SYPHILIS A
GONORRHEA B
AIDS C
VAGINAL TRICHOMONIASIS D
GENITAL ULCERS E
OTHER (SPECIFY) ___________ X
DON'T KNOW Z

GENITAL HERPES A
GENITAL WARTS/HPV B
HEPATITIS C
CHLAMYDIA D
SYPHILIS E
HIV/AIDS INFECTION F
TRICHOMONIASIS G
CHANCROID H
YEAST INFECTION I
OTHER (SPECIFY) _____ X
DON'T KNOW Z

SYPHILIS A
GONORRHEA B
AIDS C
TRICHOMONAS VAGINALIS D
CHANCROID E
OTHER (SPECIFY) __________ X
DON'T KNOW Z