Inclusion Criteria:  Women with a history of pathologically proven high-grade genital HPV-associated neoplastic disease (cervical intraepithelial neoplasia 2+, vulvar intraepithelial neoplasia 2+, or vaginal intraepithelial neoplasia 2+, or history of non-metastatic cervical, vaginal or vulvar cancer) Documented HIV seronegativity Aged less than or equal to 45 years Seen in the Mount Sinai Health System (MSHS) or the Harris Health System (HHS) in Houston English or Spanish speaking