 At the first visit a self administered questionnaire regarding barriers to testing will be given to each eligible patient refusing to be tested. After counseling, this questionnaire will be repeated for those patients who still refuse testing. All patients will be counseled and will be given two self administered questionnaires. One questionnaire will assess the patients understanding of the counseling and the other will assess the patients satisfaction with the counseling session. At the second visit, those patients who were tested will receive their test results and will be counseled on their status positive or negative. These patients will receive two self administered questionnaires. One questionnaire will assess the patients understanding of counseling specific to their status, and the other will assess the patients satisfaction with the counseling session. A separate self administered questionnaire will be given to the investigator andor appropriate office personnel to assess their satisfaction with the counseling tools and sessions. 