.

Strongly Agree Agree Neutral Disagree Strongly Disagree

3. As a result of this Web video, I am more likely to talk to my healthcare provider about treatment options like APTIVUS.

Strongly Agree Agree Neutral Disagree Strongly Disagree

4. I plan on telling other people about this Web video.

Strongly Agree Agree Neutral Disagree Strongly Disagree

Please consult the Full Prescribing Information as well as the Patient Package Insert (PPI) including boxed WARNINGS, and Important Safety Information for APTIVUS.

You are encouraged to report negative side effects of prescription drugs to the FDA.
Visit www.fda.gov/medwatch or call 1-800-FDA-1088.