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Data describing local level HIV testing practices and attitudes regarding HIV prevention are rarely available, yet would be useful for HIV policy and evaluation. A comprehensive health survey was conducted in six community areas of Chicago (n = 1,699) in 2002–2003. The HIV prevention module of this survey was used for this analysis. The proportion that ever tested for HIV ranged from 40 to 75% and 11 to 38% were tested in the past 12 months. Residents favored: needle exchange programs (59–77%), HIV information in high schools (95–100%) and elementary schools (85–94%), and condom distribution in high schools (74–93%). Attitudes were less favorable regarding pharmacies selling clean needles (37–58%) and condom distribution in elementary schools (22–66%). Adults in these areas are over three times more likely to have been tested recently than adults nationally. Residents strongly favor …