When was the last time you were 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?

The last time you sought healthcare services, what was the principal reason that led you to seek medical attention?

In the last 12 months, have you had a car accident that required you to seek medical attention?

In general, would you describe your overall health as excellent, good, fair, poor or very poor?

In general, how would you describe your overall health compared to other women your own age?

When was the last time you sought out health services for yourself at a clinic or hospital?

When was the last time you sought out health services at a clinic or hospital for yourself, including a traditional healer?

Now I will read some statements about some concerns/worries you may have in your life in general (or over the past year): My family fears for my safety