BY 10111 Dmllfly KAIUCFDDCISOH In bnrnno- mm- mm

15. Have you ever used lllegal drugs
adninlster-ed with a needle?
yes __ no

16. it you answered yes to questionviils, do you
share needles?
yes no

17.

=
O
I

many different sexual partners, have
the last twelve months?

'<
O
B
H‘
D
B
:-
S

2-5
8-10
11‘20
21+

o|‘|l|

vaginal intercourse

2-5
5-10
10-20
21+

anal intercourse
1

2-5
8-10
10-20
21+

muutmu

18. Who have you had sex with in the last tlve
years?
__ aen
__ wonen
_ both
19. For which sexual practices do you use
condoms?
._ (1) oral sex
__ (2) vaginal intercourse
%_ (3) anal intercourse

20. How olten do you use condoms?

_ (1) always

_ (2) lost 01 the tine

_ (3) occasionally

_ (4) seldo-

_ (5) never

Idllnn (‘r\u-H... 4. , .