| 1. |
Does knowing your sex partner(s) HIV or STI status affect how you have sex? |
|
|
| 2. |
Have you shared needles to take drugs in the last 6 months? |
|
|
| 3. |
Have you had any of the following sexually transmitted infections in the last 6 months: Gonorrhoea, Syphilis, Genital Herpes, Chlamydia, Pelvic Inflammatory Disease (PID), Trich? |
|
|
| 4. |
Have you had sex with someone you know is HIV positive, or had an STI, in the last 6 months? |
|
|
| 5. |
Have you had unprotected penetrative (ie. vaginal or anal sex) in the last 6 months? |
|
|
| 6. |
Have you been exposed to the blood of someone who is HIV positive in the last 6 months? |
|
|
| 7. |
Have you shared sex toys (e.g., dildos, butt plugs or vibrators) in the last 6 months? |
|
|
| 8. |
Have you engaged in sex while under the influence of alcohol and/or drugs in the last 6 months? |
|
|
| 9. |
Have you had oral sex with a female partner while she was menstruating? |
|
|
| 10. |
Have you had sex with your female partner while having open cuts on your hands or fingers or sores in your mouth? |
|
|
| 11. |
Have you had sexual encounters with other women where your vaginas rubbed directly together? |
|
|
| 12. |
Have you tested for HIV or an STI in the last 6 months? |
|
|
| 13. |
Have you noticed any of the following in the last 6 months: extreme weight loss, extreme fatigue, persistent diarrhea, persistent cold and flu-like symptoms, persistent swollen glands, recurring night sweats, pelvic pain, a vaginal discharge, itching around genitals? |
|
|
|
|