uuid: 40e0d4a1-8888-433f-84b2-90064fe9ae26
langcode: en
status: true
dependencies: {  }
uid: 1
template: false
id: screening
title: Screening
description: ''
elements: |
  step_1_age:
    '#type': wizard_page
    '#title': 'Step 1 Age'
    '#open': true
    age:
      '#type': number
      '#title': 'How old are you?'
      '#title_display': before
      '#required': true
  step_2_partner:
    '#type': wizard_page
    '#title': 'Step 2 Partner'
    '#open': true
    numpart:
      '#type': select_other
      '#title': 'How many male partners did you have sex with in the past 3 months?'
      '#title_display': before
      '#options':
        - '0'
        - '1'
        - '2'
        - '3'
        - '4'
      '#other__title': '5 or more'
      '#other__placeholder': '5'
      '#other__description': 'Please enter a number 5 or higher'
      '#required': true
      '#format': raw
    partner1_name:
      '#type': textfield
      '#title': 'Partner One Name'
      '#title_display': before
      '#states':
        visible:
          ':input[name="numpart[select]"]':
            - value: 1
            - value: 2
            - value: 3
            - value: 4
            - value: '_other_'
        required:
          ':input[name="numpart[select]"]':
            - value: 1
            - value: 2
            - value: 3
            - value: 4
            - value: '_other_'
        enabled:
          ':input[name="numpart[select]"]':
            - value: 1
            - value: 2
            - value: 3
            - value: 4
            - value: '_other_'
    partner2_name:
      '#type': textfield
      '#title': 'Partner Two Name'
      '#title_display': before
      '#states':
        visible:
          ':input[name="numpart[select]"]':
            - value: 2
            - value: 3
            - value: 4
            - value: '_other_'
        required:
          ':input[name="numpart[select]"]':
            - value: 2
            - value: 3
            - value: 4
            - value: '_other_'
        enabled:
          ':input[name="numpart[select]"]':
            - value: 2
            - value: 3
            - value: 4
            - value: '_other_'
    partner3_name:
      '#type': textfield
      '#title': 'Partner Three Name'
      '#title_display': before
      '#states':
        visible:
          ':input[name="numpart[select]"]':
            - value: 3
            - value: 4
            - value: '_other_'
        required:
          ':input[name="numpart[select]"]':
            - value: 3
            - value: 4
            - value: '_other_'
        enabled:
          ':input[name="numpart[select]"]':
            - value: 3
            - value: 4
            - value: '_other_'
    partner4_name:
      '#type': textfield
      '#title': 'Partner Four Name'
      '#title_display': before
      '#states':
        visible:
          ':input[name="numpart[select]"]':
            - value: 4
            - value: '_other_'
        required:
          ':input[name="numpart[select]"]':
            - value: 4
            - value: '_other_'
        enabled:
          ':input[name="numpart[select]"]':
            - value: 4
            - value: '_other_'
    partner5_name:
      '#type': textfield
      '#title': 'Partner Five Name'
      '#title_display': before
      '#states':
        visible:
          ':input[name="numpart[select]"]':
            - value: '_other_'
        required:
          ':input[name="numpart[select]"]':
            - value: '_other_'
        enabled:
          ':input[name="numpart[select]"]':
            - value: '_other_'
  step_3_partner1_vag:
    '#type': wizard_page
    '#title': 'Partner 1 vag'
    p1_parttype:
      '#type': radios
      '#title':  'My partner is '
      '#options':
        1: 'A main partner'
        0: 'A non-main partner'
      '#states':
        visible:
          ':input[name="numpart[select]"]':        
            value: 1
        required:
          ':input[name="numpart[select]"]':        
            value: 1
        enabled:
          ':input[name="numpart[select]"]':        
            value: 1
    p1_vagsex:
      '#type': radios
      '#title': 'During the past 3 months, did you have vaginal sex (intercourse) with this partner?'
      '#options':
        1: 'Yes'
        0: 'No'
      '#states':
        visible:
          ':input[name="numpart[select]"]':        
            value: 1
        required:
          ':input[name="numpart[select]"]':        
            value: 1
        enabled:
          ':input[name="numpart[select]"]':        
            value: 1
    p1_vagsxnum:
      '#type': number
      '#title':  'During the past 3 months, how many times did you have vaginal sex with this partner?'
      '#states':
        visible:
          ':input[name="p1_vagsex"]':        
            value: 1
        required:
          ':input[name="p1_vagsex"]':        
            value: 1
        enabled:
          ':input[name="p1_vagsex"]':        
            value: 1
    p1_vagsxcon:
      '#type': number
      '#title':  'During the past 3 months, of all the times you and this partner had vaginal sex, how many times was a condom used?'
      '#states':
        visible:
          ':input[name="p1_vagsex"]':        
            value: 1
        required:
          ':input[name="p1_vagsex"]':        
            value: 1
        enabled:
          ':input[name="p1_vagsex"]':        
            value: 1
  step_3_partner1_oral:
    '#type': wizard_page
    '#title': 'Partner 1 oral'
    p1_orasex:
      '#type': radios
      '#title': 'During the past 3 months, did you have oral sex with this partner this partner (did you go down on him)? '
      '#options':
        1: 'Yes'
        0: 'No'
      '#required': true
    p1_orasxnum:
      '#type': number
      '#title':  'During the past 3 months, how many times did you have oral sex with this partner?'
      '#states':
        visible:
          ':input[name="p1_orasex"]':        
            value: 1
        required:
          ':input[name="p1_orasex"]':        
            value: 1
        enabled:
          ':input[name="p1_orasex"]':        
            value: 1
    p1_orasxcon:
      '#type': number
      '#title':  'During the past 3 months, of all the times you and this partner had vaginal sex, how many times was a condom used?'
