When you were a child or teenager, did your father or another man in the home: Fetch water

When you were a child or teenager, did your father or another man in the home: Wash clothes

When you were a child or teenager, did your father or another man in the home: Prepare food

When you were a child or teenager, did your father or another man in the home: Clean the house

Until you turned 18, how often did your father or another man you lived with carry out the following tasks? Sweep the yard

When you were a child or teenager, did your father or another man in the home: Clean the bathroom/toilet

Has anyone ever told you that you had a sexually transmitted disease?

Have you ever been tested for HIV?

How many times have you had an ulcer on your penis or genitals?

How many times have you had an abnormal discharge from your penis?