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d
o
you
n
eed a
t
est?
YES
NO
1.
Have you ever had sex (oral, anal, or vaginal)
with a man or woman without using a latex
condom?
2.
Have you ever had a sexually transmitted
infection or have you ever been sexually active
with someone who did?
3.
Have you ever used injection drugs?
4.
Have you ever shared a needle with someone
for tattoos, steroids, drugs, or piercings?
5.
Have you ever had sex with someone who used
injection drugs or shared needles?
6.
Have you ever had sex for drugs or money?
7.
Did you receive any blood, blood products, or
organ transplants before 1985?
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