      '#states':
        visible:
          ':input[name="p1_orasex"]':        
            value: 1
        required:
          ':input[name="p1_orasex"]':        
            value: 1
        enabled:
          ':input[name="p1_orasex"]':        
            value: 1
  step_3_partner1_anal:
    '#type': wizard_page
    '#title': 'Partner 1 anal'
    p1_anasex:
      '#type': radios
      '#title': 'During the past 3 months, did you have anal sex with this partner this partner (did you go down on him)? '
      '#options':
        1: 'Yes'
        0: 'No'
      '#required': true
    p1_anasxnum:
      '#type': number
      '#title':  'During the past 3 months, how many times did you have anal sex with this partner?'
      '#states':
        visible:
          ':input[name="p1_anasex"]':        
            value: 1
        required:
          ':input[name="p1_anasex"]':        
            value: 1
        enabled:
          ':input[name="p1_anasex"]':        
            value: 1
    p1_anasxcon:
      '#type': number
      '#title':  'During the past 3 months, of all the times you and this partner had anal sex, how many times was a condom used?'
      '#states':
        visible:
          ':input[name="p1_anasex"]':        
            value: 1
        required:
          ':input[name="p1_anasex"]':        
            value: 1
        enabled:
          ':input[name="p1_anasex"]':        
            value: 1          
  step_3_partner1_history:
    '#type': wizard_page
    '#title': 'Partner 1 history'
    p1_partsxw:
      '#type': radios
      '#title': 'How much of a chance is there that this partner had sex with other women during the past 3 months?'
      '#options':
        - 'None at all'
        - 'Don’t know'
        - 'Possible'
        - 'Definitely yes'
      '#required': true
    p1_partsxm:
      '#type': radios
      '#title': 'How much of a chance is there that this partner had sex with a man during the past 3 months?'
      '#options':
        - 'None at all'
        - 'Don’t know'
        - 'Possible'
        - 'Definitely yes'
      '#required': true
    p1_partshdrug:
      '#type': radios
      '#title': 'How much of a chance is there that this partner was shooting-up drugs during the past 3 months?'
      '#options':
        - 'None at all'
        - 'Don’t know'
        - 'Possible'
        - 'Definitely yes'
      '#required': true
  step_3_partner1_hiv:
    '#type': wizard_page
    '#title': 'Partner 1 HIV history'
    p1_parevtst:
      '#type': radios
      '#title': 'Did your partner ever have an HIV/AIDS test?'
      '#options':  
        2: 'Yes'
        0: 'No'
        1: 'I don''t know'
    p1_partgtst:
      '#type': radios
      '#title': 'Since the two of you have been together, has your partner been tested for HIV?'
      '#options':  
        2: 'Yes'
        0: 'No'
        1: 'I don''t know'
      '#states':
        visible:
          ':input[name="p1_parevtst"]':
           value: 2
        required:
          ':input[name="p1_parevtst"]':
           value: 2
        enabled:
          ':input[name="p1_parevtst"]':
           value: 2
    p1_parhshiv:
      '#type': radios
      '#title': 'Has this partner ever tested positive for HIV?'
      '#options':  
        2: 'Yes'
        0: 'No'
        1: 'I don''t know'
      '#states':
        visible:
          ':input[name="p1_partgtst"]':
           value: 2
        required:
          ':input[name="p1_partgtst"]':
           value: 2
        enabled:
          ':input[name="p1_partgtst"]':
           value: 2
  step_3_partner2_vag:
    '#type': wizard_page
    '#title': 'Partner 2 vag'
    p2_parttype:
      '#type': radios
      '#title':  'My partner is '
      '#options':
        1: 'A main partner'
        0: 'A non-main partner'
      '#required': true
    p2_vagsex:
      '#type': radios
      '#title': 'During the past 3 months, did you have vaginal sex (intercourse) with this partner?'
      '#options':
        1: 'Yes'
        0: 'No'
      '#required': true
    p2_vagsxnum:
      '#type': number
      '#title':  'During the past 3 months, how many times did you have vaginal sex with this partner?'
      '#states':
        visible:
          ':input[name="p2_vagsex"]':        
            value: 1
        required:
          ':input[name="p2_vagsex"]':        
            value: 1
        enabled:
          ':input[name="p2_vagsex"]':        
            value: 1
    p2_vagsxcon:
      '#type': number
      '#title':  'During the past 3 months, of all the times you and this partner had vaginal sex, how many times was a condom used?'
      '#states':
        visible:
          ':input[name="p2_vagsex"]':        
            value: 1
        required:
          ':input[name="p2_vagsex"]':        
            value: 1
        enabled:
          ':input[name="p2_vagsex"]':        
            value: 1
  step_3_partner2_oral:
    '#type': wizard_page
    '#title': 'Partner 2 oral'
    p2_orasex:
      '#type': radios
      '#title': 'During the past 3 months, did you have oral sex with this partner this partner (did you go down on him)? '
      '#options':
        1: 'Yes'
        0: 'No'
      '#required': true
    p2_orasxnum:
      '#type': number
      '#title':  'During the past 3 months, how many times did you have oral sex with this partner?'
      '#states':
        visible:
          ':input[name="p2_orasex"]':        
            value: 1
        required:
          ':input[name="p2_orasex"]':        
            value: 1
        enabled:
          ':input[name="p2_orasex"]':        
            value: 1
    p2_orasxcon:
      '#type': number
      '#title':  'During the past 3 months, of all the times you and this partner had vaginal sex, how many times was a condom used?'
      '#states':
        visible:
          ':input[name="p2_orasex"]':        
            value: 1
        required:
          ':input[name="p2_orasex"]':        
            value: 1
        enabled:
          ':input[name="p2_orasex"]':        
            value: 1
  step_3_partner2_anal:
    '#type': wizard_page
    '#title': 'Partner 2 anal'
    p2_anasex:
      '#type': radios
      '#title': 'During the past 3 months, did you have anal sex with this partner this partner (did you go down on him)? '
      '#options':
        1: 'Yes'
        0: 'No'
      '#required': true
    p2_anasxnum:
      '#type': number
      '#title':  'During the past 3 months, how many times did you have anal sex with this partner?'
