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What is your Gender?
 
Male
 
Female
 
 
 
What is your age?
 
 
 
What program are you enrolled in at UNTHSC?
 
SPH
 
GSBS
 
PA
 
PT
 
TCOM
 
 
 
What is your Marital status
 
Single
 
Married
 
Widowed
 
 
 
Do you abstain from pre-marital sex?
 
Yes
 
No
 
 
 
Would you describe yourself as sexually active?
 
Yes
 
No
 
 
 
If yes, what sexual activities are you enrolled it?
 
Genital
 
Oral

 
 
 
Do you use condoms?
 
Yes
 
No
 
 
 
If yes, how often
 
 
 
Do birth control pills prevent STD's
 
Yes
 
No
 
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