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Survey Properties
Owner: miramar119
Disclaimer is not responsible for the privacy of responses submitted to survey questions. The owner of the survey is entirely responsible for maintaining the privacy of the information collected. does collect the IP address of responders and this information is provided to the owner of the survey.
Sexual Health Survey
* Required

  1. How do you identify yourself? *

  2. How old are you?

  3. Within the past year, how many partners have you been sexually active with?
      Not sexually active
  4. When was the last time you were tested? (for HIV or STDS) *
  5. How often do you get tested currently?

  6. How often do you believe people should get tested? *

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