Hepatitis A Risk Survey Question Title * 1. Do you use recreational or street drugs? Yes No Sometimes OK Question Title * 2. Are you homeless or do you move around a lot? I am homeless I often move around, or stay with other people No OK Question Title * 3. If you are a man, do you have sexual encounters with other men? Yes No Sometimes Not Applicable OK Question Title * 4. Have you recently been in jail or prison for any amount of time? Yes No OK Question Title * 5. Do you have a chronic liver disease? (Such as cirrhosis) Yes No OK Question Title * 6. Do you live with someone who uses illegal drugs, or has recently been in jail or prison? Yes No OK Question Title * 7. Do you provide direct service to people who use drugs, people who are homeless, or people who were recently in jail or prison? Yes No OK DONE