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Sexual Health Patient Questionnaire

1. About you

Are you male or female?

How old are you?







2. Have you heard of any of following places in the Sheffield area where you can get information about sexual health and contraception? (Please tick relevant box[es])

3. Have you ever visited any of these services?

4. When looking for help or support about sexual health and contraception where would you prefer to go? (Please select one only)









5. When you go for advice on sexual health and contraception which of the following is the most important? (Please select one only)








6. Do you recognise this logo?

logo

7. Are you aware of Sheffield Sexual Health Services website www.sheffieldsexualhealth.nhs.uk?

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