Codes and Frequencies
An 'X' indicates the category is available for that sample
Code | Label |
bang
00
|
bang
04
|
benin
01
|
benin
06
|
burkf
03
|
camer
04
|
chad
04
|
condr
07
|
congo
05
|
eswat
06
|
ethio
00
|
gabon
00
|
ghana
03
|
jordan
02
|
jordan
07
|
Code | Label |
kenya
03
|
kenya
08
|
lesoth
04
|
madag
03
|
madag
08
|
malaw
04
|
mali
01
|
mali
06
|
moroc
03
|
moz
03
|
niger
06
|
nigera
03
|
rwand
00
|
rwand
05
|
seneg
05
|
Code | Label |
tanz
04
|
ugand
01
|
zambia
01
|
zimbw
99
|
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
0 | No, knows symptoms | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | 0 | No, knows symptoms | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | 0 | No, knows symptoms | X | X | X | X |
1 | Yes, does not know symptoms | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | 1 | Yes, does not know symptoms | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | 1 | Yes, does not know symptoms | X | X | X | X |
8 | Missing | X | X | X | X | X | X | X | X | X | X | X | X | X | · | · | 8 | Missing | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | 8 | Missing | X | X | X | X |
9 | NIU (not in universe) | X | · | · | · | · | · | · | · | X | · | · | X | · | · | X | 9 | NIU (not in universe) | · | X | · | · | · | · | · | · | · | · | · | · | · | · | · | 9 | NIU (not in universe) | · | · | · | · |
Can't find the category you are looking for? Try the Detailed codes
Description
STIMDK (V785Z) indicates whether the woman did not know any possible symptoms of STI (sexually transmitted infection) in men.
Comparability — Index
GENERAL Bangladesh |
Jordan |
Kenya |
Comparability
Along with universe differences, STIMDK (V785Z) has some variation in question wording that broadly applies to the "symptoms of STI" series. The standard question wording for the STIM- series is: "If a man has a sexually transmitted disease, what symptoms might he have?" This wording is used by the majority of samples. However, some samples use the question, "What are the signs or symptoms in a man that make you think he may have a sexually transmitted infection?" Researchers concerned by this question wording variation should be attentive to the Survey Text tab.
Women who had not heard of sexually transmitted infections apart from AIDS were not asked about STI symptoms, and they were automatically coded as "Does not know symptoms" in this series, unless otherwise noted in the comparability text below. For the variable indicating whether the woman has heard of STIs other than AIDS, see STIHEARDOTH (V785).
Comparability - Standard DHS
STIMDK (V785Z) appears in phase IV of the Standard DHS questionnaire but is not included in subsequent phases of the standard questionnaire.
Comparability — Bangladesh [top]
Unlike the majority of samples, the 2000 Bangladesh sample does not include women who had not heard of STIs other than AIDS in the universe for the "symptoms of STI" variable series. These women are coded as "not in universe" instead of in the "No" category.
The 2004 Bangladesh sample does not have the same comparability issue as Bangladesh 2000; the earlier sample follows the coding conventions of most samples that have the "symptoms of STI" questions.
Comparability — Jordan [top]
Unlike the majority of samples, the 2007 Jordan sample does not include women who had not heard of STIs other than AIDS in the universe for the "symptoms of STI" variable series. These women are coded as "not in universe" instead of in the "No" category.
The 2002 Jordan sample does not have the same comparability issue as Jordan 2007; the earlier sample follows the coding conventions of most samples that have the "symptoms of STI" questions.
Comparability — Kenya [top]
Unlike the majority of samples, the Kenya 2008 sample does not include women who had not heard of STIs other than AIDS in the universe for the "symptoms of STI" variable series. These women are coded as "not in universe" instead of in the "No" category.
The Kenya 2003 sample does not have the same comparability issue as Kenya 2008; the earlier sample follows the coding conventions of most samples that have the "symptoms of STI" questions.
Universe
- Bangladesh 2000: Ever-married women age 10-49 who have heard about sexually transmitted infections apart from AIDS.
- Bangladesh 2004: Ever-married women age 10-49.
- Benin 2001: All women age 15-49.
- Benin 2006: All women age 15-49.
- Burkina Faso 2003: All women age 15-49.
- Cameroon 2004: All women age 15-49.
- Chad 2004: All women age 15-49.
- Congo (Democratic Republic) 2007: All women age 15-49.
- Congo Brazzaville 2005: Women age 15-49 who have heard about sexually transmitted infections apart from AIDS.
- Eswatini (Swaziland) 2006: All women age 15-49.
- Ethiopia 2000: All women age 15-49.
- Gabon 2000: Women age 15-49 who have heard about sexually transmitted infections apart from AIDS.
- Ghana 2003: All women age 15-49.