      '#states':
        visible:
          ':input[name="p2_anasex"]':        
            value: 1
        required:
          ':input[name="p2_anasex"]':        
            value: 1
        enabled:
          ':input[name="p2_anasex"]':        
            value: 1
    p2_anasxcon:
      '#type': number
      '#title':  'During the past 3 months, of all the times you and this partner had anal sex, how many times was a condom used?'
      '#states':
        visible:
          ':input[name="p2_anasex"]':        
            value: 1
        required:
          ':input[name="p2_anasex"]':        
            value: 1
        enabled:
          ':input[name="p2_anasex"]':        
            value: 1          
  step_3_partner2_history:
    '#type': wizard_page
    '#title': 'Partner 2 history'
    p2_partsxw:
      '#type': radios
      '#title': 'How much of a chance is there that this partner had sex with other women during the past 3 months?'
      '#options':
        - 'None at all'
        - 'Don’t know'
        - 'Possible'
        - 'Definitely yes'
      '#required': true
    p2_partsxm:
      '#type': radios
      '#title': 'How much of a chance is there that this partner had sex with a man during the past 3 months?'
      '#options':
        - 'None at all'
        - 'Don’t know'
        - 'Possible'
        - 'Definitely yes'
      '#required': true
    p2_partshdrug:
      '#type': radios
      '#title': 'How much of a chance is there that this partner was shooting-up drugs during the past 3 months?'
      '#options':
        - 'None at all'
        - 'Don’t know'
        - 'Possible'
        - 'Definitely yes'
      '#required': true
  step_3_partner2_hiv:
    '#type': wizard_page
    '#title': 'Partner 2 HIV history'
    p2_parevtst:
      '#type': radios
      '#title': 'Did your partner ever have an HIV/AIDS test?'
      '#options':  
        2: 'Yes'
        0: 'No'
        1: 'I don''t know'
    p2_partgtst:
      '#type': radios
      '#title': 'Since the two of you have been together, has your partner been tested for HIV?'
      '#options':  
        2: 'Yes'
        0: 'No'
        1: 'I don''t know'
      '#states':
        visible:
          ':input[name="p2_parevtst"]':
           value: 2
        required:
          ':input[name="p2_parevtst"]':
           value: 2
        enabled:
          ':input[name="p2_parevtst"]':
           value: 2
    p2_parhshiv:
      '#type': radios
      '#title': 'Has this partner ever tested positive for HIV?'
      '#options':  
        2: 'Yes'
        0: 'No'
        1: 'I don''t know'
      '#states':
        visible:
          ':input[name="p2_partgtst"]':
            value: 2
        required:
          ':input[name="p2_partgtst"]':
            value: 2
        enabled:
          ':input[name="p2_partgtst"]':
            value: 2
  step_3_partner3_vag:
    '#type': wizard_page
    '#title': 'Partner 3 vag'
    p3_parttype:
      '#type': radios
      '#title':  'My partner is '
      '#options':
        1: 'A main partner'
        0: 'A non-main partner'
      '#required': true
    p3_vagsex:
      '#type': radios
      '#title': 'During the past 3 months, did you have vaginal sex (intercourse) with this partner?'
      '#options':
        1: 'Yes'
        0: 'No'
      '#required': true
    p3_vagsxnum:
      '#type': number
      '#title':  'During the past 3 months, how many times did you have vaginal sex with this partner?'
      '#states':
        visible:
          ':input[name="p3_vagsex"]':        
            value: 1
        required:
          ':input[name="p3_vagsex"]':        
            value: 1
        enabled:
          ':input[name="p3_vagsex"]':        
            value: 1
    p3_vagsxcon:
      '#type': number
      '#title':  'During the past 3 months, of all the times you and this partner had vaginal sex, how many times was a condom used?'
      '#states':
        visible:
          ':input[name="p3_vagsex"]':        
            value: 1
        required:
          ':input[name="p3_vagsex"]':        
            value: 1
        enabled:
          ':input[name="p3_vagsex"]':        
            value: 1
  step_3_partner3_oral:
    '#type': wizard_page
    '#title': 'Partner 3 oral'
    p3_orasex:
      '#type': radios
      '#title': 'During the past 3 months, did you have oral sex with this partner this partner (did you go down on him)? '
      '#options':
        1: 'Yes'
        0: 'No'
      '#required': true
    p3_orasxnum:
      '#type': number
      '#title':  'During the past 3 months, how many times did you have oral sex with this partner?'
      '#states':
        visible:
          ':input[name="p3_orasex"]':        
            value: 1
        required:
          ':input[name="p3_orasex"]':        
            value: 1
        enabled:
          ':input[name="p3_orasex"]':        
            value: 1
    p3_orasxcon:
      '#type': number
      '#title':  'During the past 3 months, of all the times you and this partner had vaginal sex, how many times was a condom used?'
      '#states':
        visible:
          ':input[name="p3_orasex"]':        
            value: 1
        required:
          ':input[name="p3_orasex"]':        
            value: 1
        enabled:
          ':input[name="p3_orasex"]':        
            value: 1
  step_3_partner3_anal:
    '#type': wizard_page
    '#title': 'Partner 3 anal'
    p3_anasex:
      '#type': radios
      '#title': 'During the past 3 months, did you have anal sex with this partner this partner (did you go down on him)? '
      '#options':
        1: 'Yes'
        0: 'No'
      '#required': true
    p3_anasxnum:
      '#type': number
      '#title':  'During the past 3 months, how many times did you have anal sex with this partner?'
      '#states':
        visible:
          ':input[name="p3_anasex"]':        
            value: 1
        required:
          ':input[name="p3_anasex"]':        
            value: 1
        enabled:
          ':input[name="p3_anasex"]':        
            value: 1
    p3_anasxcon:
      '#type': number
      '#title':  'During the past 3 months, of all the times you and this partner had anal sex, how many times was a condom used?'
