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To find out if this test is right for you, we need to ask you some personal questions.
Your information is kept private and confidential.
You only need to complete the registration once.

All fields are mandatory

Is a health care worker helping you to collect your DBS test?

Yes No

Do you have a DBS testing kit with you now?

Yes No

Are you at least 16 years old?

Yes No

What is your country of birth?

What is the main language you speak at home?

Do you identify as an:

Aboriginal Torres Strait Islander Both Aboriginal and Torres Strait Islander Neither Aboriginal or Torres Strait Islander Prefer not to answer

Where have your sexual partner(s) been from (since your last HIV test or ever if you have never had a HIV test)?

Australia Asia Africa North America South America Europe None of the above Prefer not to answer

Tick as many boxes as apply

What is your gender?

Male Female Non-binary/ gender fluid Prefer not to answer Different identity

Was this the gender you were assigned at birth?

Yes No Prefer not to answer

What sex were you assigned at birth?

Male Female Intersex

How do you identify your sexual orientation?

Straight or heterosexual Lesbian, gay or homosexual Bisexual Queer Prefer not to answer Different identity

When you have sex, who do you have sex with?

Men Women Trans Men Trans women I have never had sex with anyone Prefer not to answer

Tick as many boxes as apply

Have you ever injected a drug?

Yes, in the previous month Yes, but not in the previous month No Prefer not to answer

Are you currently or have you ever attended a drug and alcohol service?

Yes No Prefer not to answer

Are you currently or have you ever attended a mental health service?

Yes No Prefer not to answer

Are you currently or have you ever been in prison?

Yes No Prefer not to answer

Are you currently or have you ever attended a community corrections service (eg. Parole) or participated in a community corrections order?

Yes No Prefer not to answer

Are you currently or have you ever been homeless (includes couch surfing, living in your car etc)?

Yes No Prefer not to answer