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HIV-1 Test System
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Hepatitis C
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HEPATITIS C Risk Assessment

Entering your e-mail address, zip code, and birth year are not required, but can help us to better serve you.
E-mail Address:
Zip Code:
Birth Year: (YYYY)
1.Did you receive a blood transfusion prior to July 1992?
  Yes. No. I choose not to answer.
2.Have you donated blood that was not rejected in the past 3 years?
  Yes. No. I choose not to answer.
3.Are you a Vietnam Veteran?
  Yes. No. I choose not to answer.
4.Have you spent more than a month in jail or prison?
  Yes. No. I choose not to answer.
5.Have you ever used cocaine?
  Yes. No. I choose not to answer.
6.In your life have you had more than 50 sex partners?
  Yes. No. I choose not to answer.
7.Have you ever been punctured or injected by an intravenous needle that was used by another person?
  Yes. No. I choose not to answer.
8.In the course of your job, have you had unprotected contact with another person's blood, such as a blood splash or accidental needle stick?
  Yes. No. I choose not to answer.

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