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1. If you have had a recent high risk sexual exposure (including exposure to Syphillis, Hepatitis C or HIV) will you be sure to repeat an STI test in 6-8 weeks and use barrier contraception in the meantime?

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2. Are you aware that this test screens for HIV and that there is the possibility of a positive result?

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3. Have you had frequent and serious infections like pneumonia, abscess, or meningitis?

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4. Will you be sure to see your GP with the results?

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5. Have you had any unintentional weight loss, night sweats, loss of appetite or pain at night?

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6. Are you currently located in Australia?

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7. Do you understand everything that is written above or do you require assistance or language interpretation?

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