      '#states':
        visible:
          ':input[name="p3_anasex"]':        
            value: 1
        required:
          ':input[name="p3_anasex"]':        
            value: 1
        enabled:
          ':input[name="p3_anasex"]':        
            value: 1          
  step_3_partner3_history:
    '#type': wizard_page
    '#title': 'Partner 3 history'
    p3_partsxw:
      '#type': radios
      '#title': 'How much of a chance is there that this partner had sex with other women during the past 3 months?'
      '#options':
        - 'None at all'
        - 'Don’t know'
        - 'Possible'
        - 'Definitely yes'
      '#required': true
    p3_partsxm:
      '#type': radios
      '#title': 'How much of a chance is there that this partner had sex with a man during the past 3 months?'
      '#options':
        - 'None at all'
        - 'Don’t know'
        - 'Possible'
        - 'Definitely yes'
      '#required': true
    p3_partshdrug:
      '#type': radios
      '#title': 'How much of a chance is there that this partner was shooting-up drugs during the past 3 months?'
      '#options':
        - 'None at all'
        - 'Don’t know'
        - 'Possible'
        - 'Definitely yes'
      '#required': true
  step_3_partner3_hiv:
    '#type': wizard_page
    '#title': 'Partner 3 HIV history'
    p3_parevtst:
      '#type': radios
      '#title': 'Did your partner ever have an HIV/AIDS test?'
      '#options':  
        2: 'Yes'
        0: 'No'
        1: 'I don''t know'
    p3_partgtst:
      '#type': radios
      '#title': 'Since the two of you have been together, has your partner been tested for HIV?'
      '#options':  
        2: 'Yes'
        0: 'No'
        1: 'I don''t know'
      '#states':
        visible:
          ':input[name="p3_parevtst"]':
           value: 2
        required:
          ':input[name="p3_parevtst"]':
           value: 2
        enabled:
          ':input[name="p3_parevtst"]':
           value: 2
    p3_parhshiv:
      '#type': radios
      '#title': 'Has this partner ever tested positive for HIV?'
      '#options':  
        2: 'Yes'
        0: 'No'
        1: 'I don''t know'
      '#states':
        visible:
          ':input[name="p3_partgtst"]':
            value: 2
        required:
          ':input[name="p3_partgtst"]':
            value: 2
        enabled:
          ':input[name="p3_partgtst"]':
            value: 2
  step_3_partner4_vag:
    '#type': wizard_page
    '#title': 'Partner 4 vag'
    p4_parttype:
      '#type': radios
      '#title':  'My partner is '
      '#options':
        1: 'A main partner'
        0: 'A non-main partner'
      '#required': true
    p4_vagsex:
      '#type': radios
      '#title': 'During the past 3 months, did you have vaginal sex (intercourse) with this partner?'
      '#options':
        1: 'Yes'
        0: 'No'
      '#required': true
    p4_vagsxnum:
      '#type': number
      '#title':  'During the past 3 months, how many times did you have vaginal sex with this partner?'
      '#states':
        visible:
          ':input[name="p4_vagsex"]':        
            value: 1
        required:
          ':input[name="p4_vagsex"]':        
            value: 1
        enabled:
          ':input[name="p4_vagsex"]':        
            value: 1
    p4_vagsxcon:
      '#type': number
      '#title':  'During the past 3 months, of all the times you and this partner had vaginal sex, how many times was a condom used?'
      '#states':
        visible:
          ':input[name="p4_vagsex"]':        
            value: 1
        required:
          ':input[name="p4_vagsex"]':        
            value: 1
        enabled:
          ':input[name="p4_vagsex"]':        
            value: 1
  step_3_partner4_oral:
    '#type': wizard_page
    '#title': 'Partner 4 oral'
    p4_orasex:
      '#type': radios
      '#title': 'During the past 3 months, did you have oral sex with this partner this partner (did you go down on him)? '
      '#options':
        1: 'Yes'
        0: 'No'
      '#required': true
    p4_orasxnum:
      '#type': number
      '#title':  'During the past 3 months, how many times did you have oral sex with this partner?'
      '#states':
        visible:
          ':input[name="p4_orasex"]':        
            value: 1
        required:
          ':input[name="p4_orasex"]':        
            value: 1
        enabled:
          ':input[name="p4_orasex"]':        
            value: 1
    p4_orasxcon:
      '#type': number
      '#title':  'During the past 3 months, of all the times you and this partner had vaginal sex, how many times was a condom used?'
      '#states':
        visible:
          ':input[name="p4_orasex"]':        
            value: 1
        required:
          ':input[name="p4_orasex"]':        
            value: 1
        enabled:
          ':input[name="p4_orasex"]':        
            value: 1
  step_3_partner4_anal:
    '#type': wizard_page
    '#title': 'Partner 4 anal'
    p4_anasex:
      '#type': radios
      '#title': 'During the past 3 months, did you have anal sex with this partner this partner (did you go down on him)? '
      '#options':
        1: 'Yes'
        0: 'No'
      '#required': true
    p4_anasxnum:
      '#type': number
      '#title':  'During the past 3 months, how many times did you have anal sex with this partner?'
      '#states':
        visible:
          ':input[name="p4_anasex"]':        
            value: 1
        required:
          ':input[name="p4_anasex"]':        
            value: 1
        enabled:
          ':input[name="p4_anasex"]':        
            value: 1
    p4_anasxcon:
      '#type': number
      '#title':  'During the past 3 months, of all the times you and this partner had anal sex, how many times was a condom used?'
      '#states':
        visible:
          ':input[name="p4_anasex"]':        
            value: 1
        required:
          ':input[name="p4_anasex"]':        
            value: 1
        enabled:
          ':input[name="p4_anasex"]':        
            value: 1          
  step_3_partner4_history:
    '#type': wizard_page
    '#title': 'Partner 4 history'
    p4_partsxw:
      '#type': radios
      '#title': 'How much of a chance is there that this partner had sex with other women during the past 3 months?'
