Table 2.

Chart abstraction form

Participant code:
1. Age
2. Currently taking HAART medications? Yes/no
3. Years since HIV diagnosis: ____ years
4. Comorbidities (list)
5. Has a HAND diagnosis? Yes/no
If yes: Severity of HAND	1) asymptomatic neurocognitive impairment (ANI)
	2) HIV-associated mild neurocognitive disorder (MND)
	3) HIV-associated dementia (HAD)
6. Affected areas, e.g. memory, balance, mood (list):
7. CD4 count:  Most recent test date:
8. Viral load:  Most recent test date: