Inclusion Criteria:  Individuals with a cervix who are eligible for primary HPV testing (age 25 and older) according to national cervical cancer screening guidelines. Pregnant women are eligible for participation in this study as the collection process poses no threat to the woman or her fetus.  Exclusion Criteria:  Individuals without a cervix Have had prior pelvic radiation therapy or brachytherapy Active or former diagnosis of ovarian, uterine, or cervical cancer Individuals less than age 25 or no longer eligible/recommended to undergo cervical cancer screening Adults who are unable to consent or are decisionally impaired Individuals who are not English speaking