      '#options':
        - 'None at all'
        - 'Don’t know'
        - 'Possible'
        - 'Definitely yes'
      '#required': true
    p4_partsxm:
      '#type': radios
      '#title': 'How much of a chance is there that this partner had sex with a man during the past 3 months?'
      '#options':
        - 'None at all'
        - 'Don’t know'
        - 'Possible'
        - 'Definitely yes'
      '#required': true
    p4_partshdrug:
      '#type': radios
      '#title': 'How much of a chance is there that this partner was shooting-up drugs during the past 3 months?'
      '#options':
        - 'None at all'
        - 'Don’t know'
        - 'Possible'
        - 'Definitely yes'
      '#required': true
  step_3_partner4_hiv:
    '#type': wizard_page
    '#title': 'Partner 4 HIV history'
    p4_parevtst:
      '#type': radios
      '#title': 'Did your partner ever have an HIV/AIDS test?'
      '#options':  
        2: 'Yes'
        0: 'No'
        1: 'I don''t know'
    p4_partgtst:
      '#type': radios
      '#title': 'Since the two of you have been together, has your partner been tested for HIV?'
      '#options':  
        2: 'Yes'
        0: 'No'
        1: 'I don''t know'
      '#states':
        visible:
          ':input[name="p4_parevtst"]':
           value: 2
        required:
          ':input[name="p4_parevtst"]':
           value: 2
        enabled:
          ':input[name="p4_parevtst"]':
           value: 2
    p4_parhshiv:
      '#type': radios
      '#title': 'Has this partner ever tested positive for HIV?'
      '#options':  
        2: 'Yes'
        0: 'No'
        1: 'I don''t know'
      '#states':
        visible:
          ':input[name="p4_partgtst"]':
            value: 2
        required:
          ':input[name="p4_partgtst"]':
            value: 2
        enabled:
          ':input[name="p4_partgtst"]':
            value: 2
  step_3_partner5_vag:
    '#type': wizard_page
    '#title': 'Partner 5 vag'
    p5_parttype:
      '#type': radios
      '#title':  'My partner is '
      '#options':
        1: 'A main partner'
        0: 'A non-main partner'
      '#required': true
    p5_vagsex:
      '#type': radios
      '#title': 'During the past 3 months, did you have vaginal sex (intercourse) with this partner?'
      '#options':
        1: 'Yes'
        0: 'No'
      '#required': true
    p5_vagsxnum:
      '#type': number
      '#title':  'During the past 3 months, how many times did you have vaginal sex with this partner?'
      '#states':
        visible:
          ':input[name="p5_vagsex"]':        
            value: 1
        required:
          ':input[name="p5_vagsex"]':        
            value: 1
        enabled:
          ':input[name="p5_vagsex"]':        
            value: 1
    p5_vagsxcon:
      '#type': number
      '#title':  'During the past 3 months, of all the times you and this partner had vaginal sex, how many times was a condom used?'
      '#states':
        visible:
          ':input[name="p5_vagsex"]':        
            value: 1
        required:
          ':input[name="p5_vagsex"]':        
            value: 1
        enabled:
          ':input[name="p5_vagsex"]':        
            value: 1
  step_3_partner5_oral:
    '#type': wizard_page
    '#title': 'Partner 5 oral'
    p5_orasex:
      '#type': radios
      '#title': 'During the past 3 months, did you have oral sex with this partner this partner (did you go down on him)? '
      '#options':
        1: 'Yes'
        0: 'No'
      '#required': true
    p5_orasxnum:
      '#type': number
      '#title':  'During the past 3 months, how many times did you have oral sex with this partner?'
      '#states':
        visible:
          ':input[name="p5_orasex"]':        
            value: 1
        required:
          ':input[name="p5_orasex"]':        
            value: 1
        enabled:
          ':input[name="p5_orasex"]':        
            value: 1
    p5_orasxcon:
      '#type': number
      '#title':  'During the past 3 months, of all the times you and this partner had vaginal sex, how many times was a condom used?'
      '#states':
        visible:
          ':input[name="p5_orasex"]':        
            value: 1
        required:
          ':input[name="p5_orasex"]':        
            value: 1
        enabled:
          ':input[name="p5_orasex"]':        
            value: 1
  step_3_partner5_anal:
    '#type': wizard_page
    '#title': 'Partner 5 anal'
    p5_anasex:
      '#type': radios
      '#title': 'During the past 3 months, did you have anal sex with this partner this partner (did you go down on him)? '
      '#options':
        1: 'Yes'
        0: 'No'
      '#required': true
    p5_anasxnum:
      '#type': number
      '#title':  'During the past 3 months, how many times did you have anal sex with this partner?'
      '#states':
        visible:
          ':input[name="p5_anasex"]':        
            value: 1
        required:
          ':input[name="p5_anasex"]':        
            value: 1
        enabled:
          ':input[name="p5_anasex"]':        
            value: 1
    p5_anasxcon:
      '#type': number
      '#title':  'During the past 3 months, of all the times you and this partner had anal sex, how many times was a condom used?'
      '#states':
        visible:
          ':input[name="p5_anasex"]':        
            value: 1
        required:
          ':input[name="p5_anasex"]':        
            value: 1
        enabled:
          ':input[name="p5_anasex"]':        
            value: 1          
  step_3_partner5_history:
    '#type': wizard_page
    '#title': 'Partner 5 history'
    p5_partsxw:
      '#type': radios
      '#title': 'How much of a chance is there that this partner had sex with other women during the past 3 months?'
      '#options':
        - 'None at all'
        - 'Don’t know'
        - 'Possible'
        - 'Definitely yes'
      '#required': true
    p5_partsxm:
      '#type': radios
      '#title': 'How much of a chance is there that this partner had sex with a man during the past 3 months?'
      '#options':
        - 'None at all'
        - 'Don’t know'
        - 'Possible'
        - 'Definitely yes'
      '#required': true
    p5_partshdrug:
      '#type': radios
      '#title': 'How much of a chance is there that this partner was shooting-up drugs during the past 3 months?'
      '#options':
        - 'None at all'
        - 'Don’t know'
        - 'Possible'
        - 'Definitely yes'
      '#required': true
  step_3_partner5_hiv:
    '#type': wizard_page
    '#title': 'Partner 5 HIV history'
    p5_parevtst:
      '#type': radios
      '#title': 'Did your partner ever have an HIV/AIDS test?'
      '#options':  
        2: 'Yes'
        0: 'No'
        1: 'I don''t know'
    p5_partgtst:
      '#type': radios
      '#title': 'Since the two of you have been together, has your partner been tested for HIV?'
      '#options':  
        2: 'Yes'
        0: 'No'
        1: 'I don''t know'
      '#states':
        visible:
          ':input[name="p5_parevtst"]':
           value: 2
        required:
          ':input[name="p5_parevtst"]':
           value: 2
        enabled:
          ':input[name="p5_parevtst"]':
           value: 2
    p5_parhshiv:
      '#type': radios
      '#title': 'Has this partner ever tested positive for HIV?'
      '#options':  
        2: 'Yes'
        0: 'No'
        1: 'I don''t know'
      '#states':
        visible:
          ':input[name="p5_partgtst"]':
            value: 2
        required:
          ':input[name="p5_partgtst"]':
            value: 2
        enabled:
          ':input[name="p5_partgtst"]':
            value: 2
  step_4_std:
    '#type': wizard_page
    '#title': 'Step 4 std'
    '#open': true
    std3mos:
      '#type': radios
      '#title': 'During the past 3 months, did you catch an infection from having sex? (for example, chlamydia, gonorrhea, or trich?)'
      '#options':
        1: 'Yes'
        0: 'No'
        2: 'I don''t know'
      '#required': true
    stdtype:
      '#type': radios
      '#title': 'What kind of infection did you have?'
      '#options':
        2: Chlamydia
        3: Gonorrhea
        4: Both
        5: Neither
        1: 'I don''t know'
      '#states':
        visible:
          ':input[name="std3mos"]':
            value: 1
        required:
          ':input[name="std3mos"]':
            value: 1
        enabled:
          ':input[name="std3mos"]':
            value: 1
  step_5_hiv:
    '#type': wizard_page
    '#title': 'Step 5 hiv'
    '#open': true
    everhivtst:
      '#type': radios
      '#title': 'Have you ever been tested for HIV?'
      '#options':
        - 'No, I have never been tested for HIV'
        - 'Yes, over 1 year ago'
        - 'Yes, within the last year'
        - 'Yes, within the last 6 months'
        - 'Yes, within the last 3 months'
      '#required': true
    yourhivtstres:
      '#type': radios
      '#title': 'Did your most recent HIV test result show that you:'
      '#options':
        - 'Do not have HIV'
        - 'Did not get the test results'
        - 'I don''t Know'
        - 'Tested positive for HIV'
      '#states':
        visible:
          ':input[name="everhivtst"]':
            - value: 1
            - value: 2
            - value: 3
            - value: 4
        required:
          ':input[name="everhivtst"]':
            - value: 1
            - value: 2
            - value: 3
            - value: 4
        enabled:
          ':input[name="everhivtst"]':
            - value: 1
            - value: 2
            - value: 3
            - value: 4
  step_6_before:
    '#type': wizard_page
    '#title': 'Step 6 before'
    '#open': true
    alcbefsx:
      '#type': radios
      '#title': 'In the past 3 months, how often did you use alcohol BEFORE OR DURING sex?'
      '#options':
        - 'Never(0 times)'
        - 'Sometimes (for example, 2 out of 4 times)'
        - 'Most of the time(for example, 3 out of 4 times)'
        - 'Always(for example, 4 out of 4 times)'
      '#required': true
    drgbefsx:
      '#type': radios
      '#title': 'In the past 3 months, how often did you use any kind of drugs BEFORE OR DURING sex?'
      '#options':
        - 'Never(0 times)'
        - 'Sometimes (for example, 2 out of 4 times)'
        - 'Most of the time(for example, 3 out of 4 times)'
        - 'Always(for example, 4 out of 4 times)'
      '#required': true
    drugs:
      '#type': checkboxes_other
      '#title': 'Please select the drugs you use before sex.'
      '#options':
        Weed: Weed
        Heroin: Heroin
        Methdnrx: 'Methadone – prescribed'
        Methdnst: 'Methadone – street'
        Crack: Crack
        Ecstasy: Ecstasy
        Percocet: 'Percocet, (Oxycodone, hydrocodone)'
        Speed: 'Amphetamines (speed)'
        Coke: Cocaine
        Halucgen: Hallucinogens
        Barb: Barbiturates
        Poppers: 'Poppers (nitrites, party drug)'
        Benzos: Benzo's
        Tranq: Tranquilizers
      '#options_display': 'two_columns'
      '#other__title': 'Please provide other drug name'
      '#states':
        visible:
          ':input[name="drgbefsx"]':
            - value: 1
            - value: 2
            - value: 3
        required:
          ':input[name="drgbefsx"]':
            - value: 1
            - value: 2
            - value: 3
        enabled:
          ':input[name="drgbefsx"]':
            - value: 1
            - value: 2
            - value: 3
    iv3mos:
      '#type': radios
      '#title': 'During the past 3 months have you injected yourself with drugs (such as heroin, speed, crack, or cocaine)?'
      '#options':
        1: 'Yes'
        0: 'No'
      '#required': true
  step_7_last_year:
    '#type': wizard_page
    '#title': 'Step 7 last year'
    '#open': true
    yrsexnum:  
      "#type": number
      "#title": 'How many male sex partners were you with during the PAST YEAR?'
