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STD Test
I want to order an STD test at my own request.
I give permission to ask personal questions and / or questions about sexuality / sexual behavior.
By answering the questions you will know if you can order an STD Test right away or whether it is wise to make an appointment at our STD clinic, or you should contact the health department for further examinations and treatment.
Sex
Male
Female
Do you have sex with men?
Yes
No
Do you have changing contacts? (more then 3 unsafe contacts in last 6 months)
Yes
No
Are you from a SOA-endemic area? (Suriname, Netherlands Antilles, Turkey, Morocco, Africa, South America, Asia, Eastern Europe)
Yes
No
Do you offer sexual services for money?
Yes
No
Do you have a partner with increased risk?
Yes
No
Don't know
Do you have complaints?
Yes
No
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