801E. Which infections did you have?
RECORD ALL MENTIONED.
SYPHILIS A GONORRHEA B AIDS C CONDYLOMA (GENITAL WARTS) D DISCHARGE E ULCERS F LOWER ABDOMINAL PAIN G OTHER (SPECIFY) _____ W OTHER (SPECIFY) _____ X DOESN'T KNOW Z
SYPHILIS/POX A GONORRHEA B AIDS C GENITAL WARTS/GENITAL TUMORS D DISCHARGE E ULCERATION F ABDOMINAL PAIN G OTHER (SPECIFY): ___ W OTHER (SPECIFY): ___ X DK Z
801E. Which illnesses did you have?
RECORD ALL RESPONSES.
SYPHILIS/POX A GONORRHEA B AIDS C GENITAL WARTS/GENITAL TUMORS D DISCHARGE E ULCERATION F PAIN IN LOWER ABDOMEN G OTHER (SPECIFY) _____ W OTHER (SPECIFY) _____ X DOESN'T KNOW Z
SYPHILIS/KABOTONGO A GONORRHEA/NZIKO B AIDS/SLIM DISEASE C GENITAL WARTS/CONDYLOMATA D OTHER (SPECIFY) _________ W OTHER (SPECIFY) _________ X DOES NOT KNOW Z
SYPHILIS A GONORRHEA B AIDS/HIV INFECTION C GENITAL WARTS / CONDYLONATA D CHANCROID E OTHER (SPECIFY) __________ W OTHER (SPECIFY) __________ X DON'T KNOW Z