      "#required": true
    yrsexfreq:
      "#type": radios
      "#title": 'About how often did you have sexual intercourse with a man (meaning vaginal or anal sex) DURING THE PAST YEAR?'
      "#options":
        - '5 or more times a week'     
        - '3 times a week'     
        - 'Once a week'     
        - 'Once a month or less'    
      "#required": true
    yrsexcndm:
      "#type": radios
      "#title": 'Of these times, how often was a condom used?'
      "#options":
        - 'Always  (for example, 4 out of 4 times)' 
        - 'Most of the time (for example, 3 out of 4 times)'
        - 'Sometimes (for example, 2 out of 4 times)' 
        - 'Never   (0 times)'    
      "#required": true
  step_8_last_year_part_2:
    "#type": wizard_page
    "#title": 'Step 8 last year part 2'
    "#open": true
    yrptsxwn:
      "#type": radios
      "#title": 'How many of the sex partners that you were with DURING THE PAST YEAR, do you think engaged in sex with another woman? Select the choice that is closest to your answer'
      "#options": 
        - 'None'     
        - 'One'     
        - 'Two'     
        - 'Three'     
        - 'More than 3'    
      "#required": true 
    yrptsxmn:
      "#type": radios
      "#title": 'How many of the sex partners that you were with DURING THE PAST YEAR, do you think engaged in sex with a man?'
      "#options": 
        - 'None'     
        - 'One'     
        - 'Two'     
        - 'Three'     
        - 'More than 3'    
      "#required": true
    yrptsxiv:
      "#type": radios
      "#title": 'How many of the sex partners that you were with DURING THE PAST YEAR, do you think injected drugs (meaning he shot up drugs)?'
      "#options": 
        - 'None'     
        - 'One'     
        - 'Two'     
        - 'Three'     
        - 'More than 3'    
      "#required": true  
  step_9_demographic:
    "#type": wizard_page
    "#title": 'Step 9 demographic'
    "#open": true
    ethnicity:
      "#type": radios
      "#title": 'Do you identify as Latina (Hispanic)?'
      "#options":
        1: 'Yes'
        0: 'No'
      "#required": true
    race:
      "#type": radios_other
      "#title": 'What is your background? '
      "#options":
        - 'African American'
        - 'Latina (Hispanic)'
        - 'White'
        - 'Asian'
        - 'African'
        - ' Middle Eastern'
        - 'Caribbean (Caribbean countries where Spanish is NOT the main language, like Trinidad, Jamaica, or Haiti)'
      "#other__title": 'Please provide other race'
      "#required": true
    educ:
      "#type": radios
      "#title": 'Highest grade COMPLETED:'
      "#options":
        - '8th grade or less'     
        - '9th grade'     
        - '10th grade'     
        - '11th grade'     
        - '12th grade'     
        - 'One year of college'     
        - 'Two years of college'     
        - 'Three years of college'     
        - 'Four years of college, or more'
      '#options_display': two_columns
      "#required": true
  step_10_living_situation:
    "#type": wizard_page
    "#title": 'Step 10 living situation'
    "#open": true
    workothm:
      "#type": radios 
      "#title": 'Do you work outside the home?'
      "#options":
        1: 'Yes'
        0: 'No'
      "#required": true
    workhrs:
      "#type": radios
      "#title": 'Please select the answer that best describes how many hours you work per week?'
      "#options":
        - 'I work 10 hours a week or less'     
        - 'I work 20 hours a week or less'     
        - 'I work 40 hours a week or less'     
        - 'I work more than 40 hours a week'    
      "#required": true
      '#states':
        visible:
          ':input[name="workothm"]':
            value: 1
        required:
          ':input[name="workothm"]':
            value: 1
        enabled:
          ':input[name="workothm"]':
            value: 1
    pubasst:
      "#type": radios
      "#title": 'Do you receive ANY public assistance, such as, WIC or housing assistance?'
      "#options":
        1: 'Yes'
        0: 'No'
      "#required": true
  step_11_family_situation:
    "#type": wizard_page
    "#title": 'Step 11 family situation'
    "#open": true
    gender_ident:
      "#type": radios
      "#title": 'I identify as:'
      "#option": 
        0: Female
        1: Transgendered male to female
      "#required": true
    child:
      "#type": radios
      "#title": 'Do you have children?'
      "#option": 
        1: 'Yes'
        0: 'No'
      "#required": true
    Chldnum:
      "#type": number
      "#title": 'How many children do you have?'
      "#required": true
      "#states":
        visible:
          ':input[name="child"]':
            value: 1
        required:
          ':input[name="child"]':
            value: 1
        enabled:
          ':input[name="child"]':
            value: 1
  step_12_birth_control:
    "#type": wizard_page
    "#title": 'Step 12 birth control'
    "#open": true
    bc:
      "#type": radios
      "#title": 'Do you use any kind of birth control (including a condom)?'
      "#options": 
        1: 'Yes'
        0: 'No'
      "#required": true
    bctype:
      '#type': checkboxes_other
      '#title': 'What kind of birth control are you using now?'
      '#options':
        Abstain: Abstinence (not having sex)
        Condom:  Condom
        Pill:  Birth control pill
        Tubetied:  Tubes tied (meaning sterilization or tubal ligation)
        Depo:  Injection (Depo-Provera shot)
        BCPatch: Birth control patch
        IUD: IUD 
        Diaphram:  Diaphragm
        withdraw:  Withdrawal (pull out method) 
      '#options_display': two_columns
      '#other__title': 'Please provide other drug name'
      '#required': true
      '#states':
        visible:
          ':input[name="bc"]':
            value: 1
        required:
          ':input[name="bc"]':
            value: 1
        enabled:
          ':input[name="bc"]':
            value: 1
  step_13_sex_questions:
    '#type': wizard_page
    '#title': 'Step 13 sex questions'  
    '#open': true
    sexpref:
      '#type': radios
      '#title': 'Please select the statement that BEST describes who you have sex with'
      '#options':
        1: 'I have sex with men only'     
        0: 'I have sex with women only'      
        4: 'I have sex with both men and women'      
        3: 'I usually have sex with men and sometimes have sex with women'      
      '#required': true
    conlstsx:
      '#type': radios
      '#title': 'Did you use a condom the last time you had sex?'
