Survey Text

1992
1991
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1992
Survey form view entire document:  text  image

22. Did you have your (last) AIDS blood test --
Read list. Mark each that applies.

01[] For hospitalization or a surgical procedure?
02[] To apply for health insurance?
03[] To apply for life insurance?
04[] For employment?
05[] To apply for a marriage license?
06[] For military induction or military service?
07[] For immigration?
08[] Just to find out if you were infected?
09[] Because of referral by the doctor?
10[] Because of referral by the Health Department?
11[] Referred by your sex partner?
12[] Because it was part of the blood donation process?
13[] For some other reason? Specify ____
97[] Refused
99[] DK

top
1991
Survey form view entire document:  text  image

22. Did you have your (last) AIDS blood test --
Read list. Mark each that applies.

01[] For hospitalization or a surgical procedure?
02[] To apply for health insurance?
03[] To apply for life insurance?
04[] For employment?
05[] To apply for a marriage license?
06[] For military induction or military service?
07[] For immigration?
08[] Just to find out if you were infected?
09[] Because of referral by the doctor?
10[] Because of referral by the Health Department?
11[] Referred by your sex partner?
12[] Because it was part of the blood donation process?
13[] For some other reason? Specify ____
97[] Refused
99[] DK