STI Questionnaire

Have you had vaginal, anal or oral sex without a condom in the past 12 months?

Have you ever had an STI, including HIV?

Have any of your partners had an STI?

Have you or any of your partners ever used illicit substances?

Have you exchanged sex for needs (money, housing, drugs, etc.) in the past 12 months?

Is it possible that any of your sex partners in the past 12 months had sex with someone else while they were still in a sexual relationship with you?

In recent months, how many sex partners have you had?

If you use prevention tools, what methods do you use?

How often do you use this/these method(s)?

Are you or your partner using contraception or practicing any form of birth control?

Do you think you would like to have (more) children at some point?

Do you need any information on birth control?