- Jordan 2002: Ever-married women age 15-49.
- Jordan 2007: Ever-married women age 15-49 who have heard about sexually transmitted infections apart from AIDS.
- Kenya 2003: All women age 15-49.
- Kenya 2008: Women age 15-49 who have heard about sexually transmitted infections apart from AIDS.
- Lesotho 2004: All women age 15-49.
- Madagascar 2003: All women age 15-49.
- Madagascar 2008: All women age 15-49.
- Malawi 2004: All women age 15-49.
- Mali 2001: All women age 15-49.
- Mali 2006: All women age 15-49.
- Morocco 2003: All women age 15-49.
- Mozambique 2003: All women age 15-49.
- Niger 2006: All women age 15-49.
- Nigeria 2003: All women age 15-49.
- Rwanda 2000: All women age 15-49.
- Rwanda 2005: All women age 15-49.
- Senegal 2005: All women age 15-49.
- Tanzania 2004: All women age 15-49.
- Uganda 2001: All women age 15-49.
- Zambia 2001: All women age 15-49.
- Zimbabwe 1999: All women age 15-49.
Survey Text
RECORD ALL MENTIONED.
DISCHARGE FROM PENIS OR DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS OR INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES OR ULCERS G
GENITAL WARTS H
BLOOD IN URINE I
LOSS OF WEIGHT J
IMPOTENCE K
NO SYMPTOMS L
OTHER (SPECIFY) W
OTHER (SPECIFY) X
DON'T KNOW Z
Any others?
RECORD ALL SYMPTOMS MENTIONED.
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY): _________ W
OTHER (SPECIFY): _________ X
NO SYMPTOMS Y
DON'T KNOW Z
Any others?
RECORD ALL SYMPTOMS MENTIONED.
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY): _________ W
OTHER (SPECIFY): _________ X
NO SYMPTOMS Y
DON'T KNOW Z
RECORD ALL MENTIONED.
GENITAL DISCHARGE B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY)_________ W
OTHER (SPECIFY) ________ X
NO SYMPTOMS Y
DON'T KNOW Z
Any others?
RECORD ALL SYMPTOMS MENTIONED.
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY): _________ W
OTHER (SPECIFY): _________ X
NO SYMPTOMS Y
DON'T KNOW Z
Any others?
RECORD ALL SYMPTOMS MENTIONED.
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY): _________ W
OTHER (SPECIFY): _________ X
NO SYMPTOMS Y
DON'T KNOW Z
Any other sign or symptom?
RECORD ALL SYMPTOMS MENTIONED
GENITAL DISCHARGE B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY) W
OTHER (SPECIFY) X
NO SYMPTOMS Y
DON'T KNOW Z
Any other signs or symptoms?
RECORD ALL SYMPTOMS MENTIONED.
GENITAL DISCHARGE B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY) _____ W
OTHER (SPECIFY) _____ X
NO SYMPTOMS Y
DON'T KNOW Z
Any other sign or symptom? RECORD ALL SYMPTOMS MENTIONED.
GENITAL DISCHARGE B
FOUL-SMELLING DISCHARGE C
BURNING PAIN WHILE URINATING D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY) _________ X
NO SYMPTOMS Y
DON'T KNOW Z
RECORD ALL SYMPTOMS MENTIONED.
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY) _______W
OTHER (SPECIFY) _______X
NO SYMPTOMS Y
DON'T KNOW Z
RECORD ALL MENTIONED.
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
BLOOD IN URINE I
LOSS OF WEIGHT J
IMPOTENCE K
NO SYMPTOMS L
OTHER (SPECIFY) _______ W
OTHER (SPECIFY) ______ X
DON'T KNOW Z
Any other sign or symptom?
RECORD ALL SYMPTOMS MENTIONED
GENITAL DISCHARGE B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
BLOOD IN URINE I
LOSS OF WEIGHT J
IMPOTENCE K
OTHER (SPECIFY) X
NO SYMPTOMS Y
DON'T KNOW Z
Any others?
RECORD ALL SYMPTOMS MENTIONED.
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY): _________ W
OTHER (SPECIFY): _________ X
NO SYMPTOMS Y
DON'T KNOW Z
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER_______W
OTHER_______X
NO SYMPTOMS Y
DON'T KNOW Z
Any other symptoms?
RECORD ALL MENTIONED
GENITAL DISCHARGE/ DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/ INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
FEVER M
OTHER (SPECIFY)_________________ X
NO SYMPTOMS Y
DON'T KNOW Z
Any others?
RECORD ALL SYMPTOMS MENTIONED.
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY) ______ W
OTHER (SPECIFY) ______ X
NO SYMPTOMS Y
DON'T KNOW Z
Any others?
