| 1. |
Do you practise any of the following sexual acts with somebody whose HIV status you are guessing as to be HIV-negative? |
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| 2. |
Do you abstain from sex? |
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| 3. |
Do you practice oral sex on a man... |
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| 4. |
Do you practice oral sex on a woman... |
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| 5. |
Do you perform or receive oral-anal sex... |
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| 6. |
Do you have contact with urine - "golden showers" or "water sports" - on unbroken skin from somebody with an HIV-status unknown to you. |
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| 7. |
Do you perform or receive vaginal penetration... |
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| 8. |
Do you receive anal penetrative sex... |
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| 9. |
Do you share uncovered sex toys? |
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| 10. |
Do you come in contact with your lover's menstrual blood? |
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| 11. |
How many sex partners did you have the past five years? |
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| 12. |
Do you know for certain that your sex partner (either your life partner or your current boyfriend/girlfriend) is HIV-negative? |
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| 13. |
Do you use intravenous drugs? |
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| 14. |
Do you have tuberculosis? |
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| 15. |
Do you eat at least 3 fruits and vegetables per day, and three portions of meat per week? |
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