HPV questionnaire (non-health - cervical)
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1. General information

 
Dear participant, thank you for taking the time to fill out our questionnaire. The questionnaire should not take no more than 5 minutes to fill out. All the information gathered will be used in the strictest confidence. In addition, due to the sensitive nature of our study we appreciate that they will be some questions you may not be comfortable with. Don't feel compelled in answering these questions. We thank you again for you efforts.

1. Do you have any daughters under the age of 18?

2. Are you planning to have children in the future?

3. Which age category do you fall into?

4. What is your ethnic group?

5. What is your marital status? Please select the appropriate option

6. What is your education level?

   


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