Clinical survey
| Clinical survey section | Subsections |
| Sociodemographics | Sex, gender, sexual orientation, age, legal status in Canada, relationship status, ethnicity, education, employment, income, housing, Indigeneity, residential school history, early life experiences |
| Immune status (vaccine or natural infection) | History of vaccination for or natural infection of: Human Papilloma virus, Varicella Zoster virus, Hepatitis B virus |
| Non-HIV medications | Opiates, vitamins/supplements, prescribed and over-the-counter medications |
| HIV medical history | Diagnosis, nadir CD4, latest CD4 count, viral load, current/historical ARVs, current/historical ARV side effects, adherence (%) |
| Medical history | Diagnoses of and treatment for specific comorbid medical conditions (ie, respiratory, renal, cardiovascular, endocrinological, reproductive, hepatic, cancer). |
| Family medical history | |
| Hearing loss, loss of vision, motor disabilities | |
| Mental health (ie, mood, anxiety, PTSD, addiction/substance use, neurocognitive, personality, psychotic, eating disorders and trauma-related disorders) | |
| Transgender health (ie, hormone therapy, transition surgery) | |
| Reproductive health | Menstrual history, current menstrual status (ie, duration, frequency, associated symptoms), symptoms of peri-menopause/menopause, treatments for symptoms of menopause, reproductive organ surgeries, pregnancy/parity/spontaneous or medical abortion, use of fertility services, contraceptive use and history |
| Substance use | Current/historical use of alcohol, tobacco, cannabis and illegal or legal drugs not used in the manner for which they were prescribed; discrimination due to drug use |
Each item listed under ‘subsections’ is associated with one or more detailed questions.
ARVs, antiretrovirals; PTSD, post-traumatic stress disorder.