Whether patient is sexually active (time since last sexual activity) |
Number of current partners |
Number of partners in a specific time period (e.g., 6 months/1 year) |
Number of partners in lifetime |
Frequency of intercourse and/or sexual activity |
Gender of current partner |
Gender of previous partners in a specific time period |
Gender of previous partner(s) in lifetime |
Type of sexual behaviors (vaginal, anal, oral) |
Partner’s sexual history |
Condom use and/or safe sex behaviors (e.g., female condom) |
Birth Control |
History of sexually transmitted infections, general |
History of sexually transmitted infections, specific |
Issues with sexual well-being |
Issues with sexual performance |
History of sexual abuse |
History of intravenous (IV) drug use |
Partner’s history with IV drug use. |
Other sexual concerns |