World Health Survey Template Page 36
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I would like to talk with you about another subject - your sexual life and sexual partners. I know it may be difficult to remember exactly, but I would
like you to answer the questions to the best of your knowledge, as this information is very important for the survey. I would like to assure you that
this information is all completely private and anonymous and cannot be linked to you or any partner in any way.
.
Q6601 Are you currently married or living with a man (woman)?
1. Yes
5. No
If Yes: Go to
Q6603
Q6602 Do you currently have:
1. Regular sexual partner
2. An occasional sexual
5. No sexual partner
If No sexual
partner
partner: Go to
READ CHOICES AND MARK AS APPROPRIATE
Q6605
Q6603 Does your spouse (sexual partner) currently live with you in the same
1. Yes
5. No
If Yes: Go to
Q6606
house?
1. Within the
2. 1-2 months 3. 3-5 months 4. 6-12
5. More
6. Never
Go to Q6606
Q6604 How long have you and your spouse (sexual partner) been living
last month
months
than 1 year
lived
separately?
together
Q6605 Have you ever had sex?
1. Yes
5. No
If No: Go to 6700
Q6606 When was the last time you had sexual intercourse?
1. Within the
2. 1-2 months
3. 3-5 months
4. 6-12 months
5. More than 1
If More than 1
last month
ago
ago
ago
year ago
year ago: Go to
Q6611
.
Q6607 What was the relationship with the person with whom you last had sex?
1. Spouse/Cohabiting partner
2. Boyfriend/Girlfriend/Fiancé(e)
3. Other friend
4. Casual acquaintance
5. Relative
6. Commercial sex worker
7. Other
.
Q6608 The last time you had sexual intercourse, was a condom used?
1. Yes
5. No
8. Don't remember
Q6609 Have you had sex with another person in the last 12 months?
1. Yes
5. No
If No: Go to
Q6611
Q6610 The last time you had sexual intercourse with this other person, was a
1. Yes
5. No
8. Don't remember
condom used?
WORLD HEALTH SURVEY - COVERAGE
6.12
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Parent category: Life