DOESN'T USE CONDOMS C
HAS MORE THAN 1 SEXUAL PARTNER D
HAS SEVERAL SEXUAL PARTNERS E
PARTNER HAS OTHER PARTNERS F
HAS HOMOSEXUAL RELATIONS G
BLOOD TRANSFUSIONS H
INJECTIONS I
OTHER (SPECIFY) _______________ X

DOESN'T USE CONDOMS C
HAS MORE THAN ONE PARTNER D
HAS NUMEROUS PARTNERS E
PARTNER HAS OTHER PARTNERS F
HOMOSEXUAL RELATIONS G
BLOOD TRANSFUSIONS H
INJECTIONS I
USES DIRTY BLADES, SCISSORS, KNIVES, OTHER CUTTING IMPLEMENTS K
OTHER (SPECIFY) _____ X

SMALL 1
MODERATE 2 (GO TO 809C)
GREAT 3(GO TO 809C)
NO RISK AT ALL 4
HAS AIDS 5 (GO TO 811A)

DOESN'T USE CONDOMS C
HAS MORE THAN ONE SEXUAL PARTNER D
HAS SEVERAL SEXUAL PARTNERS E
PARTNER HAS OTHER PARTNERS F
HAS HOMOSEXUAL RELATIONSHIPS G
GETS BLOOD TRANSFUSIONS H
GETS INJECTIONS I
USES SOILED BLADES, SCISSORS, KNIVES K
OTHER (SPECIFY): ___ X

DOES NOT USE CONDOMS C
MORE THAN 1 SEX PARTNER D
MANY SEX PARTNERS E
PARTNER HAS OTHER PARTNERS(S) F
SEX WITH HOMOSEXUALS H
BLOOD TRANSFUSIONS I
INJECTIONS J
CONTAMINATED BLADES, SCISSORS, KNIVES, CUTTING INSTRUMENTS Q
EXCISION/CIRCUMCISION/EAR PIERCING R
EATS/DRINKS FROM SAME DISHES AS SOMEONE INFECTED WITH AIDS S
OTHER (SPECIFY): ___ X

DOESN'T USE CONDOMS C
HAS MORE THAN 1 SEXUAL PARTNER D
HAS SEVERAL SEXUAL PARTNERS E
PARTNER HAS OTHER PARTNERS F
HAS HOMOSEXUAL RELATIONSHIPS G
BLOOD TRANSFUSIONS H
RECEIVES INJECTIONS I
USES SOILED BLADES, SCISSORS, KNIVES K
OTHER (SPECIFY): ___ X

DOESN'T USE CONDOMS C
HAS MORE THAN 1 SEXUAL PARTNER D
HAS SEVERAL SEXUAL PARTNERS E
PARTNER HAS OTHER PARTNERS F
HAS HOMOSEXUAL RELATIONS G
BLOOD TRANSFUSIONS H
INJECTIONS I
USES SOILED BLADES, SCISSORS, KNIVES K
OTHER (SPECIFY) _____X

DO NOT USE CONDOMS C
MORE THAN ONE SEX PARTNER D
MANY SEX PARTNERS E
SPOUSE HAS OTHER PARTNER(S) G
HOMOSEXUAL CONTACT H
HAD BLOOD TRANSFUSION I
HAD INJECTIONS J
OTHER (SPECIFY) ___________________X

DOES NOT USE CONDOMS C
MORE THAN ONE SEXUAL PARTNER D
MANY SEXUAL PARTNERS E
PARTNER HAS OTHER PARTNERS F
HOMOSEXUAL SEX H
BLOOD TRANSFUSIONS I
INJECTIONS J
AVOIDS [sic.] DIRTY BLADES, SCISSORS, KNIVES, CUTTING INSTRUMENTS P OTHER (SPECIFY)__ X

DO NOT USE CONDOMS A
MULTIPLE PARTNERS B
PARTNER HAS MANY PARTNERS C
HAD TRANSFUSION/INJECTIONS D
OTHER (SPECIFY) _____ E
DON'T KNOW X

DOESN'T USE CONDOMS C
MORE THAN ONE SEXUAL PARTNER D
MANY SEXUAL PARTNERS E
PARTNER IS NOT LOYAL F
SEX WITH HOMOSEXUALS H
HAD BLOOD TRANSFUSIONS I
HAD INJECTIONS J
USED DIRTY BLADES/SCISSORS/KNIVES P
OTHER (SPECIFY): ___ X

MULTIPLE SEX PARTNERS A
SEX WITH PROSTITUTES B
SPOUSE HAS MULTIPLE PARTNERS C
DO NOT USE CONDOMS D
HAD INJECTIONS E
HAD BLOOD TRANSFUSION F
OTHER (SPECIFY) ___________________X
DOES NOT KNOW Z

HAS MULTIPLE PARTNERS A
PARTNER HAS OTHER WOMEN B
DOES NOT USE CONDOMS C
HAD INJECTION, BLOOD TRANSFUS D
OTHER__________(SPECIFY) X

DOESN'T USE CONDOMS C
HAS MORE THAN 1 SEXUAL PARTNER D
HAS SEVERAL SEXUAL PARTNERS E
PARTNER HAS OTHER PARTNER(S) F
HAS HOMOSEXUAL RELATIONSHIPS G
BLOOD TRANSFUSIONS H
INJECTIONS I
OTHER (SPECIFY) __________ X

DO NOT USE CONDOMS C
MORE THAN ONE SEX PARTNER D
MANY SEX PARTNERS E
SPOUSE HAS OTHER PARTNER(S) F
HOMOSEXUAL CONTACT G
HAD BLOOD TRANSFUSION H
HAD INJECTIONS I
OTHER (SPECIFY) ___________________X

DO NOT USE CONDOMS A
MULTIPLE SEX PARTNERS B
SPOUSE HAS MULTIPLE PARTNERS C
HOMOSEXUAL CONTACT D
HAD BLOOD TRANSFUSION E
HAD INJECTIONS F
OTHER (SPECIFY) __________ X
DON'T KNOW Z