Questions

Do you have any of the following conditions?

kidney (renal) disease depression, anxiety or other psychiatric conditions history of seizures/epilepsy diabetes heart disease/stroke any serious medical condition which may require immediate hospitalisation

Do you agree that:

Unprotected sex with strangers places significant risk to your health, and that you are at risk of contracting illnesses other than chlamydia, such as HIV, gonorrhoea and herpes. If you have contracted one of these illnesses, you may place the health of others at risk. You should contact your GUM clinic or your GP to …

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