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0%
 
Are you between the ages of?
 
 
10-15
 
16-21
 
22-27
 
28-34

 
 
Do you use condoms?
 
 
None Of The Time
 
Some Of The Time
 
Most Of The Time
 
All Of The Time

 
 
Have you every been diagnosed with chalmydia?
 
 
No Never
 
Once
 
Twice
 
More Than Twice

 
 
How many sexual partners have you had in the past month?
 
 
None
 
One
 
Two
 
More Than Two

 
 
When was the last time you where tested for an Sexual transmitted disease?
 
 
One Month
 
Two Months
 
Three Months
 
More Than Four Months

 
 
Have You been treated for a sexually transmitted disease?
 
 
NO Never
 
At Least Once
 
More Than Once
 
Three or More Times

 
 
Do you use condoms?
 
 
None Of The Time
 
Some Of The Time
 
Most Of The Time
 
All Of The Time

 
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