RECORD ALL MENTIONED
GENITAL DISCHARGE/DRIPPING B
FOUL SMELL/DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE/NO ERECTION L
OTHER (SPECIFY) ________ W
OTHER (SPECIFY) ________ X
NO SYMPTOMS Y
DOES NOT KNOW Z
Any others?
RECORD ALL SYMPTOMS MENTIONED.
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY): _________ W
OTHER (SPECIFY): _________ X
NO SYMPTOMS Y
DON'T KNOW Z
Any others?
RECORD ALL SYMPTOMS MENTIONED.
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY): _________ W
OTHER (SPECIFY): _________ X
NO SYMPTOMS Y
DON'T KNOW Z
PROBE: Anything else?
RECORD ALL MENTIONED.
GENITAL DISCHARGE B
FOUL-SMELLING DISCHARGE C
BURNING DURING URINATION D
RASH/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
WEIGHT LOSS K
IMPOTENCE L
OTHER (SPECIFY) __________ W
OTHER (SPECIFY) __________ X
NO SYMPTOMS Y
DOESN'T KNOW Z
Any others?
RECORD ALL SYMPTOMS MENTIONED.
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY) ______ W
OTHER (SPECIFY) ______ X
NO SYMPTOMS Y
DON'T KNOW Z
Any others?
RECORD ALL SYMPTOMS MENTIONED.
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY): _________ W
OTHER (SPECIFY): _________ X
NO SYMPTOMS Y
DON'T KNOW Z
Are there other symptoms?
RECORD ALL MENTIONED
GENITAL DISCHARGE B
FOUL-SMELLING DISCHARGE C
BURNING URINATION D
GENITAL REDNESS/INFLAMMATION E
GENITAL SWELLING F
GENITAL SORE/ULCER G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
WEIGHT LOSS K
IMPOTENCE L
OTHER (SPECIFY) __W
OTHER (SPECIFY) __X
NO SYMPTOMS Y
DOESN'T KNOW Z
Any others?
RECORD ALL SYMPTOMS MENTIONED.
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY) ______ W
OTHER (SPECIFY) ______ X
NO SYMPTOMS Y
DON'T KNOW Z
Any others?
RECORD ALL SYMPTOMS MENTIONED.
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY): _________ W
OTHER (SPECIFY): _________ X
NO SYMPTOMS Y
DON'T KNOW Z
Are there other symptoms?
RECORD ALL MENTIONED.
GENITAL DISCHARGE B
FOUL-SMELLING DISCHARGE C
BURNING URINATION D
GENITAL REDNESS/INFLAMMATION E
GENITAL SWELLING F
GENITAL SORE/ULCER G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
WEIGHT LOSS K
IMPOTENCE L
OTHER (SPECIFY) __________ X
NO SYMPTOMS Y
DON'T KNOW Z
Any others?
RECORD ALL SYMPTOMS MENTIONED.
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY): _________ W
OTHER (SPECIFY): _________ X
NO SYMPTOMS Y
DON'T KNOW Z
Any others?
RECORD ALL SYMPTOMS MENTIONED.
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY): _________ W
OTHER (SPECIFY): _________ X
NO SYMPTOMS Y
DON'T KNOW Z
RECORD ALL SYMPTOMS MENTIONED.
DO NOT AGREE 2
DK/NOT SURE/IT DEPENDS 8
Any others?
RECORD ALL SYMPTOMS MENTIONED.
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY): _________ W
OTHER (SPECIFY): _________ X
NO SYMPTOMS Y
DON'T KNOW Z
Any others?
RECORD ALL SYMPTOMS MENTIONED.
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY) ______ W
OTHER (SPECIFY) ______ X
NO SYMPTOMS Y
DON'T KNOW Z
Any others?
RECORD ALL SYMPTOMS MENTIONED.
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY): _________ W
OTHER (SPECIFY): _________ X
NO SYMPTOMS Y
DON'T KNOW Z
Any others?
RECORD ALL SYMPTOMS MENTIONED.
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY): _________ W
OTHER (SPECIFY): _________ X
NO SYMPTOMS Y
DON'T KNOW Z
Any others?
RECORD ALL SYMPTOMS MENTIONED.
GENITAL DISCHARGE/DRIPPING B
FOUL SMELLING DISCHARGE C
BURNING PAIN ON URINATION D
REDNESS/INFLAMMATION IN GENITAL AREA E
SWELLING IN GENITAL AREA F
GENITAL SORES/ULCERS G
GENITAL WARTS H
GENITAL ITCHING I
BLOOD IN URINE J
LOSS OF WEIGHT K
IMPOTENCE L
OTHER (SPECIFY) ______ W
OTHER (SPECIFY) ______ X
NO SYMPTOMS Y
DON'T KNOW Z