Bega Garnbirringu Health Service Survey on STI & BBV.

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* 1. Please indicate your aged

10-15

16-20

21-25

25-30

Over 30

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* 2. Please state your gender

Male

Female

Do not wish to state

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* 3. Are you gay or bisexual

Yes

No Answer/Don't know

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* 4. Your race

Aboriginal

Torres Strait Islander

ATSI

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* 5. Have you ever had a Sexual Infection Screen?

Yes

Prefer not to answer

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* 6. Have you ever been diagnosed with an Sexually transmitted Infection STI.

Yes

My Partner has been

Prefer not to answer

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* 7. After discussing Sexually transmitted Infections and Blood Born Viruses with staff do you think you have an increased knowledge on safe behaviour?

Yes

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* 8. Do you use condoms when having sex.

Every time

Occasionally

Never

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* 9. Do you have access to free condoms?

Yes

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* 10. If a woman with an STI is pregnant, can her baby become infected?

Yes

Don't know

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* 11. Can a man have an STI without showing any symptoms?

Yes

Don't know

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* 12. Can people who have shared a needle when injecting drugs have an STI?

Yes

Don't know

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* 13. Does the birth control pill protect a woman from catching an STI?

Yes

Don't know

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* 14. If condoms are used during sex can this help prevent catching an STI?

Yes

Don't know

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* 15. Can a woman have an STI without any obvious symptoms?

Yes

Don't know

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* 16. Please tick which ones you think are an STI. Yes response

HIV

Chlamydia

Hepatitis C

Syphilis

Genital Warts

The Flu

Herpes

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* 17. Would you like more education on STIs?

Yes