Sexually transmitted disease survey questions + sample questionnaire template

Sexually Transmitted Disease Survey Template offers questions and examples about sexually transmitted Infections. This sample can be edited by the survey maker according to the required details about the sexually transmitted infections. Some of the examples of this questionnaire are "Have you ever been tested for an STD before?", "Are you sexually active?" et al.

Sexually transmitted disease survey questions + sample questionnaire template

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Please take a few minutes to fill out this survey on sexually transmitted diseases. Your responses will be kept confidential. Thank you for your input. 1. What is your gender? Male Female 2. Have you ever been tested for an STD before? Yes No 3. Are you sexually active? Yes No 4. If yes, have you recently had sexual intercourse? Yes No 5. Have you ever had an STD? Yes No 6. If you answered No, how do you know? I have never had sexual intercourse I have been tested I have never had any symptoms Other 7. Which of the following forms of protection against STD do you prefer? Condoms Vaccination None N/A 8. Are you aware that you can contract STD through any of the following means? Vaginal penetration Yes No Not sure 9. Anal sex Yes No Not sure 10. Oral sex Yes No Not sure