Risk factor | Possible answer |
---|---|
HIV status | Positive/Negative/Unknown |
Partner’s HIV status | Positive/Negative/Unknown |
Condomless sex incidence | Yes/No |
MSM | Yes/No |
Immigration status (Is user an immigrant?) | Yes/No |
Person Who Injects Drugs (PWID) | Yes/No |
Person Who Injects Drugs (PWID)—sharing injecting equipment | Yes/No |
Person Who Injects Drugs (PWID)—not sharing injecting equipment | Yes/No |
Hepatitis B vaccination status | Vaccinated/Unvaccinated/Unknown |
Tuberculosis vaccination status (only if user is immigrant) | Vaccinated/Unvaccinated /Unknown |
Condom Test: fit of the condom | Just Right/Loose/Short/Tight |
Condom Test: latex allergy | Yes/No |
Condom: adequate sensation | Yes/No |