      '#options':
        1: 'Yes'
        0: 'No'  
      '#reqired': true
    conprevhiv:
      '#type': radios
      '#title': 'When a man uses a condom, does it help protect the woman from getting the HIV? '
      '#options':
        2: 'Yes'
        0: 'No'  
        1: 'I don''t know'
      '#reqired': true
  step_14_live_with:
    '#type': wizard_page
    '#title': 'Step 14 live with'
    '#open': true
    livewith:
      '#type': radios
      '#title': 'Who do you (or you and your child) live with?'
      '#options':
        1: 'I live alone'
        5: 'I live with my male partner'
        2: 'I live with a friend/s'
        3: 'I live with one of my parents'
        4: 'I live with one or both parents and with other relatives (such as father, grandparent, aunt)'   
      '#reqired': true
  step_15_age_of_first:
    '#type': wizard_page
    '#title': 'Step 15 live with'
    '#open': true
    firstsex:
      '#type': number
      '#title': 'At what age did you FIRST have sexual intercourse?'
      '#required': true
  step_16_sex_choices:
    '#type': wizard_page
    '#title': 'Step 16 sex choices'
    '#open': true
    exchasx:
      '#type': radios
      '#title': 'Have you ever had sex with a man in exchange for money, drugs, or other benefits?'
      '#options':
        1: 'Yes'
        0: 'No'
        2: 'I don''t know'  
      '#reqired': true
    everinj:
      '#type': radios
      '#title': 'Have you ever injected drugs?'
      '#options':
        1: 'Yes'
        0: 'No'
        2: 'I don''t know'  
      '#reqired': true
    partaway:
      '#type': radios
      '#title': 'Has your partner been away during the past 3 months so you could not see him much?'
      '#options':
        1: 'Yes'
        0: 'No'  
      '#reqired': true
    partnrat:
      '#type': radios_other
      '#title': 'Was he away at:'
      '#options':
        1: 'School'   
        2: 'Work'  
        3: 'Military'
        4: 'Jail'
        5: 'Rehab'
      '#other__title': 'Please provide other location'
      '#options_display': two_columns
      '#states':
        visible: 
          ':input[name="partaway"]':
            value: 1
        required:
          ':input[name="partaway"]':
            value: 1
        enabled:
          ':input[name="partaway"]':
            value: 1
  step_17_survey:
    '#type': wizard_page
    '#title': 'Step 17 survey'
    '#open': true
    asistwsur:
      '#type': radios
      '#title': 'Did someone assist you with the consent or survey today?'
      '#options': 
        1: 'Yes'
        0: 'No'
      '#required': true
    howmchlp:
      '#type': radios
      '#title': 'How much assistance was needed?'
      '#options': 
        - 'I didn''t need any assistance'
        - 'A little help (I had 1 or 2 questions)'   
        - 'Some help (I had a few questions)'
        - 'A lot of help (I had a lot of questions)'
      '#states':
        visible:
          ':input[name="asistwsur"]':
            value: 1
        required:
          ':input[name="asistwsur"]':
            value: 1
        enabled:
          ':input[name="asistwsur"]':
            value: 1
    howhear:
      '#type': radios_other
      '#title': 'Where did you hear about the study?'
      '#options': 
        1: 'Someone from the study gave me a flyer or told me about it'     
        2: 'A Family member or friend gave me a flyer or told me about it'     
        3: 'Facebook Advertisement'     
        4: 'Craigslist Advertisement'     
        5: 'Saw a flyer'      
        7: 'Instagram' 
      '#other__title': 'Please provide how else you heard about the survey.'
      '#required': true
    wheresvy:
      '#type': radios_other
      '#title': 'Where did you complete the survey?'
      '#options': 
        1: 'Community Center'
        2: 'At my housing complex, apartment or home'
        3: 'At a festival (community event)'
        4: 'Mobile Health Van'
        6: 'Drug treatment center'
        7: 'Mobile Health Van'
        8: 'Home '
      '#other__title': 'Please provide other location.'
      '#required': true
settings:
  page: true
  page_submit_path: ''
  page_confirm_path: ''
  form_submit_label: ''
  form_exception_message: ''
  form_closed_message: ''
  form_confidential: false
  form_confidential_message: ''
  form_prepopulate: false
  form_novalidate: false
  form_autofocus: false
  wizard_progress_bar: true
  wizard_progress_pages: false
  wizard_progress_percentage: false
  wizard_next_button_label: ''
  wizard_prev_button_label: ''
  wizard_start_label: ''
  wizard_complete: true
  wizard_complete_label: ''
  preview: 0
  preview_next_button_label: ''
  preview_prev_button_label: ''
  preview_message: ''
  draft: false
  draft_auto_save: false
  draft_button_label: ''
  draft_saved_message: ''
  draft_loaded_message: ''
  confirmation_type: page
  confirmation_message: ''
  confirmation_url: ''
  limit_total: null
  limit_total_message: ''
  limit_user: null
  limit_user_message: ''
  entity_limit_total: null
  entity_limit_user: null
  results_disabled: false
access:
  create:
    roles:
      - anonymous
      - authenticated
    users: {  }
  view_any:
    roles: {  }
    users: {  }
  update_any:
    roles: {  }
    users: {  }
  delete_any:
    roles: {  }
    users: {  }
  purge_any:
    roles: {  }
    users: {  }
  view_own:
    roles: {  }
    users: {  }
  update_own:
    roles: {  }
    users: {  }
  delete_own:
    roles: {  }
    users: {  }
handlers: {  }
